p.5 抽出テキスト

............................................................................................................................................................................. Recommendations for intervention in right ventricular outflow tract obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 609 Recommendations for intervention in Ebstein anomaly . . . . . . . . . . . . . 611 Recommendations for intervention after repair of tetralogy of Fallot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 614 Recommendations for intervention in transposition of the great arteries after atrial switch operation . . . . . . . . . . . . . . . . . . . . . . . . . 619 Recommendations for intervention in transposition of the great arteries after arterial switch operation . . . . . . . . . . . . . . . . . . . . . . . 620 Recommendations for intervention in congenitally corrected transposition of the great arteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 621 Recommendations for intervention in right ventricular to pulmonary artery conduits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 622 Special considerations and Recommendations for intervention in univentricular heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 624 Special considerations and Recommendations for intervention after Fontan operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 627 Recommendations for the management of patients with anomalous coronary arteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 628

List of tables

Table 1 Classes of recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569 Table 2 Levels of evidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569 Table 3 Selected revised recommendations, new recommendations, and new concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 571 Table 4 Classification of congenital heart disease complexity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575 Table 5 Staff requirements for specialist ACHD centres . . . . . . . . . . . . 577 Table 6 Indications for cardiovascular magnetic resonance imaging in ACHD patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577 Table 7 Risk estimates for arrhythmic events and bradycardias in ACHD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580 Table 8 Definitions of pulmonary hypertension subtypes and their occurrence in ACHD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 583 Table 9 Risk reduction strategies in patients with cyanotic congenital heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 587 Table 10 Congenital heart disease with high risk and extremely high risk for pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 590 Table 11 Recurrence rates for various congenital heart lesions according to the sex of the affected parent . . . . . . . . . . . . . . . . . 590 Table 12 Diagnostic criteria for degree of aortic stenosis severity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 599

List of figures

Figure 1 Central illustration. Congenital heart disease is a lifelong chronic condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 576 Figure 2 Management of atrial septal defect . . . . . . . . . . . . . . . . . . . . . . . . 593 Figure 3 Management of ventricular septal defect . . . . . . . . . . . . . . . . . . 596 Figure 4 Management of patent ductus arteriosus . . . . . . . . . . . . . . . . . . 599 Figure 5 Management of left ventricular outflow tract obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 601 Figure 6 Management of coarctation and re-coarctation of the aorta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 605 Figure 7 Management of right ventricular outflow tract obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 610 Figure 8 Management of repaired tetralogy of Fallot: long-term complications to address during follow-up . . . . . . . . . . . . . . 613 Figure 9 Management of transposition of the great arteries: long-term complications to address during follow-up . . . . . . . . . . . . . . 617

Abbreviations and acronyms

3D Three-dimensional 6MWT 6-minute walk test AAOCA Anomalous aortic origin of a coronary artery AAOLCA Anomalous aortic origin of the left coronary artery ACAPA Anomalous coronary artery from the pulmonary artery ACE Angiotensin-converting enzyme ACHD Adult congenital heart disease AF Atrial fibrillation ALCAPA Anomalous left coronary artery from the pulmonary artery AR Aortic regurgitation ARB Angiotensin II receptor blocker ARCAPA Anomalous right coronary artery from the pulmonary artery AS Aortic stenosis ASD Atrial septal defect ASI Aortic size index AT Atrial tachycardia AV Atrioventricular AVA Aortic valve area AVAi Indexed aortic valve area AVNRT Atrioventricular node reentrant tachycardia AVRT Atrioventricular reentrant tachycardia AVSD Atrioventricular septal defect BAV Bicuspid aortic valve BNP B-type natriuretic peptide BSA Body surface area CAD Coronary artery disease CABG Coronary artery bypass graft CCT Cardiovascular computed tomography ccTGA Congenitally corrected transposition of the great arteries CHD Congenital heart disease CMR Cardiovascular magnetic resonance CoA Coarctation of the aorta CONCOR CONgenital CORvitia CPET Cardiopulmonary exercise testing CRT Cardiac resynchronization therapy DCRV Double-chambered right ventricle EACVI European Association of Cardiovascular Imaging EAT Ectopic atrial tachycardia ECG Electrocardiogram EF Ejection fraction EP Electrophysiology/electrophysiological ERA Endothelin receptor antagonist ESC European Society of Cardiology Downloaded from academic.oup.com/eurheartj/article/42/6/563/5898606 by guest on 07 October 2026