Society of Cardiovascular Anesthesiologists

Adult Congenital Heart Disease (ACHD)

Moderate to severe congenital heart disease (CHD) occurs in approximately 1% of live births. Innovations in pediatric cardiology, congenital heart surgery and perioperative anesthetic and intensive care have led to an increased longevity in the CHD population. Most patients with moderate to severe CHD live well into adulthood. It is estimated that adults with congenital heart disease (ACHD) have outnumbered the pediatric CHD population.

Adult patients with congenital heart disease (ACHD) routinely present to the operating rooms for both cardiac and non-cardiac procedures. The sequelae of their long-standing CHD, such as heart failure, pulmonary hypertension, arrhythmias, and organ dysfunction warrant special consideration as anesthesiologists care for this complex population.

Within the recent past the ACGME required exposure to congenital heart disease during Adult Cardiothoracic Anesthesiology Fellowship Training. However, this exposure during training may not translate into continued clinical practice since many cardiac anesthesiologists do not routinely care for ACHD patients. Some of these patients present with either partial repair or palliation, and therefore have complex anatomy. The proposed ACHD SIG would provide a forum for continuing education of the SCA community, provide opportunity for collaboration in the form of research and protocol development, and serve as an opportunity to develop meaningful relationships with other organizations with an interest in ACHD such as Congenital Cardiac Anesthesia Society CCAS, or Society of Obstetric Anesthesia and Perinatology (SOAP).

For questions regarding this SIG, please email