By Carole A. Warnes
Publications working towards physicians within the useful facets of the way to diagnose and deal with sufferers with congenital center diseaseReviews the commonest congenital cardiac anomalies visible in practiceFocuses on either scientific review and diagnostic imaging modalities in addition to useful administration matters, in addition to while to refer sufferers to tertiary care centresEach bankruptcy is preceded by way of a case research to exemplify the problems that could be not easy in sensible administration
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Extra info for Adult Congenital Heart Disease (American Heart Association Clinical Series)
Similarly, in adulthood, the diagnosis may be made after an incidental detection of a murmur or increased transvalvular gradient on echocardiography. When PS is critical, patients most commonly present with dyspnea, or, less commonly, arrhythmia, chest pain, or syncope may be the presenting symptom. Chest pain may be due to right ventricular ischemia in the setting of hypertrophied myocardium. Other symptoms are generally felt to be due to the inability to augment right ventricular output. The physical examination in PS is notable for a crescendo–decrescendo ejection murmur heard best in the second intercostal space.
Patients who are doing well after repair of AVSD are typically seen every 2–3 years and have electrocardiographic and echocardiographic testing performed. Exercise treadmill testing is useful to periodically obtain objective evidence of patient fitness. Many of these patients are able to participate fully in sports activities. Pregnancy results for women with AVSD have been good [22,23], although a recent review indicated that atrial arrhythmia may complicate as many as 10% of pregnancies in women with AVSD .
On the basis of these concepts, Carpentier  prefers the two-patch technique. The left atrioventricular valve remains a trileaflet structure. In most centers, the two-patch technique has become the method of choice. Clinical evaluation after repair of AVSD Over the last four decades, surgical repair of AVSD has been one of the success stories in congenital heart disease. However, as with most congenital cardiac lesions, these patients require lifelong cardiology surveillance at centers that specialize in the care of adults with congenital heart disease.
Adult Congenital Heart Disease (American Heart Association Clinical Series) by Carole A. Warnes
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