oa Cardiovascular Journal of Africa - Congenital heart disease in adolescents and young adults



Major diagnostic and therapeutic advances in the management of infants and children with congenital heart disease (CHD) have taken place over the past few decades. These developments have had a profound effect on the survival patterns of affected� children, with the result that a new patient community with unique medical, surgical and psychological problems has emerged. The present study revealed a population of 735 patients, now 15 years or older at Johannesburg Hospital, with congenital heart lesions. Sixty-two per cent of these patients are not fully compliant in terms of clinic attendance and this is a major cause for concern. This article reviews the population concerned and discusses its management, which should, ideally, be by a specialised multidisciplinary team.


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