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A Review of Selected Adult Congenital Heart Diseases Encountered in Daily Practice

Farhan Bajwa1, Syed M Jafri2, Karthik Ananthasubramaniam3

  • 1Department of Cardiology, University of Rochester Medical Center, Rochester, NY 14642, United States.

Current Cardiology Reviews
|August 12, 2020
PubMed

Insights

Adults with congenital heart disease (CHD) now outnumber infants, yet often lack specialized care. This review highlights common adult CHD, emphasizing the need for clinician awareness and updated clinical recommendations for improved patient outcomes.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease (ACHD)

Background:

  • Surgical and anesthetic advancements have increased survival rates for patients with congenital heart diseases (CHD).
  • Adults with CHD now represent the majority of the CHD population, surpassing infants.
  • Many adults with CHD receive suboptimal care due to inconsistent follow-up or lack of specialist management.

Purpose of the Study:

  • To review common congenital heart diseases encountered in adult patients.
  • To underscore the importance of general clinicians being aware of adult CHD and current management guidelines.
  • To provide a resource for understanding conditions like cardiac shunts, left heart obstructive lesions, and aortopathies in adults.

Main Methods:

  • Literature review of common adult congenital heart diseases.
  • Synthesis of current clinical recommendations for managing adult CHD.
  • Focus on conditions prevalent in the adult CHD population.

Main Results:

  • Adults with CHD present unique management challenges compared to pediatric populations.
  • Common adult CHD categories include cardiac shunts, left heart obstructive lesions, and aortopathies.
  • Specialized care and consistent follow-up are crucial for long-term adult CHD patient health.

Conclusions:

  • There is a growing need for improved healthcare systems to support the increasing adult CHD population.
  • General practitioners require enhanced knowledge of adult CHD to ensure appropriate patient referral and management.
  • This review aims to bridge the knowledge gap and promote better care for adults with congenital heart conditions.

Keywords:
Atrial septal defectaortopathies.bicuspid aortic valvecoarctation of aortapatent ductus arteriosusventricular septal defect

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