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Updated: Jul 7, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Significance of postoperative arrhythmias in congenital heart disease
Jolien W Roos-Hesselink1, Yusuf Karamermer
1Department of Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands. j.roos@erasmusmc.nl
Insights
Most children with congenital heart disease (CHD) now survive to adulthood, but late complications like arrhythmias can impact their long-term health. Lifelong monitoring is crucial for managing these arrhythmias and improving outcomes for CHD patients.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Clinical Medicine
Background:
- Improved survival rates for congenital heart disease (CHD) mean more patients are reaching adulthood.
- Late complications, particularly arrhythmias, significantly affect the long-term prognosis of CHD survivors.
- Arrhythmias contribute to increased morbidity and mortality in adult congenital heart disease populations.
Purpose of the Study:
- To highlight the significant impact of arrhythmias on adult congenital heart disease patients.
- To emphasize the necessity of continuous, lifelong follow-up for individuals with congenital heart disease.
- To underscore the importance of managing late cardiac complications in this growing patient group.
Main Methods:
- Review of current literature on congenital heart disease outcomes.
- Analysis of late complication prevalence, focusing on arrhythmias.
- Evaluation of the impact of arrhythmias on morbidity and mortality.
Main Results:
- Congenital heart disease patients are living longer, increasing the prevalence of late-onset complications.
- Supraventricular and ventricular arrhythmias are identified as major contributors to adverse outcomes.
- These arrhythmias significantly increase the risk of illness and death in the long term.
Conclusions:
- Lifelong surveillance is essential for patients with congenital heart disease to detect and manage late complications.
- Effective management of arrhythmias is critical for improving the quality of life and survival rates in adult CHD patients.
- Proactive, long-term cardiac care strategies are needed to address the evolving needs of the aging congenital heart disease population.
Abstract:
The survival of patients with congenital heart disease (CHD) has increased immensely and nowadays, most children reach adulthood. The long-term outcome is hampered by the occurrence of late complications such as arrhythmias. Supraventricular and ventricular arrhythmias have an impact notably not only on morbidity but also on mortality in patients with congenital heart disease. Therefore, life-long follow-up in most of these patients is required.
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