Introduction to this focused issue on “Current Management Aspects in Adult Congenital Heart Disease (ACHD)”: part II

There are three forces that drive innovation in the field of adult congenital heart disease (ACHD). First, it is the adult himself. He is the “new actor” in the field of congenital heart disease (CHD), and calls us physicians for action. Second, with the arrival of the ACHD in medical care, also “novel medical challenges” have emerged. Finally, with these novel medical challenges, a new generation of innovative researchers and physicians came along.