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Rao P. Syamasundar - Perinatal cardiology : a multidisciplinary approach

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Rao P. Syamasundar Perinatal cardiology : a multidisciplinary approach

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Perinatal Cardiology Provides an overview of advances in perinatology, neonatology, cardiology, and cardiac surgery in making early diagnosis and offering treatment options for patients with CHD. Includes evidence-based therapeutic approaches to successfully treat the fetus and the newborn with congenital cardiac lesions.

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Perinatal Cardiology: A Multidisciplinary Approach

EDITORS

P. Syamasundar Rao, MD, DCH, FAAP, FACC, FSCAI

University of Texas Medical School at Houston, Childrens Memorial Hermann Hospital, Houston, Texas

Dharmapuri Vidyasagar, MD, MSc, FAAP, FCCM, PhD (Hon)

University of Illinois at Chicago, Chicago, Illinois

2015 P. Syamasundar Rao

Cardiotext Publishing, LLC

3405 W. 44th Street

Minneapolis, Minnesota 55410

USA

www.cardiotextpublishing.com

Any updates to this book may be found at: http://cardiotextpublishing.com/perinatal-cardiology

Comments, inquiries, and requests for bulk sales can be directed to the publisher at: info@cardiotextpublishing.com.

All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.

All trademarks, service marks, and trade names used herein are the property of their respective owners and are used only to identify the products or services of those owners.

This book is intended for educational purposes and to further general scientific and medical knowledge, research, and understanding of the conditions and associated treatments discussed herein. This book is not intended to serve as and should not be relied upon as recommending or promoting any specific diagnosis or method of treatment for a particular condition or a particular patient. It is the readers responsibility to determine the proper steps for diagnosis and the proper course of treatment for any condition or patient, including suitable and appropriate tests, medications or medical devices to be used for or in conjunction with any diagnosis or treatment.

Due to ongoing research, discoveries, modifications to medicines, equipment and devices, and changes in government regulations, the information contained in this book may not reflect the latest standards, developments, guidelines, regulations, products or devices in the field. Readers are responsible for keeping up to date with the latest developments and are urged to review the latest instructions and warnings for any medicine, equipment or medical device. Readers should consult with a specialist or contact the vendor of any medicine or medical device where appropriate.

Except for the publishers website associated with this work, the publisher is not affiliated with and does not sponsor or endorse any websites, organizations or other sources of information referred to herein.

The publisher and the authors specifically disclaim any damage, liability or loss incurred, directly or indirectly, from the use or application of any of the contents of this book.

Unless otherwise stated, all figures and tables in this book are used courtesy of the authors.

eISBN: 978-1-935395-93-5

DEDICATION

Dedicated to my wife, Hymavathi, for her continued support of my academic activities for nearly five decades; to my children, Vijay, Madhavi, and Radhika, for enduring and gracefully excusing my absences because of my academic vagaries; and to my grandchildren, Meghana, Anjali, and Rhea, our future!

PSR

Dedicated to my wife, Nagamani, for her continued professional and personal support through last 46 years of my academic career; to my children, Sahana, Sadhana, and Sanjay, who have been a source of intellectual stimulation; and to my grandchildren, Kavi and Anika, both sources of joy!

DVS

TABLE OF CONTENTS

Chapter 1
Perinatal Circulatory Physiology

Chapter 2
Role of Perinatal Circulatory Physiology on Clinical Manifestations and Management of Neonatal Heart Disease

Chapter 3
Embryology of the Heart

Chapter 5
Prenatal Screening of Congenital Heart Disease

Chapter 6
Fetal Arrhythmias

Chapter 7
Ethical Issues in Managing Fetal and Neonatal Cardiac Lesions

Chapter 8
Changes in Oxygen Saturations during First Few Minutes of Life in the Delivery Room

Chapter 9
Pulse Oximetry Screening for Detecting Congenital Heart Defects in the Newborn

Chapter 10
An Approach to the Diagnosis of Cyanotic Neonate for the Primary Care Provider

Chapter 11
Echocardiographic Evaluation of Neonates with Suspected Heart Disease

Chapter 12
Role of Magnetic Resonance Imaging and Computed Tomography in the Evaluation of Heart Disease in the Neonates

Chapter 13
Principles of Management of the Neonate with Congenital Heart Disease

Chapter 14
Neonatal Cardiac Emergencies: Management Strategies

Chapter 15
Genetics of Congenital Heart Disease

Chapter 16
Persistent Pulmonary Hypertension of the Newborn: Pathophysiology and Management

Chapter 17
Neonatal Rhythm and Dysrhythmias

Chapter 18
Single Ventricle Physiology

Chapter 19
Catheter Interventions in the Neonate:
Part I Nonsurgical Atrial Septostomy

Chapter 20
Catheter Interventions in the Neonate:
Part II Balloon Angioplasty/Valvuloplasty

Chapter 21
Catheter Interventions in the Neonate:
Part III Other Interventions

Chapter 22
In Utero Intervention for Severe Congenital Heart Disease

Chapter 23
Surfactant Therapy and Neonatal Hemodynamics

Chapter 24
Anesthesia for the Neonate with Congenital Heart Disease

Chapter 25
Cardiac Surgery in the Neonate

Chapter 26
Perioperative Care of Newborn with Critical Heart Disease

Chapter 27
Feeding Strategies in Neonates with Severe Congenital Heart Disease, with Comments on Necrotizing Enterocolitis

Chapter 28
Transposition of the Great Arteries

Chapter 29
Tetralogy of Fallot

Chapter 30
Tricuspid Atresia

Chapter 31
Total Anomalous Pulmonary Venous Connection

Chapter 32
Truncus Arteriosus

Chapter 33
Hypoplastic Left Heart Syndrome

Chapter 34
Pulmonary Atresia with Intact Ventricular Septum

Chapter 35
Ebsteins Anomaly of the Tricuspid Valve

Chapter 36
Cardiac Malpositions, Including Heterotaxy Syndromes

Chapter 37
Other Cyanotic Heart Defects in the Neonate

Chapter 38
Coarctation of the Aorta

Chapter 39
Patent Ductus Arteriosus in the Premature Infant

Chapter 40
Video-Thoracoscopic Ductal Closure in the Premature and Newborn

Chapter 41
Other Acyanotic Heart Defects

Chapter 42
Neonatal Cardiomyopathies

Chapter 43
Systemic Hypertension in the Premature and the Neonate

Chapter 44
Summary and Conclusions

CONTRIBUTORS

Editors

P. Syamasundar Rao, MD, DCH, FAAP, FACC, FSCAI

Professor of Pediatrics & Medicine, Director of Pediatric Cardiology Fellowship Program; Director of Interventional Pediatric Cardiology Fellowship Program; Emeritus Chief of Pediatric Cardiology, University of Texas Medical School at Houston, Childrens Memorial Hermann Hospital, Houston, Texas

Dharmapuri Vidyasagar, MD, MSc, FAAP, FCCM, PhD (Hon)

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