Gatzoulis: Diagnosis and Management of Adult Congenital Heart Disease 2nd edition: Expert Consult - Online and Print

Congenital heart disease (CHD), with its worldwide incidence of 0.8%, is one of the most common inborn defects. Advances in pediatric cardiology and cardiac surgery over the past several decades have led to more than 85% of these patients surviving to adulthood. This wonderful medical story has transformed the outcome for CHD and created what is a large and still-growing population of adolescent and adult patients. It was recently appreciated, however, that most early interventions for these patients - surgical or catheter - were reparative and not curative. There is now global consensus that most patients with CHD will require and benefit from lifelong specialized follow-up. Many of them will face the prospect of further surgery; arrhythmia intervention; and, if managed inappropriately, overt heart failure and premature death.
Although provision of care for children with CHD is well in place in most parts of the world, clinical services for the adult with CHD remain scarce or incomplete. Sadly, CHD remains a small part of general cardiology training curricula around the world. Pediatric cardiologists, who excel at cardiac morphology and physiology, are trained to manage children with CHD and may, out of necessity, continue to look after these patients when they outgrow pediatric age. There are clearly other health issues concerning the adult with CHD beyond the scope of pediatric medicine. These issues relate to obstetrics, electrophysiology, coronary disease, high blood pressure, diabetes, and other comorbidities that our patients now routinely face. Adult physicians with a non-CHD background are therefore increasingly involved in the day-to-day management of patients with CHD.
This book continues to address the expanding disciplines involved in the care of these patients, medical and nonmedical, although we hope that even the supraspecialized expert in CHD will find some sections of interest and benefit from it. This primary aim shaped the original layout of the textbook, which is characterized by a systematic approach, easy access to information, and an emphasis on management issues.
  • The first of eleven sections is devoted to general principles that define the subspecialty: cardiac morphology and nomenclature, genetics, clinical assessment, diagnostic methods, interventional catheterization, operation and reoperation, heart and lung transplantation, and medical management, including noncardiac surgery, electrophysiology, infective endocarditis, pregnancy, exercise, and insurability.
  • Section two includes three types of septal defects.
  • Sections three through five deal sequentially with acyanotic malformations of the left ventricular inflow and outflow tracts and diseases of the aorta.
  • Sections six and seven focus on acyanotic malformations of the right ventricular inflow and outflow tracts. Each of these sections is orderly and comprehensive.
  • Section eight, which is about cyanotic congenital heart disease both pulmonary hypertensive and nonpulmonary hypertensive deals with specific malformations and, importantly, with cyanotic congenital heart disease as a multisystem systemic disorder, a topic of special relevance in adults.
  • Section nine deals with the often contentious topic of univentricular heart (double inlet ventricle, univentricular atrioventricular connection) and properly includes atrioventricular valve atresia.
  • Section ten is noteworthy by virtue of focusing on congenital anomalies of the coronary arteries, a topic that tends to be underrepresented in discussions of adult congenital heart disease.
  • Section eleven carries the title, “Other Lesions,” and deals chiefly with acquired diseases but includes informative accounts of Marfan syndrome and primary pulmonary hypertension.
Certain malformations necessarily appear in more than one chapter, emphasizing that congenital heart diseases are not static malformations but are anatomically and physiologically dynamic, changing over the course of time, often appreciably.
Diagnosis and Management of Adult Congenital Heart Disease is a comprehensive multisource book that complements rather than duplicates the earlier single-source text whose format is different. The book is a welcome addition to an emerging field, the importance of which is underscored by the appearance of this major work that will appeal to cardiologists whose interest in congenital heart disease ranges from infancy through adulthood.

PART 1: General Principles

  • Adults with Congenital Heart Disease: A Growing Population
  • Cardiac Morphology and Nomenclature
  • Adults with Congenital Heart Disease: A Genetic Perspective
  • Clinical Assessment
  • Echocardiography
  • Heart Failure, Exercise Intolerance, and Physical Training
  • Cardiovascular Magnetic Resonance Imaging
  • Cardiac Computed Tomography
  • Cardiac Catheterization in Adult Congenital Heart Disease
  • Late Repair and Reoperations in Adults with Congenital Heart Disease
  • Venous Shunts and the Fontan Circulation in Adult Congenital Heart Disease
  • Late Complications Following the Fontan Operation
  • Heart and Lung Transplantation in Adult Congenital Heart Disease
  • Noncardiac Surgery in Adult Congenital Heart Disease
  • Critical Care
  • Arrhythmias in Adults with Congenital Heart Disease
  • Invasive Electrophysiology and Pacing
  • Cardiac Resynchronization Therapy in Adult Congenital Heart Disease
  • Infective Endocarditis
  • Transition of the Young Adult with Complex Congenital Heart Disease from Pediatric to Adult Care
  • Pregnancy and Contraception
  • Obstetric Analgesia and Anesthesia
  • Anesthesia in Adult Congenital  Heart Disease, Including Anesthesia  for Noncardiac Surgery
  • Insurability of Adults with Congenital Heart Disease
PART 2: Septal Defects
  • Atrial Septal Defect
  • Ventricular Septal Defect
  • Atrioventricular Septal Defect: Complete and Partial (Ostium Primum Atrial Septal Defect)
PART 3: Diseases of the Mitral Valve
  • Cor Triatriatum and Mitral Stenosis
  • Mitral Valve Prolapse, Mitral Regurgitation
  • Partial Anomalous Pulmonary Venous Connections and the Scimitar Syndrome
PART 4: Diseases of the Left Ventricular Outflow Tract
  • Valvular Aortic Stenosis
  • Subvalvular and Supravalvular Aortic Stenosis
  • Aortic Regurgitation
  • Sinus of Valsalva Aneurysms
PART 5: Diseases of the Aorta
  • Patent Ductus Arteriosus and Aortopulmonary Window
  • Aortic Coarctation and Interrupted Aortic Arch
  • Truncus Arteriosus
  • Vascular Rings, Pulmonary Slings, and Other Vascular Abnormalities
PART 6: Diseases of the Tricuspid Valve
  • Ebstein Anomaly
  • Tricuspid Stenosis and Regurgitation
PART 7: Diseases of the Right Ventricular Outflow Tract
  • Pulmonary Stenosis
  • Double-Chambered Right Ventricle
PART 8: Cyanotic Conditions
  • Tetralogy of Fallot
  • Pulmonary Atresia with Ventricular Septal Defect
  • Absent Pulmonary Valve Syndrome
  • Pulmonary Atresia with Intact Ventricular Septum
  • Transposition of the Great Arteries
  • Eisenmenger Syndrome
  • Congenitally Corrected Transposition of the Great Arteries
  • Double-Outlet Right Ventricle
PART 9: Univentricular Hearts
  • Double-Inlet Ventricle
  • Atrioventricular Valve Atresia
  • Heterotaxy and Isomerism of the Atrial Appendages
PART 10: Coronary Artery Abnormalities
  • Congenital Anomalies of the Coronary Arteries
  • Kawasaki Disease
PART 11: Other Lesions
  • Myocarditis and Dilated Cardiomyopathy
  • Hypertrophic Cardiomyopathy
  • Constrictive Pericarditis and Restrictive Cardiomyopathy
  • Arrhythmogenic Right Ventricular Cardiomyopathy
  • Noncompacted Myocardium
  • Rheumatic Fever
  • Cardiac Tumors
  • Marfan Syndrome: A Cardiovascular Perspective
  • Idiopathic Pulmonary Arterial Hypertension
  • Selected Terms Used in Adult Congenital Heart Disease

Book Details
  • Hardcover: 528 pages
  • Publisher: Churchill Livingstone; 2 edition (November 1, 2010)
  • Language: English
  • ISBN-10: 0702034266
  • ISBN-13: 978-0702034268
  • Product Dimensions: 11.1 x 8.6 x 1.1 inches
List Price: $195.00

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