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Updated: May 30, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Congenital heart defects in adulthood
Gerhard-Paul Diller1, Günter Breithardt, Helmut Baumgartner
1Kardiologisches Zentrum für Erwachsene mit angeborenen und erworbenen Herzfehlern (EMAH), Münster, Germany. Gerhard.Diller@ukmuenster.de
Insights
Most adults with congenital heart disease require ongoing specialized care for residual issues and potential late complications. Improved awareness and communication are crucial for optimal management of this growing patient population.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease (ACHD)
Background:
- Over 90% of children with congenital heart defects (CHDs) now survive into adulthood.
- This growing population of adults with congenital heart disease (ACHD) presents unique medical challenges.
Purpose of the Study:
- To review the ongoing challenges and management strategies for adults with congenital heart disease.
- To highlight the need for specialized care and improved physician communication for ACHD patients.
Main Methods:
- Selective literature review.
Main Results:
- Complete cure of CHDs in childhood is rare; most adults experience residual problems.
- Potential late complications include arrhythmias, heart failure, pulmonary hypertension, endocarditis, and thromboembolic events.
Conclusions:
- Adult patients with CHDs often require further interventions and management for late complications.
- Effective care necessitates specialized medical services, patient/physician awareness, and optimal inter-physician communication.
Background:
More than 90% of children with congenital heart defects now survive into adulthood; just a few decades ago, survival was rare, particularly among patients with complex defects. The new population of adults with congenital heart disease presents a special challenge to physicians from all of the involved specialties.
Methods:
Selective literature review.
Results And Conclusion:
A complete cure of the congenital heart defect in childhood is exceptional, and most adult patients continue to suffer from residual problems and sequelae. Further surgery or catheter interventions may be needed. Potential late complications include arrhythmias, heart failure, pulmonary hypertension, endocarditis, and thromboembolic events. The management of these patients during pregnancy or non-cardiac surgery remains a challenge. If this evolving patient population is to receive the best possible care, the adequate provision of specialized medical services is a necessary, but not sufficient, condition: patients and their referring physicians will also need to be aware that these services are available, and then actually make use of them. Moreover, optimal communication among all of the involved physicians is essential.
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