To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This chapter summarizes the current state of trans-catheter fetal cardiac interventions (FCI) for a select group of congenital heart defects (CHDs). The ethical issues and risks that pertain to the mother, as the healthy patient and innocent bystander are non-trivial. However, there are other situations in medical therapy that involve procedures to a healthy patient for the sake of another. Therapy for FCI involves ultrasound-guided uterine and fetal cardiac puncture with an 18- or 19-gauge cannula, predominantly percutaneous, and can be performed with the mother awake. The fetal cardiac lesion that has been the main focus of FCI over the past two decades is severe aortic stenosis (AS) in early and mid-gestation that has been shown in several publications to evolve into HLHS at birth. Hypoplastic left heart syndrome (HLHS) with highly restrictive or intact atrial septum (IAS) is one of the most challenging lesions in managing patients with CHD.
Email your librarian or administrator to recommend adding this to your organisation's collection.