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Adult Congenital Heart Disease

 
 


Complex ASD repair

Do I need surgery?
Surgery should be considered if symptoms are limiting or there is evidence of progressive heart failure. Various imaging techniques may be required to plan for complex operations.


Advances in the diagnosis and management of congenital heart disease have improved the treatment of infants and children with a wide range of cardiovascular disorders. This has allowed many of these patients to reach adulthood and have children and families of their own.

Some of these congenital heart problems may require additional surgical treatment or intervention, as the patients may outgrow previous operations or the initial procedures were designed for palliation (temporary) relief of the defect. Conditions that may require additional surgery in adulthood include:

  • Previous tissue valve replacement
  • Atrial switch operation
  • Outgrowth of prosthetic valve
  • Atrial arrhythmias
  • Recurrence of coarctation of the aorta
  • Failure of valve repair

Each individual who has undergone some type of open-heart operation as a child is unique, and the long-term care, diagnosis and management may require the combined effort of pediatric and adult cardiologists and surgeons.

Various factors are considered before recommending surgery, such as the type and number of previous operations, condition of the heart, and family and social concerns, to name a few. In general, surgery should be considered before the demands of the underlying congenital heart disease result in irreversible heart failure.