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. 2016 Mar-Apr;27(2):111–118. doi: 10.5830/CVJA-2016-052

Table 4. WHO class II and III.

WHO II (if otherwise well and uncomplicated)
• Unoperated atrial or ventricular septal defect
• Repaired tetralogy of Fallot
• Most arrhthmias
WHO II–III (depending on individual)
• Mild left ventricular impairment
• Hypertrophic cardiomyopathy
• Native or tissue valvular heart disease not considered WHO I or IV
• Marfan syndrom without aortic dilatation
• Aorta < 45 mm in aortic disease associated with bicuspid aortic valve
• Repaired coarctation
WHO III
• Mechanical valve
• Systemic right ventricle
• Fontan circulation
• Cyanotic heart disease (unrepaired)
• Other complex congenital heart disease
• Aortic dilatation 40–45 mm in Marfan syndrome
• Aortic dilatation 45–50 mm in aortic disease associated with bicuspid aortic valve