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Updated: Jun 4, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Cancer risk in adult congenital heart disease
Suvasini Lakshmanan1, Alessia Gimelli2
1University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Insights
Congenital heart disease (CHD) survivors face higher cancer risks. This review examines evidence linking CHD to increased cancer incidence in both children and adults, exploring associated risk factors.
Area of Science:
- Cardiology
- Oncology
- Public Health
Background:
- Significant advancements in congenital heart disease (CHD) diagnostics and treatments have reduced mortality rates, particularly in infants and children.
- Adults with complex CHD still experience elevated risks of premature death.
- Emerging research highlights the impact of non-cardiovascular comorbidities, including cancers, on morbidity and mortality in adult CHD patients.
Purpose of the Study:
- To review current evidence on the association between congenital heart disease and increased cancer risk.
- To explore this association in both pediatric and adult populations.
- To provide an overview of specific risk factors contributing to cancer development in individuals with CHD.
Main Methods:
- Literature review of existing studies and evidence.
- Analysis of data reporting associations between CHD and cancer risk.
- Synthesis of information on identified risk factors.
Main Results:
- Evidence suggests a link between congenital heart disease and an elevated risk of developing cancer.
- The association between CHD and cancer risk is observed across both pediatric and adult age groups.
- Specific risk factors contributing to this increased cancer risk are being identified and analyzed.
Conclusions:
- Individuals with congenital heart disease may have a higher predisposition to developing cancer.
- Further research is needed to fully understand the mechanisms and specific risk factors involved.
- This understanding is crucial for improving long-term health outcomes and personalized care for CHD patients.
Abstract:
Advances in diagnostics and interventional/surgical treatment of patients with congenital heart disease (CHD) over the past several decades, allows a decline in rates of all-cause mortality, with a significant reduction in proportion of infant and childhood deaths with severe forms of CHD. However, the risk of premature death in adults with complex CHD remains elevated. A growing body of evidence has recently described the impact of non-cardiovascular comorbidities such as cancers, on morbidity, health care utilizations and mortality in adult patients with CHD. Aim of this review is to provide an appraisal of the current evidence that report associations between CHD and increased cancer risk in children and adults, and provide an overview of the specific risk factors.
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