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[Interventional catheterization in congenital heart disease in the adult]
1Service des maladies cardiovasculaires infantiles et congénitales, hôpital cardiologique, 59037 Lille.
Insights
Interventional catheterisation offers palliative and curative treatments for congenital heart defects in patients of all ages. These minimally invasive procedures address various conditions, improving patient outcomes and quality of life.
Area of Science:
- Cardiology
- Interventional Cardiology
- Paediatric Cardiology
Context:
- Cardiac catheterisation enables palliative or curative interventions for congenital heart disease.
- Conditions treated span from infancy to adulthood, including pulmonary valvular stenosis, coarctation of the aorta, and patent foramen ovale.
- Interventional catheterisation plays a role in both definitive treatment and hemodynamic improvement of complex congenital heart conditions.
Purpose:
- To provide definitive treatment for congenital heart defects diagnosed in adulthood.
- To improve the hemodynamic state of complex congenital heart disease.
- To complete surgical procedures and manage recurrences or specific vascular issues.
Summary:
- Interventional catheterisation involves palliative or curative procedures during cardiac catheterisation for congenital heart disease.
- Treatments are applicable across all age groups, from newborns to adults.
- Specific interventions include occlusion of shunts, valvular stenosis alleviation, and endoprostheses implantation.
Impact:
- Offers definitive treatment for congenital heart defects, including those initially unrecognized.
- Improves hemodynamic status in complex congenital heart disease, potentially enabling repair or palliation.
- Complements surgical interventions by addressing recurrences and managing vascular anomalies.
Abstract:
Interventional catheterisation comprises performing a palliative or curative procedure during arterial or venous cardiac catheterisation. This procedure can be performed at any age, equally well in the newborn or adults affected by congenital cardiopathy: in order to definitively treat a congenital cardiopathy, unrecognised in infancy but diagnosed in adulthood, such as pulmonary valvular stenosis, coarctation of the aorta, persistent ductus arteriosus, ostium secundum type interatrial communication, coronaro-cardiac fistula, pulmonary arterio-venous fistula, and patent foramen ovale; in order to improve the haemodynamic state of a complex congenital cardiopathy, for example by creating an interatrial communication, or by opening the pulmonary route in a complex cardiopathy which cannot be completely repaired; in order to complete a surgical procedure, to treat recurrence of peripheral pulmonary stenosis or recurrence of coarctation, and to embolise the systemic vessels leading off the aorta or veno-venous anastomoses after cavopulmonary intervention. Paediatric cardiology can lead to occlusion of a left-right or right-left shunt with different devices, alleviation of an arterial or venous valvular stenosis with dilatation catheters, or implantation of endoprostheses in arterial or venous stenoses.