The psychopathological risks of congenital heart disease in adolescence are
described. The emotional development of adolescents with cardiopathy is di
scussed, including distortions in body image and separation-individuation i
ssues. The consequences of cyanotic and acyanotic cardiopathies for intelle
ctual functioning are noted, and the impact of congenital heart disease on
interactions with parents and siblings is presented. Psychopathological imp
lications of heart transplant are also reviewed.