講演情報
[III-PPD3-3]成人先天性心疾患（A C H D）における小児循環器科医の役割：バトンパス、それとも二人三脚？
○伊藤 誠治1,2 (1.Washington Adult Congenital Heart Program, Cardiology, Children's National, 2.George Washington University)
キーワード：
Pediatric cardiology、Adult congenital heart disease、Healthcare system
Pediatric cardiologists and health care workers in this field played- and continue to play- a foundational role in the evolution and advancement of adult congenital heart disease (ACHD) care. Their contributions span from innovations in neonatal care to the refinement of lifelong management of congenital heart diseases. In the current era, over 90% of children with congenital heart disease, including those with complex lesions, are expected to survive into adulthood. However, many patients develop complications related to their native defect or prior surgeries or additional acquired heart diseases, including valvular heart disease, heart failure, arrhythmia, thromboembolism, and other non-cardiac medical comorbidities. The evolution of cardio-obstetrics care and the reproductive health of this population also emerged. In response, ACHD programs were developed in major U.S. cities and expanded nationally to address the multifaceted needs of this growing heterogeneous population. The launch of ACHD subspecialty board certification in 2015 under the American Board of Internal Medicine marked a milestone in formalizing the care. Nevertheless, challenges remain- including a significant shortage of ACHD specialists and systematic barriers in healthcare and socioeconomic systems. This presentation will explore the current landscape of ACHD care in the United States, emphasizing the critical and ongoing role of pediatric cardiologists and associated healthcare workers while outlining possibilities and the path forward for sustainable, high-quality ACHD care delivery.