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2019 Brown Heart Valve Symposium: Structural Heart Team Approach to Aortic & Mitral Valve Disease: Closing Gaps & Expanding Opportunities
There is a significant paradigm shift occurring in the management of patients with aortic and mitral valve disease. This recent changing landscape results in a lack of familiarity of how valve heart disease can be treated compared to the era when many providers received their medical school and residency/fellowship training.
Physicians and advanced care practitioners need to familiarize themselves with the most up to date guidelines on diagnosing and managing aortic and mitral valve disease, have a basic understanding of the options for management (medical, open surgical, and percutaneous approaches) and know how and when to refer patients to the heart team structural clinic.
Target Audience
Physicians, physician assistants, nurse practitioners, nurses, residents & fellows specializing in cardiology and primary care.
Learning Objectives
At the conclusion of this activity, participants should be able to:
- Evaluate the natural history of aortic & mitral valvulopathies.
- Assess the strengths & limitations of advanced imaging techniques for characterizing surgical anatomy & quantifying the severity of valve disease.
- Provide treatment recommendations and/or referral resources for patients with valvular heart disease.
- Assemble the appropriate multidisciplinary team, imaging technologies & catheter equipment to perform structural heart disease interventions.
- Provide insight into the role of advanced practice providers & specialist nurses in the heart team approach to valvular heart disease.
- Address ethical issues & the role of shared decision-making in recommending treatment options for advanced valvular heart disease.
Conference Fees
$50.00 Non-Brown Affiliated Residents and Fellows
$0.00 Brown Affiliated Residents and Fellows
| 7:00–7:45 am | Registration, Breakfast, and Exhibits |
| Aortic Valve Disease—State of the Art Interventions | |
| 7:45–8:00 | Welcome and Introduction Philip G. Haines, MD, MPH, MS, MRCP (UK) |
| 8:00–8:40 | Keynote: State of the Art of Percutaneous Valves Michael J. Mack, MD, FACC |
| Assessing Aortic Valve Disease—Defining the Problem Moderated by: Brian G. Abbott, MD; Philip G. Haines, MD, MPH, MS, MRCP (UK); Frank W. Sellke, MD | |
| 8:40–9:00 | What Can We See? Echo-Anatomical Correlation of the Aortic Valve Andrew Maslow, MD |
| 9:00–9:20 | CT & MRI in the Assessment of Valve Disease: An Open-and-Shut Case Michael K. Atalay, MD, PhD, FSCCT, FSCMR |
| 9:20–9:40 | Please Tell Me What I Need: Interventionist Perspective Paul C. Gordon, MD |
| 9:40–10:00 | Go With the Flow, How Low Can We Go? Updates on the Grading of Aortic Stenosis Katharine A. French, MD |
| 10:00–10:20 | Break & Visit Exhibits |
| Contemporary Approaches for Aortic Valve Disease Moderated by: Philip G. Haines, MD, MPH, MS, MRCP (UK); Frank W. Sellke, MD | |
| 10:20–10:40 | TAVR: The Lifespan Cardiovascular Institute Experience Paul C. Gordon, MD |
| 10:40–11:00 | Surgical AVR is a Viable Option for Patients: STS Data Michael J. Mack, MD, FACC |
| 11:00–11:20 | Shared Decision Making: Moving it Forward Megan Coylewright, MD, MPH |
| 11:20–11:40 | Leaflet thrombosis of SAVR and TAVR: Do we have the answer or are we guessing? Frank W. Sellke, MD |
| 11:40–12:00 pm | Basic Case Discussion Moderator: Athena Poppas, MD, FACC, FASE Panelists: Paul C. Gordon, MD; Philip G. Haines, MD, MPH, MS, MRCP (UK); Sumbal A. Janjua, MD; Michael J. Mack, MD, FACC; Robert Vazquez, MD, RPVI |
| 12:00–12:40 | Lunch and Visit Exhibits |
| Mitral Valve Disease—An Ever Changing Landscape Moderated by: Paul C. Gordon, MD; Rachel Karo, BSN, RN, CCRN | |
| 12:40–1:00 | Defining Primary versus Secondary MR Athena Poppas, MD, FACC, FASE |
| 1:00–1:20 | Echo-Anatomical Correlation of the Mitral Valve Andrew Maslow, MD |
| 1:20–1:40 | Imaging Spotlight Lecture: Structural/Interventional Imaging of the Mitral Valve Philip G. Haines, MD, MPH, MS, MRCP (UK) |
| 1:40–2:00 | Primary and Secondary Severe Mitral Regurgitation—Interventional Options Michael J. Mack, MD, FACC |
| 2:00–2:20 | Break & Visit Exhibits |
| 2:20–2:40 | Surgical Treatment of Ischemic MR: Results from the CT Surgery Network Frank W. Sellke, MD |
| 2:40–3:00 | Right Approach for the Right Patient: The Structural Heart Team Megan Coylewright, MD, MPH |
| 3:00–4:00 | Challenging Mitral Valve Cases Moderator: Philip H. Stockwell, MD Panelists: Megan Coylewright, MD, MPH; Paul C. Gordon, MD; Sumbal A. Janjua, MD; Michael J. Mack, MD, FACC; Robert Vazquez, MD, RPVI |
| 4:00 pm | Summary & Adjournment |
Parking will be available in the parking garage connected to the Medical Building, located on the corner of Richmond and Elm Streets. Enter through the Elm Street entrance.
Course Directors
Brian G. Abbott, MD
Professor of Medicine, Clinician Educator
Warren Alpert Medical School of Brown University
Director, Cardiovascular Imaging
Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Philip G. Haines, MD, MPH, MS, MRCP (UK)
Assistant Professor of Medicine
Warren Alpert Medical School of Brown University
Director, Structural and Interventional Echocardiography
Associate Director, Echocardiology Laboratory at
Rhode Island Hospital | Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Guest Faculty
Michael K. Atalay, MD, PhD, FSCCT, FSCMR
Associate Professor of Diagnostic Imaging
Associate Professor of Medicine
Warren Alpert Medical School
Vice Chair, Imaging Research
Director, Cardiac MRI & CT
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Rhode Island Medical Imaging
Megan Coylewright, MD, MPH
Assistant Professor of Medicine
Geisel School of Medicine, Dartmouth
Assistant Professor of The Dartmouth Institute
Geisel School of Medicine, Dartmouth
Associate Director, Structural Heart Disease Program
Dartmouth-Hitchcock Medical Center Lebanon, NH
Katharine A. French, MD
Assistant Professor of Medicine, Clinician Educator
Warren Alpert Medical School
Director, Women’s Cardiac Center
Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Newport Hospital | Newport, RI
Paul C. Gordon, MD
Associate Professor of Medicine, Clinician Educator
Warren Alpert Medical School
Director, Cardiac Catheterization Laboratory at The Miriam Hospital
Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Sumbal A. Janjua, MD
Teaching Fellow in Medicine
Echo and Structural Heart Fellow
Warren Alpert Medical School
Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Rachel Karo, BSN, RN, CCRN
Structural Heart Program Manager
Lifespan Cardiovascular Institute
Rhode Island Hospital | Providence, RI
Michael J. Mack, MD, FACC
Medical Director, Cariovascular Surgery
Baylor Health Care System
Chairman, Baylor Scott & White The Heart Hospital—Plano Research Center | Plano, TX
Medical City Dallas | Dallas, TX
Andrew Maslow, MD
Clinical Professor of Anesthesiology
Warren Alpert Medical School
Rhode Island Hospital | Providence, RI
Athena Poppas, MD, FACC, FASE
Professor of Medicine
Warren Alpert Medical School
Chief, Cardiology Division
Director, Lifespan Cardiovascular Institute
Director, Echocardiography
Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Newport Hospital | Newport, RI
Frank W. Sellke, MD
Karl E. Karlson, MD and Gloria A. Karlson Professor of Cardiothoracic Surgery
Professor of Surgery
Warren Alpert Medical School
Chief, Division of Cardiothoracic Surgery
Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital
Philip H. Stockwell, MD
Assistant Professor of Medicine, Clinician Educator
Warren Alpert Medical School
Associate Director
Lifespan Cardiovascular Institute Heart Failure Center
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Robert Vazquez, MD, RPVI
Teaching Fellow in Medicine
Echo and Structural Heart Fellow
Warren Alpert Medical School
Lifespan Cardiovascular Institute
Rhode Island Hospital & The Miriam Hospital | Providence, RI
Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and Lifespan Cardiovascular Institute. The Warren Alpert Medical School of Brown University is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation
Physicians: The Warren Alpert Medical School of Brown University designates this live activity for a maximum of 7.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physician Assistants/Nurse Practitioners: Participants will receive a Certificate of Attendance stating this program is designated for 7.0 hours AMA PRA Category 1 CreditsTM. This credit is accepted by the AAPA and AANP.
MOC Points
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up 7.0 medical knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credit claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Available Credit
- 7.00 AMA PRA Category 1 Credit™The Warren Alpert Medical School of Brown University is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 7.00 AttendanceParticipants will receive a Certificate of Attendance stating this program is designated for AMA PRA Category 1 Credit™. This credit is accepted by the AAPA and AANP.
Price
Conference Fees
$50.00 Non-Brown Affiliated Residents and Fellows
$0.00 Brown Affiliated Residents and Fellows