Kardiologie up2date, Inhaltsverzeichnis Kardiologie up2date 2017; 13(04): 359-372DOI: 10.1055/s-0043-122173 Spezialthemen Georg Thieme Verlag KG Stuttgart · New York Shuntvitien Sven Dittrich , Robert Cesnjevar , Martin Glöckler Artikel empfehlen Abstract Artikel einzeln kaufen Alle Artikel dieser Rubrik Nach Korrektur eines Shuntvitiums sind vor allem pulmonalhypertensive Krisen mit dem Risiko der akuten Rechtsherzdekompensation problematisch. Die intensivmedizinische Therapie zielt auf eine pulmonale Nachlastsenkung und Unterstützung des rechten Ventrikels. Volltext Referenzen Literatur 1 Lindinger A, Schwedler G, Hense HW. Prevalence of congenital heart defects in newborns in Germany: Results of the first registration year of the PAN Study (July 2006 to June 2007). Klin Padiatr 2010; 222: 321-326 2 Weil J. Deutsche Gesellschaft für Pädiatrische Kardiologie e. V.. Leitlinien zur Diagnostik und Therapie in der Pädiatrischen Kardiologie. München: Urban & Fischer; 2016 3 Klauwer D, Neuhäuser C, Thul J, Zimmermann R. et al. Pädiatrische Intensivmedizin – Kinderkardiologische Praxis. Köln: Deutscher Ärzte-Verlag; 2013 4 van Riel AC, Blok IM, Zwinderman AH. et al. Lifetime risk of pulmonary hypertension for all patients after shunt closure. J Am Coll Cardiol 2015; 66: 1084-1086 5 Chen TH, Hsiao YC, Cheng CC. et al. In-Hospital and 4-Year Clinical Outcomes Following Transcatheter Versus Surgical Closure for Secundum Atrial Septal Defect in Adults: A National Cohort Propensity Score Analysis. Medicine (Baltimore) 2015; 94: e1524 6 Takaya Y, Akagi T, Kijima Y. et al. Long-term outcome after transcatheter closure of atrial septal defect in older patients: impact of age at procedure. JACC Cardiovasc Interv 2015; 8: 600-606 7 Schubert S, Peters B, Abdul-Khaliq H. et al. Left ventricular conditioning in the elderly patient to prevent congestive heart failure after transcatheter closure of atrial septal defect. Catheter Cardiovasc Interv 2005; 64: 333-337 8 Abman SH, Hansmann G, Archer SL. et al. Pediatric Pulmonary Hypertension: Guidelines From the American Heart Association and American Thoracic Society. Circulation 2015; 132: 2037-2099 9 Galiè N, Humbert M, Vachiery JL. et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Heart J 2016; 37: 67-119 10 Zhang HD, Zhang R, Jiang X. et al. Effects of oral treatments on clinical outcomes in pulmonary arterial hypertension: A systematic review and meta-analysis. Am Heart J 2015; 170: 96-103 11 Blok IM, Van Riel AC, Mulder BJ. et al. Management of patients with pulmonary arterial hypertension due to congenital heart disease: recent advances and future directions. Expert Rev Cardiovasc Ther 2015; 13: 1377-1392 12 Manes A, Palazzini M, Leci E. et al. Current era survival of patients with pulmonary arterial hypertension associated with congenital heart disease: a comparison between clinical subgroups. Eur Heart J 2014; 35: 716-724 13 Egbe AC, Poterucha JT, Rihal CS. et al. Transcatheter closure of postmyocardial infarction, iatrogenic, and postoperative ventricular septal defects: The Mayo Clinic experience. Catheter Cardiovasc Interv 2015; 86: 1264-1270 14 Thiele H, Kaulfersch C, Daehnert I. et al. Immediate primary transcatheter closure of postinfarction ventricular septal defects. Eur Heart J 2009; 30: 81-88