Abstract

Adults with remote congenital heart defect repairs may present to the ED with nonspecific symptoms. ED physicians should be familiarized with the possible clinical presentations of adults with congenital heart disease. Rapid recognition and management are key in these conditions to prevent cardiovascular collapse. As more patients with these congenital issues reach into adulthood, more patients will present to the ED with altered anatomy and significant risk of decompensation and death. Point-of-care ultrasound and ECG findings can offer critical clues to the underlying anatomy and ultimate best management practices. Early POCUS and appropriate consultation to cardiology or pediatric cardiology are critical.