4th Annual UPMC Children’s Hospital of Pittsburgh’s Da Silva Center for Ebstein’s Anomaly Symposium

Pittsburgh, PA US
February 10, 2024

Ebstein’s malformation is a rare congenital heart disease, and few institutions have significant experience regarding the number of patients. The clinical presentation of Ebstein anomaly is variable, as well as the timing for surgical intervention. Many patients have the surgical repair of Ebstein’s anomaly postponed due to fear of having a tricuspid valve replaced by a prosthesis instead of repaired, which would imply 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 with rare need for tricuspid valve replacement. However, only a few surgeons are familiar with this operation, considering the variability of anatomical presentations of this congenital heart disease. The improved approach done by the UPMC team to treat newborns with Ebstein’s 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 treatment success and better long-term outcomes.

Ebstein's anomaly is a rare congenital heart defect affecting the tricuspid valve, right ventricle, and right atrium. 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 UPMC Children's Hospital of Pittsburgh specializes in this specific area and would like to share this knowledge with as many physicians as possible.

José Pedro Da Silva, Luciana Da Fonseca Da Silva, Jacqueline Kreutzer and Victor Morell

Target Audience

This symposium is designed for Pediatric and Adult Cardiologists, Pediatric and Adult Cardiac Surgeons, Physician Assistants, Nurse Practitioners, Nurses, and other professionals interested in Ebstein’s Anomaly.

Learning Objectives

• Education about Ebstein’s Anomaly regarding anatomy, complementary diagnostic tests, and contemporary indications for surgical treatment.
• Demonstration of surgical steps of the Cone procedure, especially the repair in special situations.
• Education about neonatal management in very sick newborns with contemporary resources and procedures available.
This event can improve the knowledge about this congenital heart disease, including its clinical and surgical management. The main points in clinical evaluation and surgical repair will be addressed.

Additional Information

AttachmentSize
PDF icon 4th Annual Da Silva Symposium Handbook 2024 FINAL (002).pdf455.21 KB
Course summary
Available credit: 
  • 4.00 AAPA Category I CME
  • 4.00 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.
  • 4.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 4.00 Attendance
Course opens: 
12/13/2023
Course expires: 
06/30/2024
Event starts: 
02/10/2024 - 9:00am EST
Event ends: 
02/10/2024 - 1:00pm EST
Add to calendar: 

Program Agenda:

9 a.m.                     Welcome and Introduction
Jacqueline Kreutzer, MD
 
Session I:                 Morphology of Ebstein Anomaly: Imaging Review 
Moderator: Jacqueline Kreutzer, MD
 
9:05 a.m.                 Fetal Echocardiogram 
Jacqueline Weinberg, MD

9:20 a.m.                 Echocardiogram Insights on Ebstein Anomaly
Norman Silverman, MD
 
9:45 a.m.                 Cross Sectional Imaging in Ebstein
Tarek Alsaied, MD
 
10:00 a.m.                 Heart Catheterization  
Sara Trucco, MD
     
10:15 a.m.              Panel Discussion 
Jacqueline Weinberg, MD 
José Pedro Da Silva, MD
Norman Silverman, MD
Sara Trucco, MD
Tarek Alsaied, MD 

Session II:               Session II: Staged Treatment of Ebstein Anomaly
Moderator: Laura Olivieri, MD 
Algorithm

10:40 a.m.               Critical Care Management of Neonatal Ebstein Anomaly
Joan Sanchez De Toledo, MD
 
10:55 a.m.               Neonatal Surgical Management of Ebstein Anomaly 
Christopher Knott-Craig, MD

11:10 a.m.               Imaging in Interstage Treatment of Ebstein Anomaly  
Adam Christopher, MD
 
11:25 a.m.                 Cone after Starnes
Luciana Da Fonseca Da Silva, MD

11:40 a.m.              Panel Discussion 
Adam Christopher, MD
Christopher Knott-Craig, MD
Joan Sanchez De Toledo, MD
José Pedro Da Silva, MD
Luciana Da Fonseca Da Silva, MD

Session III:              Cone Repair in Special Situations
Moderator: Tarek Alsaied, MD

12:05 p.m.               Cone Repair in Special Situations
Jose Da Silva, MD

12:20 p.m.              Panel Discussion 
Bryan Goldstein, MD
Christopher Knott-Craig, MD 
José Pedro Da Silva, MD 
Mario Castro Medina, MD
Norman Silverman, MD

12:40 p.m.              Patient Video  
 
Session IV:              Outcomes Review
 
12:45 p.m.               Results from our Center of the Cone Procedure for Ebstein’s Anomaly 
Jacqueline Kreutzer, MD
  
12:55 p.m.            Final Remarks
Jacqueline Kreutzer, MD

1:00 p.m.                 Adjournment

1 – 2 p.m.              Patient/Parent Conference (No CME credit awarded)
 Log into Breakout Session Link 

UPMC Children's Hospital of Pittsburgh Rango's Auditorium
4401 Penn Ave.
Pittsburgh, PA 15224
United States

Program Directors:
José Pedro Da Silva, MD
Professor of Cardiothoracic Surgery
Founding Director, Da Silva Center for Ebstein’s Anomaly
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Luciana Da Fonseca Da Silva, MD
Assistant Professor of Cardiothoracic Surgery
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Jacqueline Kreutzer, MD
Peter and Ada Rossin Endowed Professor and Chair of Pediatric Cardiology
Division Chief, Pediatric Cardiology
Co-Director, Heart Institute at UPMC Children’s Hospital of Pittsburgh

Victor O. Morell, MD
Eugene S. Wiener Endowed Professor and Chair of Pediatric Cardiothoracic Surgery
Chairman, Dept CT Surgery
University of Pittsburgh Medical Center
Surgeon-in-Chief, CHP
VP & Strategy Officer, UPMC-HVI

Invited Faculty:
Christopher Knott-Craig, MD
Professor of Surgery
Chief, Pediatric Cardiovascular Surgery
Susan and Alan Graf Endowed Chair of Excellence in Pediatric Cardiac Surgery
Executive Co-Director of the Heart Institute
University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital 

Norman H. Silverman, MD, DSc (Med.), FACC, FAHA, FASE
Professor of Pediatrics Honorary Faculty Emeritus, Pediatrics Stanford University Medical Center

University of Pittsburgh Faculty:
Tarek Alsaied, MD, FACC, MSc
Assistant Professor of Pediatrics
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Mario Castro Medina, MD
Assistant Professor of Cardiothoracic Surgery
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Adam Christopher, MD
Assistant Professor of Pediatrics
Director, Cardiac MRI and CT Programs
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Erin Colvin, CRNP
Supervisor, APP HVI
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Bryan H. Goldstein, MD
Professor of Pediatrics Director, Cardiac Catheterization Laboratory Heart Institute at UPMC Children’s Hospital of Pittsburgh 

Laura Olivieri, MD, FAHA, FSCMR
Associate Professor of Pediatrics Director, Noninvasive Cardiac Imaging
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Joan Sanchez de Toledo, MD, PhD
Assistant Professor of Pediatrics and Critical Care Medicine
UPMC Children’s Hospital of Pittsburgh

Sara M. Trucco, MD, FSCAI, FACC, FPICS
Associate Professor of Pediatrics
Associate Director, Cardiac Catheterization Laboratory
Director, Quality Improvement for Cardiac Catheterization
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Jacqueline Weinberg, MD
Assistant Professor of Pediatrics
Interim Director, Perinatal Cardiology
Heart Institute at UPMC Children’s Hospital of Pittsburgh

Course Coordinators:
Katie Scollon, MPAS, PA-C
Director, Pediatric Heart and Vascular Services
Heart Institute at UPMC Children’s Hospital of Pittsburgh
UPMC Heart and Vascular Institute

Drew Berkhoudt, MBA
Project Specialist
Heart Institute at UPMC Children’s Hospital of Pittsburgh
 

FACULTY DISCLOSURE
All individuals in a position to control the content of this education activity have disclosed all financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All of the relevant financial relationships for the individuals listed below have been mitigated.
Bryan H. Goldstein, MD: Grant/Research Support: Medtronic
Consultant: Medtronic, W.L. Gore & Associates, PECA Labs, Mezzion Pharma
Jacqueline Kreutzer, MD, FACC, FSCAI: Grant/Research Support: Medtronic; Edwards Lifesciences
Consultant: Medtronic

No other 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 with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 4.0 contact hours.

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 4.0 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

  • 4.00 AAPA Category I CME
  • 4.00 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.
  • 4.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 4.00 Attendance
Please login or register to take this course.

This program will be free of charge for all participants.  Registration is required.

Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by emailing berkhoudtd2@upmc.edu

All cancellations must be sent via email, berkhoudtd2@upmc.edu before February 6, 2023. 

For more information, please contact Drew Berkhoudt at berkhoudtd2@upmc.edu