RT Book, Section
A1 Dimopoulos, Konstantinos
A1 Constantine,  Andrew
A2 Fuster, Valentin
A2 Narula, Jagat
A2 Vaishnava, Prashant
A2 Leon, Martin B.
A2 Callans, David J.
A2 Rumsfeld, John S.
A2 Poppas, Athena
SR Print(0)
ID 1202452127
T1 Right-Sided Lesions
T2 Fuster and Hurst's The Heart, 15e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264257560
LK accessmedicine.mhmedical.com/content.aspx?aid=1202452127
RD 2024/04/18
AB Chapter  SummaryThis  chapter  provides  an  overview  of  the  foremost  right-sided  lesions  affecting  adults  with  congenital  heart  disease  (see  Fuster  and  Hurst’s  Central  Illustration),  focusing  on  pathophysiology  and  clinical  management.  Right-sided  cardiac  lesions  are  typically  congenital  and  include  a  wide  spectrum  of  conditions  of  differing  complexity.  Even  “simple”  right-sided  heart  lesions  can  cause  significant  right  ventricular  pressure  or  volume  overload,  obstruction  of  flow  to  the  lungs,  and  systemic  venous  congestion.  More  complex  lesions,  such  as  Tetralogy  of  Fallot,  also  consist  of  predominantly  right-sided  anatomic  features  and  long-term  residual  right-sided  lesions  may  be  present  after  repair  (eg,  pulmonary  regurgitation).  Advances  in  diagnosis  and  timely  surgical  intervention  have  considerably  improved  the  outlook  of  these  lesions  and  have  minimized  long-term  complications.  However,  adults  with  congenital  heart  disease  remain  at  risk  of  long-term  sequelae,  such  as  exercise  intolerance,  right-sided  heart  failure,  and  arrhythmias.  Long-term  specialist  care  is,  therefore,  essential,  even  after  successful  surgical  repair.  Expert  input  and  individualized  advice  are  also  required  in  special  situations,  including  pregnancy,  noncardiac  surgery,  and  when  determining  the  type  and  intensity  of  exercise  or  sports  that  patients  can  practice.