Full-size Left-side Hidden
Chapter 59 – Percutaneous Therapies for Structural Heart Disease in Adults

John G. Webb

  NON-VALVULAR THERAPIES, 1301
  Patent Foramen Ovale, 1301
  Atrial Septal Defect, 1301
  Ventricular Septal Defects, 1302
  Left Atrial Appendage, 1302
  Paravalvular Leak, 1302
  Septal Ablation, 1303

  VALVULAR THERAPIES, 1304
  Mitral Balloon Valvulotomy, 1304
  Aortic Balloon Valvotomy, 1304
  Mitral Valve Repair, 1305
  Pulmonary Valve Implantation, 1306
  Aortic Valve Implantation, 1306

  FUTURE PERSPECTIVES, 1307
  REFERENCES, 1307

This chapter will review transcatheter interventional therapy of structural heart disease in adults. Although the focus is primarily on acquired conditions, some conditions that are not acquired typically become apparent in adulthood and will also be briefly reviewed here.

Non-Valvular Therapies

Patent Foramen Ovale

The foramen ovale, which allows blood flow across the atrial septum in utero, normally closes shortly after birth as pulmonary blood flow increases and the flaplike septum primum is forced against the …