Division of Cardiology, Children's Hospital of Michigan, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 3901 Beaubien Blvd, Detroit, MI, 48201-2119, USA.
Curr Cardiol Rep. 2019 Mar 18;21(5):29. doi: 10.1007/s11886-019-1116-x.
This article attempts to review some of the commonly seen repaired congenital heart defects in the adult population (ACHD), with a focus on important echocardiographic findings that may assist a practitioner in recognizing and managing this group of patients.
The prevalence of ACHD population is increasing, and currently, there are over 1 million adults with congenital heart disease. At the current time, the total number of ACHD patients exceeds the total number of pediatric patients with CHD. The recently released 2018 American College of Cardiology/American Heart Association guidelines for the management of adults with congenital heart disease (ACHD) recommends transthoracic echocardiography for all ACHD patients for initial assessment and serial assessment as needed (class of recommendation: I) and echocardiography remains the mainstay for diagnosing and managing these patients in adjunct with other available imaging modalities. It is imperative for all cardiologists to be familiar with the echocardiographic features of the commonly seen repaired CHD in adult population.
本文试图综述成人先天性心脏病（ACHD）中常见的一些修复缺陷，并重点介绍一些重要的超声心动图发现，以帮助临床医生识别和管理这组患者。
ACHD 人群的患病率正在增加，目前有超过 100 万成年人患有先天性心脏病。目前，ACHD 患者的总数超过了儿童 CHD 患者的总数。最近发布的 2018 年美国心脏病学会/美国心脏协会（ACC/AHA）成人先天性心脏病管理指南建议对所有 ACHD 患者进行初始评估和按需进行系列评估（推荐类别：I），超声心动图仍然是诊断和管理这些患者的主要方法，并与其他可用的成像方式结合使用。所有心脏病专家都必须熟悉成人常见的修复型先天性心脏病的超声心动图特征。
