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Updated: Oct 26, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Congenital Heart Disease
Michael Scott1, Ashley E Neal2
1Department of Pediatrics, University of Louisville, Office of Medical Education, School of Medicine, 571 South Floyd, Suite 412, Louisville, KY 40202, USA.
Insights
Most children with congenital heart disease (CHD) now survive into adulthood. Primary care physicians play a vital role in detecting CHD and managing lifelong health issues for these patients.
Area of Science:
- Pediatrics
- Cardiology
- Primary Care Medicine
Background:
- Significant advancements in diagnosis and management have improved survival rates for children with congenital heart disease (CHD).
- Primary care providers (PCPs) are increasingly involved in the care of adults with CHD.
- The transition from pediatric to adult care presents unique challenges for individuals with CHD.
Purpose of the Study:
- To review the role of PCPs in identifying fetuses, infants, and children with potential CHD.
- To discuss common primary care issues encountered by patients with CHD.
- To outline strategies for the seamless transition of CHD patients to adult primary care.
Main Methods:
- Literature review of current diagnostic and management strategies for CHD.
- Analysis of primary care challenges in managing adult CHD patients.
- Discussion of best practices for pediatric to adult care transition.
Main Results:
- PCPs are crucial for early CHD detection and ongoing management.
- Key issues include growth, development, mental health, and dental care.
- Effective transition protocols are essential for long-term patient well-being.
Conclusions:
- PCPs are integral to the comprehensive care of individuals with CHD throughout their lives.
- Addressing specific health concerns and facilitating care transitions are critical.
- Continued education and collaboration are needed to optimize outcomes for adults with CHD.
Abstract:
Most children with congenital heart disease (CHD) survive to adulthood, owing largely to significant advances in the diagnosis and management of CHD over the past few decades. Primary care providers are essential partners in the recognition and management of these patients in our current medical environment. This article reviews the role of the primary care physician in detecting fetuses, infants, and children with possible CHD. Furthermore, this article discusses common primary care issues arising for patients with CHD, including growth and development, mental illness, dental care, and the transition to adult primary care.
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