Congenital Heart Defects in Adults : A Field Guide for Cardiologists.
Congenital Heart Defects in Adults : A Field Guide for Cardiologists.
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DOI：
10.4172/2155-9880.s8-007
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发表时间：
2012-06
期刊：
影响因子：
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通讯作者：
A. Romfh;F. Pluchinotta;P. Porayette;A. Valente;S. Sanders
中科院分区：
文献类型：
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作者：
A. Romfh;F. Pluchinotta;P. Porayette;A. Valente;S. Sanders
心脏病学和心脏外科的进步使很大比例的先天性心脏病患者能够存活到成年。这些患者经常出现缺陷或其治疗所特有的并发症。因此，参与这些患者护理的成年心脏病专家需要对更常见的缺陷有一个实用的知识。偶尔，患有先天性心脏病的患者，如房间隔缺损、Ebstein畸形或生理矫正的大动脉转位，在成年后第一次出现。更常见的情况是，以前在儿科心脏病中心接受治疗的患者已经过渡到成人先天性心脏病中心进行持续护理。法洛四联症、大动脉转位、功能性单脑室畸形和动脉缩窄是这一类别中一些比较重要的缺陷。通过这一领域的指南，我们提供了一个使用病理标本和临床影像研究中常见的成人先天性实践中常见的选定缺陷的解剖概述。此外，我们还描述了成人心脏病医生的生理学、临床表现、可能的并发症、治疗方案和结果。
Advances in cardiology and cardiac surgery allow a large proportion of patients with congenital heart defects to survive into adulthood. These patients frequently develop complications characteristic of the defect or its treatment. Consequently, adult cardiologists participating in the care of these patients need a working knowledge of the more common defects. Occasionally, patients with congenital heart defects such as atrial septal defect, Ebstein anomaly or physiologically corrected transposition of the great arteries present for the first time in adulthood. More often patients previously treated in pediatric cardiology centers have transitioned to adult congenital heart disease centers for ongoing care. Some of the more important defects in this category are tetralogy of Fallot, transposition of the great arteries, functionally single ventricle defects, and coarctation. Through this field guide, we provide an overview of the anatomy of selected defects commonly seen in an adult congenital practice using pathology specimens and clinical imaging studies. In addition, we describe the physiology, clinical presentation to the adult cardiologist, possible complications, treatment options, and outcomes.