title: Decision-making in unoperated adults with congenital heart disease: a difficult task.
abstract: The authors present a 32-year-old lady with a diagnosis of VSD, pulmonary atresia and multiple aortopulmonary collateral arteries (MAPCAs), who was palliated successfully by stent implantation. This interventional procedure is discussed as well as the decision-making process in adult patients with unoperated congenital heart disease.
authors.affiliation: Division of Cardiovascular and Thoracic Surgery, Department of Radiology, British Columbia Children's Hospital, Suite AB307, 4480 Oak Street, Vancouver, British Columbia V6H 3V4, Canada. jleblanc@cw.bc.ca
authors.forename: Jacques
authors.initials: J
authors.lastname: LeBlanc
authors.forename: Manraj
authors.initials: M
authors.lastname: Heran
mesh_terms: D000328:Adult; D001011:Aorta / Q000002:abnormalities; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002404:Catheterization / Q000295:instrumentation*; D003097:Collateral Circulation; D003657:Decision Making; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D006345:Heart Septal Defects, Ventricular / Q000628:therapy; D006801:Humans; D010166:Palliative Care; D018579:Patient Selection; D011651:Pulmonary Artery / Q000002:abnormalities; D018633:Pulmonary Atresia / Q000628:therapy; D018570:Risk Assessment; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome