Adult Congenital Heart Service

Thanks to advances in medical and surgical care, most people born with serious congenital heart defects are now surviving long into adulthood. At the Boston Adult Congenital Heart (BACH) and Pulmonary Hypertension Service at Boston Children's Hospital, we care for more than 6,000 adult patients. Some have been seen by us since childhood and others come to us as a result of second opinion requests.

As part of #1 ranked Heart Center, we offer a full range of inpatient and outpatient clinical services to adults with congenital heart disease and/or pulmonary hypertension, from diagnosis to cardiac catheterization and surgical repair. Our specially trained doctors and nurses are devoted to helping patients maximize their physical, emotional, medical and social options.

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 Center and the Mary Horrigan Connors Center for Women's Health.

The BACH service is one of only a handful of programs worldwide that trains leaders in the care of adults with congenital heart disease (ACHD), and all of our fellows receive at least seven years of additional training after medical school. Our staff lecture nationally as well as internationally and are teaching new generations of health care professionals about this unique patient population. 

Conditions and Treatments

Our specialists treat the full spectrum of heart disorders and diseases, including:

 Anomalous Pulmonary Venous Return (TAPVR or PAPVR)
Pulmonary Atresia
 Atrial Septal Defect (ASD)
Patent Ductus Arteriosus 
 Arrhythmia Pulmonary Hypertension 
 Atrioventricular Canal Defect
Septal Defects 
 Bacterial Endocarditis
Single Ventricular Defects 
 Coarctation of the Aorta
 Congenital Heart Defects
Tetralogy of Fallot (TOF) with Pulmonary Atresia 
 Cyanosis Total Anomalous Pulmonary Venous Return (TAPVR)
 Ebstein's anomaly
Transposition of the Great Arteries (TGA) 
 Edema Tricuspid Atresia 
 Heart Murmur
Vascular Ring 
 Hypertension Ventricular Septal Defect (VSD) 

Research and Innovation

In 1938, Boston Children's cardiac surgeon Robert Gross, MD, performed the world's first successful surgery to correct a child's heart defect. Since that time, our program's culture has been one of innovation - of solving difficult problems that others haven't been able to solve, tackling the most complex cases, and figuring out ways to make the process easier on patients. We are focused on developing new methods to repair rather than replace heart structures whenever possible, with minimally invasive approaches.

Boston Children's Hospital has been home to some of the greatest medical and social innovations for adults with congenital heart diseases. Current research efforts include:

  • Development of outcomes measures, database assessment tools, and guidelines for optimal ACHD patient care
  • Development and evaluation of catheter-based and surgical technologies
  • Development and evaluation of pharmacological therapies for the treatment of PAH
  • Computational modeling of the interaction between the vasculature and myocardium to advance our understanding of heart failure in the ACHD and PAH populations
  • Development and evaluation of innovative imaging technologies, particularly Cardiac Magnetic Resonance Imaging

Next Steps

For questions, more information, or to schedule an appointment for your child, please call the International Heart Center anytime at +1-857-218-3913 or email

You may want to begin gathering relevant paperwork such as the patient's height and weight, medications, most recent echocardiogram in DICOM-preferred format (and accompanying report), most recent cardiology summary and clinical status, as well as any other recent cardiac studies such as EKGs, Stress Test, Operative Reports, Cath, MRI or CT scans.

You can mail studies and reports to Boston Children's Hospital, Cardio: 3215, BACH, 300 Longwood Ave, Boston, MA 02115