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==== Congenital heart disease ====<!--Congenital disease--> {{main|Congenital heart defect}} Some people are born with hearts that are abnormal and these abnormalities are known as congenital heart defects. They may range from the relatively minor (e.g. [[patent foramen ovale]], arguably a variant of normal) to serious life-threatening abnormalities (e.g. [[hypoplastic left heart syndrome]]). Common abnormalities include those that affect the heart muscle that separates the two side of the heart (a "hole in the heart", e.g. [[ventricular septal defect]]). Other defects include those affecting the heart valves (e.g. [[Aortic stenosis|congenital aortic stenosis]]), or the main blood vessels that lead from the heart (e.g. [[coarctation of the aorta]]). More complex syndromes are seen that affect more than one part of the heart (e.g. [[Tetralogy of Fallot]]). Some congenital heart defects allow blood that is low in oxygen that would normally be returned to the lungs to instead be pumped back to the rest of the body. These are known as [[Cyanotic heart defect|cyanotic congenital heart defects]] and are often more serious. Major congenital heart defects are often picked up in childhood, shortly after birth, or even before a child is born (e.g. [[Transposition of the great vessels|transposition of the great arteries]]), causing breathlessness and a lower rate of growth. More minor forms of congenital heart disease may remain undetected for many years and only reveal themselves in adult life (e.g., [[atrial septal defect]]).<ref>{{Cite journal|last1=Baumgartner|first1=Helmut|last2=Bonhoeffer|first2=Philipp|last3=De Groot|first3=Natasja M.S.|last4=de Haan|first4=Fokko|last5=Deanfield|first5=John Erik|last6=Galie|first6=Nazzareno|last7=Gatzoulis|first7=Michael A.|last8=Gohlke-Baerwolf|first8=Christa|last9=Kaemmerer|first9=Harald|date=December 2010|title=ESC Guidelines for the management of grown-up congenital heart disease (new version 2010)|journal=European Heart Journal|volume=31|issue=23|pages=2915β2957|doi=10.1093/eurheartj/ehq249|issn=1522-9645|pmid=20801927|doi-access=free}}</ref>{{sfn|Harrison's|2011|p=1458β65}}
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