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Updated: Jun 22, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Born to Age: When Adult Congenital Heart Disease Converges With Geroscience
Philip Moons1,2,3, Ariane Marelli4
1KU Leuven Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Insights
Congenital heart disease (CHD) patients are living longer, necessitating a deeper understanding of aging. This review explores demographic shifts, complications, and aging concepts to improve care for this growing population.
Area of Science:
- Cardiology
- Gerontology
- Internal Medicine
Background:
- Medical advancements have shifted the congenital heart disease (CHD) population towards older age groups.
- Understanding the aging process is crucial for managing the evolving needs of CHD patients.
- Systemic complications in younger CHD patients require consideration in the context of aging.
Purpose of the Study:
- To analyze demographic changes in the CHD population.
- To describe systemic complications in young CHD patients.
- To explore aging concepts applicable to CHD and the role of inflammation.
Main Methods:
- Review of demographic data in CHD.
- Description of systemic complications in young CHD patients.
- Discussion of general aging principles and inflammation's impact.
Main Results:
- The CHD population is aging due to improved medical interventions.
- Aging in CHD may present unique systemic complications.
- Inflammation is a key factor potentially influencing aging in CHD.
Conclusions:
- A comprehensive understanding of aging is essential for the future management of CHD.
- Bridging knowledge between geroscientists and CHD experts is vital.
- Further research into aging's impact on CHD function is warranted.
Abstract:
Advances in imaging, catheter-based interventions, congenital heart disease surgery, and clinical management of congenital heart disease (CHD) have yielded a dramatic change in age distribution of the CHD population. This implores clinicians and researchers to gain a better understanding of aging, as this will be the cornerstone to how we plan and manage this rapidly evolving group of patients. In this article, we first review the demographic changes in the CHD population and then describe the systemic complications of disease observed in young patients with CHD, following which we discuss general concepts in aging that may be transferable to the CHD population. Finally, we review inflammation and its potential impact on aging. We provide a new lens on aging in CHD and its functional consequences in CHD, with the goal of stimulating an exchange of knowledge between geroscientists and CHD.
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