Anderson's Pediatric Cardiology

Atrioventricular Septal Defects

There is a group of lesions unified by the anatomic hallmark of a common atrioventricular junction coexisting with deficient atrioventricular septation. The key to their differentiation from other potentially related defects is the presence of the common junction, including the…

Division of Atrial Chambers (“Cor Triatriatum”)

Introduction Division, or partitioning, of one of the atrial chambers is a rare malformation. Severe symptoms, or even death, may result if this condition is untreated. When recognized and treated surgically, life expectancy should be normal. Either the morphologically right…

Interatrial Communications

Introduction Channels permitting shunting between the atrial chambers are important congenital cardiac anomalies because they are relatively common and are more nearly completely correctable than most other cardiac malformations, even more so in the era of catheter intervention. It may…

Pulmonary Venous Abnormalities

Introduction This chapter considers abnormalities of the pulmonary veins, in particular their anomalous connections to the systemic venous system. The variant of partially anomalous pulmonary venous connection associated with the sinus venosus interatrial communication is described in detail. The anomalous…

Anomalous Systemic Venous Return

Introduction This chapter deals with abnormalities of position and connection of the major systemic venous channels that drain to the heart. We also discuss abnormal persistence of the valves of the embryonic systemic venous sinus. The anomalies included vary widely,…

Isomerism of the Atrial Appendages

Introduction It has long been recognized that congenital absence of the spleen, or the presence of multiple spleens, is associated with severe congenital malformations of the heart. Some of the most complex forms of congenital cardiac disease are associated with…

Cardiovascular Risk Factors in Youth

Autopsy studies have demonstrated that atherosclerosis, the pathologic basis for coronary artery disease and cerebrovascular events, begins in childhood and is associated with the presence of modifiable and nonmodifiable cardiovascular risk factors (CVRFs) such as obesity, dyslipidemia, and hypertension (…

Cardiopulmonary Exercise Testing

Regular exercise is an important part of a healthy lifestyle. Physical activity in some developed countries has diminished for a variety of reasons as society has trended away from outdoor activities toward other types of activities, such as computer games…

Electrophysiology, Pacing, and Defibrillation

Introduction Pediatric electrophysiology has evolved into a fully recognized subspecialty within the field of pediatric cardiology, and recent growth has led to the continued expansion of this subsection. The aging adult population with congenital cardiac disease, growing in size and…