Dr. Soumya Patra


M.B.B.S, M.D. (Pediatrics), D.M. (Cardiology),
FACC(USA), FSCAI(USA),
FICC, FESC, FRCP (Glasgow), FRCP (London) Gold Medalist
Governing Body Member of Indian College of Cardiology 2020-2022

Medica Superspecialty Hospital Kolkata

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Adult Congenital Heart Disease and Intervention

What is the most common Congenital Heart Defect in Adults?

Acyanotic congenital heart disease in the adult population primarily involves left-to-right shunts, such as atrial septal defect, patent ductus arteriosus, and obstructive lesions such as aortic coarctation of the aorta. The most common form of cyanotic congenital heart disease in adults is tetralogy of Fallot.



How do you fix Congenital Heart Disease?

Care and treatment options for congenital heart defects include:
1. Cardiac Catheterization.
2. Trans Catheter Device Closure.
3. Surgical Procedure.
4. Heart Transplants .
5. Feeding tips for your Baby with CHD.
6. Special needs for Children with CHD.
7. Physical Activity for those with Congenital Heart Defects.



Can Adults have Congenital Heart Disease?

Adult congenital heart disease is not uncommon. 1 in 150 adults are expected to have some form of congenital heart disease

What are the 4 signs your Heart is Quietly Failing?

Heart failure signs and symptoms may include:
1. Shortness of breath (dyspnea) when you exert yourself or when you lie down.
2. Fatigue and weakness.
3. Swelling (edema) in your legs, ankles and feet.
4. Rapid or irregular heartbeat.
5. Reduced ability to exercise.
6. Persistent cough or wheezing with white or pink blood-tinged phlegm.



What is the Prognosis for Congenital Heart Disease?

About 75% of babies born with a critical CHD are expected to survive to one year of age. About 69% of babies born with critical CHDs are expected to survive to 18 years of age. Survival and medical care for babies with critical CHDs are improving.



What are the types of Congenital Heart Disease?

Congenital heart disease refers to a range of possible heart defects.
1. Aortic valve stenosis. Aortic valve stenosis is a serious type of congenital heart defect.
2. Coarctation of the aorta.
3. Ebstein's anomaly.
4. Patent ductus arteriosus.
5. Pulmonary valve stenosis.
6. Septal defects.
7. Single ventricle defects.
8. Tetralogy of Fallot.



What are the Symptoms of Congenital Heart Disease in Adult?

Common congenital heart disease symptoms in adults include:
1. Abnormal heart rhythms (arrhythmias)
2. A bluish tint to the skin, lips and fingernails (cyanosis)
3. Shortness of breath
4. Tiring quickly upon exertion
5. Swelling of body tissue or organs (edema)

Can you Live a Normal Life with Congenital Heart Disease?

Many people with a CHD live independent lives. Some people with a heart defect have little or no disability. For others, disability might increase or develop over time. People with a heart defect might also have genetic problems or other health conditions that increase the risk for disability.



What are the Complications of Congenital Heart Disease?

Children and adults with congenital heart disease are at an increased risk of developing further problems.
1. Developmental problems.
2. Respiratory tract infections.
3. Endocarditis.
4. Pulmonary hypertension
5. Heart rhythm problems.
6. Sudden cardiac death
7. Heart failure
8. Blood clots



Is Congenital Heart Disease Curable?

Many people have surgeries to repair their heart. Some of the congenital heart diseases have permanent solution after device closure of inter cardiac repair.There may be long term effects of heart surgeries such as abnormal heart beats.



How is Congenital Heart Disease Detected?

To diagnose congenital heart disease, your doctor will do a physical exam and listen to your heart with a stethoscope. Tests to diagnose or rule out congenital heart disease include:
1. Electrocardiogram (ECG).
2. Chest X-ray.
3. Pulse oximetry.
4. Echocardiogram
5. Transesophageal echocardiogram
6. Cardiac CT scan and MRI