Our previous genome-wide association study (GWAS) identified two susceptibility loci for congenital heart disease (CHD) in Han Chinese. Here we identify additional loci by testing promising associations in an extended 3-stage validation consisting of 6,053 CHD cases and 7,410 controls. We find GW significant (Po5.0 Â 10 À 8 ) evidence of 4 additional CHD susceptibility loci at 4q31.22 (rs1400558, upstream of EDNRA, P all ¼ 1.63 Â 10 À 9 ), 9p24.2 (rs7863990, close to SMARCA2, P all ¼ 3.71 Â 10 À 14 ), 12q24.13 (rs2433752, upstream of TBX3 and TBX5, P all ¼ 1.04 Â 10 À 10 ) and 20q12 (rs490514, in PTPRT, P all ¼ 1.20 Â 10 À 13 ). Moreover, the data from previous European GWAS supports that rs490514 is associated with the risk of CHD (P ¼ 3.40 Â 10 À 3 ). These results enhance our understanding of CHD susceptibility.