Report on the Adult Congenital Heart Disease Multidisciplinary Team Meeting Held During the COVID-19 Pandemic

U svrhu obilježavanja pete godišnjice sustavne brige za odrasle bolesnike s prirođenom srčanom bolesti organizirali smo u Nacionalnom centru u Kliničkom bolničkom centru Zagreb sastanak uz prikaz kompleksnih kliničkih slučajeva iz tog područja. Zbog pandemije COVID a 19 sastanak je otkazan, ali je umjesto toga održan multidisciplinarni konzilij uz sudjelovanje vrhunskoga međunarodnog stručnjaka. Prikazano je više bolesnika i doneseni zaključci o njihovu daljnjem liječenju. Ovdje iznosimo podatke o četirima bolesnicima: o dva bolesnika sa slučajno otkrivenom kasnom dijagnozom prirođene srčane bolesti (o jednom s atrijskim septalnim defektom i drugom s Fallotovom tetralogijom), o bolesnici sa slomom Fontanove cirkulacije, liječenom transplantacijom srca te o bolesnici s transpozicijom velikih krvnih žila i problemima nastalima nakon operacije. Uz prikaze bolesnika, u raspravama su iznesene dvojbe u vezi s liječenjem te najvažniji zaključci vezani uz svaki pojedini slučaj.To mark the fifth anniversary of systematic care for adult patients with congenital heart disease, we organized a meeting at the National Center at the University Hospital Centre Zagreb with the intention of presenting complex clinical cases from the field. The meeting was canceled due to the COVID-19 pandemic, but a multidisciplinary council was held with the participation of an international top expert. Several patients were presented and conclusions were made about their further treatment. Herein we present four interesting cases: two patients with an accidental late diagnosis, one with atrial septal defect and a second with tetralogy of Fallot, a patient with failing Fontan circulation treated by heart transplantation, and a patient with surgically corrected transposition of great arteries with postoperative problems. In addition to patient reports, the discussions sections present dilemmas about treatment, available literature, and conclusions related to each case