ADULT CONGENITAL HEART-DISEASE - PRINCIPLES AND MANAGEMENT GUIDELINES.2.

Part 1 of this article (Aust NZ J Med 1993; 23: 498-503) discussed the concept of a new medical group of young adults with repaired congenit al heart defects. Medical and life issues for these individuals includ e career prospects, insurability, pregnancy and contraception, genetic counselling, appropriate exercise, risks of non-cardiac surgery, and the need for infective endocarditis prophylaxis. Most adults with cong enital heart disease lead remarkably normal lives but need intermitten t medical follow-up, some as inpatients. Medical management guidelines are discussed in Part II of this review by highlighting important ind ividual lesions.