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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
[Update on pediatric cardiology and congenital heart disease]
Constancio Medrano López1, José Manuel Guía Torrent, Fernando Rueda Núñez
1Cardiología Pediátrica, Hospital Infantil, Hospital General Universitario Gregorio Marañón, Madrid, España. consmelu@yahoo.es
Insights
Recent advances in pediatric cardiology and congenital heart disease offer new diagnostic and therapeutic techniques for all life stages. This review covers key publications from August 2007 to September 2008, highlighting progress in fetal cardiology, echocardiography, and interventions.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Cardiovascular Medicine
Background:
- Congenital heart disease (CHD) prevalence is increasing in adults, including pregnant women in developed countries.
- Preventive measures for coronary heart disease should begin in infancy, emphasizing healthy diet and lifestyle.
- Significant advancements have been made in diagnosing and treating heart conditions across all life stages, from fetus to adult.
Purpose of the Study:
- To review scientific publications on pediatric cardiology and congenital heart disease from August 2007 to September 2008.
- To highlight recent progress in diagnostic and therapeutic techniques.
- To provide an overview of key developments in fetal cardiology, echocardiography, catheter interventions, surgery, and other cardiovascular conditions.
Main Methods:
- Review of scientific publications within a specific timeframe (August 2007 - September 2008).
- Focus on advancements in echocardiography (3D, speckle tracking), fetal cardiology, heart transplantation, catheter interventions, and surgical techniques.
- Inclusion of publications on cardiomyopathy, myocarditis, and bacterial endocarditis.
Main Results:
- Introduction of advanced echocardiography techniques like 3D and 2D speckle tracking for complex heart disease.
- Progress in fetal cardiology, including new prognostic data and intrauterine interventions.
- Developments in catheter interventions (septal defect closure, PDA closure, pulmonary valve implantation) and surgical approaches (hybrid techniques for hypoplastic left heart syndrome).
Conclusions:
- Pediatric cardiology and CHD fields show considerable progress with new diagnostic and therapeutic options.
- Interventions and treatments are evolving for conditions ranging from fetal development to adult congenital heart disease.
- Continued research and development are crucial for improving outcomes in pediatric cardiovascular care.
Abstract:
The fields of pediatric cardiology and congenital heart disease have experienced considerable progress in the last few years, with advances in new diagnostic and therapeutic techniques that can be applied at all stages of life from the fetus to the adult. This article reviews scientific publications in a number of areas that appeared between August 2007 and September 2008. In developed countries, congenital heart disease is becoming increasingly prevalent in nonpediatric patients, including pregnant women. Actions aimed at preventing coronary heart disease must be started early in infancy and should involve the promotion of a healthy diet and lifestyle. Recent developments in echocardiography include the introduction of three-dimensional echocardiography and of new techniques such as two-dimensional speckle tracking imaging, which can be used for both anatomical and functional investigations in patients with complex heart disease, including a univentricular heart. Progress has also occurred in fetal cardiology, with new data on prognosis and prognostic factors and developments in intrauterine interventions, though indications for these interventions have still to be established. Heart transplantation has become a routine procedure, supplemented in some cases by circulatory support devices. In catheter interventions, new devices have become available for the closure of atrial or ventricular septal defects and patent ductus arteriosus as well as for percutaneous pulmonary valve implantation. Surgery is also advancing, in some cases with hybrid techniques, particularly for the treatment of hypoplastic left heart syndrome. The article ends with a review of publications on cardiomyopathy, myocarditis and the treatment of bacterial endocarditis.
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