Congenital heart disease beyond the age of 60: emergence of a new population with high resource utilization, high morbidity, and high mortality

There is a growing number of elderly ACHD patients with high mortality rates and a higher utilization of healthcare resources compared with younger patients. Acquired morbidities, such as coronary artery disease, seem to be key determinants of outcome in this older population in conjunction with the underlying congenital heart disease.