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Role of Intervention and Surgery

  • Anselm Uebing
Chapter
Part of the Congenital Heart Disease in Adolescents and Adults book series (CHDAA)

Abstract

Heart failure in adult patients with congenital heart disease (CHD) is often the result of long-standing abnormal workload to the subpulmonary and/or systemic ventricle leading to ventricular dysfunction. Interventional catheter procedures and surgery play a central role in the treatment of heart failure in this patient population by attempting to normalise the working conditions of the heart by reducing ventricular pressure or volume overload. When performed in a timely manner, intervention can prevent irreversible ventricular damage. This chapter will give an overview on commonly performed invasive procedures that aim to protect or improve ventricular function and cardiac output. New interventional therapeutic options such as creation of an interatrial communication are also discussed. Catheter-based interventions and surgery are complementary to each other and to medical therapies, and all three are part of a comprehensive therapeutic approach to heart failure treatment in adults with CHD.

Keyword

Stenting Transcatheter closure Transcatheter valve implantation Surgical treatment Creation of interatrial communication 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Paediatric CardiologyUniversity Hospital MünsterMünsterGermany

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