More Than Just the Heart: Transition and Psychosocial Issues in Adult Congenital Heart Disease

Adrienne H. Kovacs, Elisabeth M. Utens

Research output: Contribution to journalArticleAcademicpeer-review


Most infants born with congenital heart disease (CHD) are now expected to reach adulthood. However, adults with CHD of moderate or great complexity remain at elevated risk of heart failure, arrhythmias, additional surgeries and interventional procedures, and premature mortality. This creates a need for lifelong specialized cardiac care and leads to 2 sets of potential challenges: (1) the transition from pediatric to adult care and (2) the psychosocial implications of coping with a chronic and often life-shortening medical condition. Many adolescents struggle with the transition to adult care, and mood and anxiety disorders are not uncommon in the adult setting
Original languageEnglish
Pages (from-to)625-634, ix
JournalCardiology clinics
Issue number4
Publication statusPublished - 2015

Cite this