Management of Adults with Congenital Heart Disease Guidelines Pocket Guide - Guideline Central

Management of Adults with Congenital Heart Disease

American College of Cardiology, American Heart AssociationPublished: December 18, 2025

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  • Overview
    • Top Take-Home Messages
  • Definitions and Classifications
  • General Principles
  • Specific Conditions
    • Shunt Lesions
    • Left-Sided Lesions
    • Right-Sided Lesions
    • Complex Lesions
  • Tables
    • ACHD AP Classification (CHD Anatomy + Physiological Stage = ACHD AP Classification)
    • Physiological Variables as Used in ACHD AP Classification
    • The Lifelong Trajectory of Improving Access to ACHD Care
    • ACHD Program Components
    • Preoperative Checklist for Noncardiac Surgery in Patients With ACHD
    • Genetic Syndromes and Their Associations With Congenital Heart Disease
    • Congenital Heart Conditions Considered Significantly High Risk for Maternal Complications in Pregnancy
    • Atrial Septal Defect: Routine Follow-Up and Testing Intervals
    • Assessment for Pulmonary Arterial Hypertension in Adults With Congenital Heart Disease
    • Ventricular Septal Defect: Routine Follow-Up and Testing Intervals
    • Atrioventricular Septal Defect: Routine Follow-Up and Testing Intervals
    • Comparison of Anomalous Pulmonary Venous Connections With Atrial Septal Defect
    • Anomalous Pulmonary Venous Connections: Routine Follow-Up and Testing Intervals
    • Patent Ductus Arteriosus: Routine Follow-Up and Testing Intervals
    • Cor Triatriatum Sinister: Routine Follow-Up and Testing Intervals
    • Congenital Mitral Stenosis: Routine Follow-Up and Testing Intervals
    • Subaortic Stenosis: Routine Follow-Up and Testing Intervals
    • Congenital Diseases of the Aortic Valve: Imaging Testing Intervals for Asymptomatic Patients With Normal LV Function
    • Supravalvar Aortic Stenosis: Routine Follow-Up and Testing Intervals
    • Coarctation of the Aorta: Routine Follow-Up and Testing Intervals
    • Features Suggestive of Hemodynamic Significance in Coarctation of the Aorta
    • Ebstein Anomaly: Routine Follow-Up and Testing Intervals
    • Severity of Right Ventricular Outflow Tract Dysfunction
    • Valvular Pulmonary Stenosis: Routine Follow-Up and Testing Intervals
    • Isolated Pulmonary Regurgitation After Repair of Pulmonary Stenosis: Routine Follow-Up and Testing Intervals
    • Double-Chambered Right Ventricle: Routine Follow-Up and Testing Intervals
    • Isolated Branch Pulmonary Artery Stenosis: Routine Follow-Up and Testing Intervals
    • Established Risk Factors for Sustained Monomorphic Ventricular Tachycardia/Sudden Cardiac Death in Repaired Tetralogy of Fallot
    • Published Risk Scores for Calculating Risk for Sustained Ventricular Tachycardia/Sudden Cardiac Death in Repaired Tetralogy of Fallot
    • Repaired Tetralogy of Fallot: Routine Follow-Up and Testing Intervals
    • Right Ventricle to Pulmonary Artery Conduit: Routine Follow-Up and Testing Intervals
    • Patients With d-TGA and Atrial Switch: Routine Testing and Follow-Up Intervals
    • Patients With d-TGA and Arterial Switch: Routine Follow-Up and Testing Intervals
    • Patients With d-TGA and Rastelli Operation: Routine Follow-Up and Testing Intervals
    • Congenitally Corrected Transposition of the Great Arteries: Routine Follow-Up and Testing Intervals
    • Truncus Arteriosus: Routine Follow-Up and Testing Intervals
    • Surgical Management Options for Types of Double-Outlet Right Ventricle
    • Fontan Palliation: Routine Follow-Up and Testing Intervals
    • First-Line PAH-Directed Therapy in Patients With Eisenmenger Syndrome
    • Eisenmenger Syndrome: Routine Follow-Up and Testing Intervals
    • Anomalous Aortic Origin of a Coronary Artery: Routine Follow-Up and Testing Intervals
    • Anatomy of Vascular Rings
  • Figures and Algorithms
    • Management of Hyperviscosity Symptoms in Cyanotic ACHD
    • Closure Considerations for Secundum Atrial Septal Defect
    • Closure Considerations for Ventricular Sepal Defect
    • Closure Considerations for Patent Ductus Arteriosus
    • Isolated Pulmonary Regurgitation After Repair of Pulmonary Stenosis
    • Indications for Pulmonary Valve Replacement in Repaired Tetralogy of Fallot
    • Anomalous Aortic Origin of the Coronary Artery


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