Login | Users Online: 258  
Home Print this page Email this page Small font sizeDefault font sizeIncrease font size   
Home | About us | Editorial board | Search | Ahead of print | Current Issue | Archives | Submit article | Instructions | Subscribe | Advertise | Contact us
 


 
EDITOR PAGE
Year : 2002  |  Volume : 3  |  Issue : 2  |  Page : 1 Table of Contents     

At a glance


,

Date of Web Publication22-Jun-2010

Correspondence Address:
Rachel Hajar
,

Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

How to cite this article:
Hajar R. At a glance. Heart Views 2002;3:1

How to cite this URL:
Hajar R. At a glance. Heart Views [serial online] 2002 [cited 2021 Sep 27];3:1. Available from: https://www.heartviews.org/text.asp?2002/3/2/1/64462

In this issue of the Journal, Boudjemline and Bonhoeffer review their experience in pulmonary valve replacement through a percutaneous technique (p.55).Indeed, if a valve can be successfully implanted in the right side of the human heart without open-heart surgery, would not the same be possible for left-sided valves? The authors describe their experimental work in this direction. Their exciting work highlights the expanding clinical applications of nonsurgical interventional therapy. The accompanying editorial (p.61) envisions adoption and incorporation of this technique in various complex congenital reconstructive surgeries.

Knowledge of normal cardiovascular anatomy and physiology is the cornerstone of good diagnostic and therapeutic cardiovascular practice. This is particularly important in the pediatric patient, especially in the newborn and infant. Over the past 20 to 30 years, major advances have been made in the diagnosis and treatment of congenital heart disease in children. As a result, many children with such disease now survive to adulthood. This issue of the Journal spotlights the more common congenital heart disease encountered in adults.

Uncomplicated atrial septal defect occurs in approximately 7% of congenital cardiac defects. Occurring in about one third of the cases of congenital heart disease detected in adults, atrial septal defect is the most common congenital cardiac anomaly in adults, after bicuspid aortic valve. In a mini-symposium on atrial septal defect held at Hamad Medical Corporation, Doha, Qatar, Dr. Numan reviewed its pathophysiology, clinical presentation and diagnosis; the surgical management by Dr. Mckay; and device closure by Dr. Hroob. The proceedings appear on pp.63-83.

Dr. Delemarre (The Hague, The Netherlands) gives a concise review of congenital aortic regurgitation, underlining the importance of early recognition, follow-up, and endocarditis prophylaxis in this group of patients (p.84). Dr. Spitael (Rotterdam, The Netherlands) focuses on the more common congenital aortic wall pathology i.e., sinus of valsalva aneurysm. He summarizes the pathophysiology with clear illustrations, its diagnosis by echocardiography, and treatment guidelines (p.86).

As physicians, we are frequently confronted with moral dilemmas. Dr. Zaglul (Lexington, Kentucky) provides a good general introduction to clinical ethics in the 21st century, with practical guidelines on how one may arrive to an ethical decision (p.92).

Is it of benefit to look back on the past? More than that of any other profession, medicine rests on the observations, wisdom, investigations, and accomplishments of our predecessors. Knowledge of what they have given to medicine and to humanity should therefore be part of our background. Dr. Jacqueline Noonan (Professor Emeritus, University of Kentucky, USA) recounts her recognition of a new syndrome, Noonan syndrome, the mapping of the gene responsible for the abnormality, and the continuing evolution of our understanding of this abnormality (p.102). Her narration includes many players who have contributed to advancing knowledge about the syndrome. Her perspective is forward-looking and that is as it should be. We thank Dr. Noonan for showing us that for medicine to advance, physicians must strive to look to the future as well as look to the past for guidance and inspiration.




 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article

 Article Access Statistics
    Viewed887    
    Printed65    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal