By Carole A. Warnes

  • Guides training physicians within the sensible facets of ways to diagnose and deal with sufferers with congenital middle disease
  • Reviews the most typical congenital cardiac anomalies obvious in practice
  • Focuses on either medical assessment and diagnostic imaging modalities in addition to useful administration matters, in addition to whilst to refer sufferers to tertiary care centres
  • Each bankruptcy is preceded by means of a case examine to exemplify the problems that could be hard in functional management

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Extra resources for Adult Congenital Heart Disease (American Heart Association Clinical Series)

Sample text

Mullins CE, Nihill MR, Vick GW 3rd, et al. Double balloon technique for dilation of valvular or vessel stenosis in congenital and acquired heart disease. J Am Coll Cardiol 1987;10:107–14. 16. Ali Khan MA, Yousef SA, Mullins CE. Percutaneous transluminal balloon pulmonary valvuloplasty for the relief of pulmonary valve stenosis with special reference to double-balloon technique. Am Heart J 1986;112:158–66. Chapter 3 Pulmonary stenosis/right ventricular outflow tract obstruction 39 17. Escalera RB 2nd, Chase TJ, Owada CY.

Pathophysiology The hemodynamic consequences of PS vary depending on the severity of the fixed stenosis. Transvalvular gradients can reach suprasystemic levels with a severe increase in right ventricular afterload. There is compensatory right ventricular hypertrophy. Secondary subvalvular stenosis due to infundibular hypertrophy may occur and result in a dynamic component of right ventricular outflow obstruction. Pulmonary arterial pressure remains normal or low in PS, due to decreased pulmonary blood flow in the face of obstruction.

In: Lundstrom Sectional, M-Mode and Doppler. New York: Elsevier/North Holland, 1980:197–206. 3. Silverman NH, Ho SY, Anderson RH, et al. Atrioventricular septal defect with intact atrial and ventricular septal structures. Int J Cardiol 1984;5:567–72. 4. Snider RA, Serwer GA, Ritter SB, eds. Defects in cardiac septation. In: Echocardiography in Pediatric Heart Disease, 2nd edition. St. Louis: Mosby-Year Book, 1997:277–89. 5. di Segni E, Edwards JE. Cleft anterior leaflet of the mitral valve with intact septa: a study of 20 cases.

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