This book presents a series of illustrative cases to highlight the decision-making process in pursuing an interventional management strategy and the procedural details of performing catheter-based interventions in patients with adult congenital heart disease (ACHD). Each case provides a brief prior history of the patient, summary of current symptoms, pertinent physical examination findings, key imaging findings used to determine the indication for intervention as well as the technical feasibility of a transcatheter intervention. Potential management options and the rationale for why a transcatheter intervention was the optimal management strategy, and post-procedure management strategies are also discussed.
Interventions in Adult Congenital Heart Disease: A Case-Based Approach provides a practical guide to successfully implementing a range of cardiac intervention management strategies, and is valuable resource for all cardiology practitioners and trainees seeking an up-to-date resource on the topic.
Principles of Vascular Access, Hemodynamic Measurements and Shunt
Calculations.- Cardiac catheterisation in the adult Fontan patient.- SVC and
Venous Baffle Stenting.- Closure of Baffle Leaks.- Pulmonary Venous
Interventions.- Systemic venous recanalization.- Secundum ASD closure.-
Closing Secundum ASD in the Setting of Pulmonary Hypertension -
Treat-to-Close ASD.- Catheter Closure Of Superior Sinus Venosus Defects.- PFO
Closure.- Closure of Defects in the Muscular Ventricular Septum.- Closure of
defects in the perimembranous ventricular septum.- Aortic Valvuloplasty.-
Transcatheter Closure Of Communications Between Aorta And Right Atrium.-
Native Coarctation Stenting.- Stenting of Aortic Arch and Aortic
Recoarctation.- Patent Ductus Arteriosus Closure.- BPAS Stenting.-
Transcatheter Pulmonary Valve Implantation in the Native RVOT.- Transcatheter
Pulmonary Valve Implantation in RV to PA Conduit Dysfunction.- Pulmonary
Valve Implantation with Concomitant Pulmonary Artery Intervention.-Pulmonary
valve paravalvular leak closure.- Tricuspid Valve valve in valve in
Congenital Heart Disease.- Paravalvular Leak Closure in the Left Heart.-
Collateral Occlusion as A Treatment Modality for Hemoptysis.- Occlusion of
Systemic Venous to Pulmonary Venous Collaterals in Fontan Circulations.-
Transcatheter Closure of Fontan Fenestration.- Coronary Arteriovenous and
Coronary to Pulmonary Artery Fistula Closure.- Closure of Pulmonary AV
Fistulae.- Coronary Cameral Fistula.- General considerations for
catheterisation and interventions in pregnancy.- 3D Modelling in Congenital
Cardiac Interventions.
Dr. Vaikom Mahadevan is a world-renowned expert in interventional cardiology for treating adult congenital heart disease (ACHD) and structural heart disease. He has extensive experience in performing adult congenital and transcatheter valve procedures, including replacing all four of the heart's valves. He also has a strong interest in intracardiac echocardiography (ultrasound imaging inside the heart). Dr. Mahadevan's research interests include transcatheter valve implantation and pulmonary hypertension in ACHD. Dr. Mahadevan earned his medical degree from Stanley Medical College in Chennai, India, and received further training in internal medicine and cardiology in the United Kingdom. He completed a fellowship in adult congenital heart disease and intervention at the Royal Brompton Hospital in London as a British Heart Foundation advanced fellow, followed by a fellowship in the same specialties at Toronto General Hospital. Before joining the University of Massachusetts as the Chief of Cardiology, Dr. Mahadevan was previously the Director of Structural and Adult Congenital Cardiac Interventions and the William W Parmley Chair in Cardiology for over 8 years. Prior to that he served as a cardiology Consultant and interventionist at the Manchester Royal Infirmary, part of Central Manchester University Hospitals. He was director of the ACHD and transcatheter aortic valve replacement program in Manchester, and he directed the ACHD interventional program for the Northwest of England. He also established and led the adult congenital pulmonary hypertension service for this region.
