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2004, Number s2

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Arch Cardiol Mex 2004; 74 (s2)

Congenital Cardiopathies in the adult: Some relevant aspects

Attie F

Language: Spanish
References: 33
Page: 410-417
PDF size: 76.27 Kb.


ABSTRACT

Detection of adult population carrier of congenital cardiopathy has been incremented as a result in diagnostic and treatment advances for this disease, as well as a greater life span has been derived from this fact. With this progress, a new population in need of special attention is raised. In our country, 32,000 congenital cardiopathy carriers are born, 20,000 of which undergoes surgical treatment at the pediatric state and it is estimated that 85% reach adulthood. There are two major groups of adults carrying congenital cardiopathy. One being formed with patients that evolutionate without treatment and other, conformed by the ones which received any treatment form and lives with non-important sequels. At our Institution, the five more frequent congenital cardiopathies in the adult treated during the last 17 years are: interatrial communication, arterial conduct persistence, intraventricular communication, aortic coarctation and aortic stenosis, being followed by bicuspide aorta, Ebstein anomaly, pulmonar valvular stenosis, pulmonar veins abnormal total connection and Fallot tetralogy. In the evolution of congenital cardiopathies in the adult, with or without surgical treatment, are being accompanied by cianosis, bacterial endocarditis, atrial and ventricular arrhythmias, vascular injury, pulmonar hypertension and cardiac failure. Cardiac catheterism as a diagnostic and therapeutic method for congenital cardiopathies is being enriched with valuable resources such as computarized tomography and nuclear magnetic resonance. Correction possibilities offered by corrective cardiac surgery have been improved with resources such as cardiac transplant as well as cardiopulmonar transplant, with all precautions derived from this procedures.


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