title: [Adult congenital heart diseases: physicians facing new difficulties].
abstract: Nowadays, 70 to 80% of the patients with congenital heart disease reach adulthood. Transition from pediatric cares to adult medicine is sometimes difficult resulting in loss of follow up, which can be deleterious in young adult with serious disease. Specialized units have been created all around the world and now in Europe. The needs for this population are specific (employment, contraception, pregnancy). Complex operated defects will need specialized assessment and follow up (tetralogy of Fallot, atrial switch for transposition of the great arteries). Arrhythmias are an important cause of admission. Native defect are sometimes revealed in adulthood (simple: asd, arterial duct, complex double discordance, Ebstein disease), or are not operable (mainly cyanotic disease).
authors.affiliation: Service de cardiologie pédiatrique, hôpital Necker-Enfants malades, 75743 Paris. laurence.iserin@nck.aphp.fr
authors.forename: Laurence
authors.initials: L
authors.lastname: Iserin
authors.forename: Magali
authors.initials: M
authors.lastname: Ladouceur
mesh_terms: D000328:Adult; D000367:Age Factors; D002648:Child; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000601:surgery*; D006331:Heart Diseases / Q000151:congenital* / Q000601:surgery*; D006801:Humans