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Updated: Jun 28, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Caring for the Critically Ill Adult Congenital Heart Disease Patient
Thomas Das1, Penelope Rampersad1, Joanna Ghobrial2
1Heart, Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Purpose Of Review:
This review aims to discuss the unique challenges that adult congenital heart disease (ACHD) patients present in the intensive care unit.
Recent Findings:
Recent studies suggest that ACHD patients make up an increasing number of ICU admissions, and that their care greatly improves in centers with specialized ACHD care. Common reasons for admission include arrhythmia, hemorrhage, heart failure, and pulmonary disease. It is critical that the modern intensivist understand not only the congenital anatomy and subsequent repairs an ACHD patient has undergone, but also how that anatomy can predispose the patient to critical illness. Additionally, intensivists should rely on a multidisciplinary team, which includes an ACHD specialist, in the care of these patients.
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