With improved surgical and medical care of children with congenital heart disease over the past 50 years, an ever-increasing number of patients have reached adult life and require informed long-term medical follow-up and supportive services for their successful integration into the society of their peers.

These adults represent a uniquely favored group who benefited from the dramatic advances in medical and surgical care during the 20th century and who were supported by the intensive response of family, physicians and educational and social organizations to their specific needs. Some of these adults had repeated hospitalizations in infancy and childhood, others overcame complications of infections or of genetic or non-cardiac abnormalities, still others may have mild abnormalities ,benign during childhood but beginning to be aggravated by growth and aging. Thus multidisciplinary challenges need to be met within newly organized specialty services for adults with congenital heart disease or grown-up congenital heart disease.

In the U.S and in Europe Task Forces were appointed by the professional societies which evaluated patient needs and made recommendations for the establishment of long-term multi-specialty care concerned with health, education, vocational preparation, health insurance and supportive programs.

The Task Forces of the Cardiology Societies in the US and in other developed countries made recommendations for future medical practices and research The International Society of for Adult Congenital Heart Disease (ISACCD) was formed and joined with the International Journal of Cardiology for an ongoing presentation of reports on medical and surgical advances, clinical trials, psychosocial, ethical and moral issues ( Coats 03). Success in the transition to adult care was shown to depend on the early emphasis in adolescence on appropriate beliefs about adult care well before the transfer occurs (Fernandez, 2003).