title: Impact of Right-Sided-Catheter-Based Valve Implantation on Decision-Making in Congenital Heart Disease.
abstract: There is a growing appreciation for the adverse long-term impact of right-sided valvular dysfunction in patients with congenital heart disease. Although right-sided valvular stenosis and/or regurgitation is often better tolerated than left-sided valvular dysfunction in the short and intermediate term, the long-term consequences are numerous and include, but are not limited to, arrhythmias, heart failure, and multi-organ dysfunction. Surgical right-sided valve interventions have been performed for many decades, but the comorbidities associated with multiple surgeries are a concern. Transcatheter right-sided valve replacement is safe and effective and is being performed at an increasing number of centers around the world. It offers an alternative to traditional surgical techniques and may potentially alter the decision making process whereby valvular replacement is performed prior to the development of long-term sequelae of right-sided valvular dysfunction.
authors.affiliation: Ahmanson/UCLA Adult Congenital Heart Disease Center, 200 Medical Plaza Driveway #365, Los Angeles, CA, 90024, USA. JGhobrial@mednet.ucla.edu.
authors.forename: Joanna
authors.initials: J
authors.lastname: Ghobrial
authors.affiliation: Ahmanson/UCLA Adult Congenital Heart Disease Center, 200 Medical Plaza Driveway #365, Los Angeles, CA, 90024, USA. JAboulhosn@mednet.ucla.edu.
authors.forename: Jamil
authors.initials: J
authors.lastname: Aboulhosn
mesh_terms: D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000503:physiopathology*
keywords: Congenital heart disease; Melody valve; Pulmonary regurgitation; Pulmonary stenosis; Sapien valve; Tetralogy of Fallot; Transcatheter valve replacement; Tricuspid regurgitation; Tricuspid stenosis