EDUCATION IN HEART
Valve disease
NEW PERCUTANEOUS TREATMENTS FOR VALVE DISEASE
Great Ormond Street Hospital for Children, London, UK
Correspondence to:
Correspondence to:
Professor Philipp Bonhoeffer
Cardiothoracic Unit, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK; bonhop@gosh.nhs.uk
| The first 150 words of the full text of this article appear below. |
Rapid progress in interventional cardiology has recently seen the rate of percutaneous coronary intervention overtake that of coronary artery bypass surgery. Now attention is directed towards the treatment of valvular heart disease, with exciting developments in balloon and stent technology having the potential to transform the management of many common heart conditions.
RATIONALE FOR A PERCUTANEOUS APPROACH
Valvular heart disease is an important cause of cardiovascular morbidity and mortality worldwide. In many countries, though improved living conditions and better access to antibiotics and healthcare have seen a decline in rheumatic heart disease, the prevalence of degenerative valve disease has escalated with ageing of the population. In addition, the number of long-term survivors of surgery for congenital cardiac malformations is growing, with these patients frequently affected by valve dysfunction in later life. Increasing availability of cardiopulmonary bypass, surgical expertise and intensive care facilities has seen valve repair and replacement widely performed to relieve symptoms
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