{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:54:51Z","timestamp":1760057691584,"version":"build-2065373602"},"reference-count":25,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background\/Objectives: Congenital heart disease (CHD), affecting approximately 1% of live births, has transitioned to a chronic condition due to advances in diagnostics and surgery, resulting in an increasing adult congenital heart disease (ACHD) population. This study characterizes the clinical and demographic profiles of ACHD patients in Serbia, focusing on congenital anomalies, mortality rates, and key clinical factors to identify opportunities for improving care and outcomes. Methods: This observational single-center study was conducted at the Cardiovascular Institute \u201cDedinje\u201d in Belgrade, Serbia, involving patients diagnosed or treated for CHD between 2006 and 2022. Results: A total of 1532 patients were included in the study, with common diagnoses including atrial septal defects (ASD) (47.65%) and ventricular septal defects (VSD) (13.19%). The mean patient age was 48.31 years, with a slight predominance of females (57.21%). The complexity of CHD was categorized as mild (54.6%), moderate (36.5%), and severe (6.3%). The mortality rate was 4.2%, with higher rates observed in conditions like Ebstein anomaly (17.78%) and congenital aortic stenosis (11.76%). Conclusions: This study provides a comprehensive overview of the current state of ACHD management in Serbia, highlighting the high prevalence of ASD and VSD among patients, the challenges associated with moderate and severe CHD, and the notable mortality rates for certain conditions. The findings underscore the importance of improving early detection, individualized treatment plans, and multidisciplinary care to enhance patient outcomes in this growing population.<\/jats:p>","DOI":"10.3390\/diagnostics15040498","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T03:29:53Z","timestamp":1739935793000},"page":"498","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adult Congenital Heart Disease in Serbia: Insights from a Single-Center Registry"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2724-2854","authenticated-orcid":false,"given":"Aleksandra","family":"Nikoli\u0107","sequence":"first","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Veljkovi\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5623-7678","authenticated-orcid":false,"given":"Jovana","family":"Lak\u010devi\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Peruni\u010di\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2865-0446","authenticated-orcid":false,"given":"Armin","family":"\u0160ljivo","sequence":"additional","affiliation":[{"name":"Department of Cardiosurgery, Clinical Center of University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3226-003X","authenticated-orcid":false,"given":"Milo\u0161","family":"Babi\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Nikoli\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Slobodan","family":"Tomi\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Banja Luka, 78000 Banja Luka, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragana","family":"Radoi\u010di\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihajlo","family":"Farki\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1358-2359","authenticated-orcid":false,"given":"Darko","family":"Boljevi\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanja","family":"Vu\u010dini\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanja","family":"Kablar","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milovan","family":"Boji\u0107","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute \u201cDedinje\u201d, 11040 Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Banja Luka, 78000 Banja Luka, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/S2352-4642(19)30429-8","article-title":"Congenital heart disease: A global public health concern","volume":"4","author":"Rossano","year":"2020","journal-title":"Lancet Child. 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