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Guest: Maan Jokhadar, M.D. Host: Malcolm Bell, M.D. Adults with congenital heart disease are often admitted for a wide range of cardiac and non-cardiac issues, many of which carry unique management considerations. This episode emphasizes the importance of early ACHD consultation, especially in patients with cyanosis or prior complex repairs, and why even “simple” lesions deserve careful attention. We also touch on key bedside considerations that can significantly impact outcomes if overlooked. The goal is to build awareness and confidence when caring for this growing and complex patient population. Topics Discussed: • Why are ACHD patients admitted? • When should a practitioner consult ACHD for their patient? • What are some of the common pitfalls to avoid? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! 0:00 Welcome to adult congenital heart disease 0:58 Why adult CHD is growing 2:55 Why these patients get admitted 3:36 Cardiac vs non-cardiac presentations 5:21 When to consult an ACHD specialist 8:56 Managing ACHD patients in the ICU 12:24 Finding ACHD specialists via ACHA 13:19 ICU outcomes and Mayo experience 14:34 Guidelines plus nuance and teamwork 16:28 Mayo Clinic CV education message No CME credit offered for this episode. Recorded on: 04-November-2025