Dan l hernandez md (1 Ergebnisse)

Taschenbuch. Zustand: Neu. Neuware - ATRIAL SEPTAL DEFECT A Contemporary Clinical Guide to Diagnosis, Imaging, Transcatheter Closure, and Adult Management Atrial Septal Defect provides a contemporary, clinically focused guide to the diagnosis, evaluation, intervention, and lifelong management of atrial septal defects across the lifespan. The book begins with the anatomy and classification of secundum, ostium primum, sinus venosus, and coronary sinus defects, while clearly distinguishing true atrial septal defects from patent foramen ovale. It examines shunt physiology, right-heart volume overload, pulmonary hypertension, arrhythmias, paradoxical embolism, and cardiac remodeling. Key topics include: - Epidemiology and natural history of secundum ASD- Spontaneous closure and clinically significant persistent defects- Multimodality imaging with TTE, TEE, ICE, CT, and CMR- Indications and contemporary principles of ASD closure- Transcatheter device therapy, procedural guidance, and complications- Surgical repair and management of complex anatomical defects- ASD evaluation and closure in adults and older patients- Left ventricular diastolic function and pulmonary vascular disease- Pregnancy, preconception assessment, fetal evaluation, delivery, and postpartum care- PFO, migraine, paradoxical embolism, and evidence-based management- Post-closure remodeling and long-term cardiovascular follow-up>Particular emphasis is placed on individualized clinical decision-making. Rather than relying on defect size alone, the book integrates anatomy, shunt magnitude, right-heart remodeling, ventricular function, pulmonary pressures, pulmonary vascular resistance, associated lesions, patient age, symptoms, and procedural suitability. Written in a clear and practical medical style, this book is intended for cardiologists, adult congenital heart disease specialists, interventional cardiologists, cardiovascular imaging specialists, congenital cardiac surgeons, physicians, trainees, and other healthcare professionals seeking a focused contemporary reference on atrial septal defects. Atrial Septal Defect connects anatomy, physiology, imaging, intervention, and long-term care to provide a practical framework for understanding when an ASD should be observed, when closure may be appropriate, and how modern patient-centered management should be individualized.…