TY - CHAP M1 - Book, Section TI - Right-Sided Lesions A1 - Dimopoulos, Konstantinos A1 - Constantine, Andrew A2 - Fuster, Valentin A2 - Narula, Jagat A2 - Vaishnava, Prashant A2 - Leon, Martin B. A2 - Callans, David J. A2 - Rumsfeld, John S. A2 - Poppas, Athena PY - 2022 T2 - Fuster and Hurst's The Heart, 15e AB - Chapter SummaryThis chapter provides an overview of the foremost right-sided lesions affecting adults with congenital heart disease (see Fuster and Hurst’s Central Illustration), focusing on pathophysiology and clinical management. Right-sided cardiac lesions are typically congenital and include a wide spectrum of conditions of differing complexity. Even “simple” right-sided heart lesions can cause significant right ventricular pressure or volume overload, obstruction of flow to the lungs, and systemic venous congestion. More complex lesions, such as Tetralogy of Fallot, also consist of predominantly right-sided anatomic features and long-term residual right-sided lesions may be present after repair (eg, pulmonary regurgitation). Advances in diagnosis and timely surgical intervention have considerably improved the outlook of these lesions and have minimized long-term complications. However, adults with congenital heart disease remain at risk of long-term sequelae, such as exercise intolerance, right-sided heart failure, and arrhythmias. Long-term specialist care is, therefore, essential, even after successful surgical repair. Expert input and individualized advice are also required in special situations, including pregnancy, noncardiac surgery, and when determining the type and intensity of exercise or sports that patients can practice. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesscardiology.mhmedical.com/content.aspx?aid=1202452127 ER -