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Updated: Oct 4, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Adult congenital heart disease: a review of the simple lesions
Milos Prica1, Stephe Kamalathasan1, Karina Gopaul1
1Department of Adult Congenital Heart Disease, Leeds General Infirmary, Leeds, UK.
Insights
Advances in pediatric care have increased the number of adults living with congenital heart disease. Clinicians must recognize these common conditions and potential adult presentations.
Area of Science:
- Cardiology
- Pediatric Medicine
- Adult Congenital Heart Disease
Background:
- Improved survival rates in children with congenital heart disease (CHD) have led to a growing adult population with these conditions.
- Common simple CHD lesions like septal defects and patent ductus arteriosus are often treated in childhood but can manifest in adulthood.
Purpose of the Study:
- To highlight the increasing prevalence of adults with congenital heart disease.
- To emphasize the need for all clinicians to be aware of adult CHD presentations and sequelae.
Main Methods:
- Review of current literature on congenital heart disease prevalence and adult manifestations.
- Analysis of common simple CHD lesions and their typical presentation in childhood versus adulthood.
Main Results:
- Significant increase in the adult population living with CHD due to improved pediatric care.
- Simple CHD lesions may present atypically in adulthood, including non-specific symptoms or incidental findings like hypertension.
Conclusions:
- All healthcare providers, regardless of specialty, must be aware of adult congenital heart disease.
- Understanding potential adult sequelae of childhood CHD is crucial for comprehensive patient care.
Abstract:
There has been a dramatic improvement in mortality rates among children with congenital heart disease with advances in neonatal screening and surgical techniques, resulting in a significant increase in the prevalence of adults living with congenital heart disease. The most common simple lesions of congenital heart disease include atrial and ventricular septal defects, patent ductus arteriosus and coarctation of the aorta, which are typically detected and treated in childhood. However, they may also present in adulthood with non-specific symptoms or incidental findings, such as refractory hypertension. As the adult population of those living with congenital heart disease grows, it is imperative that all clinicians remain abreast of these common cardiac conditions, irrespective of their specialty, as patients may present with sequelae of their congenital heart disease or other non-cardiac conditions.
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