EHS
EHS

Heart Failure in Complex Congenital Heart Disease of the Adult



Review


doi: 10.1007/s11886-022-01788-0.


Online ahead of print.

Affiliations

Item in Clipboard

Review

Anisa Chaudhry et al.


Curr Cardiol Rep.


.

Abstract


Purpose of review:

Adult congenital heart disease (ACHD) patients have demonstrated improved survival, especially those with severely complex disease, mainly single-ventricle/Fontan physiology and those with a systemic right ventricle. We describe the heart failure phenotypes of complex CHD, reversible causes for heart failure, and considerations for advanced therapy.


Recent findings:

While initially marketed for application to patients with acquired causes for heart failure, newer devices and technologies have started to be used in the ACHD population. After reversible causes for heart failure in CHD are addressed, it is reasonable to consider use of new device-based technologies and orthotopic heart transplant (OHT) for end-stage disease. New heart failure technology and organ transplant should carefully be considered and applied in complex ACHD, where there may be significant improvement in morbidity and mortality.


Keywords:

Adult congenital heart disease; Heart failure; Mechanical circulatory support; Orthotopic heart transplant.

Similar articles

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
    1. Gilboa SM, Devine OJ, Kucik JE, et al. Congenital heart defects in the United States: Estimating the magnitude of the affected population in 2010. Circulation. 2016;134:101–9.



      PubMed



      PMC



      DOI

    1. Mano T. Trends in mortality of adult congenital heart disease patients in the last 4 decades. In: Viegas J, editor. Eur Heart J. 2016.

    1. Nieminen HP, Jokinen EV, Sairanen HI. Causes of late deaths after pediatric cardiac surgery: a population-based study. J Am Coll Cardiol. 2007;50:1263–71.



      PubMed



      DOI

    1. Zomer AC, Vaartjes I, van der Velde ET, et al. Heart failure admissions in adults with congenital heart disease; risk factors and prognosis. Int J Cardiol. 2013;168:2487–93.



      PubMed



      DOI

    1. Andrade L, Carazo M, Wu F, Kim Y, Wilson W. Mechanisms for heart failure in systemic right ventricle. Heart Fail Rev. 2020;25:599–607.



      PubMed



      DOI



Source link

EHS
Back to top button