First Annual UPMC Children's Hospital of Pittsburgh's DaSilva Center for Ebstein's Anomaly Symposium

February 20, 2021

Ebstein’s malformation is a rare congenital heart disease and few institutions have significant experience regarding number of patients. The clinical presentation of Ebstein anomaly is variable, as well the timing for surgical intervention. Many patients still have the surgical repair of Ebstein’s anomaly postponed due to the fear of having a tricuspid valve replaced by a prosthesis instead of repaired, which would imply in many reinterventions in life. Introduced in 1993 by Dr. Da Silva, the Cone procedure became the standard surgical repair for this disease, being applicable for almost all situations, however, only few surgeons are familiar with this operation, considering the variability of anatomical presentation of this congenital heart disease. The improved approach done by UPMC team to treat newborns with Ebstein anomaly with new surgical concepts, and the capability to do valve repair in complex situations need to be divulged. All professionals involved in the treatment of this heart condition need to understand the key points in the complementary tests and in the perioperative care that are crucial for the treatment success and better long-term outcomes.

Ebstein's anomaly is a rare congenital heart defect.  The Cone procedure that was developed is very specific to this patient population and is offered in only a few centers around the world.  There have been advances in technique for management of this heart defect and it is important for all pediatric cardiologists to understand the options that exist to best care for their patients and increase their chance of survival with the best possible outcomes.  The Children's Hospital of Pittsburgh specializes in this specific area of expertise and would like to share this knowledge with as many physicians as possible. 

 

Target Audience

This course is designed for pediatric and adult cardiologists, cardiothoracic surgeons, APPs, and other medical professionals interested in congenital heart disease.

Learning Objectives

Education about Ebstein’s malformation, a congenital disease of Tricuspid valve, right ventricle, and right atrium, regarding Embryology, Anatomy, Complementary diagnostic tests, Contemporary indications for Surgical treatment. Demonstration of surgical steps of Cone procedure, specially the repair of complex cases applying the Cone procedure. Education about neonatal management in very sick newborns with contemporary resources and procedures available.

This activity can improve the knowledge about this congenital heart disease, its clinical and surgical management. The main points in clinical evaluation and surgical repair will be addressed.

Additional Information

Course summary
Available credit: 
  • 3.75 AAPA Category I CME
  • 3.75 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 3.75 Attendance
Course opens: 
12/09/2020
Course expires: 
06/30/2021
Event starts: 
02/20/2021 - 9:00am
Event ends: 
02/20/2021 - 1:00pm
Cost:
$1.00

9:00 AM     WELCOME
Victor O. Morell, M.D.
Jacqueline Kreutzer, M.D., F.A.C.C., F.S.C.A.I.

9:05 AM – 10:15 AM  EMBRYOLOGY AND DIAGNOSIS 
Moderators: Jacqueline Kreutzer, M.D., F.A.C.C., F.S.C.A.I.
Luciana Da Fonseca Da Silva, M.D.

9:05 AM    Embryology / Anatomy
Professor Robert H. Anderson, MD, FRCPath (15 min)

9:20 AM    Video Demonstration of heart specimens
William Devine, B.S. (10 min)

9:30 AM    Echocardiography: what we need to know? 
Lizabeth Lanford, M.D. (15 min)

9:45 AM    Interesting diagnostic images
Adam Christopher, M.D. (15 min)

10:00 AM   DISCUSSION (10 min)

10:10 AM   The Avery Bush Family
Moderator: Erin Colvin, CRNP

10:15- 11:15 AM   SURGICAL TREATMENT
Moderators: Victor O. Morell, M.D.
Lee Beerman, M.D.

10:15 AM   The Cone repair: basics
Jose Pedro Da Silva, M.D. (15 min)

10:30 AM   Arrhythmias: diagnosis and management
Gaurav Arora, M.D. (15 min)

10:45 AM   The Cone repair: special situations
Jose Pedro Da Silva, M.D. (15 min)

11:00 AM   DISCUSSION (10 min) 

11:10 AM   The Kasyn Smith Family
Moderator:    Erin Colvin, CRNP

11:15 AM - 11:30 AM  BREAK

11:30 AM - 12:30 AM  FETAL AND NEONATAL EBSTEIN’S
Moderators: Melita Viegas, M.D.
Justin Yeh, M.D. 

11:30 AM   Fetal diagnosis, gestational management and childbirth     planning
Jennifer Johnson, D.O.  (15 min)

11:45 AM   Neonatal Ebstein’s care in CICU
Justin Yeh, M.D. (15 min)
   
12:00 PM   Surgical treatment in Neonatal Ebstein’s: What is new?
Luciana Da Fonseca Da Silva, M.D. (15 min)

12:15 PM   DISCUSSION (10 min)

12:25 PM   The Joslyn and Megan Trodglen Family
Moderator: Erin Colvin, CRNP

12:30 PM   Outcomes of Da Silva Cone Procedure
Ruediger Lange, M.D. (15 min)

12:45 PM   Discussion & Final remarks (15 min)
Jose Pedro Da Silva, M.D.
Victor Morell, M.D.

1:00     Adjournment

Live Virtual Conference

Children’s Rangos Auditorium
Online Zoom

Symposium Co-Directors:
Victor Morell, MD, and Jacqueline Kreutzer, MD, FACC, FSCAI

Faculty:
Professor Robert H. Anderson, MD, FRCPath
Visiting Professor
Institute of Genetic Medicine
Newcastle University
Newcastle-upon-Tyne
United Kingdom

Gaurav Arora, MD
Associate Professor of Pediatrics
University of Pittsburgh School of Medicine
Associate Director of Electrophysiology
Associate Vice-Chair of Pediatrics, Clinical Affairs, Ambulatory Care
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Lee Beerman, MD
Professor of Pediatrics
University of Pittsburgh School of Medicine
Director, Electrophysiology Services
Director, Pediatric Arrhythmia Program
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Adam Christopher, MD
Assistant Professor of Pediatrics
University of Pittsburgh School of Medicine
Director of Cardiology MRI and Ct Programs
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Erin Colvin, CRNP
Supervisor, APP HVI
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Luciana Da Fonseca Da Silva, MD
Clinical Assistant Professor
University of Pittsburgh School of Medicine
Department of Cardiothoracic Surgery
Pediatric Cardiothoracic Surgery
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Jose Pedro Da Silva, MD
Department of Cardiothoracic Surgery
Surgical Director, Center for Valve Therapy
Founding Director, Da Silva Center for Ebstein’s Anomaly    
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

William Devine, BS
Retired Curator of the Frank E. Sherman and 
Cora C. Lenox Heart Museum
Department of Pathology
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Jennifer Johnson, DO
Assistant Professor of Pediatrics
University of Pittsburgh School of Medicine
Director, Perinatal Cardiology
UPMC Children’s Hospital of Pittsburgh
UPMC Magee Women’s Hospital
Pittsburgh, Pennsylvania

Jacqueline Kreutzer, MD, FACC, FSCAI
Professor of Pediatrics
University of Pittsburgh School of Medicine
Peter and Ada Rossin Endowed Chair in Pediatric Cardiology
Division Chief, Pediatric Cardiology
Co-Director, Heart Institute
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Lizabeth Lanford, MD
Clinical Assistant Professor
Department of Pediatrics
University of Pittsburgh School of Medicine
Interim Director, Echocardiography Laboratory
UPMC Children’s Hospital of Pittsburgh 
Pittsburgh, Pennsylvania

Prof. Dr. med. Rüdiger Lange
Director of the Clinic for Cardiac and Vascular Surgery
German Heart Center München
München, Germany

Victor O Morell, MD
Eugene S. Wiener Endowed Professor and Chair
Pediatric Cardiothoracic Surgery
Surgeon-In-Chief, UPMC Children’s Hospital of Pittsburgh
Vice Chair & Director of Cardiovascular Services, Dept. CT Surgery
Executive Director, UPMC Heart & Vascular Institute
Co-Director, CHP Heart Institute
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Katie Scollon, MPAS, PA-C
Director of Pediatric Heart and Vascular Services
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Justin Yeh, MD
Associate Professor of Critical Care Medicine and Pediatrics
University of Pittsburgh School of Medicine
Chief, Division of Pediatric Cardiac Intensive Care Medicine
Co-Director, Heart Institute
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Melita Viegas, MD
Assistant Professor
University of Pittsburgh School of Medicine
Department of Cardiothoracic Surgery
Director Pediatric Mechanical Cardiopulmonary Support
UPMC Children’s Hospital of Pittsburgh
Pittsburgh, Pennsylvania

Faculty Disclosure:
All individuals in a position to control the content of this education activity including members of the planning committee, speakers, presenters, authors, and/or content reviewers have disclosed all relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients.

The following relevant financial relationships were disclosed:

Jacqueline Kreutzer, MD, FACC, FSCAI
Grant/Research Support: Medtronic; Edwards LifeSciences
Consultant: Medtronic

Ruediger Lange, MD
Consultant: Medtronic, Abbott, Highlife
CE Speakers’ Bureau: Medtronic, Abbott
Stockholder: Highlife
Other: Royalties - Medtronic

No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

In support of improving patient care, the University of Pittsburgh 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.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistant (AAPA)
The University of Pittsburgh 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 3.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. 

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Available Credit

  • 3.75 AAPA Category I CME
  • 3.75 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 3.75 Attendance

Price

Cost:
$1.00
Please login or register to take this course.

Any questions please contact Angela E. Kinnunen, MPA, Project Manager HVI, UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center at kinnunenae@upmc.edu