The Duke adult congenital heart disease program was among the first to respond to the growing demand for treatment of adults born with congenital heart conditions. Today, we are one of the Southeast's top referral centers, providing care to adults at our heart clinics in Raleigh, Durham, Cary and throughout North Carolina. Whether you are transitioning from our pediatric congenital heart disease program or seeking heart care for the first time at Duke, we help you overcome the hurdles of congenital heart defects and maintain a healthy, active lifestyle.
Duke Health offers heart clinics in Durham, Raleigh, Cary and throughout North Carolina. Find one near you.
Your diagnostic tests will be performed by experts who specialize in imaging adults with complex congenital heart defects.
Small electrodes are placed on your skin to record your heart’s electrical impulses. The tracings may help identify risk for or prior heart muscle damage.
A stress test is an ECG that’s performed while you walk on a treadmill or ride a bike, or when a chemical is used to stimulate your heart. A stress test is used to monitor changes in your heart’s function when it’s under stress that may indicate coronary artery disease.
An ultrasound probe is moved over the surface of your chest to capture moving images of your heart. This allows us to determine your heart’s chamber dimensions, shape, valve structures, and overall function.
A stress echocardiogram is performed while you walk on a treadmill or ride a bike, or when a chemical is used to stimulate the heart. A stress echocardiogram is used to monitor changes in your heart’s function while it’s under stress that may indicate coronary artery disease.
3D Transesophogeal Echocardiogram
An ultrasound probe passed through your esophagus is used to capture sound waves that create highly detailed, close-up 3-D images of your heart’s chamber dimensions, shape, valve structures, and overall function.
Flexible tubes called catheters are guided through a blood vessel to your heart to look for blockages and overall heart function. Contrast dye is injected and X-rays are taken to capture images of your heart, coronary arteries, and other blood vessels.
CT Coronary Angiography
A contrast agent is injected into your arm and a CT scan produces highly detailed 3-D images of your coronary arteries to help identify anatomy and blockages.
Radio waves, magnets, and a computer create still and moving images of your overall heart structure, heart muscle function, blood vessels, and surrounding structures.
Nuclear Cardiac Testing
Radioactive dye is used during imaging to create pictures of blood flow through your heart. This test may be done at rest or with exercise. It helps to evaluate overall heart function.
Inherited heart conditions such as Marfan, Ehlers-Danlos, and Loeys-Dietz syndromes can increase your risk for aortic valve disease. In addition, genes play an important part in determining who is at risk for certain types of heart disease. Comprehensive genetic testing (including re-testing and diagnosis confirmation) and counseling can help determine whether you have an inheritable heart condition, pinpoint the best treatment approaches for you, and identify family members who may be at risk.
Catheters are threaded into your heart to record its electrical activity.
Why Choose Duke
Minimally Invasive Approaches, Shorter Recoveries
Our interventional cardiologists have helped advance the use of interventional catheterization for adult congenital heart diseases that have historically required open surgery. This can lead to faster recovery.
Highly Skilled Surgeons
Our congenital heart disease surgeons have years of training and experience treating high volumes of people with congenital heart disease. Studies show that performing more surgeries translates to better results for you.
An Expert Team
In addition to our cardiologists and surgeons, our imaging technicians, nurses, pharmacists, and others are trained specifically to evaluate and treat structural and functional congenital heart defects in adults. As a leading training center, we share our expertise with doctors worldwide.
Access to New Treatments
Our ongoing research and clinical trials ensure you have access to more treatment options, sometimes before they are available elsewhere. Some of the latest advances include catheter-based devices now used to treat atrial septal defect, two types of percutaneous pulmonary valves used as an alternative to surgery, and the ventricular septal defect (VSD) device.
When it comes to your heart care, you want the very best. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our cardiology and heart surgery program is nationally ranked, and the highest ranked program in North Carolina, according to U.S. News & World Report for 2021–2022.
More Precise Diagnoses
Our team includes cardiologists with expertise and national recognition for developing and training others in cardiac MRI diagnostic techniques. Because we are a high-volume heart hospital, our cardiac team has the resources and skills to precisely pinpoint heart abnormalities that lead patients to require diagnostic catheterization.
We offer vocational counseling, cardiac rehabilitation, and assessments for pregnancy and athletics.
Genetic Screening and Counseling
Our genetic heart disease program offers genetic testing and counseling to people who have a family history or have been diagnosed with an inherited heart condition, including chromosomal abnormalities, genetic cardiomyopathies, and connective tissue disorders.
Ready Access to Information
We make sure you are up-to-date on test results, diagnoses, procedures, and more through Duke MyChart. This keeps your personal information easily accessible when you need care.