Heart transplantation in adults with end-stage congenital heart disease

Luke J. Burchill, Heather J. Ross

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations


Residual abnormalities in cardiac structure and function predispose adults with congenital heart disease to late-onset heart failure and its complications. Evaluation of this population requires collaboration between adult congenital and heart failure specialists. In addition to assessing heart transplant eligibility, clinicians must balance the risks of premature listing against progressive heart failure and increased waiting list mortality. Following heart transplantation, adults with congenital heart disease have higher mortality due to an increased risk of bleeding, infection and donor right heart failure secondary to pulmonary hypertension. Concerns relating to increased early mortality should be balanced against superior long-term survival in adult congenital heart disease patients surviving beyond the first year after heart transplantation.

Original languageEnglish (US)
Pages (from-to)329-342
Number of pages14
JournalFuture Cardiology
Issue number2
StatePublished - Mar 2012
Externally publishedYes


  • Fontan
  • adult congenital heart disease
  • heart failure
  • risk stratification
  • sudden cardiac death
  • transplantation

ASJC Scopus subject areas

  • Molecular Medicine
  • Cardiology and Cardiovascular Medicine


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