Contemporary Diagnosis and Management of Adults with Congenital Heart Disease

Sponsored by the Stanford University School of Medicine

June 10, 2017 8:00 AM – 4:35 PMLi Ka Shing Center for Learning and Knowledge Stanford, CA

A Continuing Medical Education Conference Presented by the Division of Cardiovascular Medicine at the Stanford University School of Medicine

Statement of NeedThis symposium seeks to fulfill the need in practicing Adult & Pediatric Cardiologists, Internists, Pulmonologists, High-risk Obstetricians, and Hospitalists who care for adults with congenital heart disease (CHD) to increase knowledge and competence regarding contemporary diagnosis and management of adults with congenital heart disease. Topics will include: pulmonary hypertension treatment, assessment of coronary artery anomalies, using ACHD guidelines to facilitate diagnosis and management of adults with CHD, and the diagnosis and management of aortic aneurysms related to acquired conditions in patients with other types of CHD. The symposium will utilize lectures, case presentation, and panel discussions to optimize learning.

Learning ObjectivesAt the conclusion of this activity, learners will be able to:

• Appropriately assess patients with pulmonary hypertension associated with congenital heart disease for pulmonary vasodilator therapy

• Develop and implement an evidence-based management plan for patients with moderate and complex congenital heart disease

• Identify adults with moderate and complex congenital heart disease (CHD) who require consultation and refer to a specialty center for optimal management

• Discuss the signs and symptoms of coronary artery anomalies and provide timely referral to specialty care when appropriate

Target AudienceThis is a regional program designed for community physicians, adult & pediatric cardiologists, internists, pulmonologists, high-risk obstetricians, and hospitalists who care for patients with congenital heart disease, as well as nurses and other allied health practitioners interested in the care of patients with ACHD.

AccreditationThe Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation The Stanford University School of Medicine designates this live activity for a maximum of 7.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements; as long as the course is certified for AMA PRA Category 1 CreditTM (rn.ca.gov). Nurses will receive a Certificate of Participation following this activity that may be used for license renewal.

Commercial Support Acknowledgement This CME activity is supported in part by educational grants. A complete list of commercial supporters will be published in the course syllabus.

Program (subject to change)

7:30-8:00 AM Registration and Continental Breakfast

8:00-8:10 Welcome and Introduction George K. Lui, MD

8:10-8:30 Echocardiography in Pulmonary Hypertension Associated with Congenital Heart DiseaseGeorge K. Lui, MD

8:30-8:50 Eisenmenger Patients Should Be Started on Pulmonary Vasodilators Without a Right Heart CatheterizationAnitra W. Romfh, MD

8:50-9:10 Eisenmenger Patients Should Have a Right Heart Catheterization Prior to Pulmonary VasodilatorsRoham Zamanian, MD

9:10-9:45 Case Presentation: Management of Pulmonary Hypertension Associated with Congenital Heart DiseasePanelists: Jeffrey A. Feinstein, MD, MPH, Anitra W. Romfh, MD and Roham Zamanian, MD

9:45-10:00 Break

10:00-10:20 Future of ACHD: Team Based Care with the ACHD and General CardiologistsSusan M. Fernandes, LP.D., PA-C

10:20-11:10 Keynote: Why Everyone Should Follow the New ACHD Guidelines? Jamil Aboulhosn, MD

11:10-11:20 Q&A

11:20-12:00 Case Presentation: Let’s Put the New ACHD Guidelines to UsePanelists: Jamil Aboulhosn, MD, Daniel Murphy, Jr., MD, and Jennifer Ting, MD

12:00-12:30 PM Lunch

12:30-1:00 Coarctation of the Aorta: Natural History and OutcomeAlison K. Meadows, MD, PhD

1:00-1:30 Advanced Imaging of the Aorta: Coarctation, Interrupted Aortic Arch, Vascular Rings Frandics Chan, MD, PhD

1:30-2:00 Management of Aortic Aneurysms: Are the Guidelines Relevant in ACHD?David Liang, MD, PhD

2:00-2:40 Case Presentation: Catheter Solutions for the AortaPanelists: Jamil Aboulhosn, MD, Doff McElhinney, MD, and Pei-Hsiu Huang, MD

2:40-3:00 Break

3:00-3:30 Coronary AnomaliesIan Rogers, MD, MPH

3:30-4:00 Surgical Repair of Coronary AnomaliesFrank Hanley, MD

4:00-4:30 Atherosclerotic Cardiovascular Disease (ASCVD): the Final Pathway for ACHD Christiane Haeffele, MD, MPH

4:30-4:35 PM Closing Remarks

Opportunities for Q&A will be provided at the conclusion of each presentation.

Overview

REGISTER ONLINE AT CME.STANFORD.EDU/ACHD

FacultyCourse Co-DirectorsGeorge K. Lui, MDClinical Associate Professor of Cardio vascular Medicine and Pediatric CardiologyMedical Director of Adult Congenital Heart Program Ian S. Rogers, MD, MPHClinical Assistant Professor of Cardiovascular Medicine and Pediatric Cardiology

Keynote SpeakerJamil A. Aboulhosn, MDDirector of Ahmanson/UCLA Adult Congenital Heart Disease CenterStreisand Chair in Cardiology, Division of Cardiology, Department of Medicine and Pediatrics, David Geffen School of Medicine at the University of California, Los Angeles

Stanford FacultyFrandics Chan, MDAssociate Professor of RadiologyJeffrey A. Feinstein, MD, MPHDunlevie Family Professor of Pulmonary Vascular Disease and Professor, by courtesy of BioengineeringSusan M. Fernandes, LP.D., PA-CClinical Professor of Pediatric Cardiology and Cardiovascular Medicine, Program Director, Adult Congenital Heart Program

Christiane Haeffele, MD, MPHClinical Assistant Professor of Cardiovascular Medicine and Pediatric CardiologyFrank Hanley, MDProfessor of Cardiothoracic Surgery (Pediatric Cardiac Surgery), Lawrence Crowley, M.D., Endowed Professor in Child HealthDavid Liang, MD, PhDAssociate Professor of Cardiovascular Medicine Medical Director Center for Marfan Syndrome and Related Aortic DisordersDoff McElhinney, MDProfessor of Cardiothoracic Surgery (Pediatric Cardiac Surgery), Director of Clinical and Translational Research, Heart Center, Lucile Packard Children's HospitalDaniel J. Murphy, MDProfessor of Pediatric Cardiology, Medical Director, Ambulatory Services, Lucile Packard Children's HospitalAnitra W. Romfh, MDClinical Assistant Professor of Pediatric Cardiology and Cardiovascular MedicineRoham Zamanian, MDAssociate Professor of Pulmonary & Critical Care Medicine, Director, Adult Pulmonary Hypertension Service, Vera Moulton Wall Center for Pulmonary Vascular Disease

Guest FacultyPei-Hsiu Huang, MDMedical Director of Cardiac Catheterization Laboratory, Sutter Heart & Vascular Institute, Sutter Medical Center, SacramentoAlison K. Meadows, MD, PhD Director of Adult Congenital Heart Program, Kaiser Permanente, Northern California Jennifer Ting, MDCardiologist, Adult Congenital Heart Program, Kaiser Permanente, Northern California

Faculty DisclosureThe Stanford University School of Medicine adheres to ACCME Criteria, Standards and Policies regarding industry support of continuing medical education. Disclosure of faculty and their commercial relationships will be made prior to the activity.

All faculty are with the Stanford University School of Medicine unless otherwise noted.

REGISTER ONLINE AT CME.STANFORD.EDU/ACHD

REGISTER ONLINE AT CME.STANFORD.EDU/ACHD

RegistrationRegistration fee includes course materials, certificate of participation, continental breakfast and lunch.

Register online with a Visa or Master Card by visiting cme.stanford.edu/achd. If you prefer to pay by check or need assistance, please call (650) 497-8554 or email stanfordcme@stanford.edu. Be sure to register with an email address that you check frequently. Your email address is used for critical information, including registration confirmation, evaluation, and certificate.

Cancellation PolicyCancellations received in writing no less than 30 days before the course will be refunded, less a 20% administrative fee. No refunds will be made on cancellations received after that date. Please send cancellation requests to stanfordcme@stanford.edu.

Stanford University School of Medicine reserves the right to cancel this program; in the event of cancellation, course fees will be fully refunded.

Conference LocationLi Ka Shing Center for Learning and Knowledge291 Campus Drive, 2nd Floor Conference CenterStanford, California 94305conferencecenter.stanford.edu

AccommodationsNearby hotels with free shuttle to campus: Sheraton Palo Alto Hotel - (650) 328-2800The Westin Palo Alto - (650) 321-4422Please contact the hotel directly to secure a reservation.

Attendee Type FeesPhysician $175Nurse/AHP $125

Contact InformationFor questions about the symposium, please contact Debbie Aube, CME Conference Coordinator, (650) 724-5318 or email debaube@stanford.edu.

Stanford Center for Continuing Medical Education1520 Page Mill Road, Palo Alto, CA 94304Phone: (650) 497-8554 Email: stanfordcme@stanford.edu Web: cme.stanford.edu

Stanford University School of Medicine is committed to ensuring that its programs, services, goods

and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.

If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator as soon as possible.

Contemporary Diagnosis and Management of Adults with Congenital Heart DiseaseJune 10, 2017 • Li Ka Shing Center for Learning and Knowledge, Stanford, CA

cme.stanford.edu

Stanford UniversityStanford Center for Continuing Medical Education1520 Page Mill RoadPalo Alto, CA 94304Phone: (650) 497-8554Fax: (650) 497-8585