The presence of coronary artery fistula(s) requires review by a knowledgeable team that may include congenital or noncongenital cardiologists and surgeons to determine the role of medical therapy and/or percutaneous or surgical closure.S4.4.8-3 Disease-specific Coarctation of the aorta Which measure of hypertension resting, exercise, or ambulatory best predicts outcomes? Is there an optimal antihypertensive regimen? What should blood pressure goals be? How often should patients be screened for thoracic aneurysm? Should exercise-induced hypertension be treated? What criteria warrant reintervention in recoarctation? Is long-term outcome better with medical therapy or catheter intervention for less than severe recoarctation? Should patients be screened for intracranial aneurysm, and if so, how often? Ebstein anomaly What is the indication for surgery in the asymptomatic patient? Who should have a Glenn shunt at the time of tricuspid valve surgery? Should surgeons attempt tricuspid valve repair or routinely perform replacement in all patients? TOF What is the optimal timing for pulmonary valve replacement in asymptomatic patients with TOF? Do pulmonary valve replacement and ventricular tachycardia ablation decrease the risk of SCD? Who needs a primary prevention ICD, and does this strategy reduce mortality? Is there a role for PAH therapies in TOF? Why does left ventricular dysfunction develop? TGA/systemic right ventricle Who benefits from ACE inhibitors/ARBs/beta blockers/spironolactone? Who needs a primary prevention ICD, and does this strategy prevent mortality? What imaging findings predict mortality/morbidity? In CCTGA with VSD/PS, does the double switch have better long-term outcomes than VSD closure and left ventricle to-PA conduit? When should tricuspid valve replacement be performed? What is the role of cardiac resynchronization therapy in patients with systemic right ventricle? ASO What are the long-term outcomes after ASO? How should the possibility of asymptomatic coronary disease (ostial, compression) and ischemia be assessed? 