Multidiscplinary evaluation of the patient with ACHD for transplantation
| Team/specialty | Considerations/perspectives |
| Cardiomyopathy/transplant cardiology | Heart failure optimisation, MCS options, management of postoperative immunosuppression and surveillance for rejection. |
| Adult congenital heart disease cardiology | Congenital diagnosis, prior surgeries, anatomy and physiology. |
| Congenital interventional cardiology | Invasive haemodynamic assessment, intervention to address residual venous or arterial stenosis, coil embolisation collateral vessels to decrease bleeding during transplant. |
| Congenital/transplant cardiac surgery | Assess surgical risk and technical feasibility of heart or combined organ transplant. |
| Immunogenetics | Evaluate patient antibody profiles. |
| Hepatology | Evaluate whether patient requires concurrent liver transplant. |
| Liver transplant surgery | Evaluate suitability for concurrent liver transplant. |
| Transplant psychiatry | Screen/treat depression and anxiety. |
| Transplant social worker | Assess social support and compliance. |
| Transplant infectious disease | Management and prevention of opportunistic infection. |
| Pulmonology | Evaluate pulmonary function pretransplant. |
| Nephrology | Evaluate need for concurrent renal transplant; management of CKD, and perioperative dialysis for volume management. |
| Haematology/oncology | Evaluate chronic leucopenia and thrombocytopenia, rule out occult malignancy. |
ACHD, adult congenital heart disease; CKD, chronic kidney disease; MCS, mechanical circulatory support.