Cases in Adult Congenital Heart Disease - Expert Consult: by Michael A. Gatzoulis, Gary D. Webb, Craig Broberg, Hideki

By Michael A. Gatzoulis, Gary D. Webb, Craig Broberg, Hideki Uemura

Cases in grownup Congenital center affliction, through Michael Gatzoulis et al., is a brand new, specific cardiology reference designed that will help you successfully deal with hard congenital stipulations in adults via accomplished visible assistance. prime specialists current eighty five cases-ranging from the straightforward to the complicated, supplemented through ample images-which help you diagnose those instances from a real-life, medical viewpoint. A spouse web site at expertconsult.com that includes complete textual content and pictures and supplemented through a library of dynamic imaging clips permits you to entry this certain source in one other handy way.

  • Features eighty five instances encompassing an entire variety of congenital center affliction problems-from the straightforward to the complex-that supply a greater figuring out of those stipulations from a real-life, scientific perspective.
  • Presents examples of a number of imaging modalities (including chest radiography, echocardiography, CT, MR, and angiography) in actual fact depict the scientific manifestations of congenital defects and supply you with the easiest perspectives on hand of those conditions.
  • Includes a better half site at expertconsult.com that includes the total textual content totally searchable on-line and pictures and supplemented through a library of dynamic imaging clips permits you to entry this specific source in one other handy way.
  • Offers tips at the overview of congenital middle ailment while pregnant equips you with crucial wisdom in addressing the desires of this turning out to be sufferer population.

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Additional resources for Cases in Adult Congenital Heart Disease - Expert Consult: Online and Print: Atlas, 1e

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OUTCOME The patient had an uneventful postoperative course. Two weeks after surgery, cardiac catheterization was carried out to evaluate the postoperative hemodynamics. The surgical channel was unobstructed. 5. During a 3-year follow-up the patient has been asymptomatic and doing well. 5. Her RA/RV dilatation has decreased on echo, although it has not normalized. Selected References 1. Alpert JS, Dexter L, Vieweg MVR, et al: Anomalous pulmonary venous return with intact atrial septum: Diagnosis and pathophysiology.

RV and RA pressures were not elevated, nor was there pulmonary stenosis. Following balloon occlusion of the ASD, the RA pressure did not change (increase). Furthermore, systemic blood pressure was maintained, and arterial saturation increased. Oxygen saturation measurements 5 and 10 minutes after balloon inflation were 83% and 93%, respectively (from 73% at baseline). C o m m e n t s : The main concern with this patient is whether the small and hypocontractile RV would be able to function without a decompressing ASD, allowing for right-to-left shunt.

Workup included an echocardiogram showing normal LV function but biatrial enlargement and a dilated RV. There were no valvular abnormalities and no pulmonary hypertension suggested by the echocardiogram. Further workup was pursued with cardiac catheterization, which demonstrated that the right upper pulmonary vein (RUPV) was abnormally connected to the superior caval vein. The atrial septum was intact. There was mild pulmonary hypertension (mean of 31 mm Hg), but the pulmonary vascular resistance was not elevated.

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