Main Challenges and Issues Facing Adult Congenital Heart Disease Sub-speciality in the Asia-Pacific Region: How We Can Overcome Them

Adult congenital heart disease (ACHD) is a growing global health concern. In the Asia-Pacific region, large populations, diverse healthcare systems, limited specialist resources and geographic disparities compound the complexity of managing ACHD. Key challenges include delayed diagnosis, lack of structured transition care, workforce shortages, fragmented services and underdeveloped registries. This manuscript explores the burden of ACHD in the Asia-Pacific region, identifies main systemic and clinical challenges, and proposes practical solutions with examples from regional healthcare systems. A coordinated response involving policy reform, regional centres of excellence, structured care transition programmes and public awareness is essential to address the growing burden of ACHD in Asia-Pacific.