RT Book, Section
A1 Valente, Anne Marie
A1 Landzberg, Michael J.
A2 Jameson, J. Larry
A2 Fauci, Anthony S.
A2 Kasper, Dennis L.
A2 Hauser, Stephen L.
A2 Longo, Dan L.
A2 Loscalzo, Joseph
SR Print(0)
ID 1155974565
T1 Congenital Heart Disease in the Adult
T2 Harrison's Principles of Internal Medicine, 20e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259644016
LK accessmedicine.mhmedical.com/content.aspx?aid=1155974565
RD 2024/04/20
AB The  number  of  adults  with  congenital  heart  disease  (CHD)  living  in  the  United  States  is  estimated  to  be  at  least  1.4  million,  with  just  over  one  in  five  having  a  complex  form  of  CHD.  The  majority  of  adults  with  CHD  were  diagnosed  in  childhood,  although  a  substantial  percentage  may  have  CHD  first  recognized  as  adults.  Lifelong  follow-up  in  coordination  with,  or  directly  by,  clinicians  with  expertise  in  adult  congenital  heart  disease  (ACHD)  is  recommended.  In  this  chapter,  we  will  review  the  current  field  of  ACHD,  with  an  introduction  to  CHD  nomenclature  and  cardiac  development.  This  is  followed  by  a  summary  of  the  more  common  CHD  lesions  that  may  be  diagnosed  in  adulthood.  Lastly,  some  of  the  common  repaired  CHD  lesions  that  are  encountered  in  adults  are  discussed.  Throughout  the  chapter,  to  aid  in  the  understanding  of  congenital  cardiac  anatomy  and  physiology,  we  include  figures  displaying  the  passage  of  blood  flow  between  blood  vessels  and  cardiac  chambers  in  various  disorders  (Fig.  264-1).