Transcatheter Interventions in Adult Congenital Heart Disease

摘要: Recent reports have suggested that the number of adults with congenital heart disease (CHD) has surpassed pediatric numbers and approximately 1 in 150 some form CHD (Marelli et al., Circulation 115:163–172, 2007; Warnes 118:2395–2451, 2008). Significant rates intervention re-intervention are required this cohort patients one report demonstrating 20 % young requiring cardiovascular surgery (Zomer 124:2195–201, 2011). Increasingly, transcatheter alternatives to exist population particularly field pulmonary valve replacement (tPVR), recommendations for catheter been published context overall care these (Warnes Case complexity will vary according underlying diagnosis ranging from more straightforward interventions such as atrial septal defect closure complex stenting interatrial baffle leak following switch transposition great arteries. Many may had multiple previous interventions, detailed review data well sensible use pre-procedural imaging techniques including cardiac CT MRI is essential. This chapter outline procedural diagnostic tools used optimize patient selection success. Outcome where available also be discussed relation range seen group.