Common Scenarios in ACHD

Guest: Maan Jokhadar, M.D. Host: Malcolm Bell, M.D. In this third and final episode discussing ACHD, Drs. Bell and Jokhadar review practical management considerations for adults with congenital heart disease, focusing on common conditions encountered in general cardiology and primary care. The discussion highlights bicuspid aortic valve disease and associated aortopathy, repaired tetralogy of Fallot and coarctation of the aorta, prosthetic valve management, anticoagulation and bridging decisions, and current recommendations for endocarditis prophylaxis. Emphasis is placed on surveillance, complication prevention, and thoughtful risk–benefit assessment in routine and procedural care. Be sure to listen to the previous two episodes, “The Hospitalized ACHD Patient” and “ACHD for the Primary Care Provider.” Topics Discussed: • Bicuspid Aortic Valve (BAV) • Coarctation of the Aorta (COA) • Tetralogy of Fallot (TOF) • Mechanical and Bioprosthetic Valves • Anticoagulation Management • Subacute Bacterial Endocarditis (SBE) Prophylaxis 0:00 Introduction to Part Three 0:49 Bicuspid Aortic Valve Overview 1:50 Aortopathy and Imaging Risks 3:06 Coarctation Repair and Follow-Up 5:12 Blood Pressure Monitoring Pitfalls 6:39 Bicuspid Valve Intervention Risk 8:26 Aortic Dissection Diagnostic Caution 9:06 Mechanical Valves and Conduits 11:40 Anticoagulation and Bridging Decisions 15:11 Endocarditis Prophylaxis Essentials 16:34 Series Wrap-Up and Thanks 17:29 Mayo Clinic CV Education Promo 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! No CME credit offered for this episode. Recorded on: 04-November-2025