Comprehensive Approach to Adult Congenital Heart Disease

383 Pages·2014·27.36 MB·English

by  Anita Sadeghpour

Comprehensive
Approach to
Adult Congenital
Heart Disease
Anita Sadeghpour
Majid Kyavar
Azin Alizadehasl
Editors
123
Comprehensive Approach to Adult
Congenital Heart Disease

Anita Sadeghpour (cid:129) Majid Kyavar
Azin Alizadehasl
Editors
Comprehensive
Approach to Adult
Congenital Heart Disease
Editors
Anita Sadeghpour, MD, FACC, FASE Azin Alizadehasl, MD, FACC
Rajaie Cardiovascular Medical and Rajaie Cardiovascular Medical
Research Center and Research Center
Iran University of Medical Science Iran University of Medical Science
Tehran Tehran
Iran Iran
Majid Kyavar, MD, FACC
Rajaie Cardiovascular Medical and
Research Center
Iran University of Medical Science
Tehran
Iran
Additional material to this book can be downloaded from http://extras.springer.com
ISBN 978-1-4471-6382-4 ISBN 978-1-4471-6383-1 (eBook)
DOI 10.1007/978-1-4471-6383-1
Springer London Heidelberg New York Dordrecht
Library of Congress Control Number: 2014945750
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To
My husband, Ramin, and my daughter, Ariana
Anita Sadeghpour, MD, FACC, FASE
My wife, Zohre, and my daughters, Elnaz and Parinaz
Majid Kyavar, MD, FACC
My husband, Rasoul, and my daughter, Armita
Azin Alizadehasl, MD, FACC
and
To our parents, colleagues, and patients

Foreword
M edicine in the Middle East dates back to at least 3000 BC, with ancient
Persia being a center of learning. Thus, it is fi tting that modern Iran continues
that tradition with this textbook, C omprehensive Approach to Adult Congenital
Heart Disease . Written by a group of Iranian scholars, primarily led by Anita
Sadeghpour and Azin Alizadehasl, but with contributions from their Iranian
colleagues as well, this book achieves in prose and videos exactly what its
title says: a comprehensive discussion of congenital heart disease. The text
rivals Western publications in accuracy and completeness. Beginning with
discussions of epidemiology, embryology and fetal circulation, and normal
and abnormal anatomy, the chapters continue through a detailed discourse of
each congenital defect, including its clinical presentation, diagnostic workup,
and treatment. Cardiac lesions are logically presented under headings of left
to right shunts, cyanotic defects, valvular and vascular lesions, and a miscel-
laneous group. Between the detailed text and the many videos, readers will
gain a thorough appreciation of congenital heart defects that now affect more
adults than children. On a personal note, knowing the authors, I congratulate
them in completing this text and demonstrating that medicine has the power
to transcend divisive intrusions and unite doctors throughout the world in our
common goal of caring for our patients.
IN , USA Douglas P. Zipes , MD
vii

Pref ace
T he past half century had witnessed remarkable improvement in the survival
of patients with congenital heart disease (CHD). A recent estimate shows
that, for the fi rst time in history, there are more adults living with CHD than
children. That in combination with the current low surgical mortality rates
has led to the belief that in the next decade, 1 in 150 young adults will prob-
ably have some form of CHD. Moreover, the complexity of the numerous
lesions and the multitude of challenges that adult CHD patients face call for
a multidisciplinary approach to care. This is indeed the essence of good adult
CHD practice and the very focus of this training/educational book.
This book can serve as a forum for all cardiologists and cardiology train-
ees seeking further opportunities to immerse themselves in the fascinating
and ever-evolving fi eld of adult CHD. This book, which presents some unique
cases of complex lesions, whether corrected or non-corrected, endeavors to
create a balance between the introduction of diagnostic tools such as history/
physical examination, electrocardiography, chest X-ray, echocardiography,
computed tomography, cardiovascular magnetic resonance imaging, and
catheterization on the one hand and the introduction of treatment choices on
the other hand such that the reader can have the best possible guidance in the
diagnosis and management of adult CHD. In addition, this book offers a com-
prehensive account of patients and their diagnostic and treatment modalities
from the fi rst presentation to the latest follow-up.
There is no doubt, however, that this book has its own limitations and
shortcomings, which will be hopefully addressed in the future editions,
thanks to your invaluable support, contribution, and guidance.
Tehran, Iran Anita Sadeghpour , MD, FACC, FASE
Tehran, Iran Majid Kyavar , MD, FACC
Tehran, Iran Azin Alizadehasl , MD, FACC
ix