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