Spotlight on Adult Congenital Heart Disease Program

December 15, 2015

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Falon Wiesner-Jones was just a baby when she had her first visit to the Texas Children’s Heart Center diagnosed with a congenital heart disease that has been a fabric of her life ever since. Now 33, she’s still a patient at the heart center. Today, she sees specialists in the Adult Congenital Heart Disease Program, part of the transitional medicine program that allows pediatric patients to continue their care here at Texas Children’s Hospital into their adult years.

“I’ve been here from day one and I’ll continue my care here,” said Wiesner-Jones who now drives to Houston from Dallas to see her doctors. “The doctors are well-versed in my history and it makes it easier to come to one place and receive all of the care I need.”

Wiesner is part of a growing population of adults with congenital heart disease. The Centers for Disease Control and Prevention (CDC) estimates that about 40,000 babies are born each year with a congenital heart disease. It is the most common birth defect.

“The data shows that people who were born in the 1940s and 50s, before the era of advanced surgical and interventional repairs had only about a 15 percent chance of survival past their first birthday,” said Dr. Wayne Franklin, director of the Adult Congenital Heart Disease Program at Texas Children’s Hospital. “In the modern area, we’ve reversed that and now 85 to 90 percent survive into adulthood so there is a real need for the right care for these adults who have had heart disease throughout their lives.”

That care now includes women’s care for Wiesner who just delivered her second child at Texas Children’s Pavilion for Women. When she told her physician, Dr. Wayne Franklin, director of the Adult Congenital Heart Disease Program at Texas Children’s Heart Center, she was pregnant again, he was thrilled to know her care coordination would take place in the ob-cardiac clinic at The Pavilion where both her cardiology doctors and her obstetrician meet in one place to see her during her monthly appointments.

“Women’s health and cardiology were an underserved area in medicine,” said Franklin. “With the Pavilion, we’re able to offer that to her and all of our other patients. We offer multidisciplinary care that is most crucial to these patients during pregnancy.”

Because the heart has to work harder during pregnancy, patients with heart disease are watched closely by an interdisciplinary team, meeting often in the ob-cardiac clinic for appointments.

“It’s reassuring to know all the resources we need are in one spot, all here to help me deliver safely,” Wiesner-Jones said.

Texas Children’s Hospital offers several programs for adults outside of women’s care including heart disease programs, cystic fibrosis programs as well as a program for survivors of pediatric cancer.

“Texas Children’s is now in the arena of adult medicine,” Franklin said.