Adult Congenital

Heart Disorders Present at Birth

Congenital heart problems are those that have been present since birth. Some of these defects or abnormalities may not be discovered until birth, while others aren’t detected until later in life. Thanks to groundbreaking advances in medical and surgical techniques, patients born with serious heart disorders are now surviving into adulthood. 

Our specialists are experts at managing the unique problems these patients face as they transition from their pediatric providers and continue into adult life. Some of these problems include:
  • Challenges from a patient’s original heart disorder.
  • Challenges associated with previous surgeries or procedures (previous heart surgeries may require monitoring or revision to promote long life and normal functioning).
  • Heart valve dysfunction.
  • Wear and tear on artificial heart valves or patches in the heart.
  • Abnormal connections between heart structures.
  • Irregular heart rhythms.
  • Abnormal heart pumping function.

We offer comprehensive care for adults with congenital heart disease. This is accomplished through a partnership between our specially trained cardiologists and our affiliation with the University of Washington and Children’s Hospital and Regional Medical Center in Seattle. For some patients, a coordinated plan sharing care between North Cascade Cardiology and the University of Washington Adult Congenital Heart Program is appropriate. 

Adult Congenital Services

  • New patient evaluations for patients with known congenital heart disease, transitioning from pediatric providers or providers in other areas.
  • New patient evaluations for patients with suspected congenital heart disease.
  • Coordinated long-term monitoring and care.
  • Cardiac imaging, including echocardiography, CT scanning, and MRI, for assessment of heart function, artificial heart valves, native heart valve function, abnormalities of arteries and veins, and previous surgeries.
  • Heart rhythm care, including placement and care of pacemakers, and assessment of irregular heart rhythms.

PFO & ASD Closures

Your heart is divided into four chambers. The upper chambers are divided by a wall called the atrial septum. Two common adult congenital defects occur when there is an opening in this wall: a patent foramen ovale (PFO) and an atrial septal defect (ASD). These openings cause blood to flow in a pattern that is not normal.

Our cardiologists are experts at PFO and ASD closures, which repair this opening.