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Cleveland Clinic Comprehensive Lifetime Care of Adult Congenital Heart Disease

Cleveland Clinic Comprehensive Lifetime Care of Adult Congenital Heart Disease

Earn up to 12.00 CME credits | ABIM | ANCC | AAPA

Cleveland Clinic Comprehensive Lifetime Care of Adult Congenital Heart Disease

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Quick Facts

Overview

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

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

Faculty

Activity Co-Directors

Lars Svensson, MD, PhD

Chairman

Miller Family Heart, Vascular & Thoracic Institute

Joanna Ghobrial, MD, MS

Department of Cardiovascular Medicine

Miller Family Heart, Vascular & Thoracic Institute

Tara Karamlou, MD, MSc

Department of Cardiovascular & Thoracic Surgery

Miller Family Heart, Vascular &Thoracic Institute

Hani Najm, MD, MSc

Chair, Pediatric and Congenital Heart Surgery

Department of Cardiovascular & Thoracic Surgery

Miller Family Heart, Vascular & Thoracic Institute

Katherine Hoercher, RN, FAHA, AACC

Senior Director

Miller Family Heart, Vascular & Thoracic Institute

Faculty

Planning Committee

Margaret Fuchs, MD

Department of Cardiovascular Medicine

Miller Family Heart, Vascular & Thoracic Institute

Debra Kangisser, PA-C

Clinical Affairs, PA Services

Faculty

Guest Faculty

Ismail El-Hamamsy, MD, PhD

Mount Sinai Health System

New York, NY

Edward John Hickey, MD

Texas Children’s Hospital

Houston, TX

David Highfill, LCSW

UCLA Medical Center

Los Angeles, CA

Amber Khanna, MD

University of Colorado

Anschutz Medical Center

Aurora, CO

Keila Lopez, MD, MPH

Texas Children’s Hospital

Houston, TX

Joseph Liu, MS, LGC

Genetic Counselor

Center for Personalized Genetic Healthcare Genomic Medicine Institute

Cleveland, OH

Jeremy Moore, MD

UCLA Medical Center

Los Angeles, CA

Mark Roeder

President & CEO

Adult Congenital Heart Association

Media, PA

Vaughn Starnes, MD

University of Southern California

Los Angeles, CA

Karen Stout, MD

University of Washington

Seattle, WA

Natalia Trayanova, PhD

Johns Hopkins University

Baltimore, MD

Cleveland Clinic Faculty

Beka Bakhtadze, MD

Cardiology Fellow

Sanjeeb (Sean) Bhattacharya, MD

Department of Cardiovascular Medicine

Miller Family Heart, Vascular & Thoracic Institute

Thomas M. Das, MD

Cardiovascular Medicine Fellow

Michael Emery, MD

Sports Cardiology Center

Department of Cardiovascular Medicine

Miller Family Heart, Vascular & Thoracic Institute

William Frankel, MD

Department of Thoracic and Cardiovascular Surgery

Koji Hashimoto, MD, PhD

Director of Living Donor Liver Transplantation

Director of Pediatric Liver Transplantation

Department of General Surgery

Digestive Disease & Surgery Institute

Miriam Jacob, MD

Department of Cardiovascular Medicine

Miller Family Heart, Vascular & Thoracic Institute

Mohamed Kanj, MD

Department of Cardiovascular Medicine

Miller Family Heart, Vascular & Thoracic Institute

Rukmini Komarlu, MD

Department of Pediatric Cardiology

Cleveland Clinic Children’s

Justin Lappen, MD

Section Head, Maternal Fetal Medicine

Department of Obstetrics and Gynecology

Ob/Gyn & Women’s Health Institute

Nandini Mehra, MD

Fellow, Cardiovascular Medicine

Akash Patel, MD

Department of Pediatric Cardiology

Cleveland Clinic Children’s

Nicole Rush, NP

Department of Pediatric Cardiology

Cleveland Clinic Children’s

Edward Soltesz, MD, MPH

Department of Thoracic and Cardiovascular Surgery

Miller Family Heart, Vascular & Thoracic Institute

Animesh (Aashoo) Tandon, MD

Director of Cardiovascular Innovation

Cleveland Clinic Children’s

Justin Tretter, MD

Department of Pediatric Cardiology

Cleveland Clinic Children’s

Accreditation

In support of improving patient care, Cleveland Clinic Center for Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Designation

American Medical Association (AMA)
Cleveland Clinic Center for Continuing Education designates this enduring activity for a maximum of 12.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

American Nurses Credentialing Center (ANCC)
Cleveland Clinic Center for Continuing Education designates this enduring activity for a maximum of 12.00 ANCC contact hours.

American Academy of PAs (AAPA)
Cleveland Clinic Center for Continuing Education has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 12.00 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Certificate of Participation

A certificate of participation will be provided to other health care professionals for requesting credits in accordance with their professional boards and/or associations.

American Board of Internal Medicine (ABIM)

Successful completion of their CME activity, which includes participation in the evaluation component, enables the participant to earn up to 12.00 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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.

Faculty Affiliations Disclosure

In accordance with the Standards for Integrity and Independence issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education mitigates all relevant conflicts of interest to ensure CE activities are free of commercial bias.

Disclosure information for all individuals in control of the content of the activity is located on the Faculty Disclosure page in the PDF and printed syllabus.

Quick Facts

a CMEinfo video production

Provided by: Cleveland Clinic

Activity Directors:

Lars Svensson, MD, PhD
Chairman
Miller Family Heart, Vascular & Thoracic Institute
Joanna Ghobrial, MD, MS
Department of Cardiovascular Medicine
Miller Family Heart, Vascular & Thoracic Institute
Tara Karamlou, MD, MSc
Department of Cardiovascular & Thoracic Surgery
Miller Family Heart, Vascular &Thoracic Institute
Hani Najm, MD, MSc
Chair, Pediatric and Congenital Heart Surgery
Department of Cardiovascular & Thoracic Surgery
Miller Family Heart, Vascular & Thoracic Institute
Katherine Hoercher, RN, FAHA, AACC
Senior Director
Miller Family Heart, Vascular & Thoracic Institute

Credits: Earn a maximum of 12.00 AMA PRA Category 1 Credits™ and 12.00 ABIM MOC points

Cleveland Clinic Comprehensive Lifetime Care of Adult Congenital Heart Disease