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Closing congenital vascular connections: the novel and the traditional… both at risk of developing ventricular dysfunction?

EuroIntervention 2018;13:e2102-e2104 published online e-edition April 2018. DOI: 10.4244/EIJV13I18A345

1. Royal Victoria Hospital, McGill University Health Center, McGill University, Montreal, Quebec, Canada; 2. Montreal Children’s Hospital, McGill University Health Center, McGill University, Montreal, Quebec, Canada

The treatment of simple congenital malformations has evolved significantly over the last decade. Lesions such as septal defects, patent ductus arteriosus (PDA), coarctation, conduit dysfunction, pulmonary artery stenosis, and fistulae are now all addressed via a transcatheter approach as first-line treatment. The field of structural interventions is a spin-off of interventional congenital cardiology. The first successful percutaneous valve was the transcatheter pulmonary valve. Procedures such as paravalvular leak closure and post-myocardial infarction ventricular septal rupture closure are all extrapolations of interventional congenital procedures. Furthermore, imaging which is essential in congenital cardiology for understanding complex malformations, has now spilled over ...

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