Adult Congenital Heart Disease

Michael Gatzoulis, Director, Adult Congenital Heart Programme, Royal Brompton Hospital, London Lorna Swan, Judith Therrien, George Pantely, Congenital heart disease with its worldwide incidence of 1% is the most common inborn defect. Increasingly, patients are living into adulthood, with ongoing congenital heart and other medical needs. Sadly, only a small minority have specialist follow-up. However, all patients see their family doctor and may also seek advice from other health professionals. This practical guide with its straightforward a,b,c approach is written for those professionals. SPECIAL FEATURES OF THIS BOOK: o Introduces the principles of congenital heart disease and tells you whom and when to refer for specialist care o Discusses common congenital heart lesions in a practical, easy-to-follow way, with an emphasis on diagnosis and management issues o Includes an extensive chapter on 'Pregnancy and Contraception' (by Philip J. Steer), essential both for family planning and for managing safely the pregnant woman with congenital heart disease o Includes chapters on non-cardiac surgery and lifestyle issues such as work, insurability, travel and driving o Provides invaluable information on dealing with common emergencies; what to do and what not to do With a wealth of illustrations (including diagrams, EKGs, CXRs, Echos and cardiac MRIs) and with key point tables, this is an essential guide for all health care professionals managing patients with adult congenital heart disease. CONTENTS Section 1: General Principles 1 Epidemiology of congenital heart disease 2 Services for the adult with congenital heart disease 3 Pregnancy and contraception 4 Infective endocarditis prophylaxis 5 Anticoagulation 6 Lifestyle issues 7 Long-term outcome Section 2: Common Lesions 8 Atrial septal defects and anomolous pulmonary venous drainage 9 Ventricular septal defect 10 Atrioventricular septal defect 11 Left ventricular outflow tract disorders 12 Coarctation of the aorta 13 Transposition of the great arteries 14 The single ventricle and Fontan circulations 15 Tetralogy of Fallot and right ventricular outflow tract disorders 16 Pulmonary atresia 17 Ebstein's anomaly of the tricuspid valve 18 Patent arterial duct 19 Marfan syndrome 20 Eisenmenger syndrome 21 Other lesions 22 Pulmonary hypertension Section 3: Emergencies and Special Situations 23 Arrhythmia and syncope 24 Suspected infective endocarditis 25 Peri-operative care 26 Heart failure-acute management 27 Care of the cyanosed patient Bibliography Glossary Appendix: Shunt calculations