JOURNAL CLUB ARCHIVES

Congenital Heart Disease in the Adult

Valve, Supravalvar Aortic Stenosis, and Coarctation of the Aorta Left Ventricular Outflow Obstruction: Subaortic Stenosis, Bicuspid Aortic (pdf)

Left ventricular outflow tract obstructions (LVOTOs) encompass a series of stenotic lesions starting in the anatomic left ventricular outflow tract (LVOT) and stretching to the descending portion of the leads to differentiation of embryonic cells into a fibrotic tissue variant. A bicuspid aortic valve (BAV) is present in 23% of patients.1 SAS may also present as part of a complex...
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Coronary Artery Anomalies: An Entity in Search of an Identity(pdf)

Coronary artery anomalies (CAAs) are a diverse group of congenital disorders whose manifestations and pathophysi ological mechanisms are highly variable. The subject of CAAs is undergoing profound evolutionary changes related to the definition, morphogenesis, clinical presentation, diagnostic...
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Adult Congenital Heart Disease: Right Ventricular Outflow Tract Lesions (pdf)

It has variably been estimated that between 800 000 and 1 million patients with congenital heart disease are now adults and that by 2010 more patients older than 16 years will undergo surgery fPV Stenosis Clinical Assessment of PV Stenosis...
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Pulmonary Vascular Disease in Adults With Congenital Heart Disease (pdf)

Pulmonary arterial hypertension of variable degree is commonly associated with adult congenital heart disease. Depending on size and location of the underlying cardiac defect as well as on repair status, pulmonary arterial hypertension may present with or without...
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Interventional Catheterization in Adult Congenital Heart Disease (pdf)

Improved medical and surgical therapies for children with congenital heart disease have resulted in a growing population of patients reaching adulthood.1,2 Over this same time, the field of interventional cardiology has experienced significant growth, driven by technological improvements and...
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Cardiac surgery in adults performed at children's hospitals: Trends and outcomes (pdf)

The number of adults with congenital heart disease who require cardiac surgery is projected to increase dramatically. Controversy exists as to whether such procedures should be performed in pediatric centers...
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Ventricular Septal Defects (pdf)

Ventricular septal defects are the most common congenital heart defect. They vary greatly in location, clinical presentation, associated lesions, and natural history. The present article describes the clinical aspects...
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Adults Undergoing Cardiac Surgery at a Children's Hospital: An Analysis of Perioperative Morbidity (pdf)

Limited data exist regarding the perioperative morbidity profile of adults who have cardiac operations at pediatric facilities.
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Atrial Septal Defects in the Adult: Recent Progress and Overview (pdf)

Patients with isolated atrial septal defects (ASDs) have benefited from important recent advances in the diagnosis, evaluation, and management of their conditions. This review will focus on adolescent...
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