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Updated: May 3, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Transcatheter Interventions in Adult Congenital Heart Disease
Benjamin A Blais1, William H Marshall2, Subeer Wadia2
1Cardiac Catheterization & Interventional Therapies, The Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University College of Medicine, 370 W Ninth Avenue, Columbus, OH 43210, USA.
Insights
Advances in medical care have improved survival for children with congenital heart disease (CHD). This review highlights innovative transcatheter interventions for the growing adult CHD population.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Adult Congenital Heart Disease
Background:
- Congenital heart disease (CHD) affects 1 in 100 newborns, making it the most common birth defect.
- Improved diagnostics, interventions, and surgical techniques have increased survival rates, with 90% of children with severe CHD now expected to reach adulthood.
- The adult CHD (ACHD) population is expanding, presenting diverse clinical scenarios and necessitating advanced treatment strategies.
Purpose of the Study:
- To review recent data and evolving transcatheter intervention techniques.
- To focus on specific adult congenital heart disease (ACHD) populations.
- To discuss strategies for managing ACHD patients and reducing the need for repeat surgeries.
Main Methods:
- Review of current literature and clinical data on transcatheter interventions in ACHD.
- Analysis of evolving techniques and their application in specific ACHD subpopulations.
- Discussion of the impact of transcatheter interventions on patient outcomes and quality of life.
Main Results:
- Transcatheter interventions are increasingly utilized in ACHD, offering less invasive alternatives to surgery.
- Innovations in device technology and procedural techniques are expanding the applicability of transcatheter approaches.
- These interventions aim to reduce the need for repeat sternotomies and improve long-term outcomes for ACHD patients.
Conclusions:
- Transcatheter interventions represent a significant advancement in the management of adult congenital heart disease.
- Continued innovation in this field is crucial for addressing the complex needs of the growing ACHD population.
- These techniques offer promising solutions for improving survival and quality of life in ACHD patients.
Abstract:
Congenital heart disease (CHD) is the most common congenital birth defect with an incidence of 1 in 100. Current survival to adulthood is expected in 9 out of 10 children with severe CHD as the diagnostic, interventional, and surgical success improves. The adult CHD (ACHD) population is increasingly diverse, reflecting the broad spectrum of CHD and evolution of surgical techniques to improve survival. Similarly, transcatheter interventions have seen exponential growth and creativity to reduce the need for repeat sternotomies. This article focuses on newer data and evolving techniques for transcatheter interventions specific to certain ACHD populations.
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