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Implantation of Total Artificial Heart in Congenital Heart Disease
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Adult congenital heart disease: magnitude of the problem

Akanksha N Thakkar1, Ponraj Chinnadurai, C Huie Lin

  • 1aHouston Methodist Hospital, Houston, Texas bSiemens Medical Solutions, Hoffman Estates, Illinois cHouston Methodist DeBakey Heart and Vascular Center, Houston, Texas, USA.

Current Opinion in Cardiology
|June 16, 2017
PubMed

Insights

Adult congenital heart disease (ACHD) affects over 1 million Americans, presenting long-term complications like heart failure and arrhythmias. Improving access to specialized care is crucial for managing these growing challenges.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease (ACHD)

Background:

  • The population with adult congenital heart disease (ACHD) in the U.S. exceeds 1 million and is growing.
  • Advances in pediatric cardiac surgery have led to increased survival, resulting in a larger adult population with complex cardiac conditions.

Purpose of the Study:

  • To quantify the challenges faced by patients with adult congenital heart disease (ACHD).
  • To identify unmet needs within the ACHD patient population.

Main Methods:

  • This review synthesizes current data on the prevalence and complications of ACHD.
  • Analysis of long-term outcomes and emerging healthcare needs in ACHD patients.

Main Results:

  • The ACHD population is substantial and expanding, with over 1 million individuals in the U.S.
  • Key long-term complications include chronic heart failure, endocarditis, arrhythmias, pulmonary hypertension, valvular dysfunction, and pregnancy-related risks.

Conclusions:

  • Addressing the growing needs of the ACHD population requires enhanced access to specialized care.
  • Advancements in imaging, transcatheter interventions, and quality improvement initiatives are essential for managing ACHD complications.
Abstract

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