Abstract

This brief monograph is based on an exhibit on the subject previously presented by the authors. The material is clearly and concisely presented in relatively few pages. It is supplemented by many diagrams and illustrations. Theoretic data are presented in the initial pages, and the results of studies of actual cases in the remainder. The cyanotic group of congenital defects was intentionally omitted. This fine work is to be highly recommended to all persons interested in the problem. It is particularly useful to beginners, since it is written in a clear and simple fashion and includes detailed specifications of materials, technic and source of equipment for catheterization of the heart.

Highlights

  • The ductus arteriosus is an embryological vessel that connects the systemic and pulmonary circulation and serves to bypass the neonatal lungs

  • There are a wide range of therapeutic procedures performed in the pediatric cardiac catheterization lab including device closure of septal defects, balloon angioplasty of stenotic lesions and valvuloplasty of stenotic valves, stenting for vascular stenosis, embolization and device closure of vessels, and even percutaneous pulmonary valve implantation

  • Atrial septal defects (ASD) are holes between the right and left atrium of the heart. Their presence is noted in nearly half of all congenital defects and is important for preserved cardiac output and adequate mixing in a variety of critical congenital heart disease as described in the section on atrial septostomy [7]

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Summary

Introduction to cardiac catheterization in congenital heart disease

Cardiac catheterization in the pediatric population has similarities with catheterization in adults but very distinct differences. The primary pathology is isolated coronary atherosclerotic disease, which is exceedingly rare in pediatrics, and valvular disease. The indications, techniques, and interventions performed in pediatrics are different. There are a wide range of therapeutic procedures performed in the pediatric cardiac catheterization lab including device closure of septal defects, balloon angioplasty of stenotic lesions and valvuloplasty of stenotic valves, stenting for vascular stenosis, embolization and device closure of vessels, and even percutaneous pulmonary valve implantation. A complete assessment of the patient is important as well as evaluating and determining the best sedation, vascular access, and potential interventions

26 Congenital Heart Disease
Basic hemodynamics
Basic interventions
Introduction
Indications
Catheterization
Catheterization procedure
Balloon atrial septostomy
Catheter procedure
Coarctation of the aorta
Complications
Findings
Full Text
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