Congenital heart disease never goes away, even when it has been 'treated': The adult with congenital heart disease

Aarti Hejmadi Bhat, David J. Sahn

Research output: Contribution to journalReview article

28 Scopus citations

Abstract

Purpose of review: As the specialties of pediatrics and pediatric cardiology continue to forge ahead with better diagnoses, medical care, and surgical results, an expanding population of patients with congenital heart disease (CHD) outgrows the pediatric age group, yet does not quite graduate to routine adult cardiology or general medicine. The adult with congenital heart disease (ACHD) faces medical, surgical, and psychosocial issues that are unique to this population and must be addressed as such. This review attempts to discuss and highlight some of the important advances and controversies brought up in the past year, in the care and management of these patients. Recent findings: The past five to 10 years have seen dynamic interest in understanding sequelae of corrected, uncorrected, or palliated congenital heart disease. The search for the ideal surgery, optimal prosthesis, and a smooth transition to adult care continues and is reflected in the vast amount of academic work and publications in this field. Of particular interest, conduit reoperations and single ventricle pathway modifications are still an art and a science in evolution. Summary: While all are agreed that there is a pressing need to focus on the delivery of care to the adult with congenital heart disease, this essentially requires a clearer understanding of late sequelae of CHD. The sheer heterogeneity of anatomy, age, surgery, and institutional management protocols can make it difficult to develop clear guidelines. This review attempts to give an up-to-date perspective on some of the new findings related to the more common lesions and problems faced in this group.

Original languageEnglish (US)
Pages (from-to)500-507
Number of pages8
JournalCurrent Opinion in Pediatrics
Volume16
Issue number5
DOIs
StatePublished - Oct 1 2004

Keywords

  • Adult congenital heart disease
  • Conduit
  • Fontan surgery
  • Grown-up congenital heart disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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