❤️ Living with a Congenital Heart Defect as an Adult: What You Need to Know
Expert insights from Dr. Debopriyo Mandal, Leading Cardiologist in Kolkata
Decades ago, a congenital heart defect (CHD) often meant limited life expectancy. But today, thanks to advancements in pediatric cardiology and surgical care, over 90% of children born with CHDs survive into adulthood. These adults, however, continue to require lifelong cardiac care.
In this blog, Dr. Debopriyo Mandal, a renowned cardiologist and electrophysiologist in Kolkata, sheds light on how to live a healthy life with adult congenital heart disease (ACHD), including symptoms, risks, and treatment options.
🫀 What Is a Congenital Heart Defect?
A congenital heart defect is a structural abnormality of the heart present from birth. It could involve:
- A hole in the heart (like ASD or VSD)
- Abnormal heart valves
- Issues with blood vessels or heart chambers
While many of these are surgically repaired in childhood, they may not be permanently resolved. Adults with repaired or unrepaired CHDs often need continued follow-up and care.
⚠️ Why Congenital Heart Disease Persists into Adulthood
Even after surgical correction, long-term complications can arise:
- Valve deterioration
- Irregular heart rhythms (arrhythmias)
- Heart muscle weakness (cardiomyopathy)
- Blood vessel issues or narrowing
- Risk of stroke or endocarditis (infection of the heart lining)
Dr. Debopriyo Mandal emphasizes that adult patients with congenital defects need specialized ACHD care—not general cardiology follow-up alone.
🔍 Symptoms Adults Should Watch For
Symptoms of ACHD may appear subtly and gradually. Be alert for:
- Fatigue or decreased stamina
- Shortness of breath during exertion
- Palpitations or fluttering heartbeats
- Dizziness or fainting spells
- Leg swelling or abdominal bloating
If you’re experiencing any of these signs, consult a cardiologist trained in ACHD management.
🩺 Treatment & Intervention Options
According to Dr. Debopriyo Mandal, the right treatment depends on the specific defect, past surgeries, and current symptoms. Management includes:
✅ Medications
To control blood pressure, manage arrhythmias, or reduce fluid overload.
✅ Catheter-Based Interventions
Minimally invasive procedures like device closures or balloon dilations for residual defects.
✅ Electrophysiology Procedures
For rhythm disorders, Dr. Mandal offers advanced ablation therapy to restore normal heart rhythm.
✅ Re-operations
In some cases, adults need repeat surgeries for valve replacements or complex reconstructions.
✅ Routine Monitoring
Regular echocardiograms, MRIs, and ECGs help detect changes early.
🧠 Mental Health & Lifestyle Considerations
Living with ACHD involves more than just physical care. Dr. Mandal encourages a holistic approach:
- Mental well-being: Address anxiety, stress, or depression related to chronic illness.
- Exercise: Follow a cardiologist-approved fitness plan.
- Pregnancy planning: Women with ACHD need pre-conception counseling.
- Heart-healthy habits: Balanced diet, no smoking, and limited alcohol.
👨⚕️ Why See a Specialist Like Dr. Debopriyo Mandal?
General cardiologists may not be fully equipped to handle the complexities of ACHD.
Dr. Debopriyo Mandal combines expertise in interventional cardiology and electrophysiology, making him uniquely qualified to manage congenital heart disease in adults—especially when advanced interventions or rhythm correction is needed.
💬 Final Thoughts
If you’re living with a congenital heart defect, remember: you are not alone, and your condition is manageable with the right care. With expert guidance from a specialist like Dr. Debopriyo Mandal, you can lead a full, active, and healthy life.