Guns Blazing: Wild West Debates of ACHD Controversies

Primary Prevention ICD in a Systemic RV with EF<30%?    YES: The Electric Safety Net!             
Karen Stout, MD
University of Washington, in Seattle, Washington

stout_karenDr. Karen Stout is a Professor of Medicine and Pediatrics (Cardiology) at the University of Washington, in Seattle, Washington.  She founded and directs the Adult Congenital Heart Disease program, which is a collaborative program between the University of Washington Medical Center and Seattle Children’s Hospital.  She participates in ACHD educational activities and is involved in ACHD focused organizational activities, including serving as the chair of the 2016 ACC/AHA Care of the Adult with Congenital Heart Disease Guidelines and as chair of the AHA Scientific Statement on Heart Failure in CHD.  She is on the Adult Congenital and Pediatric Cardiology Council of the ACC, is past chair of the AHA committee on Adults with Congenital Heart Disease, on the ACHD Exam writing committee and the Cardiology Board of the ABIM, as well as significant involvement with the Adult Congenital Heart Association.  In her spare time she enjoys snowboarding, hiking, biking, travelling and hanging out with her family and friends (and dog!).

Primary Prevention ICD in a Systemic RV with EF<30%?    NO: Keep Calm and Carry On.           

Alexander (Sasha) Opotowsky, MD
opotowsky-sashaDr. Opotowsky is a staff member of the Boston Adult Congenital Heart (BACH) and Pulmonary Hypertension service at Brigham and Women’s Hospital and Boston Children’s Hospital, both in Boston. He completed medical school at Columbia University College of Physicians and Surgeons followed by training in Internal Medicine at Brigham and Women’s, adult Cardiology at the University of Pennsylvania, and an additional fellowship in pulmonary vascular disease and adult congenital heart disease with the BACH group. His research focuses on congenital heart disease, exercise physiology, biomarkers and the pulmonary circulation.

A Congenital Heart Surgeon is Imperative to ACHD Care       
Ed Hickey, MD
Toronto General Hospital

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Ed Hickey is a congenital heart surgeon at Sick Kids, Toronto, and is the program lead for ACHD surgery at Toronto General Hospital.  His roots are British, and he graduated from the University of Southampton in 1999.  Much of his cardiac surgical training was in the UK (Southampton and Guy’s, London), before completing a fellowship at Sick Kids 2010-2012.  He was the Kirklin-Ashburn fellow for the Congenital Heart surgeons’ society 2006-2008, during which he learnt the art and science of parametric time-related analysis under the tutelage of Dr Eugene Blackstone.  His academic interests include:  1) understanding congenital heart disease through time-related analyses, 2) the Human Factor and impact of error in high-stakes medicine and 3) improving neurologic outcomes for neonates with congenital heart disease.

 

A Congenital Heart Surgeon is Not as Essential as We Think         
Michael Landzberg, MD
Children’s Hospital and Brigham and Women’s Hospital

landzberg-mikeDr. Michael Landzberg is founding Director of the Boston Adult Congenital Heart (BACH) and Pulmonary Hypertension Service of the Children’s Hospital and Brigham and Women’s Hospital, Boston, and Associate Professor of Medicine, Harvard Medical School. Dr. Landzberg is a native New Yorker, a graduate of the Bronx High School of Science and Columbia College, where he met his future wife, Abby. Harvard Medical School was followed by Internal Medicine training and Chief Residency at Columbia Presbyterian Medical Center, and ultimately dual Adult and Pediatric Cardiology Fellowship Training at Brigham and Women’s Hospital and Boston Children’s Hospital,
under the guidance of James Lock. He currently remains an awarded teacher, mentor, and clinician scientist at both institutions.

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Meeting Wrap Up

Thriving and Surviving as an ACHD Practitioner
Adrienne H Kovacs, PhD, CPsych
Adrienne Kovacs library headshot 2011

 

Keynote Address: Lessons from the Past, Directions for the  Future

Carole Warnes, MD
Mayo Clinic  Rochester
warnes-caroleDr. Warnes is a Professor of Medicine and a consultant in the Department of Cardiovascular Diseases and Pediatric Cardiology at Mayo Clinic in Rochester, Minnesota.
She received her medical degree from Newcastle upon Tyne University in England and completed general medical training before going to London to pursue cardiology.  She completed her postgraduate thesis at the National Institutes of Health before returning to the National Heart Hospital in London for another two years.  She joined the Department of Cardiovascular Diseases at Mayo Clinic in 1987, where she began the Adult Congenital Heart Disease Clinic.  She was Dean of the School of Continuing Medical Education for ten years.

At Mayo Clinic, she received the Henry S. Plummer Distinguished Physician Award in 2004, the Distinguished Educator Award in 2010, and has received eight Cardiovascular Teacher of the Year Awards.  In 2015 she received the Laennec master Clinician Award from the AHA, and in 2016 she received the 2016 Distinguished Fellow Award from the American College of Cardiology.  She co-chaired the ACC/AHA Guidelines for the Management of Adult Congenital Heart Disease, has edited three books, and published over 200 manuscripts.

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The Pulmonary Valve and its Implications

Consideration of Tricuspid Regurgitation in the Setting of Pulmonary Regurgitation       
Berto Bouma, MD, PhD

berto bouma picBerto Bouma, MD, PhD, is senior cardiologist specialised in Congenital Cardiology in adult patients and valvular heart disease in the Academic Medical Centre in Amsterdam, the Netherlands. His thesis was on clinical decision making in aortic stenosis. He is the current chairmen of the Dutch Working group on Echocardiography and active member of the national working group on Congenital Heart Disease in Adults. He participates in several research                                                  projects.
 

 

Should Expectation of a Future Percutaneous Pulmonary Valve Change the Timing of PVR Surgery?          
Michael Landzberg, MD
Dr. Michael Landzberg Pediatric Cardiology | Sharecare

landzberg-mikeMichael J. Landzberg, MD is a practicing Pediatric Cardiologist in Boston, MA. Dr. Landzberg graduated from Harvard Medical School in 1985 and has been in practice for 31 years. He completed a residency at Brigham & Womens Hospital. Dr. Landzberg also specializes in Cardiology (Cardiovascular Disease) and Internal Medicine. He currently practices at Childrens Hospital Boston and is affiliated with Baystate Medical Center, Beverly Hospital and Boston Children’s Hospital.  Dr. Landzberg is board certified in Internal Medicine. Dr. Landzberg also practices at Brigham and Womens Hospital in Boston, MA.

 

Unchained Melody–Monitoring for Endocarditis, Stent  Fractures, Etc. Post Deployment.   
Joseph Kay, MD

 

The Fate of the Bioprosthetic Pulmonary Valve             
Heidi Connolly, MD
connelly-heidi

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Fontan Considerations II (put Fontan I and II together in sequence)

The Australia/New Zealand Fontan Registry
Presented by David Celermajer, MBBS, MSc, PhD, DSc, FAHA, FRACP, FAA
The University of Sydney
celermajer-david
David Celermajer is the Scandrett Professor of Cardiology at The University of Sydney and Director of Echocardiography in the Cardiology Department at Royal Prince Alfred Hospital, as well as Staff Cardiologist at the Children’s Hospital in Westmead. He has been Group Leader of the Clinical Research Group of the the Heart Research Institute since 1994, and in 2003 was appointed as Clinical Director of the Heart Research Institute. He sits on the National Heart Foundation of Australia’s Cardiovascular Health Advisory Committee and is currently also a Board Member of the                                        Menzies School of Health Research in the Northern Territory.

 

Today’s Best Management Strategies for PLE
Presented by Anitha John,MD, PhD
Children’s National Health System

 Anitha John, MD, PhD, is the Director of the Washington Adult Congenital Heart (WACH) Program at Children’s National Medical Center in Washington, D.C. She completed a dual MD-PhD program in Medicine and Molecular Pathobiology and proceeded to train in internal medicine and pediatrics at Brown University School of Medicine before moving on to do a Pediatric Cardiology Fellowship at The Children’s Hospital of Philadelphia. She became one of a handful of physicians with subspecialty training in Adult Congenital Heart Disease when she completed an Adult Congenital Cardiology Fellowship at the Mayo Clinic. She is also among the first cohort of cardiologists to be Board-Certified in the newly-recognized subspecialty of Adult Congenital Cardiology. Dr. John is committed to research, leading several studies in congenital heart disease and participating in several multicenter studies. These studies have resulted in multiple publications and grant funding. Her research, focused on clinical outcomes in congenital cardiology, is dedicated to discovering the best tools for maintaining lifelong health and improving quality of life for the next generation of CHD patients. She is deeply committed to her patients, organizing a regional collaborative of adult congenital heart programs for the improvement of clinical care of patients in addition to fostering research collaborations

 

Lymphatics as a Potential Therapeutic Target
Presented by Yoav Dori, MD, PhD 
Director of Pediatric Lymphatic Imaging and Interventions and Lymphatic Research
The Children’s Hospital of Philadelphia

dori-yoav

Dr. Dori is a pediatric interventional cardiologist and lymphatic interventionalist with training in cardiac MRI and a Ph.D. in Chemical Engineering.  Together with Dr. Itkin he started the Center for Lymphatic Imaging and Interventions and is the Director of Pediatric Lymphatic Imaging and Interventions and Lymphatic Research.   His main clinical and research interest are in lymphatic flow disorders and the interface between the lymphatic and             cardiovascular system.

 

Emerging Mechanical Support for the Failing Fontan
Presented by Thomas K. Jones, MD
University of Washington School of Medicine
Seattle Children’s Hospital

jones-thomasA Professor of Pediatrics and Adjunct Professor of Medicine at the University of Washington School of Medicine and the Director of the Cardiac Catheterization Laboratories at Seattle Children’s Hospital.  Dr. Jones is a graduate of the Jefferson Medical College in Philadelphia.  After completing his pediatrics residency at the University of Washington and his pediatric cardiology fellowship training at the University of Colorado and the Denver Children’s Hospital, Dr. Jones returned to Seattle where he spent the first 8 years of his career in private practice.  In 1991 Dr. Jones helped create the Children’s Heart Center at the Seattle Children’s Hospital.  In the same year he joined the academic faculty of the University of Washington and became the first Director of the Cardiac Catheterization Laboratories at the Seattle Children’s Hospital.

Dr. Jones’ lifelong work has focused on congenital and structural interventional cardiac catheterization in children and adults.  He has worked to pioneer several less invasive techniques to correct congenital heart conditions.  He has authored over 100 manuscripts, book chapters, and editorials and has participated as an investigator in over 30 multi-center clinical trials in the U.S.  Dr. Jones collaborates with emerging technology companies to develop and test new products designed to treat congenital and structural heart conditions. His research interests are currently focused on percutaneous heart valve implantation.  He continues to serve on national committees and task forces promoting clinical guidelines and practice standards for patients with congenital heart disease. He is collaborates with the FDA on novel approval pathways to improve patient access to more effective cardiovascular devices needed to treat the uncommon conditions that congenital cardiologists face every day.

 

Transplant Considerations–When, Where, and What?
Presented by Stephanie Fuller, MD, MS
The Children’s Hospital of Philadelphia

fuller-stephanieAn attending surgeon in the Division of Cardiothoracic Surgery at The Children’s Hospital of Philadelphia. She is also an Associate Professor at the Perelman School of Medicine at the University of Pennsylvania. She is board certified in general surgery, thoracic surgery and congenital cardiothoracic surgery.  In addition to her pediatric patients, Dr. Fuller also operates on adult patients at Penn Medicine’s Hospital of the University of Pennsylvania and Pennsylvania Hospital (both in Philadelphia). She is the Surgical Director of the Philadelphia Adult Congenital Heart Center, a joint                                         program of The Children’s Hospital of Philadelphia and Penn                                                 Medicine.
Dr. Fuller lectures nationally and internationally and has published numerous peer-reviewed articles and has authored and co-authored numerous chapters for cardiothoracic surgery textbooks. She has leadership appointments at the Society of Thoracic Surgeons, American College of Cardiology and American Heart Association.

Dr. Fuller earned her medical degree from Eastern Virginia Medical School, Norfolk, VA, and then underwent nine years of training before she was appointed a surgeon at The Children’s Hospital of Philadelphia, including a residency in general surgery at Albert Einstein Medical Center, Philadelphia, and residencies in cardiothoracic surgery at George Washington University, Washington, DC, and Thomas Jefferson University Hospital, Philadelphia. She completed her training with a fellowship in congenital cardiothoracic surgery at The Children’s Hospital of Philadelphia.

Her research interests include adult congenital heart disease, neurodevelopmental outcomes and other quality of life outcomes after heart surgery; genetic factors in heart defects; and quality of life into adolescence and young adulthood in patients with pulmonary atresia with intact ventricular septum.

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Pregnancy Management

The Latest Data on Pregnancy and Mechanical Heart Valves.        
Presented by Jolien Roos-Hesselink, MD. PhD

roos-hesselink-jolienJolien Roos-Hesselink is Professor of Cardiology at the Erasmus MC in Rotterdam, The Netherlands.  She is director of the Department of Adult Congenital Heart Disease. Her clinical work and research involves adult congenital heart disease, pregnancy in cardiac patients and aortic disease.
She has authored and co-authored over 200 scientific publications and mentored 10 PhD students. She is incoming-chair of the ESC working group on Adult Congenital Heart Disease. She participated in the Taskforce for writing ESC-guidelines on Pregnancy and cardiac disease, and on Endocarditis.
At the moment she is principal investigator of a multicentre study investigating bicuspid aortic valve disease and Turner syndrome and she is founder and co-chairperson of the Registry on Pregnancy and Cardiac Disease (ROPAC) on behalf of the European Society of Cardiology.

 

Should She Push? Second Stage Labor Decisions.          
Presented by Abigail Khan, MD
khan-abigail
Dr. Abigail May Khan received her medical degree from Harvard Medical School and went on to complete a residency in internal medicine at Massachusetts General Hospital. She completed her adult cardiology fellowship at the University of Pennsylvania and then an adult congenital heart disease fellowship at UPenn/The Children’s Hospital of Philadelphia.  She is currently an Assistant Professor of Medicine at the Knight Cardiovascular Institute at Oregon Health & Science University in Portland, Oregon. Dr. Khan has published in multiple areas of cardiology including biomarkers, risk assessment, and advanced imaging. Her current clinical and research interests include cardiac disease in pregnancy and the use of claims data to understand outcomes in the ACHD population.

 

Cardiac Procedures during Pregnancy – Who, What, When and How?        
Presented by Carole Warnes, MD
Mayo Clinic, Rochester, Minnesota

warnes-caroleDr. Warnes is a Professor of Medicine and a consultant in the Department of Cardiovascular Diseases and Pediatric Cardiology at Mayo Clinic in Rochester, Minnesota.
She received her medical degree from Newcastle upon Tyne University in England and completed general medical training before going to London to pursue cardiology.  She completed her postgraduate thesis at the National Institutes of Health before returning to the National Heart Hospital in London for another two years.  She joined the Department of Cardiovascular Diseases at Mayo Clinic in 1987, where she began the Adult Congenital Heart Disease Clinic.  She was Dean of the School of Continuing Medical Education for ten years.
At Mayo Clinic, she received the Henry S. Plummer Distinguished Physician Award in 2004, the Distinguished Educator Award in 2010, and has received eight Cardiovascular Teacher of the Year Awards.  In 2015 she received the Laennec master Clinician Award from the AHA, and in 2016 she received the 2016 Distinguished Fellow Award from the American College of Cardiology.  She co-chaired the ACC/AHA Guidelines for the Management of Adult Congenital Heart Disease, has edited three books, and published over 200 manuscripts.

 

Managing the Dilated Aorta throughout Pregnancy and Labor.        
Presented by Candice Silversides, MD
Toronto Congenital Cardiac Center for Adults and  Obstetric Medicine Program,
University of Toronto

Silversides_Candice picDr. Silversides is an Associate Professor at the University of Toronto. She is research director of the Toronto Congenital Cardiac Center for Adults and head of the Obstetric Medicine Program at the University of Toronto. She co-chaired the 2009 Canadian Cardiovascular Society Consensus Conference on Adult Congenital Heart Disease. Her research has focused on adult congenital heart disease and pregnancy and heart disease.

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