Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: executive summary.
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 www.ccs.ca or www.cachnet.org.
Silversides
Candice K
CK
Toronto Congenital Cardiac Centre for Adults, University of Toronto, Ontario. candice.silversides@uhn.on.ca
Marelli
Ariane
A
Beauchesne
Luc
L
Dore
Annie
A
Kiess
Marla
M
Salehian
Omid
O
Bradley
Timothy
T
Colman
Jack
J
Connelly
Michael
M
Harris
Louise
L
Khairy
Paul
P
Mital
Seema
S
Niwa
Koichiro
K
Oechslin
Erwin
E
Poirier
Nancy
N
Schwerzmann
Markus
M
Taylor
Dylan
D
Vonder Muhll
Isabelle
I
Baumgartner
Helmut
H
Benson
Lee
L
Celermajer
David
D
Greutmann
Matthias
M
Horlick
Eric
E
Landzberg
Mike
M
Meijboom
Folkert
F
Mulder
Barbara
B
Warnes
Carole
C
Webb
Gary
G
Therrien
Judith
J
D002170:Canada; D003245:Consensus Statements as Topic; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D012955:Societies, Medical