Course Information
New Frontiers for the Fontan Survivor: Challenges, Opportunities and the Ultimate Destination of Heart/Liver Transplantation

UCLA Meyer & Renee Luskin Conference Center
425 Westwood Plaza
Los Angeles, California
September 21, 2019
*Please note that the course syllabus will be available online only to registered attendees.
A password link will be sent prior to the course.





Download: [ PDF ]

Course Description

This one-day symposium provides a comprehensive update on the long-term issues faced by adult Fontan survivors. The course focuses on patients with “failing” Fontan physiology and the available tools and therapies for the treatment of this challenging subset of patients, including updates on medical therapies, catheter-based and surgical techniques for palliation and support. The ultimate therapeutic options of orthotopic heart and multi-organ transplantation are covered in detail as the need grows in this aging Fontan population. The target audience includes adult and pediatric congenital cardiologists, congenital and transplant cardiac surgeons, heart failure/transplant specialists, hepatologists, liver transplant surgeons, cardiac intensivists, cardiology and cardiac surgery trainees, cardiac nurses, nurse practitioners and physician assistants.

Registration Information

Enrollment

To enroll click here.

By Mail

Send the completed enrollment form to:

David Geffen School of Medicine at UCLA
Office of Continuing Medical Education
New Frontiers for the Fontan Survivor
10920 Wilshire Blvd., Suite 1060
Los Angeles, CA 90024-6512

By Fax

Fax the enrollment form with charge card information and your authorizing signature to (310) 794-2624.

By Phone

Use your American Express, MasterCard, VISA, or Discover card. Call (310) 794-2620

Course Fees

  • $150 Physicians
  • $95 Nurses and Allied Health Professionals
  • $75 Fellows/Residents

Refunds

Cancellations must be received in writing by Friday, August, 16, 2019 and will be subject to a $25 processing fee. No refunds will be granted after that date. If, for any reason, the course must be cancelled, discontinued, or rescheduled by the Office of Continuing Medical Education, a full refund will be provided.

Faculty

Course Directors

Jamil Aboulhosn, MD
Professor of Clinical Medicine and Pediatrics
Director, Ahmanson/UCLA Adult Congenital Heart Disease Center

Fady Kaldas, MD
Associate Professor of Surgery
Associate Director, Multi-Organ Transplantation & Hepatobiliary Surgery Fellowship Program
Director, Liver Transplantation Service
Ronald Reagan UCLA Medical Center

Jeannette Lin, MD
Associate Clinical Professor of Medicine
Director, ACHD Fellowship Program
Ahmanson/UCLA Adult Congenital Heart Disease Center

Ali Nsair, MD
Associate Clinical Professor of Medicine
Medical Director, Heart Transplantation and Mechanical Circulatory Support Device Services
Ronald Reagan UCLA Medical Center

Leigh Reardon, MD
Assistant Clinical Professor of Medicine and Pediatrics
Pediatric Heart Failure and Heart Transplantation
Director, Transitional Cardiac Care and Pediatric Mechanical Support
Ahmanson/UCLA Adult Congenital Heart Disease Center

Course Faculty

Arnold S. Baas, MD
Professor of Medicine
Cardiomyopathy, Heart Transplant and Mechanical Circulatory Support
Ronald Reagan UCLA Medical Center

Reshma Biniwale, MD
Associate Clinical Professor of Surgery
Cardiothoracic Surgery
UCLA Division of Cardiothoracic Surgery
Ronald Reagan UCLA Medical Center

Paul Clift, MD
Consult Cardiologist
University Hospital Birmingham
National Cardiovascular Specialty Lead
National Institute for Health Research Clinic Research Network

Daniel Cruz, MD, PhD
Associate Clinical Professor of Medicine
Cardiomyopathy, Heart Transplant and Mechanical Circulatory Support
Ronald Reagan UCLA Medical Center

Eugene DePasquale, MD
Assistant Clinical Professor of Medicine
Cardiomyopathy, Heart Transplant and Mechanical Circulatory Support
Ronald Reagan UCLA Medical Center

Ben Kratzert, MD
Assistant Clinical Professor of Anesthesiology
Cardiac Anesthesiology
Ronald Reagan UCLA Medical Center

Hillel Laks, MD
Chancellors Professor of Surgery
Emeritus Chief, Cardiothoracic Surgery
Ronald Reagan UCLA Medical Center
Mattel Children’s Hospital, UCLA

Daniel Levi, MD
Professor of Pediatrics
Director, Cardiac Catheterization Laboratory
Mattel Children’s Hospital, UCLA

Gentian Lluri, MD, PhD
Assistant Clinical Professor of Medicine
Ahmanson/UCLA Adult Congenital Heart Disease Center

Jeremy Moore, MD
Associate Professor of Pediatrics
Director, ACHD Electrophysiology
Ahmanson/UCLA Adult Congenital Heart Disease Center

Ashley Prosper, MD
Assistant Clinical Professor of Radiology
Ronald Reagan UCLA Medical Center
Mattel Children’s Hospital, UCLA

Kevin Shannon, MD
Professor of Pediatrics
Mattel Children’s Hospital, UCLA

Adam Small, MD
Adult Congenital Heart Disease Fellow
Ahmanson/UCLA Adult Congenital Heart
Disease Center

Weiyi Tan, MD
Adult Congenital Heart Disease Fellow
Ahmanson/UCLA Adult Congenital Heart Disease Center

Glen Van Arsdell, MD
Professor and Chief of Congenital Cardiac Surgery
Ronald Reagan UCLA Medical Center
Mattel Children’s Hospital, UCLA

Robert S. Venick, MD
Associate Professor of Pediatrics and Surgery
Director of Pediatric Liver and Intestinal Transplant Services
Mattel Children’s Hospital, UCLA

Christopher L. Wray, MD
Professor of Anesthesiology
Liver Transplant Anesthesiology
Ronald Reagan UCLA Medical Center

Program Agenda

Saturday, September 21, 2019

7:30 Continental Breakfast
8:00 Introduction and Welcome
Jamil Aboulhosn, MD
Session 1: Care for the “Stable” Fontan Survivor
Moderators: Gentian Lluri, MD, PhD and Jeannette Lin, MD
8:05 Growing Up with a Fontan
Leigh Reardon, MD
8:20 Medical Therapies
Gentian Lluri, MD, PhD
8:35 The Role of Echocardiographic Imaging and Exercise Testing
Jeannette Lin, MD
8:50 The Role of Cardiac Catheterization
Jamil Aboulhosn, MD
9:05 The Role of MRI and CT Imaging
Ashley Prosper, MD
9:20 Fontan Associated Liver Disease
Robert S. Venick, MD
9:35 Case Presentation and Overview of UCLA Fontan Survivorship Protocol for the Stable Outpatient
Adam Small, MD
9:50 Question & Answer
10:05 Coffee Break
Session 2: Care for the “Unstable” Fontan Survivor
Moderators: Kevin Shannon, MD and Jamil Aboulhosn, MD
10:20 How Do We Define a “Failing” Fontan?
Paul Clift, MD
10:40 Electrical Interventions for the Failing Fontan
Jeremy Moore, MD
10:55 Catheter-Based Interventions for the Failing Fontan
Daniel Levi, MD
11:10 Fontan Conversion Surgery– When/ How To Do It and When Not To Do It
Hillel Laks, MD
11:25 Case Presentation of an “Unstable” Fontan Survivor
Weiyi Tan, MD
11:40 Question & Answer
12:00 Lunch
Session 3: Evaluation for Transplant and Mechanical Support
Moderators: Leigh Reardon, MD and Ali Nsair, MD
1:00 OHT/OLT/MCS Evaluation Process
Arnold S. Baas, MD
1:15 Update on UNOS Organ Allocation
Eugene DePasquale, MD
1:30 Multi-Disciplinary Operative Planning
Jeannette Lin, MD
1:45 Management and Optimization of the Patient Awaiting Transplant
Daniel Cruz, MD, PhD
2:00 Mechanical Support Considerations
Leigh Reardon, MD
2:15 Case Presentation and Overview of the UCLA Fontan Protocol for Patients Awaiting Transplant
Gentian Lluri, MD, PhD
2:30 Question & Answer
2:45 Coffee Break
Session 4: Orthotopic Heart and Liver Transplantation for the Failing Fontan
Moderators: Glen Van Arsdell, MD and Fady Kaldas, MD
3:00 Challenges and Considerations of OHT in the Failing Fontan
Reshma Biniwale, MD
3:15 Challenges and Considerations of Combined OHT/OLT
Fady Kaldas, MD
3:30 Intraoperative Management of OHT/OLT
Christopher L. Wray, MD
3:45 Peri- and Post-Operative ICU Care
Ben Kratzert, MD
4:00 Intermediate and Long-Term Post-Transplant Management
Ali Nsair, MD
4:15 Overview of UCLA Fontan Heart and Heart/Liver Transplant Outcomes and Patient Story
Leigh Reardon, MD
Keynote Lecture
4:30 The Fontan Operation: What We Have Learned and Where We Are Going
Glen Van Arsdell, MD
5:15 Closing Remarks
Jeannette Lin, MD
5:20 Adjourn – Reception
Hosted by Faculty

Objectives

At the completion of this program, attendees should be able to:

  • Define the “failing” Fontan patient
  • Utilize evidence-based medical therapies for treatment and surveillance of the Fontan survivor
  • Diagnose Fontan associated liver disease
  • Refer appropriate Fontan patients for catheter-based mechanical and electrical interventions
  • Identify the role and the limitations of Fontan conversion surgery
  • Identify Fontan patients that may benefit from transplantation or mechanical support
  • Describe the short- and intermediate-term outcomes of single and multi-organ transplantation in Fontan patients

Accreditation

The Office of Continuing Medical Education, David Geffen School of Medicine at UCLA is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Office of Continuing Medical Education, David Geffen School of Medicine at UCLA designates this live activity for a maximum of 7.5 AMA PRA Category 1 Credits TM. Physicians should claim only credit commensurate with the extent of their participation in the activity.

The California State Board of Registered Nursing accepts courses approved by the AMA for category 1 credit as meeting the continuing education requirements for license renewal. Nurses from states other than California should inquire with their local State Board for specific continuing education policies.

Disclosures

The FDA has issued a concept paper which classifies commercial support of scientific and educational programs as promotional unless it can be affirmed that the program is "truly independent" and free of commercial influence. In addition to independence, the FDA requires that nonpromotional, commercially supported education be objective, balanced, and scientifically rigorous. The policy further states that all potential conflicts of interest of the CME staff and faculty be fully disclosed to the program's participants. In addition, Accreditation Council for Continuing Medical Education policy mandates that the provider adequately manages all identified potential conflicts of interest prior to the program. We at UCLA fully endorse the letter and spirit of these concepts.

Miscellaneous

Conference Location

UCLA Meyer & Renee Luskin Conference Center
425 Westwood Plaza
Los Angeles, CA 90095
855-522-8252
www.luskinconferencecenter.ucla.edu

Luskin Conference Center
The Luskin Conference Center features 254 beautifully-appointed guest rooms, many with sweeping views of the stunning campus architecture and beautifully landscaped grounds. The gracious guest experience at the Luskin Conference Center is further enhanced by a full-service restaurant and lounge, on-site professional catering services, well-equipped fitness center, concierge service, business center, and free Wi-Fi throughout the property.

Directions and Parking

From the 405 freeway, exit Wilshire Blvd., East toward Westwood. Turn left on Westwood Blvd., travel past Charles E. Young Dr. South and turn left on Structure 8 driveway. Drive up the ramp to the rooftop level to park. Pay per plate at the kiosk and display the parking permit on your dash. All day parking is $12.00.

Walk down one level and across pedestrian walkway toward Luskin Conference Center. Enter through Luskin Conference Center doors on right side.