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Implantation of Total Artificial Heart in Congenital Heart Disease
07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

Congenital heart disease surgery in the adult

Bret A Mettler1, Benjamin B Peeler

  • 1Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, PO Box 800679, Charlottesville, VA 22908-0679, USA.

The Surgical Clinics of North America
|September 29, 2009
PubMed

Insights

Improved congenital heart disease (CHD) treatments allow more patients to reach adulthood. This growing adult population presents unique surgical challenges requiring integrated pediatric and adult care approaches.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease
  • Surgical Management

Background:

  • Advances in congenital heart disease (CHD) treatment have significantly increased survival rates.
  • A growing population of adults with CHD now requires specialized lifelong care.
  • These adults possess unique physiological and anatomical considerations distinct from typical adult cardiac patients.

Purpose of the Study:

  • To review common surgical issues encountered in adult patients with congenital heart disease.
  • To highlight the evolving challenges in managing this unique patient demographic.
  • To emphasize the necessity of a multidisciplinary approach bridging pediatric and adult medical expertise.

Main Methods:

  • Literature review focusing on surgical interventions for adult congenital heart disease.
  • Synthesis of current understanding regarding the long-term sequelae of CHD.
  • Discussion of age-related changes superimposed on congenital cardiac anomalies.

Main Results:

  • Adults with CHD face complex surgical problems due to their unique anatomy and physiology.
  • The aging process introduces additional complications in patients with pre-existing heart defects.
  • Effective management necessitates a collaborative approach between pediatric and adult surgical teams.

Conclusions:

  • The increasing number of adults with CHD presents ongoing surgical challenges.
  • Bridging pediatric and adult care is crucial for optimal outcomes.
  • Understanding and addressing the specific surgical needs of this population is paramount.

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