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Snapshot: The Sixth Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery

Dr.-Jonas.-WSPCHS

Dr. Richard Jonas shows surgical advancements using 3D heart models, which participants could bring back to their host institutions.

On July 22, 2018, more than 700 cardiac specialists met in Orlando, Fla. for the Sixth Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery (WSPCHS 2018).

The five-day conference hosted a mix of specialists, ranging from cardiothoracic surgeons, cardiologists and cardiac intensivists, to anesthesiologists, physician assistants and nurse practitioners, representing 49 countries and six continents.

To advance the vision of WSPCHS – that every child born with a congenital heart defect should have access to appropriate medical and surgical care – the conference was divided into eight tracks: cardiac surgery, cardiology, anesthesia, critical care, nursing, perfusion, administration and training.

Richard Jonas, M.D., outgoing president of WSPCHS and the division chief of cardiac surgery at Children’s National Health System, provided the outgoing presidential address, delivered the keynote lecture on Transposition of the Great Arteries (TGA) and guided a surgical skills lab with printed 3-D heart models.

Other speakers from Children’s National include:

  • Gil Wernovsky, M.D., a cardiac critical care specialist, presented on the complex physiology of TGA, as well as long-term consequences in survivors of neonatal heart surgery, including TGA and single ventricle.
  • Mary Donofrio, M.D., a cardiologist and director of the Fetal Heart Program, presented “Prenatal Diagnosis: Improving Accuracy and Planning Delivery for babies with TGA,” “Systemic Venous Abnormalities in the Fetus,” “Intervention for Fetal Lesions Causing High Output Heart Failure” and “Fetal Cardiac Care – Can We Improve Outcomes by Altering the Natural History of Disease?”
  • Gerard Martin, M.D., a cardiologist and medical director of global services, presented “Is the Arterial Switch as Good as We Thought It Would Be?” and “Impact, MAPIT, NCPQIC – How and Why We Should All Embrace Quality Metrics.”
  • Pranava Sinha, M.D., a cardiac surgeon, presented the abstract “Cryopreserved Valved Femoral Vein Homografts for Right Ventricular Outflow Tract Reconstruction in Infants.”

Participants left with knowledge about how to diagnose and treat complex congenital heart disease, and an understanding of the long-term consequences of surgical management into adulthood. In addition, they received training regarding standardized practice models, new strategies in telemedicine and collaborative, multi-institutional research.

“It was an amazing experience for me to bring my expertise to a conference which historically concentrated on surgical and interventional care and long-term follow-up,” says Dr. Donofrio. “The collaboration between the fetal and postnatal care teams including surgeons, interventionalists and intensive care doctors enables new strategies to be developed to care for babies with CHD before birth. Our hope is that by intervening when possible in utero and by planning for specialized care in the delivery room, we can improve outcomes for our most complex patients”.

The Johns Hopkins University School of Medicine, Florida Board of Nursing, American Academy of Nurse Practitioners National Certification Program, American Nurses Credentialing Center and the American Board of Cardiovascular Perfusion provided continuing medical credits for eligible providers.

“I was so proud to be a member of the Children’s National team at this international conference,” notes Dr. Wernovsky. “We had to the opportunity to share our experience in fetal cardiology, outpatient cardiology, cardiac critical care, cardiac nursing and cardiac surgery with a worldwide audience, including surgical trainees, senior cardiovascular surgeons and the rest of the team members necessary to optimally care for babies and children with complex CHD. In addition, members of the nursing staff shared their research about advancements in the field. It was quite a success – both for our team and for all of the participants.”

Washington Adult Congenital Heart Program staff

The Washington Adult Congenital Heart Program earns national accreditation from the Adult Congenital Heart Association

Washington Adult Congenital Heart Program staff

The Washington Adult Congenital Heart Program (WACH), part of Children’s National, earns accreditation from the Adult Congenital Heart Association for providing high-level, integrated care to patients with congenital heart disease.

Anitha John, M.D., Ph.D., a congenital heart disease (CHD) specialist and the director of the Washington Adult Congenital Heart Program (WACH) at Children’s National Health System, is a master of creating and leading multidisciplinary teams and networks to drive innovative standards to accelerate personalized treatment for adults born with heart conditions.

The Adult Congenital Heart Association (ACHA), a national organization dedicated to advancing adult congenital heart disease (ACHD) care, announces WACH as one of 19 medical centers in the country – and the first in the Mid-Atlantic region – to earn its accreditation, which signifies a center that provides high-level, comprehensive care.

WACH receives this accreditation by meeting ACHA’s criteria, which includes medical services and personnel requirements, and going through a rigorous accreditation process, both of which were developed over a number of years through a collaboration with doctors, physician assistants, nurse practitioners, nurses and ACHD patients.

There are 1.4 million adults in the U.S. living with one of many different types of congenital heart defects, ranging among simple, moderate and complex.

“There are now more adults than children in the U.S. with CHD,” said Mark Roeder, President and CEO of ACHA. “Accreditation will elevate the standard of care and have a positive impact on the futures of those living with this disease. Coordination of care is key, and this accreditation program will make care more streamlined for ACHD patients, improving their quality of life.”

A study published in Circulation examined mortality rates among 70,000 patients living with CHD over a 15-year period, from 1990 to 2005, and saw mortality rates fall with referrals to specialized ACHD care centers.

“This accreditation lets patients and other specialists know what to expect if they visit our center,” says Dr. John. “While the field of congenital heart disease is small enough to personalize, it’s large enough to standardize. I’m grateful to work with a wonderful team to provide this type of high-level care.”

Dr. John has a unique background to elevate standards of ACHD care, while creating tailored prescriptions. She is one of a handful of physicians with subspecialty training in ACHD, which she completed at the Mayo Clinic. Her formal training in internal medicine and general pediatrics, completed at Brown University, fits well with the subspecialty training she received as a pediatric cardiology fellow at Children’s Hospital of Philadelphia. Her research now focuses on clinical outcomes in congenital cardiology and advancing multicenter research efforts in adult congenital cardiology.

From March 2016 to 2018, Dr. John led the Alliance for Adult Research in Congenital Cardiology, the major multicenter research group in the U.S. focused on ACHD research. She’s also working with experts and patient advocates to guide efforts to set up a future ACHD patient registry, which will continue to guide research efforts and educate providers about ACHD care.

To help facilitate collaboration, Dr. John guides quarterly meetings of the Mid-Atlantic ACHD regional group.  Established in 2011 through Children’s National, the group has expanded to include ACHD providers from over 18 programs/practices from across the East Coast. This group provides a forum for patient case discussion and programmatic support. More importantly, the professional collaboration has served to not only improve patient care but also provides support to providers as they continue to care for a growing population of patients. This type of collaboration fosters mutual understanding and sets the stage for a relaxed but collegial environment where questions flow and learning occurs.

To further facilitate education, she created an inaugural patient day at the 7th Annual Adult Congenital Heart Disease in the 21st Century conference this past year, allowing patients to have their own educational summit – while opening the opportunity to providers to stay an extra day to learn about patient-centered care. The conference relies heavily on the participation of the Mid-Atlantic ACHD regional group of providers.

Patients learned as much about 3D heart models, pacemakers and noninvasive surgical techniques as they did about personalized approaches to lifestyle care, from practicing mindfulness to hearing about communication strategies to use with their medical teams and families. A variety of experts, from cardiac surgeons to clinical social workers, led the panels and breakout sessions.

“We’re empowering patients to become an active participant and an engaged member of their medical care team,” adds Dr. John.

ACHA supports WACH’s efforts and spoke at the conference, complementing its mission to serve and support the more than one million adults with CHD, their families and the medical community.

The WACH team includes not only Dr. John, but ACHD cardiologists Seiji Ito, M.D., and Tacy Downing, M.D.; Pranava Sinha, M.D., surgical director; Rachel Steury, R.N.P., advanced practitioner; Nancy Klein, R.N., clinical coordinator; Emily Stein, M.S.W., social worker; Whitney Osborne, M.P.H., clinical research coordinator, and Ruth Phillippi, M.S., program coordinator. The team works together seamlessly to fulfill the program mission of achieving clinical excellence, promoting research and providing education in the care of adults of with CHD.

For more information about WACH or to take advantage of resources for ACHD providers, please contact 202-821-6289 or visit www.ChildrensNational.org/WACH.