Daebritz Sabine H
Department of Cardiac Surgery, University Hospital Grosshadern, Marchioninistrasse 15, 81377 Munich, Germany.
Pediatr Cardiol. 2007 Mar-Apr;28(2):96-104. doi: 10.1007/s00246-006-1446-5. Epub 2007 May 4.
The number of grown-up patients with congenital heart disease (GUCH) is constantly increasing and will equal the number of children requiring surgery for congenital heart disease (CHD). Specialized centers dealing with the medical and paramedical problems of these patients are required. GUCH patients can be divided into the following groups: (1) patients with minor cardiac malformations presenting at adult age for first treatment; (2) patients presenting for correction as adults because they are either naturally balanced or were surgically palliated; (3) patients presenting for expected reoperations after correction in childhood; (4) patients requiring repair of residual defects after correction; (5) patients developing heart failure after correction or palliation of CHD requiring thoracic transplantation; and (6) patients developing acquired heart disease in addition to CHD. Special aspects of malformations frequently occurring in GUCH patients are discussed in detail. Acquired heart disease in this patient population is expected to increase in the coming decades as survivors of CHD grow old.
成人先天性心脏病（GUCH）患者的数量在不断增加，且将与需要接受先天性心脏病（CHD）手术的儿童数量相当。因此，需要有专门的中心来处理这些患者的医疗和辅助医疗问题。GUCH患者可分为以下几组：（1）成年后首次因轻微心脏畸形前来治疗的患者；（2）因自身病情稳定或已接受手术姑息治疗而成年后前来矫正的患者；（3）儿童期矫正后预计需要再次手术的患者；（4）矫正后需要修复残余缺陷的患者；（5）CHD矫正或姑息治疗后出现心力衰竭需要进行胸段移植的患者；（6）除CHD外还患有后天性心脏病的患者。本文将详细讨论GUCH患者中常见畸形的特殊方面。随着CHD幸存者年龄的增长，预计在未来几十年里，这一患者群体中的后天性心脏病将会增加。
