Adult Congenital Heart Disease - Part 2 pdf

... low-molecular- weight heparin; Mx, management; JCOS, cardiac obstetric care service. 42 CHAPTER 5 Anticoagulation In adults with congenital heart disease, anticoagulation and antiplatelet thera- py ... (INR 2. 0–3.0) Aortic valve + AF Warfarin (INR 2. 5–3.5) or INR 2. 0–3.0 plus low-dose aspirin Mitral valve + /- AF Warfarin (INR 2. 5–3.5) Caged ball type prosthesis Warfarin (IN...

Ngày tải lên: 13/08/2014, 12:20

... permanent pacemaker or ICD is required in an adult patient with congenital heart disease, at the time of open heart surgery. 15 12 Chapter 3 Figure 3 .2 Pulse generator erosion in a newly implanted ... complex congenital heart dis- ease and no access to the heart from above. These include transhepatic cannulation [19] and an extra-peritoneal approach directly to the inferior...

Ngày tải lên: 14/08/2014, 07:20

... (Table P 2. 1). Table P2.1 Classification of adult congenital heart disease. No previous cardiac surgery Pacemaker/ICD required Congenital atrioventricular block Congenitally corrected L-transposition ... in adult congenital heart disease, particularly in situations where there is no or limited access to the venous ventricle. Before coronary sinus cannulation is considered in...

Ngày tải lên: 14/08/2014, 07:20

... liên nhĩ. - Còn ống động mạch. - Thông sàn nhĩ-thất. + Bệnh tim bẩm sinh có tổn thương phức tạp (thường có tím): - Bệnh Ebtein. - Tứ chứng Fallot. - Hoán vị đại động mạch. - Tim một thất. ... tuổi trưởng thành (Adult congenital heart disease) (Kỳ 2) TS. Nguyễn Đức Công (Bệnh học nội khoa HVQY) 2. Phân loại bệnh tim bẩm sinh (theo Perloff J.K.) (Tiếp theo):...

Ngày tải lên: 01/07/2014, 20:20

... left heart syndrome 11q23 25 deletion Coarctation 4q31, 5q23–31 deletions Tetralogy of Fallot 22 q11, 8p 22 deletions

Ngày tải lên: 10/08/2014, 22:24

... defect 7 27 20 5 3 667 167 100 20 0 Coarctation of the aorta 8 20 16† 9† 5‡ 320 180 100–300 Aortic stenosis 11 25 15† 8† 4 375 20 0 22 5–400 up Tetralogy of Fallot 12 32 14 7 4 350 175 20 0 – 40 ... data. Reproduced with permission from Vonder-Muhll I et al. (20 03) European Heart Journal, 25 , 1595–1600. PART 2 Common Lesions Adult Congenital Heart Disease: A Practical...

Ngày tải lên: 10/08/2014, 22:24

... in adulthood The majority of adults with coarctation will already have had surgery. Re-co- arctation and aneurysm formation are the commonest repair site complica- tions. Most post-repair adults ... defects. A twenty-year experience. Journal of Thoracic and Cardiovascular Surgery, 110, 1543–15 52; discussion 15 52. Barnett MG, Chopra PS & Young WP (1988) Long-term follow-up of partial a...

Ngày tải lên: 10/08/2014, 22:24

... stool levels of alpha-1-antitrypsin (A-1-AT). The 5-year survival after di- agnosis is about 50%. Diagnosis is established by documenting increased A-1-AT clearance with a 24 -hour stool collection ... may lead to right heart failure and arrhythmias. • All patients with tetralogy should have pre-conception cardiology coun- seling and follow-up by an adult congenital heart disease c...

Ngày tải lên: 10/08/2014, 22:24

... children. Journal of Heart Valve Disease, 4, 384–391. Dearani JA, Danielson GK, Puga FJ, et al. (20 03) Late follow-up of 1095 patients undergoing operation for complex congenital heart disease utilizing ... Mulder BJM (20 02) Current insights in diagnosis and management of the cardiovascular complications of Marfan syndrome. Cardiology in the Young, 12, 320 – 327 . Roman MJ, Dev...

Ngày tải lên: 10/08/2014, 22:24

... 33, 22 2 22 7. 164 Chapter 20 • Sudden death (30%) • Congestive heart failure (25 %) • Hemoptysis (15%) • Other (30%) with a partial list including: – pregnancy; – perioperative following non-cardiac ... the American College of Cardiology, 34, 22 3 23 2. Perloff JK, Marelli AJ & Miner PD (1993) Risk of stroke in adults with cyanotic congenital heart disease. Circulation, 98, 1...

Ngày tải lên: 10/08/2014, 22:24