Over the past few decades, tremendous advances in diagnosis and surgery have made it possible to fix or repair most cardiac defects and many people with these defects are now reaching adulthood and living full, active lives. Treatment is based on the severity of the congenital heart disease.
Some mild heart defects do not require any treatment while others can be treated with medications, invasive procedures or surgery. Until the 1990’s, most cardiac procedures required open-heart surgery, but in the modern era, many procedures are performed as day cases using percutaneous intervention techniques, without the need for open heart surgery.
Most adults with congenital heart disease should be monitored by a heart specialist These patients need specific advice about many problems such as exercise, employability, pregnancy and family planning, non-cardiac surgery, insurance issues, endocarditis prophylaxis, prognosis, and potential future problems.