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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
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
TOPICS / SPEAKERS
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
Date of Original Release: June 1, 2023
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