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Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: Outflow tract obstruction, coarctation of the aorta, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome

Identifieur interne : 003482 ( Pmc/Checkpoint ); précédent : 003481; suivant : 003483

Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: Outflow tract obstruction, coarctation of the aorta, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome

Auteurs : Candice K. Silversides [Canada] ; Luc Beauchesne [Canada] ; Timothy Bradley [Canada] ; Michael Connelly [Canada] ; Koichiro Niwa [Japon] ; Barbara Mulder [Pays-Bas] ; Gary Webb [États-Unis] ; Jack Colman [Canada] ; Judith Therrien [Canada]

Source :

RBID : PMC:2851472

Abstract

With advances in pediatric cardiology and cardiac surgery, the population of adults with congenital heart disease (CHD) has increased. In the current era, there are more adults with CHD than children. This population has many unique issues and needs. Since the 2001 Canadian Cardiovascular Society Consensus Conference report on the management of adults with CHD, there have been significant advances in the field of adult CHD. Therefore, new clinical guidelines have been written by Canadian adult CHD physicians in collaboration with an international panel of experts in the field. Part II of the guidelines includes recommendations for the care of patients with left ventricular outflow tract obstruction and bicuspid aortic valve disease, coarctation of the aorta, right ventricular outflow tract obstruction, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome. Topics addressed include genetics, clinical outcomes, recommended diagnostic workup, surgical and interventional options, treatment of arrhythmias, assessment of pregnancy risk and follow-up requirements. The complete document consists of four manuscripts that are published online in the present issue of The Canadian Journal of Cardiology. The complete document and references can also be found at www.ccs.ca or www.cachnet.org.


Url:
PubMed: 20352138
PubMed Central: 2851472


Affiliations:


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PMC:2851472

Le document en format XML

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<p>With advances in pediatric cardiology and cardiac surgery, the population of adults with congenital heart disease (CHD) has increased. In the current era, there are more adults with CHD than children. This population has many unique issues and needs. Since the 2001 Canadian Cardiovascular Society Consensus Conference report on the management of adults with CHD, there have been significant advances in the field of adult CHD. Therefore, new clinical guidelines have been written by Canadian adult CHD physicians in collaboration with an international panel of experts in the field. Part II of the guidelines includes recommendations for the care of patients with left ventricular outflow tract obstruction and bicuspid aortic valve disease, coarctation of the aorta, right ventricular outflow tract obstruction, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome. Topics addressed include genetics, clinical outcomes, recommended diagnostic workup, surgical and interventional options, treatment of arrhythmias, assessment of pregnancy risk and follow-up requirements. The complete document consists of four manuscripts that are published online in the present issue of
<italic>The Canadian Journal of Cardiology</italic>
. The complete document and references can also be found at
<ext-link ext-link-type="uri" xlink:href="www.ccs.ca">www.ccs.ca</ext-link>
or
<ext-link ext-link-type="uri" xlink:href="www.cachnet.org">www.cachnet.org</ext-link>
.</p>
</div>
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<article-title>Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: Outflow tract obstruction, coarctation of the aorta, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Silversides</surname>
<given-names>Candice K</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="corresp" rid="c1-cjc26e080"></xref>
<xref ref-type="aff" rid="af1-cjc26e080">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Beauchesne</surname>
<given-names>Luc</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af3-cjc26e080">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bradley</surname>
<given-names>Timothy</given-names>
</name>
<degrees>MBChB</degrees>
<xref ref-type="aff" rid="af4-cjc26e080">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Connelly</surname>
<given-names>Michael</given-names>
</name>
<degrees>MBBS</degrees>
<xref ref-type="aff" rid="af5-cjc26e080">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Niwa</surname>
<given-names>Koichiro</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af6-cjc26e080">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mulder</surname>
<given-names>Barbara</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af7-cjc26e080">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Webb</surname>
<given-names>Gary</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af8-cjc26e080">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Colman</surname>
<given-names>Jack</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af9-cjc26e080">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Therrien</surname>
<given-names>Judith</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af10-cjc26e080">10</xref>
</contrib>
</contrib-group>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Kiess</surname>
<given-names>Marla</given-names>
</name>
<degrees>MD</degrees>
<role>Section Editor</role>
<xref ref-type="aff" rid="af2-cjc26e080">2</xref>
</contrib>
</contrib-group>
<aff id="af1-cjc26e080">
<label>1</label>
Toronto Congenital Cardiac Centre for Adults, University of Toronto, Toronto, Ontario;</aff>
<aff id="af2-cjc26e080">
<label>2</label>
Pacific Adult Congenital Heart Clinic, University of British Columbia, Vancouver, British Columbia;</aff>
<aff id="af3-cjc26e080">
<label>3</label>
Adult Congenital Heart Disease Clinic, University of Ottawa Heart Institute, Ottawa, Ontario;</aff>
<aff id="af4-cjc26e080">
<label>4</label>
The Hospital for Sick Children, University of Toronto, Toronto, Ontario;</aff>
<aff id="af5-cjc26e080">
<label>5</label>
Adult Congenital Heart Clinic, University of Calgary, Calgary, Alberta;</aff>
<aff id="af6-cjc26e080">
<label>6</label>
Chiba Cardiovascular Center, Ichihara, Japan;</aff>
<aff id="af7-cjc26e080">
<label>7</label>
Academic Medical Center, Amsterdam, The Netherlands;</aff>
<aff id="af8-cjc26e080">
<label>8</label>
The Cincinnati Adolescent and Adult Congenital Heart Disease Program, Cincinnati, Ohio, USA;</aff>
<aff id="af9-cjc26e080">
<label>9</label>
Toronto Congenital Cardiac Centre for Adults, University of Toronto, Toronto, Ontario;</aff>
<aff id="af10-cjc26e080">
<label>10</label>
McGill Adult Unit for Congenital Heart Disease Excellence, McGill University, Montreal, Quebec</aff>
<author-notes>
<corresp id="c1-cjc26e080">Correspondence: Dr Candice K Silversides, Toronto General Hospital, 585 University Avenue, 5N-521 North Wing, Toronto, Ontario M5G 2N2. Telephone 416-340-3146, fax 416-340-5014, e-mail
<email>candice.silversides@uhn.on.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2010</year>
</pub-date>
<volume>26</volume>
<issue>3</issue>
<fpage>e80</fpage>
<lpage>e97</lpage>
<history>
<date date-type="received">
<day>1</day>
<month>1</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>2</day>
<month>1</month>
<year>2010</year>
</date>
</history>
<permissions>
<copyright-statement>© 2010, Pulsus Group Inc. All rights reserved</copyright-statement>
</permissions>
<abstract>
<p>With advances in pediatric cardiology and cardiac surgery, the population of adults with congenital heart disease (CHD) has increased. In the current era, there are more adults with CHD than children. This population has many unique issues and needs. Since the 2001 Canadian Cardiovascular Society Consensus Conference report on the management of adults with CHD, there have been significant advances in the field of adult CHD. Therefore, new clinical guidelines have been written by Canadian adult CHD physicians in collaboration with an international panel of experts in the field. Part II of the guidelines includes recommendations for the care of patients with left ventricular outflow tract obstruction and bicuspid aortic valve disease, coarctation of the aorta, right ventricular outflow tract obstruction, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome. Topics addressed include genetics, clinical outcomes, recommended diagnostic workup, surgical and interventional options, treatment of arrhythmias, assessment of pregnancy risk and follow-up requirements. The complete document consists of four manuscripts that are published online in the present issue of
<italic>The Canadian Journal of Cardiology</italic>
. The complete document and references can also be found at
<ext-link ext-link-type="uri" xlink:href="www.ccs.ca">www.ccs.ca</ext-link>
or
<ext-link ext-link-type="uri" xlink:href="www.cachnet.org">www.cachnet.org</ext-link>
.</p>
</abstract>
<trans-abstract xml:lang="fr">
<p>Étant donné les progrès de la cardiologie pédiatrique et de la chirurgie cardiaque, la population d’adultes ayant une cardiopathie congénitale (CPC) a augmenté. Il y a maintenant plus d’adultes que d’enfants ayant une CPC. Cette population a de nombreux problèmes et besoins uniques. Depuis le rapport de la conférence consensuelle 2001 de la Société canadienne de cardiologie sur la prise en charge des adultes ayant une CPC, on constate d’importantes avancées dans le domaine des CPC chez les adultes. Par conséquent, de nouvelles lignes directrices cliniques ont été rédigées par des médecins canadiens s’occupant des CPC chez les adultes, en collaboration avec un groupe d’experts internationaux dans le domaine. La partie II des lignes directrices contient des recommandations sur les soins aux patients ayant une obstruction de la chambre de chasse du ventricule gauche et une bicuspidie valvulaire aortique, une coarctation de l’aorte, une obstruction de la chambre de chasse du ventricule droit, une tétralogie de Fallot, une maladie d’Ebstein et un syndrome de Marfan. Les sujets abordés incluent la génétique, les issues cliniques, les bilans diagnostiques recommandés, les possibilités chirurgicales et d’intervention, le traitement des arythmies, l’évaluation des risques de la grossesse et de la contraception et les recommandations de suivi. Le document complet se compose de quatre manuscrits publiés par voie électronique dans le présent numéro du
<italic>Journal canadien de cardiologie</italic>
. Le document complet et les références figurent également aux adresses
<ext-link ext-link-type="uri" xlink:href="www.ccs.ca">www.ccs.ca</ext-link>
et
<ext-link ext-link-type="uri" xlink:href="www.cachnet.org">www.cachnet.org</ext-link>
.</p>
</trans-abstract>
<kwd-group>
<kwd>Adult congenital heart disease</kwd>
<kwd>Bicuspid aortic valve</kwd>
<kwd>Coarctation of the aorta</kwd>
<kwd>Congenital heart disease</kwd>
<kwd>Ebstein anomaly</kwd>
<kwd>Marfan’s syndrome</kwd>
<kwd>Outflow tract obstruction</kwd>
<kwd>Tetralogy of Fallot</kwd>
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</front>
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<list>
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<li>Canada</li>
<li>Japon</li>
<li>Pays-Bas</li>
<li>États-Unis</li>
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<region>
<li>Alberta</li>
<li>Hollande-Septentrionale</li>
<li>Ohio</li>
<li>Ontario</li>
<li>Québec</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Calgary</li>
<li>Montréal</li>
</settlement>
<orgName>
<li>Université McGill</li>
<li>Université de Calgary</li>
</orgName>
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<country name="Canada">
<region name="Ontario">
<name sortKey="Silversides, Candice K" sort="Silversides, Candice K" uniqKey="Silversides C" first="Candice K" last="Silversides">Candice K. Silversides</name>
</region>
<name sortKey="Beauchesne, Luc" sort="Beauchesne, Luc" uniqKey="Beauchesne L" first="Luc" last="Beauchesne">Luc Beauchesne</name>
<name sortKey="Bradley, Timothy" sort="Bradley, Timothy" uniqKey="Bradley T" first="Timothy" last="Bradley">Timothy Bradley</name>
<name sortKey="Colman, Jack" sort="Colman, Jack" uniqKey="Colman J" first="Jack" last="Colman">Jack Colman</name>
<name sortKey="Connelly, Michael" sort="Connelly, Michael" uniqKey="Connelly M" first="Michael" last="Connelly">Michael Connelly</name>
<name sortKey="Therrien, Judith" sort="Therrien, Judith" uniqKey="Therrien J" first="Judith" last="Therrien">Judith Therrien</name>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Niwa, Koichiro" sort="Niwa, Koichiro" uniqKey="Niwa K" first="Koichiro" last="Niwa">Koichiro Niwa</name>
</noRegion>
</country>
<country name="Pays-Bas">
<region name="Hollande-Septentrionale">
<name sortKey="Mulder, Barbara" sort="Mulder, Barbara" uniqKey="Mulder B" first="Barbara" last="Mulder">Barbara Mulder</name>
</region>
</country>
<country name="États-Unis">
<region name="Ohio">
<name sortKey="Webb, Gary" sort="Webb, Gary" uniqKey="Webb G" first="Gary" last="Webb">Gary Webb</name>
</region>
</country>
</tree>
</affiliations>
</record>

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