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Adult Congenital Heart Disease 

Leaders in Adult Congenital Heart Disease Care

If you’re an adult living with congenital heart disease, understanding your condition is key to managing it.

At Emory Healthcare, we do more than treat your condition. We provide education, support and lifelong care to help you live well at every stage of life. Together, we’ll create a care plan that reflects your goals and helps you reach them.

What is Adult Congenital Heart Disease?

Congenital heart disease (CHD) refers to structural heart conditions present at birth. Also called congenital heart defects, these conditions can affect the heart’s chambers, valves or blood vessels and impact blood flow. CHD is a lifelong condition. While many people are diagnosed in childhood, some are not identified until their teens or adulthood. When managed in adults, it’s called adult congenital heart disease (ACHD).

Conditions That We Treat

  • Atrial septal defect
  • Atrioventricular septal defect
  • Bicuspid aortic valve
  • Coarctation of the aorta
  • Congenital aortic valve stenosis
  • Congenital coronary artery anomalies
  • Congenital heart disease in pregnancy
  • Congenital mitral valve stenosis
  • Congenital pulmonic valve stenosis
  • Congenitally corrected transposition
    of the great arteries
  • Double-outlet right ventricle
  • Ebstein anomaly
  • Eisenmenger syndrome
  • Heart failure in association with congenital heart disease
  • Hypoplastic left heart syndrome
  • Interrupted aortic arch
  • Other single ventricle malformations treated with a Fontan procedure
  • Patent ductus arteriosus
  • Patent foramen ovale
  • Pulmonary arterial hypertension associated with congenital heart disease
  • Ross procedure
  • Scimitar syndrome
  • Tetralogy of Fallot
  • Total/partial anomalous pulmonary venous connection
  • Transposition of the great arteries
  • Tricuspid atresia
  • Ventricular septal defect

Patients with genetic syndromes at increased risk for associated congenital heart disease include:

  • 22q11.2 Deletion Syndrome
  • Holt-Oram Syndrome
  • Loeys-Dietz Syndrome
  • Marfan Syndrome
  • Trisomy 21 (Down Syndrome)
  • Turner Syndrome
  • Williams Syndrome

What are the Symptoms of Congenital Heart Disease?

Symptoms vary based on your age, condition, and overall health.

Common symptoms include:

  • Arrhythmia (irregular heart rhythm
  • Cyanosis (blue skin, lips or nails)
  • Dyspnea (shortness of breath)
  • Edema (swelling in the ankles, feet, hands, or abdomen)
  • Exercise intolerance
  • Fatigue or getting tired quickly with activity
  • Heart murmurs

How is Adult Congenital Heart Disease Diagnosed?

Most people with congenital heart disease are diagnosed during infancy or childhood, but a significant number of people are first diagnosed in adulthood. Your congenital heart disease specialty cardiologist will use a combination of tests to evaluate your heart’s structure, blood flow and heart rhythm.

Common tests include:

  • Blood tests to check your overall health
  • Imaging tests such as echocardiogram, CT scan or MRI to view your heart
  • Electrocardiogram (ECG) to measure heart rhythm
  • Cardiac catheterization to assess blood flow and pressure
  • Electrophysiology (EP) studies to map electrical activity in the heart

Frequently Asked Questions About Adult Congenital Heart Disease

  • Congenital heart disease is the most common birth defect, and thanks to advances in care and improved survival, today more than 2 million adults are living with ACHD in the United States.

  • No. Adult congenital heart disease is present at birth, even if it isn’t diagnosed until later in life. Other types of heart disease develop over time due to factors such as aging, smoking, obesity, high blood pressure or high cholesterol.

  • Not always. Some conditions can be managed with medication or minimally invasive procedures.

    If you need surgery or a heart transplant, our team performs hundreds of procedures each year with outcomes that rank among the best in the nation. Learn more about treatment and management options for ACHD.

  • Some forms of congenital heart disease can run in families. Genetic testing can help assess your risk before pregnancy.

    Our Cardiovascular Genetics team can identify inherited conditions and create a personalized care plan before, during and after pregnancy. Learn more about cardiovascular genetic testing and counseling.

We offer the most advanced, comprehensive treatments and care to help you live your best, healthiest life on your terms.
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