Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: Executive summary

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• 作者：Candice K. Silversides ; MD¹ ; ^{candice.silversides@uhn.on.ca} ; Ariane Marelli ; MD² (Section Editor) ; Luc Beauchesne ; MD³ (Section Editor) ; Annie Dore ; MD⁴ (Section Editor) ; Marla Kiess ; MD⁵ (Section Editor) ; Omid Salehian ; MD⁶ (Section Editor) ; Timothy Bradley ; MBChB⁷ ; Jack Colman ; MD¹ ; Michael Connelly ; MBBS⁸ ; Louise Harris ; MBChB¹ ; Paul Khairy ; MD⁴ ; Seema Mital ; MD⁷ ; Koichiro Niwa ; MD⁹ ; Erwin Oechslin ; MD¹ ; Nancy Poirier ; MD⁴ ; Markus Schwerzmann ; MD¹⁰ ; Dylan Taylor ; MD¹¹ ; Isabelle Vonder Muhll ; MD¹¹ ; Helmut Baumgartner ; MD¹² ; Lee Benson ; MD⁷ ; David Celermajer ; MBBS¹³ ; Matthias Greutmann ; MD¹ ; Eric Horlick ; MD¹ ; Mike Landzberg ; MD¹⁴ ; Folkert Meijboom ; MD¹⁵ ; Barbara Mulder ; MD¹⁶ ; Carole Warnes ; MD¹⁷ ; Gary Webb ; MD¹⁸ ; Judith Therrien ; MD²
• 关键词：Adult congenital heart disease ; Congenital heart disease ; Consensus ; Guidelines ; Surgery
• 刊名：Canadian Journal of Cardiology
• 出版年：2010
• 出版时间：March 2010
• 年：2010
• 卷：26
• 期：3
• 页码：143-150
• 全文大小：387 K

文摘

With advances in pediatric cardiology and cardiac surgery, the population of adults with congenital heart disease (CHD) has increased. In the current era, there are more adults with CHD than children. This population has many unique issues and needs. They have distinctive forms of heart failure, and their cardiac disease can be associated with pulmonary hypertension, thromboemboli, complex arrhythmias and sudden death. Medical aspects that need to be considered relate to the long-term and multisystemic effects of single-ventricle physiology, cyanosis, systemic right ventricles, complex intracardiac baffles and failing subpulmonary right ventricles. Since the 2001 Canadian Cardiovascular Society Consensus Conference report on the management of adults with CHD, there have been significant advances in the understanding of the late outcomes, genetics, medical therapy and interventional approaches in the field of adult CHD. Therefore, new clinical guidelines have been written by Canadian adult CHD physicians in collaboration with an international panel of experts in the field. The present executive summary is a brief overview of the new guidelines and includes the recommendations for interventions. The complete document consists of four manuscripts that are published online in the present issue of The Canadian Journal of Cardiology, including sections on genetics, clinical outcomes, recommended diagnostic workup, surgical and interventional options, treatment of arrhythmias, assessment of pregnancy and contraception risks, and follow- up requirements. The complete document and references can also be found at or .