Common Scenarios in ACHD

Guest: Maan Jokhadar, M.D.
Host: Malcolm Bell, M.D.

In this third and ultimate episode discussing ACHD, Drs. Bell and Jokhadar evaluation sensible administration concerns for adults with congenital coronary heart illness, specializing in widespread circumstances encountered generally cardiology and first care. The dialogue highlights bicuspid aortic valve illness and related aortopathy, repaired tetralogy of Fallot and coarctation of the aorta, prosthetic valve administration, anticoagulation and bridging selections, and present suggestions for endocarditis prophylaxis. Emphasis is positioned on surveillance, complication prevention, and considerate danger–profit evaluation in routine and procedural care. Be certain to take heed to the earlier 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

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Recorded on: 04-November-2025