2006, Number S2
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ABSTRACTAfter a few decades treating patients with congenital heart disease during childhood, we now face the problem of dealing with many of them as adults and few cases with disorders detected in adult life. The number of patients, with and without surgery is growing up rapidly. Conservatively speaking, there are in Mexico approximately 300 thousands patients with this condition, increasing by 15 thousands patients per year. In addition to the complexity of the congenital pathology, the knowledge of acquired diseases should be incorporated as well as the genetic advise, pregnancy care and specialized psychological support. The approach to these patients begins with stratification; diagnosis and treatment requiring a multidisciplinary, well informed and an capable to perform together medical team.
HOFFMAN JI, KAPLAN S: The incidence of congenital Heart disease. JACC 2002; 39: 1890-1900.
PERLOFF JK, WARNES CA: Challenges posed by adults with repaired congenital heart disease. Circulation 2001; 103: 2637-2643.
OECHSLIN EN, HARRISON DA, CONELLY MS, ET AL: Mode of death in adults with congenital heart disease. JACC 2000; 86: 1111-1116.
Webb G, Williams R, Albert J, et al: 32nd Bethesda Conference: Care of the adult with congenital heart disease. October 2-3, 2000. J Am Coll Cardiol 2001; 37: 1161-1198.
LEDESMA M, ALVA C, DAVID GÓMEZ F, ET AL: Results of stenting for aortic coarctation. Am J Cardiol 2001: 460-462.
BEAUCHESNE LM, WARNES CA, CONNELLY HM, ET AL : Outcome of the unoperated adult who presents with congenitally corrected transposition of the great arteries. JACC 2002; 40: 285-290.
GATZOULIS MA, BALAJI S, WEBBER SA, ET AL: Risk factors for arrhythmia and sudden cardiac death late after repair of tetralogy of Fallot: A multicentric study. Lancet 2000; 356: 975-981.
DAJANI A, TALBERT K, WILSON W, ET AL: Prevention of bacterial endocarditis. JAMA 1997; 277: 1794-1801.
STROM BL, ABRUTYN E, BERLIN JE, ET AL: Risk factors for infective endocarditis. Circulation 2000; 102: 2842-2848.
PERLOFF JK, KOOS B: Pregnancy and congenital heart disease. In: PERLOFF JK, CHILE JS, EDS. Congenital heart disease in adults. 2nd ed. Philadelphia: Saunders; 1998.