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

Volume 5, Issue 2
  • ISSN : 1995-1892
  • E-ISSN: 1680-0745



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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