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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Percutaneous options for heart failure in adults with congenital heart disease
Darren Mylotte1, Giuseppe Martucci, Nicolo Piazza
1Department of Interventional Cardiology, McGill University Health Centre, Royal Victoria Hospital, 687, Pine Avenue West, Montréal H3A-1A1, Québec, Canada.
Insights
Transcatheter therapies offer new options for heart failure in adults with congenital heart disease (CHD). This review covers common transcatheter interventions for adult CHD patients, complementing existing treatments.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Congenital heart disease (CHD) can lead to complex ventricular responses.
- Stenotic and shunt/regurgitant lesions induce pressure- or volume-loading, respectively.
- Adults with CHD (ACHD) represent a growing patient population requiring specialized care.
Purpose of the Study:
- To review commonly used transcatheter interventions for heart failure in ACHD.
- To highlight the expanding therapeutic landscape for ACHD.
- To discuss complementary roles of surgical, medical, and transcatheter approaches.
Main Methods:
- Literature review of transcatheter therapies for heart failure in ACHD.
- Analysis of emerging interventional techniques.
- Synthesis of current treatment strategies.
Main Results:
- Transcatheter therapies are increasingly utilized for ACHD.
- These interventions expand treatment options beyond traditional methods.
- A range of procedures address specific hemodynamic challenges in ACHD.
Conclusions:
- Transcatheter interventions are vital for managing heart failure in ACHD.
- These therapies complement existing surgical and medical management.
- The review provides an overview of key transcatheter approaches for ACHD.
Abstract:
In the context of congenital heart disease (CHD), the complex biochemical and physiologic response to the pressure- or volume-loaded ventricle can be induced by stenotic and shunt/regurgitant lesions, respectively. A range of transcatheter therapies have recently emerged to expand the therapeutic potential of the more traditional surgical and medical interventions for heart failure in patients with CHD. Together, these complementary interventions aim to treat the growing patient population with adult CHD (ACHD). In this article, the most commonly used transcatheter interventions for heart failure in patients with ACHD are reviewed.
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