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Despite improved survival, CHD patients often have residual haemodynamic sequelae and limited physiologic reserve and are at increased risk for acute decompensation with occurrence of arrhythmias, heart failure, and other medical conditions. Comorbidities occur more frequently and at an earlier age in CHD patients than in the general population. The management of the critically ill CHD patient requires an understanding of the unique aspects of congenital cardiac physiology as well as the recognition of other organ systems that may be involved. Certain patients may be candidates for mechanical circulatory support, and goals of care should be established with advanced care planning.<\/jats:p>","DOI":"10.1093\/ehjacc\/zuad030","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T16:53:10Z","timestamp":1680022390000},"page":"267-279","source":"Crossref","is-referenced-by-count":4,"title":["Common congenital heart problems in acute and intensive care"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0975-7363","authenticated-orcid":false,"given":"Jonathan","family":"Buber","sequence":"first","affiliation":[{"name":"University of Washington Medical Center Department of Medicine, Division of Cardiology, University of Washington School of Medicine , 1959 NE Pacific Street, Seattle, WA 98195 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0533-693X","authenticated-orcid":false,"given":"Christopher","family":"Valle","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Boston Children\u2019s Hospital, Harvard Medical School , Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8357-694X","authenticated-orcid":false,"given":"Anne Marie","family":"Valente","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Boston Children\u2019s Hospital, Harvard Medical School , Boston, MA , USA"},{"name":"Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women\u2019s Hospital , Boston, MA , 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