Oakstone Cleveland Clinic Comprehensive Lifetime Care of Adult Congenital Heart Disease 2023

Comprehensive Lifetime Care of Adult Congenital Heart Disease 2023 Adults with congenital heart disease (ACHD) are a rapidly growing, frequently underserved population who present new challenges in cardiology patient management. In Cleveland Clinic Comprehensive Lifetime Care of Adult Congenital Heart Disease — an online video CME course — presenters address the latest clinical and research advances in congenital anomaly morphologies. Description

• Include:  videos +  pdf, size:  GB
• Target Audience: cardiologists, interventional cardiologists, surgeons
• Sample video: contact me for sample video

Information: Evidence-Based Cardiology CME: Strategies for ACHD Adults with congenital heart disease (ACHD) are a rapidly growing, frequently underserved population who present new challenges in cardiology patient management. In Cleveland Clinic Comprehensive Lifetime Care of Adult Congenital Heart Disease — an online video CME course — presenters address the latest clinical and research advances in congenital anomaly morphologies. Evidence-based lectures focus on the best diagnostic modalities and interventions, as well as the most appropriate management strategies. You get continuing medical education that will improve your ability to:

• Assess right ventricular outflow tract reconstruction, including clinical evaluation and interventional, surgical, and hybrid options
• Assess and manage adults who underwent Fontan surgery, including imaging, treatment options, and timing of valve interventions, Fontan conversion, and heart failure therapies
• Assess and treat patients with Fontan-associated liver disease
• Recognize social and patient-perceived barriers that complicate the diagnosis and life-long management of ACHD
• Detail the highly complex ecosystem of adult congenital heart care and describe how new guidelines may shape care in the future

Date of Original Release: June 1, 2023 Date Credits Expire: May 31, 2025 Estimated Time to Complete: 12.00 hours

Learning Objectives

At the conclusion of this activity, the participant will be able to:

• Summarize the most recent developments in the assessment of right ventricular outflow tract reconstruction, including clinical evaluation and interventional, surgical, and hybrid options in adult patients with congenital heart disease
• Describe improvements in strategies in the assessment and management of adults who underwent Fontan surgery, including imaging, treatment options, and timing of valve interventions, Fontan conversion, and heart failure therapies
• Summarize options for the assessment and treatment of patients with Fontan-associated liver disease
• Describe the social and patient-perceived barriers that complicate the diagnosis and life-long management of adult congenital heart disease patients
• Detail the highly complex ecosystem of congenital heart care in adults, and describe how new guidelines may shape that care in the future

Intended Audience

This course is intended for cardiologists, interventional cardiologists, surgeons, nurses, physician assistants, social workers and all health care professionals involved in the evaluation, diagnosis and/or management of patients with adult congenital heart disease.

Topics:

ACHD General

• ACHA Accreditation & Using ACHA as a Platform for Patient Connections – Mark Roeder
• ACHD Guidelines – Karen Stout, MD
• Patient Experience Video and Panel – Moderators – David Highfill, LCSW and Amy Basken, MS
• Patients: Robin Davis, Jane McMaster Thornton, and Terese Quarino
• Panel Discussion and Q&A – Moderators – David Highfill, LCSW and Joanna Ghobrial, MD, MS
• Panel: Mark Roeder, Karen Stout, MD, and Tara Karamlou, MD, MSc

The Pulmonary Valve (TOF and Other Lesions)

• Ventricular Arrhythmia Risk Prediction in Repaired Tetralogy of Fallot Using Personalized Computational Cardiac Models – Natalia Trayanova, PhD
• Tetralogy of Fallot – RV Remodeling and Timing of PVR – Tara Karamlou, MD, MSc
• Tetralogy of Fallot – Managing More Than 4 Arrhythmias – Akash Patel, MD
• Transcatheter Pulmonary Valve Interventions – Joanna Ghobrial, MD, MS
• Keynote Presentation – Adult Congenital Heart Disease – Past, Present, and Future – Vaughn Starnes, MD
• Fireside Chat – Vaughn Starnes, MD, and Lars Svensson, MD, PhD

Single Ventricle Specifically

• Fontan Outpatient Evaluation and Medical Therapy – Sanjeeb (Sean) Bhattacharya, MD
• Surgery After Fontan Procedure – Edward John Hickey, MD
• Imaging – Echo, CT MR and 3D Printing for Fontan Imaging – Justin Tretter, MD
• EP – Arrhythmias in the Fontan Patient – Jeremy Moore, MD
• Fontan-Associated Liver Disease (FALD) – Evaluation for the Failing Fontan Liver, When to Transplant the Liver, When to Do En-Block Heart and Liver Transplantation – Koji Hashimoto, MD, PhD
• Timing of Advanced Heart Failure Therapy? Do We Wait Too Long? – Edward Soltesz, MD, MPH
• Nurse-NP Perspective – Fontan Patient Follow Up-Long Term Care – Nicole Rush, NP
• Panel Discussion and Q&A – Panel: Sanjeeb (Sean) Bhattacharya, MD, Edward John Hickey, MD, Justin Tretter, MD, Jeremy Moore, MD, Koji Hashimoto, MD, PhD, Edward Soltesz, MD, MPH, Nicole Rush, NP, Tara Karamlou, MD, MSc, and Natalia Trayanova, PhD

RV and LV Failure: Medical and Surgical Solution

• Pulmonary Hypertension – Medical Therapy for Systemic RVs – Is There Any Data? – Miriam Jacob, MD
• Evaluation of the Systemic RV and Systemic AV Valve – Rukmini Komarlu, MD
• ACHD – ICD or No ICD – Mohamed Kanj, MD
• VAD in the Systemic Right Ventricle – Surgical Pearls – Edward Soltesz, MD, MPH
• ccTGA Physiologic Repair vs Anatomic Repair – Is Adulthood Too Late for Anatomic Repair? – Tara Karamlou, MD, MSc
• Surgical Strategies for Challenging Small Aortic Root or Redo Aortic Root – Hani Najm, MD, MSc

Problems in ACHD: Innovations in Clinical Care and Research

Genetic Testing in Adult Congenital Heart Disease – Joseph Liu, MS, LGC

Bicuspid Aortic Valves and Aortopathy – New Approaches

• Case Presentation – Beka Bakhtadze, MD
• Imaging – Justin Tretter, MD
• Intervention – Joanna Ghobrial, MD, MS
• Surgical (Reimplantation in Bicuspid Valves) – Tara Karamlou, MD, MSc

Ebstein’s and Challenging – Atrioventricular Valves

• Case Presentation – Nandini Mehra, MD
• Imaging – Margaret Fuchs, MD
• Surgical – Vaughn Starnes, MD
• Interventional Approaches – Joanna Ghobrial, MD, MS

Ozaki and Ross – When and for Whom…and Does it Last

• Case Presentation – William Frankel, MD
• The Ross Procedure – Ismail El-Hamamsy, MD, PhD

AAOCA in Adults – Comprehensive Approach to Evaluation and Treatment

• Case Presentation – Thomas M. Das, MD
• Imaging – Joanna Ghobrial, MD, MS
• Surgical – Hani Najm, MD, MSc
•  CCF Outcomes – Tara Karamlou, MD, MSc

Panel Discussion and Q&A – Panel: Ismail El-Hamamsy, MD, PhD, Hani Najm, MD, MSc, and Tara Karamlou, MD, MSc

Special Topics in the Arc of Care for ACHD

• ACHD Groundbreaking Research Trials and Studies – Animesh (Aashoo) Tandon, MD and Amber Khanna, MD
• Adult Congenital Heart Disease and Socioeconomic Disparities – Keila Lopez, MD, MPH
• Reproductive Considerations for ACHD Patients in 2023 – Implications in a Restrictive Climate – Justin Lappen, MD
• Congenital Heart Disease and Sports – Michael Emery, MD