Care of the adult with congenital heart disease
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Updated: Jun 27, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
1Department of Cardiology, Children's Hospital Boston/Brigham and Women's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. Michael.Singh@Cardio.CHBoston.org
Insights
The number of adults with congenital heart disease (CHD) now exceeds children. Optimal care requires addressing noncardiac conditions and reducing adverse outcomes for this growing population.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease (ACHD) care
Background:
- The population of adults with congenital heart disease (CHD) is increasing, surpassing the number of pediatric cases.
- Aging adults with CHD face unique challenges, including the need for specialized medical care and managing noncardiac comorbidities.
Purpose of the Study:
- To highlight the growing population of adults with CHD.
- To emphasize the need for optimal medical care and strategies to mitigate adverse outcomes in this demographic.
Main Methods:
- Review of current trends in adult congenital heart disease.
- Identification of key risk factors and management strategies.
Main Results:
- Adults with CHD represent a growing patient group requiring specialized care.
- Noncardiac comorbidities are significant risks for this population.
Conclusions:
- Optimal medical care for adults with CHD necessitates recognizing extracardiac risk factors.
- A multidisciplinary approach is crucial for managing adults with congenital heart disease and improving outcomes.
Abstract:
The population of adults with congenital heart disease (CHD) is growing to the extent that there are now more adults than children with CHD. As this population ages, these patients will need optimal medical care, will be at risk for clinically significant noncardiac comorbidities, and will require methods to decrease adverse outcomes. Recognition of extracardiac risk factors and a multidisciplinary approach to management are essential in caring for this unique group of patients.
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