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Updated: Aug 12, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
At risk: adolescents and adults with congenital heart disease
1Pediatric Intensive Care Unit, Cleveland Ohio Clinic Foundation, USA.
Insights
Congenital heart disease (CHD) affects fetal heart development. Advances in care allow more infants with CHD to survive into adulthood, necessitating specialized nursing expertise for their unique needs.
Area of Science:
- Cardiology
- Pediatric Medicine
- Nursing Science
Background:
- Congenital heart disease (CHD) encompasses diverse cardiac and vascular malformations originating during fetal development.
- Historically, many infants with CHD did not survive past early childhood.
- Significant advancements in diagnostics and therapeutic interventions have dramatically improved survival rates.
Purpose of the Study:
- To highlight the evolving landscape of congenital heart disease patient care.
- To emphasize the critical need for specialized nursing knowledge in managing adult survivors of CHD.
- To underscore the unique healthcare requirements of this growing patient population.
Main Methods:
- Review of current literature on CHD diagnostics and treatments.
- Analysis of survival trends and demographic shifts in CHD patients.
- Identification of key knowledge and skill gaps for healthcare professionals.
Main Results:
- Increased survival rates for infants born with CHD.
- A growing population of adults living with complex congenital cardiac conditions.
- Recognition of specialized care needs beyond pediatric settings.
Conclusions:
- Adult survivors of CHD represent a distinct patient group with ongoing health concerns.
- Advanced clinical nurses require specialized training to address the complex needs of adult CHD patients.
- Interdisciplinary collaboration is essential for optimal long-term outcomes in this population.
Abstract:
Congenital heart disease includes a variety of malformations or defects arising during fetal development that affect the heart and major vessels. Because of improved diagnostics and therapy, infants who would otherwise have died soon after birth are surviving to adulthood and living longer, more productive lives. This growing population requires specialized care from advanced clinical nurses who understand these patients' unique concerns and needs.
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