Adult Congenital Heart Service | Programs and Services

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Contact the Adult Congenital Heart Program


The BACH service provides constant 24-hour availability including access to consultation and care. In urgent or emergent situations, we rapidlly arrange hospital transfers or urgent office visits as needed.  We have outpatient clinic every day to provide comprehensive follow up and consultative care. Prompt communication with our referral providers is a top priority.

We provide world-class, comprehensive care by coordinating and collaborating in many different areas: Our services range from outpatient to inpatient to intensive care, and include:

  • advanced cardiovascular imaging
  • cardiac and non-cardiac surgeries
  • cardiac anesthesia guidance
  • catheter-based diagnostics and interventions
  • electrophysiologic diagnostics and interventions
  • heart failure management and transplantation evaluation
  • vascular medicine diagnostics and therapies
  • pulmonary hypertension diagnostics and therapies
  • support for young patients transitioning from pediatric and adult care
  • contraception and family planning
  • comprehensive women’s health
  • family and patient support and guidance
  • financial and advocacy guidance


Alexander Opotowsky - Cardiologist, Boston Adult Congenital Heart Program

Outpatient Services

Clinicians in our outpatient service see BACH patients every day and are quick to arrange urgent visits if needed. Our providers have clinics at Boston Children's Hospital, Boston Children's Hospital at Waltham, Boston Children's Hospital at Peabody, Boston Children's Hospital at Weymouth and Brigham and Women’s Hospital.

We provide comprehensive diagnostic testing, offer complete therapeutic interventions, and coordinate patient care with specialty services within Boston Children's or at one of our affiliated hospitals: Brigham and Women's Hospital, Beth Israel Deaconess Hospital, the Dana Farber Cancer Institute and the Mary Horrigan Connors Center for Women’s Health.


Disty Pearson, PA-C - Physician Asst., Boston Adult Congenital Heart Program


Outpatient Services Include:

  • Echocardiography
  • Cardiac Magnetic Resonance Imaging
  • Functional Evaluation (Exercise Testing)
  • Diagnostic Catheterization
  • Catheter Based Interventions
  • Cardiovascular Surgery

Inpatient Services

Our inpatient service treats, consults, and admits patients to two separate hospitals:

  • Boston Children's Hospital
  • Brigham and Women's Hospital

We have the unique ability to choose between two top ranked hospitals for inpatient care. The decision regarding which hospital to admit for inpatient care is personalized based on the patient's individual need for sub-specialty care and expertise.

The inpatient team is available 24-hours-a-day, seven days a week and works in conjunction with specialists at each hospital to ensure complete and comprehensive care.

Areas of expertise include:

  • aggressive heart failure management
  • ongoing care in the cardiac intensive care units
  • post-operative care
  • cardiac catheterization and innovative interventional cardiology
  • diagnosis and treatment of pulmonary hypertension
  • peri- and postpartum management in conjunction with high risk obstetricians
  • arrhythmia treatment and pacemaker management

Our team collaborates with specialists such as electrophysiologists, cardiac surgeons, obstetricians, gynecologists, intensivists, pulmonologists, oncologists, gastroenterologists, hematologists, nephrologists and dentists.

In addition to our medical services, the BACH team provides teaching and education on the complexities of adult congenital heart disease, management to medical students, interns, residents and fellows.

Transition Clinic

Patients who have had chronic childhood illness can benefit from transitioning into an adult program designed specifically to meet their needs. Our program for adults with congenital heart disease differs from the standard pediatric model in the following ways:

  • Focus on physical aging: Adults are physically aging rather than physically developing. Adults with chronic illness often age at an accelerated rate physically. Monitoring for the development of multiple adult-type co-morbidities is needed.
  • Focus on adult-type co-morbidities: These co-morbidities are often different than pediatric chronic issues. For example, the management of diabetes, kidney disease, systemic hypertension, liver disease, psychiatric illness and even heart failure and arrhythmias are different in the adult versus the pediatric patient.
  • Change in hospital visit dynamics: The dynamics of the visit evolve from a doctor-parent-patient triangle to a simple doctor-adult relationship. This, of course, doesn’t mean that family members shouldn’t be included. It just means that the relationship is patient-focused.
  • Focus on problem-solving strategies: As young people develop, they move from using emotional coping strategies to problem-solving strategies. Chronic illness often interferes with this development and has been associated with depression and anxiety. Our adult congenital heart disease clinic focuses on the importance of integrating physical and mental health.
  • Focus on patient education: Our adult clinic works to promote the patient’s understanding of his/her cardiovascular issues, including basic anatomy and physiology and any surgical repairs. An adult clinic also helps patients be aware of potential problems they may face in the future, with an emphasis on the importance of follow-up, adherence to medical care and healthy lifestyle decisions.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital
300 Longwood Avenue, Boston, MA 02115
For Patients: 617-355-6000 | 800-355-7944

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