[Therapeutic catheterization in adults with congenital cardiopathy].
We report our results with therapeutic cardiac catheterization in adult patients with four of the most frequent congenital heart diseases. 1) Valvular pulmonary stenosis. We treated 20 patients older than 15 years of age and we concluded that anatomy of the valve is the most important variable related to immediate and long-term results. 2) Aortic coarctation. In a group of 54 patients, 32 treated with angioplasty alone and 22 with stent, we concluded that the main determinant for a good long-term result is the residual gradient, which is related to the coarctation anatomy and the use of stent. 3) Patent ductus arteriosus. In 17 adult patients, the ductus was occluded with coils in 5 and with the Amplatzer duct occluder in 12 with complete occlusion of the ductus in all cases followed for a mean period of 18 months and without complications. 4) Atrial septal defect. We treated 39 adult patients using the Amplatzer septal occluder with good results.
Zabal
Carlos
C
Servicio de Pediatría, Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, 14080 México, D. F. zabal@cardiologia.org.mx
D000293:Adolescent; D000328:Adult; D006328:Cardiac Catheterization; D005260:Female; D006331:Heart Diseases / Q000151:congenital* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged