Our program was the first integrated program in the state dedicated to the care of adult patients with complex congenital heart disease. Our multidisciplinary program encompasses the full spectrum of care, including comprehensive inpatient and outpatient services for the most complex adult congenital heart patients. We offer a full spectrum of imaging, exercise testing, and surgical as well as less-invasive catheterization therapies.
Our patients can expect to receive detailed information about their underlying congenital heart defect, its management and the implications on future functioning. Participation in this program ensures appropriate transition of care for patients who were diagnosed as children, and appropriate wrap-around care for adults who are new to the program.
We care for a broad range of health concerns, but commonly encountered problems in ACHD patients include the following:
- Unrepaired congenital defects
- Complications associated with early surgical repair
- Heart failure
- Heart rhythm problems, including pacemakers and defibrillators
- Pregnancy issues
Our ACHD team is involved at every step along the way. Cardiac catheterizations, including noninvasive placement of valves, are done by experts in congenital heart disease. Surgery for ACHD is done by our heart surgeons who specialize in congenital heart disease. Conditions we treat include the following:
- Atrial septal defect (ASD)
- Ventricular septal defect (VSD)
- Atrioventricular canal defect
- Bicuspid aortic valve
- Pulmonary stenosis
- Coarctation of the aorta
- Ebstein's anomaly
- Transposition of the great arteries, including those who have had a Mustard or Senning operation or arterial switch operation
- Congenitally corrected transposition of the great arteries
- Tetralogy of Fallot
- Complex single ventricle patients, including those who had a Fontan operation
- Cyanotic heart disease
- Patients who had a Ross operation as a child
- Congenital coronary anomalies, including ALCAPA (anomalous left coronary artery from the pulmonary artery)
Many patients wait to treat their congenital heart disease. Imaging, including echocardiograms (ultrasound) and MRI, allows us to diagnose problems before they limit their ability to live and work symptom-free. The program works closely with Yale Medicine's Maternal-Fetal Medicine team to provide obstetrics and perinatology service to women with congenital heart disease.
We offer access to a world-class congenital cardiac catheterization lab that provides the latest advances in transcatheter valve placement, treatment of atrial septal defects, and all forms of congenital heart disease. We provide comprehensive electrophysiology services, including management of arrhythmias and placement of pacemakers and defibrillators.