Zabal C

Language: Spanish
References: 6
Page: 233-236
PDF size: 155.14 Kb.

ABSTRACT

We report our results with therapeutic cardiac catheterization in adult patients with four of the most frequent congenital heart diseases. 1) Valvular pulmonary stenosis. We treated 20 patients older than 15 years of age and we concluded that anatomy of the valve is the most important variable related to immediate and long-term results. 2) Aortic coarctation. In a group of 54 patients, 32 treated with angioplasty alone and 22 with stent, we concluded that the main determinant for a good long-term result is the residual gradient, which is related to the coarctation anatomy and the use of stent. 3) Patent ductus arteriosus. In 17 adult patients, the ductus was occluded with coils in 5 and with the Amplatzer duct occluder in 12 with complete occlusion of the ductus in all cases followed for a mean period of 18 months and without complications. 4) Atrial septal defect. We treated 39 adult patients using the Amplatzer septal occluder with good results.

REFERENCES

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2. Chen CR, Cheng TO, Huang T, Zhou YL, Chen JY, Huang YG, Li HJ: Percutaneous balloon valvuloplasty for pulmonic stenosis in adolescents and adults. N Engl J Med 1996; 335: 21-25.

3. Fawzy ME, Sivanandam V, Galal O, Dunn B, Patel A, Rifai A, von Sinner W, et al: One-to ten-year follow-up results of balloon angioplasty of native coarctation of the aorta in adolescents and adults. J Am Coll Cardiol. 1997; 30: 1542-1546.

4. Harrison DA, Benson LN, Lazzam C, Walters JE, Siu S, McLaughlin PR: Percutaneous catheter closure of the persistently patent ductus arteriosus in the adult. Am J Cardiol 1996; 77:1094-1097.

5. Demkow M, Ruzyllo W, Konka M, Kepka C, Kowalski M, Wilczynski J, Rydlewska-Sadowska W: Transvenous closure of moderate and large secundum atrial septal defects in adults using the Amplatzer septal occluder. Catheter Cardiovasc Interv 2001; 52: 188-193.

6. Krichenko A, Benson LN, Burrows P, Möes CA, McLaughlin P, Freedom RM: Angiographic classification of the isolated, persistently patent ductus arteriosus and implications for percutaneous catheter occlusion. Am J Cardiol 1989; 63: 877-880.