Download Fetal and Hybrid Procedures in Congenital Heart Diseases by Gianfranco Butera, John Cheatham, Carlos AC Pedra, Dietmar PDF

By Gianfranco Butera, John Cheatham, Carlos AC Pedra, Dietmar Schranz, Gerald Tulzer

This booklet is a perfect, updated consultant to the applying of fetal interventions and hybrid techniques, during which the health care professional and the interventional heart specialist interact, for the remedy of congenital middle illnesses at a truly early degree whilst sickness end result will be altered. state-of-the-art information and transparent guideline are provided on thoughts akin to fetal pulmonary and aortic valve dilatation, fetal interatrial septum stenting, hybrid disorder closure, hybrid stent implantation, and hypoplastic left middle syndrome remedy. well-known specialists describe some great benefits of such early interventions, rather glaring on the subject of valve disorder, and clarify how the hybrid process, by way of combining benefits and instruments from every one procedure, can decrease invasiveness and hazards and increase effects. The publication additionally seems to be forward to the most likely impression of latest applied sciences, together with nanotechnology, that might quickly be to be had. Fetal and Hybrid techniques in Congenital middle ailments might be a wealthy resource of information, step by step tips, and sensible assistance and methods for obstetricians/gynecologists, fetal cardiologists, pediatric cardiologists, interventional cardiologists, congenital cardiac surgeons, anesthesiologists, and intensivists.

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Additional resources for Fetal and Hybrid Procedures in Congenital Heart Diseases

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Moon-Grady AJ, et al. International fetal cardiac intervention registry: a worldwide collaborative description and preliminary outcomes. J Am Coll Cardiol. 2015;66(4):388–99. 6. Jacobs JP, et al. Congenital heart surgery databases around the world: do we need a global database? In: Seminars in thoracic and cardiovascular surgery: pediatric cardiac surgery annual. 2010. Elsevier. 7. Makikallio K, et al. Fetal aortic valve stenosis and the evolution of hypoplastic left heart syndrome: patient selection for fetal intervention.

Increased echogenicity of the left ventricular walls and papillary muscles of the mitral valve is often seen in critical cases. This appearance correlates well with the finding of EFE at postmortem examination and implies damage to the ventricular wall. In patients with critical AS, the presence of EFE is a risk factor for poor outcome [6]. There are also some cases that may have primary EFE but are difficult to distinguish from critical AS with EFE [7]. The aorta and aortic valve are commonly small for gestational age, although their size can be variable.

2 Immediate results after successful fetal aortic valvuloplasty as assessed by echocardiography. Left panel: long-axis view of the left ventricular outflow tract showing unequivocal antegrade flow (in blue) across the aortic valve with color flow mapping. Right panel: same view of the left ventricular outflow tract showing aortic insufficiency (in red) with color flow mapping. Abbreviations: LV left ventricle, Ao ascending aorta Fig. 3 Progressive growth over time of a small left ventricle after successful fetal aortic valvuloplasty and maternal hyperoxygenation.

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