Catheterization of the Adult Patient with Congenital Heart Disease
Adult patients with congenital heart (ACH) disease are a product of medical and surgical advances of the second half of the twentieth century. A review at our own institution revealed that the 17-year survival of those born with all types of congenital heart disease was 84%. Despite the achievements of pediatric caregivers, many of these patients, particularly those with complex lesions, face a world not yet fully prepared for their adult care. Throughout the stages of their adolescent and adult years, congenital heart disease “survivors” present with problems often different from those encountered in their pediatric lives. Novel medical, surgical and catheter-based diagnostics and therapeutics have led to an increased use of the catheterization laboratory in the management of these patients. While simple defects predominated in the catheterization laboratory three decades ago, a marked shift toward more complex lesions was evident 20 years later 1. In the past decade however, with the advent of interventional procedures, simple lesions such as pulmonary stenosis, patent ductus arteriosus and atrial septal defect are once again being catheterized.
KeywordsCongenital Heart Disease Patent Ductus Arteriosus Transcatheter Closure Cryptogenic Stroke Coronary Artery Fistula
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- 4.Prieto LR, Foreman CK, Cheeatham JP, et al. Intermediate-Term Outcome of Transcatheter Secundum Atrial Septal Defect Closure Using the Bard Clamshell Septal Umbrella. Brief Reports 1996, 1310–1312.Google Scholar
- 21.Landzberg MJ, Lock JE. Transcatheter management of ventricular septal rupture after myocardial infarction. Sem Thorac Cardiovas Surg 1998, 10:128–132.Google Scholar
- 28..Teupe CHJ, Burger W, Schrader R, et al. Late (Five to Nine Years) Follow-Up After Balloon Dilation of Valvular Pulmonary Stenosis in Adults.Google Scholar
- 35.Shim D, Lloyd TR, Moorehead CP, Bove EL, Mosca RS, Beekman RH. Comparison of Hospital Charges for Balloon Angioplasty and Surgical Repair in Children With Native Coarctation of the Aorta. JACC 1997, 79:1143–1146.Google Scholar