Adult Congenital Heart Disease - A Practical Guide - M. Gatzoulis, Bio Med 1

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Adult Congenital Heart Disease
A PRACTICAL GUIDE
Adult Congenital
Heart Disease
A PRACTICAL GUIDE
Michael A. Gatzoulis
Royal Brompton Hospital
and
National Heart & Lung Institute at the Imperial College
London, UK
Lorna Swan
Department of Cardiology
Western Infi rmary
Glasgow, UK
Judith Therrien
Sir M. Davis Jewish General Hospital
McGill University
Montreal, Quebec, Canada
George A. Pantely
Division of Cardiology
Oregon Health and Science University
Portland, Oregon, USA
INCLUDING
‘Pregnancy and Contraception’
chapter
by Philip J. Steer
FOREWORD BY
Eugene Braunwald
© 2005 by Blackwell Publishing Ltd
BMJ Books is an imprint of the BMJ Publishing Group Limited, used under licence
Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK
Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia
The right of the Authors to be identifi ed as the Authors of this Work has been asserted in accordance
with the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system,
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permission of the publisher.
First published 2005
Library of Congress Cataloging-in-Publication Data
Adult congenital heart disease : a practical guide / Michael A. Gatzoulis … [et al.] ; foreword by Eugene
Braunwald
p. ; cm.
Includes index.
ISBN 0-7279-1668-8
1. Congenital heart disease.
[DNLM: 1. Heart Defects, Congenital—Adult. WG 220 A2445 2005] I. Gatzoulis, Michael A.
RC687.A454 2005
616.1’2043 — dc22
2004019723
ISBN 0-7279-1668-8
A catalogue record for this title is available from the British Library
Commissioning Editor: Mary Banks
Development Editor: Nick Morgan
Project Manager: Tom Fryer, Sparks
Production Controller: Kate Charman
Set in Palatino 9.5/12pt by Sparks, Oxford – www.sparks.co.uk
Printed and bound in India by Replika Press Pvt. Ltd
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and which has been manufactured from pulp processed using acid-free and elementary chlorine-
free practices. Furthermore, the publisher ensures that the text paper and cover board used have met
acceptable environmental accreditation standards.
Contents
Foreword, vii
Preface, ix
Acknowledgments, x
Part 1 General Principles, 1
1
Epidemiology of Congenital Heart Disease, 3
2
Services for the Adult with Congenital Heart Disease, 8
3
Pregnancy and Contraception, 16
4
Infective Endocarditis Prophylaxis, 36
5
Anticoagulation, 42
6
Lifestyle Issues, 49
7
Long-Term Outcome, 60
Part 2 Common Lesions, 65
8
Atrial Septal Defects and Anomalous Pulmonary Venous Drainage, 67
9
Ventricular Septal Defect, 82
10
Atrioventricular Septal Defect, 87
11
Left Ventricular Outfl ow Tract Disorders, 92
12
Coarctation of the Aorta, 97
13
Complete Transposition of the Great Arteries, 103
14
The Single Ventricle and Fontan Circulations, 112
15
Tetralogy of Fallot and Right Ventricular Outfl ow Tract Disorders, 125
16
Pulmonary Atresia with Ventricular Septal Defect, 132
17
Ebstein’s Anomaly of the Tricuspid Valve, 139
18
Patent Arterial Duct, 145
19
Marfan Syndrome, 153
20
Eisenmenger Syndrome, 161
21
Other Lesions, 174
22
Pulmonary Hypertension, 182
Part 3 Emergencies and Special Situations, 189
23
Arrhythmia and Syncope, 191
24
Suspected Infective Endocarditis, 196
v
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