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Articles

Title: Congenital heart disease with increased left ventricular afterload

Author:
Maria Kordybach, Mirosław Kowalski, Julita Niewiadomska, Piotr Hoffman
Type:
Review articles
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
2009
Volume:
11
Number:
2
Start page:
116
Final page:
121
ISSN:
1507-5540
Keywords:
congenital heart diseases, left ventricular outflow obstruction, increased left ventricle afterload aortic coarctation
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Patients with congenital heart diseases can be a challenge for practitioners. Congenital heart diseases with obstruction to left ventricle (LV) outflow occur in about 10% of all congenital heart malformations. Concentric LV hypertrophy is a primary compensatory mechanism that eventually may lead to sudden cardiac death, secondary to ventricular tachyarrhythmias. In the group of patients with increased LV afterload there is also a hazard of infec-tive endocarditis. The diagnosis can be difficult, similarly the decision-making and the management after interventional therapy require knowledge and experience from cardiologists. The aim of this paper is to clarify these problems so that the care undertaken could be optimal and uneventful.