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How should I treat an adult with unoperated complex cyanotic heart disease with severe pulmonary stenosis?

  • Bert Nagel
  • , Robert Maier
  • , Harald Kaemmerer
  • , Martin Koestenberger
  • , Andreas Gamillscheg
  • , John Hess
  • Medical University of Graz
  • Technical University of Munich

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: A 33-year-old adult with complex congenital heart disease and severe cyanosis presented to us with increasing symptoms of hyperviscosity, decreasing exercise tolerance and a thromboembolic complication. INVESTIGATION: Physical examination, laboratory investigations, ECG, transthoracic echocardiogram, cardiopulmonary exercise testing, angiography. DIAGNOSIS: Subvalvular and valvular pulmonary stenosis due to a calcified pulmonary valve. TREATMENT: Amiodarone, angiotensin-converting enzyme inhibitor, beta-blockers, percutaneous pulmonary balloon valvuloplasty, warfarin.

Original languageEnglish
Pages (from-to)289-290+3p
JournalEuroIntervention
Volume10
Issue number2
DOIs
StatePublished - Jun 2014

Keywords

  • Congenital heart disease
  • Cyanosis
  • Palliation
  • Pulmonary valvuloplasty

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