In this issue of Heart Failure Clinics, guest editors Drs. Saurabh Rajpal and Ragavendra R. Baliga bring their considerable expertise to the topic of Adult Congenital Heart Disease. Top experts in the field cover medical therapy and follow up of heart failure in ACHD; indication for advanced therapies ACHD heart failure; special considerations for mechanical circulatory support or device therapy in ACHD heart failure; heart transplant in ACHD; arrhythmias in ACHD heart failure; and much more. In this issue of Heart Failure Clinics, guest editors Drs. Saurabh Rajpal and Ragavendra R. Baliga bring their considerable expertise to the topic of Adult Congenital Heart Disease. Top experts in the field cover medical therapy and follow up of heart failure in ACHD; indication for advanced therapies ACHD heart failure; special considerations for mechanical circulatory support or device therapy in ACHD heart failure; heart transplant in ACHD; arrhythmias in ACHD heart failure; and much more. Contains 12 relevant, practice-oriented topics including imaging in ACHD heart failure; surgical considerations in ACHD heart failure; pulmonary hypertension in ACHD heart failure; failing with cyanosis including end stage unrepaired or partially palliated CHD; palliative care in ACHD heart failure; and more. Provides in-depth clinical reviews on adult congenital heart disease, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.