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Many patients with CCTGA and no associated lesions have long life expectancies with minimal or non-specific symptoms Symptoms of circulatory failure occur mainly in 5 th and 6 th decades of life The 2018 AHA/ACC Guidelines for the Management of Adults with Congenital Heart Disease recommends the following routine follow-up and testing intervals for CCTGA Physiologic stage A: Outpatient ACHD follow up every 12 months with ECG(12 months), TTE(12-24 months), Holter monitor(12-60 months), CMR/CCT and exercise test(36-60 months) Physiologic stage B: outpatient ACHD follow up every 12 months with ECG and TTE(12 months), Holter monitor(12-60 months), CMR/CCT and exercise test(36-60 months) Physiologic stage C: outpatient ACHD follow up every 6-12 months with ECG and TTE(12 months), pulse oximetry at each visit, Holter monitor(12-36 months), CMR/CCT and exercise test(12-24 months) Physiologic stage D: outpatient ACHD follow up every 3-6 months, ECG and TTE every 12 months, pulse oximetry at each visit, Holter monitor, CMR/CCT and exercise test every 12 months What is the role of Systemic Atrioventricular Valve Surgery (SAVV) for treatment of CCTGA as an adult

Ferrannini G, Gerstein H, Colhoun HM, et al

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Thyroid Medications: If you take levothyroxine for hypothyroidism, too much can cause palpitations