- Congenital heart defects are a group of diseases characterized by abnormalities in the heart structure from birth, which can occur in various areas such as the heart walls, valves, and great vessels.
- The causes are unknown in many cases, but genetic changes may be involved, and factors such as diabetes, phenylketonuria, and rubella before or during pregnancy, smoking, exposure to certain drugs, and family history can be related factors.
- Structural abnormalities can affect the heart's pumping function and oxygen supply by making blood flow too slow, causing it to flow in the wrong direction, or obstructing it.
- Representative patterns include holes in the heart walls, valve abnormalities, and abnormalities in the great vessels entering and leaving the heart.
- Risks and prognosis vary for each individual depending on the type, number, and severity of the defects, genetic background, family history, and health status and exposure during pregnancy.
- Mild defects may persist without symptoms, but severe defects may present problems immediately after birth, and some are discovered in childhood or adulthood; cyanosis, fatigue, rapid or labored breathing, and heart murmurs may occur.
- Diagnosis is made through a combination of prenatal fetal echocardiography, pulse oximetry immediately after birth, physical examination and cardiac function tests, and genetic testing if necessary.
- Since the anatomical extent and severity of the defect cannot be confirmed by screening tests or single test results alone, symptoms, physical examination, imaging, and functional tests must be interpreted together.
- Management consists of specialized cardiac care tailored to the type and severity of the defect, necessary procedures, surgery, medication, and long-term follow-up.
- Treatment is not the same for all patients and varies from observation only to catheterization, cardiac surgery, valve treatment, and drug therapy in specific situations.