Adult Congenital Heart Disease: A Practical Guide

by Michael A. Gatzoulis (Royal Brompton Hospital, London, UK); Lorna Swan (Western Infirmary, Glasgow); Judith Therrien (McGill University, Montreal); George A. Pantely; Foreword by: Eugene Braunwald

• ISBN13: 9781405144537
• ISBN10: 140514453X
• Format: eBook
• Copyright: 2008-04-01
• Publisher: BMJ Books

Summary

Congenital heart disease with its worldwide incidence of 1% is the most common inborn defect. Increasingly, patients are living into adulthood, with ongoing congenital heart and other medical needs. Sadly, only a small minority have specialist follow-up. However, all patients see their family doctor and may also seek advice from other health professionals.This practical guide with its straightforward a,b,c approach is written for those professionals.Special features of this book:- Introduces the principles of congenital heart disease and tells you whom and when to refer for specialist care - Discusses common congenital heart lesions in a practical, easy-to-follow way, with an emphasis on diagnosis and management issues - Includes an extensive chapter on 'Pregnancy and Contraception' (by Philip J. Steer), essential both for family planning and for managing safely the pregnant woman with congenital heart disease - Includes chapters on non-cardiac surgery and lifestyle issues such as work, insurability, travel and driving - Provides invaluable information on dealing with common emergencies; what to do and what not to doWith a wealth of illustrations (including diagrams, EKGs, CXRs, Echos and cardiac MRIs) and with key point tables, this is an essential guide for all health care professionals managing patients with adult congenital heart disease.

Table of Contents

Foreword

Preface

Acknowledgments

General Principles

Epidemiology of congenital heart disease

Services for the adult with congenital heart disease

Pregnancy and contraception

Infective endocarditis prophylaxis

Anticoagulation

Lifestyle issues

Long-term outcome

Common Lesions

Atrial septal defects and anomolous pulmonary venous drainage

Ventricular septal defect

Atrioventricular septal defect

Left ventricular outflow tract disorders

Coarctation of the aorta

Transposition of the great arteries

The single ventricle and Fontan circulations

Tetralogy of Fallot and right ventricular outflow tract disorders

Pulmonary atresia

EbsteinÆs anomaly of the tricuspid valve

Patent arterial duct

Marfan syndrome

Eisenmenger syndrome

Other lesions

Pulmonary hypertension

Section 3: Emergencies and Special Situations

Arrhythmia and syncope

Suspected infective endocarditis

Peri-operative care

Heart failureùacute management

Care of the cyanosed patient

Bibliography

Glossary

Appendix: Shunt calculations

Index

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