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Structural cardiac intervention 

Structural cardiac intervention
Chapter:
Structural cardiac intervention
Author(s):

Mario Carminati

and Angelo Micheletti

DOI:
10.1093/med/9780199653478.003.0009
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date: 15 October 2019

Structural heart disease includes a wide spectrum of non-coronary heart diseases ranging from septal defects to acquired valvular diseases. This chapter provides an overview on the transcatheter interventions that are possible in many of these conditions. Starting with the transcatheter closure of atrial septal defects and the more complex scenario of congenital and acquired ventricular septal defects, the chapter addresses the closure of fistulas (patent ductus arteriosus, coronary fistulas, pulmonary arteriovenous fistulas). Vascular obstructions include aortic coarctation and the different patterns of pulmonary artery obstructions. Finally, heart valve diseases are widely addressed, with specific respect for congenital pulmonary valve and right ventricular outflow tract obstructions, and of course acquired aortic valve stenosis, with an update on the controversial transcatheter aortic valve implantation. Mitral valve regurgitation is included in this chapter, since the recent development of technologies now allow a transcatheter correction of this condition.

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