Congenital heart disease in adults: catheterization laboratory considerations.
Congenital heart defects are the most common birth defects and represent an increasing proportion of adolescent and adult patients followed by cardiologists. While many of these patients have undergone successful palliative or corrective surgery with excellent functional results, most of them still require careful follow-up. Further, even complex lesions may first be diagnosed in adolescence and adulthood. Therefore, cardiologists caring for adults need to become more familiar with these defects. Assessment of the patient with known or suspected congenital heart defects requires a careful history, physical examination, and noninvasive assessment. In addition, the catheterization laboratory remains a critical venue for diagnosis and, increasingly, therapy. Pressure measurements, oximetry, and angiography remain cornerstones of diagnosis in selected patients and a variety of interventional procedures have become viable therapeutic alternatives in both pre- and postoperative patients.
Fox
James M
JM
Department of Internal Medicine, The University of Iowa, Iowa City, Iowa, USA.
Bjornsen
Katherine D
KD
Mahoney
Larry T
LT
Fagan
Thomas E
TE
Skorton
David J
DJ
D000328:Adult; D001017:Aortic Coarctation / Q000175:diagnosis / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology; D006328:Cardiac Catheterization; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000503:physiopathology; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D011666:Pulmonary Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology; D013771:Tetralogy of Fallot / Q000175:diagnosis / Q000503:physiopathology; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000503:physiopathology; D018785:Tricuspid Atresia / Q000175:diagnosis / Q000503:physiopathology