Session-Specific Learning Objectives

At the end of this program the participant will be able to:

Wednesday, October 13, 2021

10:20 – 11:20

Get the ball rolling

  • Translate the role of genetic counseling in patients with congenital heart disease into clinical practice
  • Choose the appropriate media to communicate with adolescents in transition to adult care
  • Apply key elements to establish an exercise program for patients with complex congenital heart disease and to develop strategies to motivate Patients for a healthy lifestyle
  • To recognize the programmatic challenges in the care of elderly ACHD patients

11:30 – 12:30

Advanced imaging in congenital heart disease

  • Integrate technical and operational tips and tricks to optimize 3D echo images
  • Validate the role of artificial intelligence in echocardiography
  • compare different methods for the assessment of the right ventricular size in Ebstein anomaly
  • Formulate key elements in virtual surgical planning in ACHD patients

12:45 – 13:45

Let’s talk about Fontan circulation

  • Summarize histopathological abnormalities in patients with Fontan circulation
  • Describe abnormalities in the lymphatic Fontan circulation
  • Critique the role of pulmonary vasodilators in Fontan patients
  • Estimate the importance of a multidisciplinary team approach to diagnose and to treat a failing subaortic right ventricle

13:45 – 14:45

Oral abstract presentations

  • Estimate the latest innovation in research in adult congenital heart disease
  • Formulate new research questions derived from presented abstracts
  • Translate latest results and innovation from research into clinical practice
  • Appraise critical review of abstract presentations

15:00 – 16:30

Debates: Let’s agree to disagree

Debate 1
Should Fontan patients referred for transplant have a heart and liver
transplant? Yes, vs. No

  • Formulate advanced treatment strategies for a patient with a failing Fontan circulation
  • Combine the risks and benefit of heart transplant only vs. heart and liver transplant
  • Recognize the importance of a multidisciplinary team approach to critically assess the different treatment strategies in complex patients

Debate 2
Should patients with ccTGA and indication for pacing have a CRT? Yes, vs. No

  • Report electrical treatment strategies for patients with ccTGA
  • Question the risks and benefit of CRT
  • Recognize the importance of a multidisciplinary team approach to critically assess indication of CRT in ccTGA

16:45 – 17:30

William G. Williams Lecture: Surgical challenges in ACHD in the 21st century

  • Describe new surgical challenges in the rapidly growing ACHD population in numbers and complexity
  • Identify innovative strategies to remain cutting edge in 2021
  • Recognize the importance of a multidisciplinary team approach to establish treatment strategies in complex patients

Thursday, October 14, 2021

10:00 – 11:00

Let’s talk about advanced heart failure

  • Describe strategies to identify patients at risk for heart failure and the need of referral to an ACHD heart failure clinic
  • Question of transplant listing criteria for patients with acquired heart disease if applied to ACHD patients
  • Identify candidates with a failing systemic right ventricle for ventricular assist device
  • Recognize advanced treatment options (ventricular assist device), their evidence and limitations for failing Fontan patients

11:10 – 13:00

Time for some challenging cases

  • Report medical, electrical, and surgical strategies for ACHD patients with a failing circulation
  • Appraise innovation and advances in catheter-based interventions in preparation for surgery or for patients too high risk for open heart surgery
  • Recognize the importance of a multidisciplinary team approach to establish a management plan for high-risk procedures
  • Estimate the lack of evidence in complex management decisions in ACHD

13:00 – 14:00

Break (Networking, Visit Posters and Exhibitors)

14:00 – 15:00

Let’s talk about interventions

  • Detect and interpret challenges and to apply solutions to overcome challenges of large RVOTs in the cath lab
  • To select candidates for percutaneous closure of a sinus venosus defect and to identify limitations of this technique
  • Select Fontan patients who benefit from closure of veno-venous collaterals
  • Discuss the value and risks of reverse Potts shunts for pulmonary hypertension

15:10 – 16:10

Cardiac Care Professionals Session

  • Describe key elements for optimal preparation of ACHD patients and their family members for surgery
  • Appraise the positive impact of a nurse led clinic in ACHD heart failure on patients’ quality of life and on readmission
  • Estimate the perception a professional care provider living with CHD and caring for ACHD patients
  • Recognize challenges in ACHD nursing in low-resource countries which differ from those in high-resource countries

16:15 – 17:00

Gary Webb Lecture: Lifespan perspective on CHD research

  • Estimate the changing landscape in ACHD research
  • Appraise challenges and barriers in ACHD research, and in international, multicentre research
  • Recognize the importance of national and international collaboration in ACHD research and of obtaining research funding for multicentre research
  • Discuss research gaps on ACHD

Friday, October 15, 2021

10:00 – 11:00

Challenges in ACHD care around the globe – ISACHD session

  • Describe the differences in challenges, barriers, needs and resources in the provision of patient care in low-resource countries which differ from those in high-resource countries
  • Estimate challenges in research in low- and middle-resource countries
  • Discuss ACHD care and research in a global perspective

11:10 – 12:10

Pregnancy and heart disease

  • Formulate the maternal and obstetrical challenges and risks for fertility therapy in women with congenital heart disease
  • Identify potential complications and choose the best management strategies for the mother and the fetus in a patient with a mechanical valve
  • Recognize the importance of a multidisciplinary team approach in pre-pregnancy counseling, and to manage women and during pregnancy and delivery

12:25 – 13:25

Patients with developmental challenges

  • Identify special needs, patient-centred education and adjustment of transition
  • Describe ethical and legal questions and barriers regarding decision-making for procedural interventions
  • Formulate red flags for the care team during the surgical pathway
  • Appraise the value of a clinic dedicated to the needs of patients with 22q11 syndrome

13:35 – 14:50

Research in ACHD

  • Describe the landscape of ACHD in the US
  • Summarize current multicentre research projects in North America
  • Recognize the value of multicentre research and registries
  • Estimate the importance of national and international collaboration in ACHD research

15:00– 15:15

ISACHD Research Awards

  • Appraise the impact of innovative research on patient care

15:15 – 16:00

Closing ceremony