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 |