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Adult Congenital Heart Disease

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Heart Disease: ESC Clinical

References About congenital heart defects. However, signs and symptoms of the condition can occur in adults later in life, even those who had treatment as a child. Defects range from simple, which might cause no problems, to complex, which can cause life-threatening complications. If a large shunt does not produce symptoms during infancy, there is usually little disturbance until late adolescence or early adult life when the patient develops high pulmonary vascular resistance, breathlessness, fatigue, and cyanosis. In this procedure, a "butterfly" device eg, the Clamshell occluder, the Starflex occluder, or the Amplatzer occluder is manipulated noninvasively into the heart and "opened", whereupon it grasps the defect on either side and closes it see Figures 5 and 6.

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