[Interventional catheterization in congenital heart disease in the adult].
Interventional catheterisation comprises performing a palliative or curative procedure during arterial or venous cardiac catheterisation. This procedure can be performed at any age, equally well in the newborn or adults affected by congenital cardiopathy: in order to definitively treat a congenital cardiopathy, unrecognised in infancy but diagnosed in adulthood, such as pulmonary valvular stenosis, coarctation of the aorta, persistent ductus arteriosus, ostium secundum type interatrial communication, coronaro-cardiac fistula, pulmonary arterio-venous fistula, and patent foramen ovale; in order to improve the haemodynamic state of a complex congenital cardiopathy, for example by creating an interatrial communication, or by opening the pulmonary route in a complex cardiopathy which cannot be completely repaired; in order to complete a surgical procedure, to treat recurrence of peripheral pulmonary stenosis or recurrence of coarctation, and to embolise the systemic vessels leading off the aorta or veno-venous anastomoses after cavopulmonary intervention. Paediatric cardiology can lead to occlusion of a left-right or right-left shunt with different devices, alleviation of an arterial or venous valvular stenosis with dilatation catheters, or implantation of endoprostheses in arterial or venous stenoses.
Rey
C
C
Service des maladies cardiovasculaires infantiles et congénitales, hôpital cardiologique, 59037 Lille.
Godart
F
F
D000328:Adult; D000367:Age Factors; D000368:Aged; D001017:Aortic Coarctation / Q000628:therapy; D006328:Cardiac Catheterization / Q000379:methods*; D013504:Cardiovascular Surgical Procedures; D005260:Female; D006330:Heart Defects, Congenital / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011379:Prognosis; D011666:Pulmonary Valve Stenosis / Q000628:therapy; D012008:Recurrence