Table of Contents
Sect. 1 Background and Facilities 1
1 Historical Perspective 3
2 Specialized Facilities for the Comprehensive Care of Adults with Congenital Heart Disease 9
Sect. 2 Survival Patterns 13
3 Survival Patterns Without Cardiac Surgery or Interventional Catheterization: A Narrowing Base 15
4 Survival Patterns After Cardiac Surgery or Inerventional Chatheterization: A Broadening Base 54
Sect. 3 Medical Considerations 89
5 Transthoracic and Transesophageal Echocardiographic Imaging: Anatomic and Hemodynamic Assessment 91
6 Infective Endocarditis: Risks and Prophylaxis 129
7 Pregnancy and Congenital Heart Disease: The Mother and the Fetus 144
8 Genetic, Epidemiology, Counseling, and Prevention 165
9 Exercise and Athletics Before and After Cardiac Surgery or Interventional Catheterization 189
10 Cyanotic Congential Heart Disease: A Multisystem Disorder 199
11 Psychiatric and Psychosocial Disorders 227
12 Neurologic Disorders 236
Sect. 4 Surgical Considerations 247
13 Operation and Reoperation 249
14 Prosthetic Materials: The Selection, Use, and Long-term Effects 266
15 Cardiac Catheterization as a Therapeutic Intervention 271
16 Noncardiac Surgery 291
Sect. 5 Residua and Sequelae After Surgery or Interventional Catheterization 301
17 Residua and Sequelae: A Perspective 303
18 Electrophysiologic Abnormalities: Unoperated Occurrance and Postoperative Residua and Sequelae 316
19 Residua and Sequelae Involving Cardiac Valves 346
20 Normal Myocardial Growth and the Development and Regression of Increased Ventricular Mass 357
Index 367
Synopsis
Dr. Perloff, the founding father of the field of adult congenital heart disease, presents a decade's worth of research and clinical data in the completely redefined 3rd edition to bring you the most current information. With advances in diagnosis and treatment in children, more and more of those with CHD survive well into adulthood. Expert contributors in various fields offer a multi-disciplinary, multi-system approach to treatment so you get comprehensive coverage on all aspects of the subspecialty, including basic unoperated malformations, medical and surgical perspectives, postoperative residue, and sequelae. As someone who treats these patients, you need to be ready to provide the continual care they require.
•Conveys a multidisciplinary, multi-system approach to the lifelong care of adult CHD patients to put treatment in a broader context.
•Presents information in a consistent, logical style so the information you need is easy to find and apply.
•Supplements the text with 600 clear conceptual illustrations to clarify difficult concepts.
•Features completely rewritten chapters to include the latest developments in the field-such as major advances in surgical and interventional techniques-and the various needs of patients with adult CHD.
•Incorporates recently published trials such as those involving cyanotic CHD and atherogenesis, coronary microcirculation, and pathogenesis of thrombocytopenia to supplement the chapter on cyanotic CHD.
•Emphasizes advances in imaging in a new section-edited by an expert-that covers echocardiography as well as specialized imaging techniques.
•Illustrates the full range ofadvances in the field with 600 images that reflect the latest progress.
•Includes new chapters-Global Scope of ACHD; Cardiac Transplantation; Electrophysiologic Abnormalities in Unoperated Patients and Residue and Sequelae After Cardiac Surgery-to provide you with the latest information on the growth of the subspecialty and its effect on treatment.
•Presents revisions by a new authorship of experts in infectious disease, genetics and epidemiology, sports medicine, neurology, cardiac surgery, cardiac anesthesiology, and more.
Annotation
The book contains black-and-white illustrations.
Robert C. Lichtenberg
This second edition is a reference for physicians and healthcare workers who care for the expanding population of patients with congenital heart disease who are reaching adult age. Prior to the 1960s, the majority of congenital heart disease patients died. Now more than 85 percent will reach adulthood, and they will continue to need quality specialized care. Dr. Perloff's goal is to provide a tool to be used to deliver quality care to these patients. This is critical tool, as these patients are a new group in the medical field. There are no standard texts in this field, other than the this book's first edition, solely dedicated to the care of adults with congenital heart disease. This book should be a required reference for cardiologists, cardiothoracic surgeons, fellows in training, nurses, and chief technologists in cardiac imaging laboratories. Dr. Perloff is a leading authority in this field and can be compared to E.F. Hutton ... when he talks people listen. The book has been significantly revised. There are two new chapters and all other chapters are rewritten and updated. The images are of good quality, with the exception of the chapter on echocardiography. This chapter's quality could be enhanced with color images of the color Doppler echocardiography. The references continue to be outstanding, with retention of the critical historical studies and complemented by new key studies. This book offers a complete reference in the care of adults with congenital heart disease. The material on postoperative care with residua and sequelae is essential in the follow up of these patients. Dr. Perloff and his contributors are recognized experts in this field. This edition is anoutstanding contribution to the care of these patients, who represent a new and difficult challenge to the medical field. These patients represent the success of medicine and at the same time present a new set of challenges. This book is a step toward future success in the care of adults with congenital heart disease.
From the Publisher
Dr. Perloff, the founding father of the field of adult congenital heart disease, presents a decade's worth of research and clinical data in the completely redefined 3rd edition to bring you the most current information. With advances in diagnosis and treatment in children, more and more of those with CHD survive well into adulthood. Expert contributors in various fields offer a multi-disciplinary, multi-system approach to treatment so you get comprehensive coverage on all aspects of the subspecialty, including basic unoperated malformations, medical and surgical perspectives, postoperative residue, and sequelae. As someone who treats these patients, you need to be ready to provide the continual care they require.
•Conveys a multidisciplinary, multi-system approach to the lifelong care of adult CHD patients to put treatment in a broader context.
•Presents information in a consistent, logical style so the information you need is easy to find and apply.
•Supplements the text with 600 clear conceptual illustrations to clarify difficult concepts.
•Features completely rewritten chapters to include the latest developments in the field-such as major advances in surgical and interventional techniques-and the various needs of patients with adult CHD.
•Incorporates recently published trials such as those involving cyanotic CHD and atherogenesis, coronary microcirculation, and pathogenesis of thrombocytopenia to supplement the chapter on cyanotic CHD.
•Emphasizes advances in imaging in a new section-edited by an expert-that covers echocardiography as well as specialized imaging techniques.
•Illustrates the full range ofadvances in the field with 600 images that reflect the latest progress.
•Includes new chapters-Global Scope of ACHD; Cardiac Transplantation; Electrophysiologic Abnormalities in Unoperated Patients and Residue and Sequelae After Cardiac Surgery-to provide you with the latest information on the growth of the subspecialty and its effect on treatment.
•Presents revisions by a new authorship of experts in infectious disease, genetics and epidemiology, sports medicine, neurology, cardiac surgery, cardiac anesthesiology, and more.
Robert C. Lichtenberg
This second edition is a reference for physicians and healthcare workers who care for the expanding population of patients with congenital heart disease who are reaching adult age. Prior to the 1960s, the majority of congenital heart disease patients died. Now more than 85 percent will reach adulthood, and they will continue to need quality specialized care. Dr. Perloff's goal is to provide a tool to be used to deliver quality care to these patients. This is critical tool, as these patients are a new group in the medical field. There are no standard texts in this field, other than the this book's first edition, solely dedicated to the care of adults with congenital heart disease. This book should be a required reference for cardiologists, cardiothoracic surgeons, fellows in training, nurses, and chief technologists in cardiac imaging laboratories. Dr. Perloff is a leading authority in this field and can be compared to E.F. Hutton ... when he talks people listen. The book has been significantly revised. There are two new chapters and all other chapters are rewritten and updated. The images are of good quality, with the exception of the chapter on echocardiography. This chapter's quality could be enhanced with color images of the color Doppler echocardiography. The references continue to be outstanding, with retention of the critical historical studies and complemented by new key studies. This book offers a complete reference in the care of adults with congenital heart disease. The material on postoperative care with residua and sequelae is essential in the follow up of these patients. Dr. Perloff and his contributors are recognized experts in this field. This edition is anoutstanding contribution to the care of these patients, who represent a new and difficult challenge to the medical field. These patients represent the success of medicine and at the same time present a new set of challenges. This book is a step toward future success in the care of adults with congenital heart disease.
Doody Review Services
Reviewer: Robert C Lichtenberg, MD (Loyola University Stritch School of Medicine)
Description:This second edition is a reference for physicians and healthcare workers who care for the expanding population of patients with congenital heart disease who are reaching adult age.
Purpose:Prior to the 1960s, the majority of congenital heart disease patients died. Now more than 85 percent will reach adulthood, and they will continue to need quality specialized care. Dr. Perloff's goal is to provide a tool to be used to deliver quality care to these patients. This is critical tool, as these patients are a new group in the medical field. There are no standard texts in this field, other than the this book's first edition, solely dedicated to the care of adults with congenital heart disease.
Audience:This book should be a required reference for cardiologists, cardiothoracic surgeons, fellows in training, nurses, and chief technologists in cardiac imaging laboratories. Dr. Perloff is a leading authority in this field and can be compared to E.F. Hutton ... when he talks people listen.
Features:The book has been significantly revised. There are two new chapters and all other chapters are rewritten and updated. The images are of good quality, with the exception of the chapter on echocardiography. This chapter's quality could be enhanced with color images of the color Doppler echocardiography. The references continue to be outstanding, with retention of the critical historical studies and complemented by new key studies.
Assessment:This book offers a complete reference in the care of adults with congenital heartdisease. The material on postoperative care with residua and sequelae is essential in the follow up of these patients. Dr. Perloff and his contributors are recognized experts in this field. This edition is an outstanding contribution to the care of these patients, who represent a new and difficult challenge to the medical field. These patients represent the success of medicine and at the same time present a new set of challenges. This book is a step toward future success in the care of adults with congenital heart disease.
