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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

Adult congenital heart disease

Douglas S Moodie1

  • 1Department of Pediatrics, Ochsner Clinic Foundation, New Orleans, LA.

Ochsner Journal
|July 25, 2012
PubMed

Insights

Adults with congenital heart disease (CHD) require specialized care due to common lesions like atrial septal defects and tetralogy of Fallot. Management involves interventions, with excellent outcomes and a need for long-term follow-up.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease

Background:

  • One million adults over 20 in the US have congenital heart disease (CHD).
  • Adult CHD patients face care gaps due to age and lack of specialized training in adult cardiology.
  • Effective management requires identifying common CHD lesions in adults.

Purpose of the Study:

  • To identify prevalent lesions in adult congenital heart disease.
  • To outline management strategies for these conditions in adults.

Main Methods:

  • Review of common acyanotic and cyanotic congenital heart disease types in adults.
  • Discussion of management approaches including surgery and catheterization interventions.

Main Results:

  • Common acyanotic lesions include left-to-right shunts (atrial septal defect, patent ductus arteriosus) and obstructive lesions (aortic coarctation).
  • Tetralogy of Fallot is the most frequent cyanotic CHD in adults.
  • Other complex conditions include univentricular hearts, Ebstein's anomaly, and corrected transposition of the great vessels.

Conclusions:

  • Most adult CHD patients require surgical or catheterization-based interventions.
  • Intervention outcomes are excellent in the adult population.
  • Long-term follow-up in specialized centers is crucial for managing adult CHD.

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