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Ethical Aspects of Fetal Heart Interventions
Pages 3-6
This book is an ideal, up-to-date guide to the application of fetal interventions and hybrid procedures, in which the surgeon and the interventional cardiologist work together, for the treatment of congenital heart diseases at a very early stage when disease outcome may be altered. State of the art data and clear instruction are offered on techniques such as fetal pulmonary and aortic valve dilatation, fetal interatrial septum stenting, hybrid defect closure, hybrid stent implantation, and hypoplastic left heart syndrome therapy. Recognized experts describe the benefits of such early interventions, particularly evident in the case of valve disease, and explain how the hybrid strategy, by combining advantages and tools from each approach, can reduce invasiveness and risks and improve results. The book also looks ahead to the likely impact of new technologies, including nanotechnology, that will soon be available. Fetal and Hybrid Procedures in Congenital Heart Diseases will be a rich source of knowledge, step-by-step guidance, and practical tips and tricks for obstetricians/gynecologists, fetal cardiologists, pediatric cardiologists, interventional cardiologists, congenital cardiac surgeons, anesthesiologists, and intensivists.
Ethical Aspects of Fetal Heart Interventions
Pages 3-6
Tools in Fetal Heart Procedures
Pages 7-10
Role of Multicenter Registries to Assess Outcomes of Fetal Interventions
Pages 11-21
Role of Counseling in Fetal Congenital Heart Diseases
Pages 23-27
Fetal Anatomy: The Aortic Valve in Fetal Aortic Valve Diseases
Pages 31-36
Fetal Aortic Stenosis: Natural History and Echocardiographic Evaluation
Pages 37-44
Fetal Aortic Valvuloplasty (FAV)
Pages 45-52
Fetal Aortic Valvuloplasty: State of the Art
Pages 53-57
Fetal Anatomy: The Pulmonary Valve in Fetal Pulmonary Valve Disease
Pages 61-67
Fetal Pulmonary Valvuloplasty: Natural History and Echocardiographic Evaluation of Critical Pulmonary Stenosis/Pulmonary Atresia with Intact Ventricular Septum
Pages 69-79
Indications for Fetal Pulmonary Valvuloplasty
Pages 81-84
Center Experience and Step-by-Step Approach for Fetal Pulmonary Valvuloplasty
Pages 85-90
Pulmonary Valvuloplasty: Fetal, Neonatal, and Follow-Up Outcomes
Pages 91-94
Literature on Fetal Therapy After Pulmonary Valvuloplasty
Pages 95-97
Future Perspectives on Fetal Pulmonary Valvuloplasty
Pages 99-101
The Embryology of the Interatrial Septum
Pages 105-110
Fetal Anatomy: The Interatrial Septum in the Fetus with Congenital Heart Disease
Pages 111-115
Literature on Fetal Therapy on Interatrial Septum
Pages 117-122
Procedures on the Atrial Septum: Approach, Outcomes and Future Perspective
Pages 123-138
Perspectives on Fetal Pacing
Pages 141-151
Alternative Vascular Access in Fetus
Pages 153-157
Physician’s Perspective
Pages 161-171
Parents’ Perspective on the Hybrid Approach
Pages 173-177
The Hybrid Catheterization Laboratory
Pages 179-183
Hypoplastic Left Heart Syndrome: Natural and Surgical History
Pages 187-195
The Engineering Perspective
Pages 197-202
General Principles of the Hybrid Approach in Hypoplastic Left Heart Syndrome
Pages 203-208
Hypoplastic Left Heart Syndrome: The Giessen Approach – History, Technique, and Results
Pages 209-220
Hybrid Approach: The Columbus Way
Pages 221-227
The Brazilian Hybrid Approach for Hypoplastic Left Heart Syndrome
Pages 229-241
Canadian Approach to Hybrid HLHS
Pages 243-249
Prolonged Right-Ventricle-to-Left-Ventricle Support (Hybrid or Surgical) to Delay Decision-Making in Borderline Left Ventricles
Pages 251-262
The Anatomical or Functional Borderline Left Ventricle and Strategies for Staged Rehabilitation
Pages 263-273
Pulmonary Arteries: Surgical Point of View
Pages 277-282
Exit Angiography
Pages 283-291
Role of Three-Dimensional Rotational Angiography in Imaging the Pulmonary Arteries
Pages 293-301
Hybrid Approach to Pulmonary Artery Stenosis
Pages 303-310
Literature and Results
Pages 311-319
Hybrid Closure of Muscular Ventricular Septal Defects: Anatomy, Clinical Scenarios, and Techniques
Pages 323-334
Hybrid Muscular Ventricular Septal Defect Closure: Literature and Results
Pages 335-337
Perimembranous VSD
Pages 339-349
Hybrid Atrial Septal Defect Closure
Pages 353-359
Treatment of RV Outflow Tract Dysfunction: New Valve Technologies
Pages 361-366
Mitral Valve Replacement with Melody Valve Prosthesis
Pages 367-375
A Hybrid Approach to Aortic Stent Implantation
Pages 377-384
Other Hybrid Treatments: Tetralogy of Fallot
Pages 385-389
Other Hybrid Treatments: RV-to-PA Hybrid Conduit
Pages 391-392
Hybrid VSD Creation or Enlargement
Pages 393-397
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