291: Congenital heart disease detected in adulthood

Background Congenital heart defects are often diagnosed in infancy, or even before birth. But some anomalies are harder to detect than others and may not be diagnosed until much later in childhood or even adulthood. In developing countries many congenital heart diseases are detected in adulthood. Objective The aim of this study was to investigate the epidemiology, clinical aspects, diagnosis and treatment of congenital heart disease screened at adulthood. Methods This is a retrospective cohort by medical records analysis enrolled between January 2010 and March 2012 in one center. We investigated patients with congenital heart diseases aged over 16 years. All patients underwent a clinical examination, an echocardiogram, an oesophagial echocardiogram or other radiologic (CT or MRI), to specify the congenital heart disease. All patients had an adequate interventional cardiology, surgical care or medical intervention. Results We included 44 patients, 23 cases of atial septal defects (ASD) with mean age 38 years (16 women and 07 men), 8 ASD closed surgically and 15 by percutaneous routes. 4 patent ductus arteriosus: mean age 32 years (04 women), closed by percutaneous. 4 cases coarctation of the aorta, mean age 32 years (4 women), dilated with percutaneous procedure. 9 pulmonary stenosis, mean age: 30 years, all patients underwent balloon dilation. We investigate also one bicuspid aortic with aortic stenosis and 2 Epstein anomaly. The outcome was favorable for all patients diagnosed during this period. Conclusion Congenital heart defects discovered in adulthood are not uncommon and should be supported either by medical, surgical, or interventional.