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

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Podcast episode transcript found here.

Recorded on: 04-November-2025