british congenital cardiac association · mr caner salih - lead congenital surgeon and head of...
TRANSCRIPT
![Page 1: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/1.jpg)
Annual Meeting of the British Congenital Cardiac Association
British Congenital Cardiac Association
14th & 15th November 2018 The ACC Liverpool, Kings Dock
![Page 2: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/2.jpg)
Platinum Sponsor:
Silver Sponsors:
Gold Sponsors:
Charity Sponsors:
The companies below have sponsored the event and may have a stand present. However, they have had no input into or influence over the programme content except where indicated.
Meeting part sponsored by Abbvie
![Page 3: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/3.jpg)
Welcome:
Welcome to the 2018 Scientific Meeting of the BCCA, PECSIG, CCNA and BACCNA at the ACC in Liverpool. On behalf of the team at Alder Hey and from the North West Congenital Partnership we are pleased to host you for an exciting meeting focussing on innovation. We are excited to be offering a stimulating imaging parallel session utilising 3D printing and augmented reality in collaboration with colleagues from Toronto Sick Kids. This unique venue has also provided the opportunity to invite colleagues from congenital cardiac anaesthesia and paediatric intensive care to participate and enhance this years meeting. We hope the rich and varied programme will showcase some of the world-leading work and research going on in the UK and bring together international leaders in their fields to inspire and share new ideas. We would like to thank our sponsors for supporting this years meeting and wish you all a successful conference.
Best wishesCaroline and Rafael
Organising Committee (BCCA)Mr Rafael Guerrero and Dr Caroline JonesAlder Hey Children’s Hospital NHS Foundation Trust
Parallel Sessions CommitteeAlder Hey Children’s Hospital NHS Foundation Trust:Dr Philip Arnold (Anaesthesia / PICU)
Dr Musa Kaleem (Imaging)
Dr Kent Thorburn (Anaesthesia / PICU)
Helen Walker (CCNA)
Dr Alex Williams (Imaging)
Dr Steven Breary, Countess of Chester NHS Foundation Trust (PECSIG)
Linda Griffiths, Liverpool Heart & Chest Hospital (BACCNA)
Dr Joyce Lim (Imaging)
Dr Sameer Misra, Royal Bolton Hospital (PECSIG)
Dinner Information:Venue: Camp and Furnace, 67 Greenland StreetTime: 20:00Dress code: Smart / cocktailDrinks reception: 19:30 at Camp and FurnaceDinner: Banqueting style
The Madeleine Steel Charitable Trust:Madeleine Louise Steel, universally loved as “Maddy” was born on June 5th 2001 in the Simpson Memorial Pavilion in Edinburgh. She is Andrew and Veronica’s first child and despite having numerous health challenges in her short life, she was mainly cheerful, highly engaging and was cherished by all her family. Maddy died in her mother’s arms on November 24th 2001, following essential heart surgery for her Ebstein’s Anomaly, but her memory and her fight go on in the treasured memories of her family and in the practical form of the Fellowship established in her name.The Trust aims to endow permanent annual scholarships to promote transatlantic sharing of latest research and medical best practices in the field of paediatric cardiology. The Trust also supports related activities, such as visiting professorships and one-off medical research awards.We hope to provide opportunities for specialists to gain and develop better and more effectivetreatments for people with congenital cardiac conditions. Not only will we have a spread of returning trainees across the specialist centres in the UK, but we hope they will be passing on their new expertise to other specialists in the UK.
The Madeleine Steel Charitable Trust is delighted to be sponsoring Dr Wayne Tworetzky, Dr XingQuansheng and Dr Shi-Joon Yoo to speak at this conference.
The Young Investigator Award offering the opportunity to travel to a US conference is also beingmade with the generosity of the supporters and donors of the Madeleine Steel Charitable Trust.The Madeleine Steel Charitable Trust also sponsored 20 bursaries for Nurses with funds raised by Maddy’s aunt – herself a nurse.
A shuttle bus service will be running between 19:15 and 19:45 from the taxi rank at the ACC to the Camp and Furnace
![Page 4: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/4.jpg)
DAY 1: Wednesday 14th November
BCCA - Room 11
Anaesthesia and PICU
- Room 4
CCNA Paediatric Nurses
- Drum Lecture Theatre B
08:00
REGISTRATIONREGISTRATION
08:45 WELCOME & INTRODUCTION
09:00 Cardiac visualisation using 3D printing and immersive technologySingle ventricle home monitoring: reducing interstage mortality
09:30The evolution of mechanical circulatory support and its impact on paediatric transplantation in the UK
Non-cardiac surgery and children with congenital heart disease
Play as preparation for the Fontan operation
10:00 New technologies in ICD therapy: has our threshold changed?
From theory to practice: practical management of sever bleeding after surgery in 2018
Challenges of young people with a single ventricle circulation
10:30 REFRESHMENTS, EXHIBITION & POSTERS
11:00 Predicting biventricular repair in the fetus with unbalanced ventricles
Enchanced recovery and paediatric heart surgery
Feeding challenges in infants with CHD
11:30 Assessment of unbalanced ventricles: an imaging toolkit
Nurse led fast track recoveryChildren with Single Ventricle Heart Defects: Considering the Parent Experience
12:00 Biventricular repair following previous univentricular palliation
Techniques to facilitate rapid recovery
Exploring risk and uncertainty in congenital cardiac surgery
12:30 LUNCH, EXHIBITION & POSTERS
12:45 ADMEDUS SPONSORED SYMPOSIUM (12:45 - 12:30)
13:00 POSTER WALK
13:30Fetal interventions for congenital heart defects: lessons learned and future directions
Its not her heart…managingthe ICU patient with multiple co-morbidities
RSV prophylaxis: a nurse led programme
14:00
Abstract presentations
Using the literature to inform treatment decision in CICU...why is it so darned difficult?
Utilising technology to improve anti-coagulation management
14:30 HLH complicarting the post-operative course - a case series
Feeding neonates after surgery
15:00 REFRESHMENTS, EXHIBITION & POSTERS
15:30 Aortic stenosis: when should we intervene? The role of cardiac catheterisation in
the struggling CICU patientTeam up: Interactice patient care platform
15:40
15:50 Decision making in neonatal Tetralogy: to the cath lab or early repair?16:00
Patient flow and quality indicators16:10
Late repair of left-right shunts: how late is too late?
16:15 Co-creating game changing innovation16:20
16:30Indications for closure of the pressure restrictive VSD Outcomes following ECMO support
post-congenital heart surgery16:40Questions and close
16:50 Do asymptomatic paediatric WPW patients require EPS?17:00
17:30 BCCA Business Meeting
![Page 5: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/5.jpg)
Day 2: Thursday 15th November
BCCA - Room 11
PECSIG - Drum Lecture
Theatre 1C
BACCNA Adult Nurses
- Drum Lecture Theatre B
Imaging - Room 4
08:00 REGISTRATION
09:00 Studying the physiology of BCPS and Fontan with MR
Cardiomypopathy and the evolving role of the geneticist
ACHD related PAH - management of the high risk pregnancy
09:30The iFIND project: exploring novel fetal imaging techniques
Echocardiography update and new techniques in assessing heart function
Heart failure in the context of ACHD - a growing epidemic
10:00Minimally Invasive Transthoracic Device Closure of VSD under TOE guidance
Medical management of paediatric heart failure
Treatment - medical/surgical & device related options
10:30 REFRESHMENTS, EXHIBITION & POSTERS
11:00 Intraoperative Imaging: who, when and how?
Moving towards early biventricular repair: who does require palliation?
Keeping the heart failure patient active - understanding the benefits
3D modelling and PDA stenting
11:30 LA decompression and interventions on ECMO
The pictures are better on the radio - An introduction to cardiac MRI for congenital heart disease
The Fontan Project: the benefits of exercise
Augemented reality in surgical planning
12:00Transcatheter and hybrid rescue in perioperative heart failure
Perinatal planning for the fetus with CHD? Where, when and how?
What can we learn from traditional heart failure services and standards
Twisted or criss-cross heart and related conditions in your hands
12:30BACCNA AGM Meeting (12:30 - 13:30) - Room 12
LUNCH, EXHIBITION & POSTERSCase based imaging presentation with 3D correlation
12:45
BCCA INTERVENTION BUSINESS MEETING13:00
13:30
Fetal interventions for congenital heart defects: lessons learned and future directions
Echocardiographic assessment of the transitional circulation
Pumping Marvellous - heart failure patient charity
Double outlet right ventricle in your hands
14:00
Interactive cases
FASP fetal screening and the 3VT view: Impact for the PEC
Supporting the team to support the patient
Hands-on session with 3D print models DORV
14:30
Haemodynamically significant PDA in the pre term infant: is ligation necessary
Advanced symptoms in ACHD
15:00 REFRESHMENTS, EXHIBITION & POSTERS
15:30Risk stratification and treatment of the pulmonary hypertensive patient
6 x ten minute presentation
Heart transplant versus further risk surgery
Drop in session for cross sectional imaging16:00
Sureveillance and management of LV problems in the ACHD patient with peimary RV pathology
ICD’s - when is the best time to switch it off?
16:30 Structure? Function? ACHD outcomes depend on rhythm
Investigating the paediatric patient with collapse
Role of Palliative Care in Advanced ACHD
17:00 QUESTIONS AND CLOSE
![Page 6: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/6.jpg)
08:00 Registration open
Session 1: Innovation and new technologies Chairs: Mr Attilio Lotto, Dr Arjamand Shauq
09:00 Keynote speech: Cardiac visualisation using 3D printing and immersive technology - Mr Rafael Guerrero
09:30 The evolution of mechanical circulatory support and its impact on paediatric transplantation
in the UK - Dr Matthew Fenton
10:00 New technologies in ICD therapy: has our threshold for implantation changed? - Dr Graham Stuart
10:30 Refreshments, Exhibition and Posters
Session 2: Management of the patient with unbalanced ventricles Chairs: Prof John Simpson, Mr Rafael Guerrero
11:00 Predicting biventricular repair in the fetus with unbalanced ventricles - Dr Wayne Tworetzky11:30 Assessment of unbalanced ventricles: an imaging toolkit - Dr Kuberan Pushparajah12:00 Biventricular repair following previous univentricular palliation - Mr Martin Kostolny
12:30 Lunch, exhibition and posters13:00 Poster walk
12:45 - 13:30 Admedus sponsored symposium (Room 11)
ADAPT®- does bio-tissue choice and shape matter? (4 mins) Chair – Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit,
Guy’s and St Thomas’s Hospital
1) Why ADAPT® is superior – preclinical and clinical reports (12 mins) (Speaker TBC)
2) Results of a large multicentre study of Cardiocel in Congenital Heart Surgery (12 mins) Prof Antonio F Corno - Chair in Congenital Cardiac Surgery, University of Leicester
Honorary Consultant, East Midlands Congenital Heart Center, University Hospitals of Leicester
3) Shape Matters – Evidence and evolution of tissue technology (12 mins) Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit,
Guy’s and St Thomas’s Hospital
4) Q&A (5 mins)
BCCA Programme - Day 1Wednesday 14th November 2018Main Plenary Room 11
British Congenital Cardiac Association
![Page 7: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/7.jpg)
Session 3: Keynote speech13:30 Fetal interventions for congenital heart defects: lessons learned and future directions - Dr Wayne Tworetzky
Session 4: Abstract presentations Chairs: Dr Joyce Lim, Dr Brian Grant
14:00 Abstract presentations
15:00 Refreshments, Exhibition and Posters
Session 5: Back to basics: what’s the evidence? Chairs: Dr Dirk Wilson, Mr Phil Botha
15:30 Aortic stenosis: when should we intervene? - Dr Ben Smith15:50 Decision making in neonatal Tetralogy: to the cath lab or early repair? - Dr Chetan Mehta16:10 Late repair of left-right shunts: how late is too late? - Dr John O’Sullivan16:30 Indications for closure of the pressure restrictive VSD - Dr Tara Bharucha16:50 Do asymptomatic paediatric WPW patients require EPS? - Dr Jasveer Mangat
17:30 - 18:30 BCCA Annual General Meeting19:30 Conference dinner at “Camp and Furnace”
BCCA Programme - Day 1Continued British Congenital
Cardiac Association
1) Late Gadolinium Enhancement CMR Predicts Ventricular Tachycardia Inducibility in Repaired Tetralogy of Fallot.Dr Sarah Ghonim1,2, Dr Sabine Ernst1,2, Dr Jenny Keegan1,2, Dr Veronica Spadotto1, Dr Claudia Montanaro1, Dr Archontis Giannakidis1, Dr Inga Voges1, Dr Su Lin Lee2, Dr Gillian C Smith1, Dr Maria Boutsikou1, Dr Wei Li1, Professor Dudley J Pennell1,2, Professor Michael A Gatzoulis1,2, Dr Sonya V Babu-Narayan1,2
1Royal Brompton Hospital, 2National Heart & Lung Institute, Imperial College London 2) Assessment of myocardial deformation parameters and relationships to exercise intolerance in patients with unrepaired Ebstein’s AnomalyDr Victoria Stoll1,2, Dr Ahmed Dardeer1,2,3, Dr Boyang Liu1,2, Dr William Moody1,2, Dr Colin Chue2, Dr Paul Clift1,2, Dr Roman Wesolowski2, Dr Lucy Hudsmith2, Dr Richard Steeds1,2
1Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK, 2Department of Cardiology, Queen Elizabeth Hospital Birmingham, 3Department of Cardiology, Faculty of Medicine, Minia University 3) Impact of a Fontan postoperative care protocol on pleural drainage and hospital stayDr Haifa Eltayeb1, Mr William Ries1,2, Mr Nigel Drury1,2, Mr John Stickley1, Mr Simon Laker1, Dr Anandini Arumugam1, Dr Anas Nanaa1, Dr Chetan Mehta1, Mr Timothy Jones1,2, Mr David Barron1, Mr Phil Botha1, Ms Natasha Khan1, Dr Oliver Stumper1
1Birmingham Children’s Hospital, 2University of Birmingham 4) Multimodality image fusion in the Paediatric Cath lab: Use of real-time biplane overlay of pre-segmented 3-Dimensional heart models.Dr Srinivas Ananth Narayan1, Dr Kuberan Pushparajah1, Dr Peter Mountney2, Mr Daniel Toth2, Dr Mazen Alhirshy1, Dr Matthew Jones3, Prof Eric Rosenthal3, Prof Kawal Rhode1, Prof Shakeel Qureshi31Kings College London, 2Siemens Healthineers, 3Evelina London Children’s Hospital 5) Left atrial strain as new proposed index of diastolic dysfunction in pediatric cardiomyopathies.Doctor Jolanda Sabatino1, Doctor Piers Daubeney1, Doctor Alain Fraisse1, Mr Manjit Josen1, Miss Josefa Paredes1, Professor Giovanni Di Salvo1 1Royal Brompton Hospital
![Page 8: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/8.jpg)
08:00 Registration Open
08:45 Introduction & welcome - Helen Walker & President of CCNA
Session 1: Challenges for children and young people with single ventricle physiology Chairs: Helen Walker, Denise Moran
09:00 Single ventricle home monitoring: reducing interstage mortality - Marie Murphy & Vicky Hughes
09:30 Play as preparation for the Fontan operation - Lorna O’Brien
10:00 Challenges of young people with a single ventricle circulation - Amanda Haworth, Patricia
Coyle & Jessica Hart
10:30 Refreshments, Exhibition and Posters
Session 2: Parental perspectives Chairs: Jayne Peters, Patricia Coyle
11:00 Feeding challenges in infants with CHD - Lynne Latten
11:30 Children with single ventricle congenital heart defects: considering the Parent Experience
- Dr Emma Twigg
12:00 Exploring risk and uncertainty in congenital cardiac surgery - Dr Robyn Lotto
12:30 Lunch, exhibition and posters
12:30 - 13:30 CCNA Council Meeting (Lecture Theatre B)
12:45 - 13:30 Admedus sponsored symposium (Room 11)
ADAPT®- does bio-tissue choice and shape matter? (4 mins) Chair – Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit,
Guy’s and St Thomas’s Hospital
1) Why ADAPT® is superior – preclinical and clinical reports (12 mins) (Speaker TBC)
2) Results of a large multicentre study of Cardiocel in Congenital Heart Surgery (12 mins) Prof Antonio F Corno - Chair in Congenital Cardiac Surgery, University of Leicester
Honorary Consultant, East Midlands Congenital Heart Center, University Hospitals of Leicester
3) Shape Matters – Evidence and evolution of tissue technology (12 mins) Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit,
Guy’s and St Thomas’s Hospital
4) Q&A (5 mins)
CCNA Study Day Programme - Day 1Wednesday 14th November 2018Drum Lecture Theatre B
![Page 9: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/9.jpg)
CCNA Study Day Programme - Day 1Continued
Session 3: Keeping our patients well Chairs: Amanda Haworth, Naomi Warner
13:30 RSV prophylaxis: a nurse led programme - Michelle McLaren14:00 Utilising technology to improve anti-coagulation management - Gillian McBurney14:30 Feeding neonates after surgery - Rebecca Hill
15:00 Refreshments, Exhibition and Posters
Session 4: Innovation in improving CHD care Chairs: Gillian McBurney, Kerry Watson
15:30 Team up: interactive patient care platform - Dr Gordon Gladman16:15 Co-creating game changing innovation - Sophie Johnson16:45 Questions and close - Helen Walker
17:30 - 18:30 BCCA Annual General Meeting19:30 Conference dinner at “Camp and Furnace”
![Page 10: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/10.jpg)
08:00 Registration open
09:00 Session 1: Innovation in congenital heart disease practice (JOIN MAIN PLENARY ROOM 11) Chairs: Mr Attilio Lotto, Dr Arjamand Shauq
09:00 Keynote speech: Cardiac visualisation using 3D printing and immersive technology - Mr Rafael Guerrero
Session 1: (Room 4B) Chairs: Dr Tim Murphy, Dr Naveen Raj
09:30 Non-cardiac surgery and children with congenital heart disease: why we worry, when to worry and what is needed from a cardiologist - Dr Dan Taylor
10:00 From theory to practice: practical management of severe bleeding after surgery in 2018 - Dr Philip Arnold
10:30 Refreshments, Exhibition and Posters
Session 2: Enhanced recovery following CHD surgery Chairs: Dr Philip Arnold, Dr Dan Taylor
11:00 Enhanced recovery and paediatric heart surgery - Dr Tim Murphy11:30 Nurse led fast track recovery - Charlotte Tivy-Jones12:00 Techniques to facilitate rapid recovery - Dr Naveen Raj
12:30 Lunch, exhibition and posters
12:45 - 13:30 Admedus sponsored symposium (Room 11)
ADAPT®- does bio-tissue choice and shape matter? (4 mins) Chair – Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit,
Guy’s and St Thomas’s Hospital
1) Why ADAPT® is superior – preclinical and clinical reports (12 mins) (Speaker TBC)
2) Results of a large multicentre study of Cardiocel in Congenital Heart Surgery (12 mins) Prof Antonio F Corno - Chair in Congenital Cardiac Surgery, University of Leicester
Honorary Consultant, East Midlands Congenital Heart Center, University Hospitals of Leicester
3) Shape Matters – Evidence and evolution of tissue technology (12 mins) Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit,
Guy’s and St Thomas’s Hospital
4) Q&A (5 mins)
Anaesthesia & PICU Programme - Day 1Wednesday 14th November 2018Room 4B
![Page 11: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/11.jpg)
Anaesthesia & PICU Programme - Day 1Continued
Session 3: Managing the complex CICU patient Chairs: Dr Allan Goldman, Dr Marie Horan 13:30 Its not her heart…managing the ICU patient with multiple co-morbidities - Dr Kent Thorburn
14:00 Using the literature to inform treatment decisions in CICU…why is it so darned difficult? - Dr Shane Tibby
14:30 HLH complicating the post-operative course – a case series - Dr Petr Jirasek
15:00 Refreshments, Exhibition and Posters
Session 4: Paediatric cardiac critical care Chairs: Dr Kent Thorburn, Dr Shane Tibby15:30 The role of cardiac catheterisation in the struggling CICU patient - Dr Atul Kalantre16:00 Patient flow and quality indicators in CICU - Dr Allan Goldman16:30 Outcomes following ECMO support post-congenital heart surgery - Dr Marie Horan
17:30 - 18:30 BCCA Annual General Meeting19:30 Conference dinner at “Camp and Furnace”
![Page 12: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/12.jpg)
Session 1: Same problems, new solutions Chairs: Dr Anna Seale, Dr Marina Hughes
09:00 Studying the physiology of BCPS and Fontan with MR - Dr Shi-Joon Yoo09:30 The iFind project: exploring novel fetal imaging techniques - Dr David Lloyd10:00 Minimally Invasive Transthoracic Device Closure of VSD under TOE guidance - Dr Xing Quansheng
10:30 Refreshments, Exhibition and Posters
Session 2: Peri-operative collaboration Chairs: Mr Andrew Parry, Dr Caroline Jones
11:00 Intraoperative Imaging: who, when and how? - Prof John Simpson11:30 LA decompression and interventions on ECMO - Dr David Crossland12:00 Transcatheter and hybrid rescue in perioperative heart failure - Dr Jamie Bentham
12:30 Lunch, exhibition and posters12:30 BCCA Intervention Business Meeting (Room 12)
Session 3: Interactive cases Chairs: Dr Aaron Bell, Dr Dominic Hares13:30 Interactive cases Oscar Nolan (Birmingham)
Colm Breatnach (Dublin)
Katrijn Jansen (Freeman)
Ariana Spanaki (Brompton)
Gemma Penford (Alder Hey)
15:00 – 15:30 Refreshments, exhibition and posters
Session 4: Predicting mortality in adult congenital heart disease Chairs: Dr Natali Chung, Dr John O’Sullivan15:30 Risk stratification and treatment of the pulmonary hypertensive patient - Dr Sarah Bowater16:00 Surveillance and management of LV problems in the ACHD patient with primary RV pathology - Dr Damien Cullington16:30 Structure? Function? ACHD outcomes depend on rhythm - Dr Vivienne Ezzat
17:00 Conference close
BCCA Programme - Day 2Thursday 15th November 2018Main Plenary Room 11
British Congenital Cardiac Association
![Page 13: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/13.jpg)
08:00 Registration open
Session 1: Same problems, new solutions (JOIN MAIN PLENARY ROOM 11) Chairs: Dr Anna Seale, Dr Marina Hughes
09:00 Studying the physiology of BCPS and Fontan with MR - Dr Shi-Joon Yoo
09:30 The iFind project: exploring novel fetal imaging techniques - Dr David Lloyd
10:00 Minimally Invasive Transthoracic Device Closure of VSD under TOE guidance - Dr Xing Quansheng
Session 2: Imaging Symposium 1 Chairs: Dr Musa Kaleem, Dr Joyce Lim
11:00 3D modelling and PDA stenting - Dr Arjamand Shauq
11:30 Augmented reality in surgical planning - Mr Rafael Guererro
12:00 Twisted or criss-cross heart and related conditions in your hands - Dr Shi-Joon Yoo
Lunch time Imaging Symposium Chairs: Dr Ram Ramaraj, Dr Jaspal Dua
12:30 Case-based imaging presentation with 3D correlation
Dr Alexandra Williams
Dr Musa Kaleem
Dr Joyce Lim
Session 3: Imaging Symposium 2 Chairs: Dr Alexandra Williams, Dr Joyce Lim
13:30 Double outlet right ventricle in your hands - Dr Shi-Joon Yoo
14:00 Hands-on session with 3D print models DORV - Dr Shi-Joon Yoo
15:00 Refreshments, exhibition and posters
Session 4: Imaging Symposium 315:30 - 17:00 Drop in session for cross sectional imaging
Imaging Programme – Day 2Thursday 15th November 2018Room 4
![Page 14: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/14.jpg)
-
-
08:00 Registration open
Session 1: Heart Failure Chairs: Dr Stephen Breary, Dr Poothirikovil Venugopalan09:00 Cardiomyopathy and the evolving role of the geneticist - Dr Vicky McKay09:30 Echocardiography update and new techniques in assessing heart function - Anna Johnson10:00 Medical management of paediatric heart failure - Dr David Crossland
10:30 Refreshments, Exhibition and Posters
Session 2: The changing face of CHD practice Chair: Dr Yogen Singh, Dr Michael Bowes 11:00 Moving towards early biventricular repair: who does require palliation? - Mr Ramana Dhannapuneni11:30 The pictures are better on the radio – an introduction to cardiac MRI for congenital heart disease - Dr Rob Johnson12:00 Perinatal planning for the fetus with CHD: where, when and how? - Dr Lindsey Hunter
12:30 Lunch, Exhibition and Posters
Session 3: Fetal and Neonatal Cardiology update Chair: Prof David Mabin, Dr Robert Johnson13:30 Echocardiographic assessment of the transitional circulation - Dr Yogen Singh14:00 FASP fetal screening and the 3VT view: impact for the PEC - Dr Caroline Jones 14:30 Haemodynamically significant PDA in the pre term infant: is ligation necessary - Dr Nim Subhedar
15:00 Refreshments, Exhibition and Posters
Session 4: Abstract Presentations Chair: Dr Sameer Misra, Dr Rama Ramaraj15:30 6 x 10 minute presentations
16:30 - 17:00 Investigating with paediatric patient with collapse - Dr Michael Bowes
17:00 Conference close
PECSIG Programme - Day 2Thursday 15th November 2018Drum Lecture Theatre 1C
1) A case of a right pulmonary artery originating from innominate artery with no VSDDr David Wright1, Dr Ram Ramaraj2, Dr Shrinivas Tambe1
1East Cheshire Nhs Trust, 2Alder Hey Children’s Hospital 2) Kawasaki Disease, What a DGH can do?Dr Khalid Abdelhafiz, Dr Nicholas Demetriou, Dr Lakshmi Chilukuri, Dr Maysara Abdelaziz1St Helens and Knowsley Teaching Hospitals NHS Trust 3) Bronchiolitis , Reflux or Seizures ? Think beyond the box. A case report of an Unusual presentation of ALCAPADr Khalid Abdelhafiz1, Dr Maysara Abdelaziz1
1St Helens and Knowsley Teaching Hospitals NHS Trust 4) Neonatologist Performed Echocardiography (NPE) improves diagnostic accuracy and cot side careDr Mahmoud Montasser1, Dr Anne-Marie Heuchan1, Dr Lindsey Hunter2
1Neonatal Unit, Royal Hospital For Children, 2Paediatric Cardiology, Royal Hospital for Children 5) A rare presentation of cardiac tumour causing critical RVOT obstruction in a newbornDr. Med. Christine Stratmann1, Dr. Syed Mehdi1, Dr Camilla Snook1, Dr. Alison Hayes1
1Bristol Royal Hospital for Children 6) Patent Ductus Arteriosus in preterm babies can be managed conservatively: the need for surgical ligation is questionableSian Jenkins, Ankita Jain, Manjunath Shetthalli, Orhan Uzun. University of Wales Hospital, Cardiff
![Page 15: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/15.jpg)
08:00 Registration open08:45 Introduction and welcome - Joanna Quirk, President BACCNA
Session 1: Heart failure in the context of ACHD: the challenges ahead Chairs: Linda Griffiths, Jo Birkett
09:00 ACHD related PAH – management of the high risk pregnancy - Dr Robin Condliffe09:30 Heart failure in the context of ACHD – a growing epidemic - Dr Damien Cullington10:00 Treatment – medical/surgical and device related options - Dr Petra Jenkins
10:30 Refreshments, exhibition and posters
Session 2: What can we learn from acquired heart failure services? Chairs: Sheena Vernon, Toni Hardiman
11:00 Keeping the heart failure patient active – understanding the benefits - Eddie Caldow
11:30 The Fontan project: the benefits of exercise - Emma Beaglehole
12:00 What can we learn from acquired heart failure services and standards - Mrs Karen Dickman
12:30 Lunch, exhibition and posters13:00 BACCNA Council Meeting (Lecture Theatre B)
Session 3: Maximising quality of life for the heart failure patient Chairs: Anna Dinsdale, Anna Harrison
13:30 Pumping Marvellous – patient support group - Dr Angela Graves14:00 Psychological aspects of transplantation - Dr Katy Silverman 14:30 Advanced symptoms in ACHD - James Anthony
15:00 Refreshments, exhibition and posters
Session 4: Advanced heart failure treatment options for complex ACHD patients Chairs: Jo Quirk, James Anthony15:30 Living with complex CHD - the patient experience - Amy Smeaton & Alex Bostock
BACCNA Programme - Day 2Thursday 15th November 2018Drum Lecture Theatre B
16:00 ICD’s – when is the best time to switch it off? - Lorraine English
16:30 Role of palliative care in advanced ACHD - Dr Ashique Ahamed
17:00 Closing remarks - Jo Quirk
![Page 16: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/16.jpg)
Organising Committee
Mr Rafael GuerreroConsultant Congenital Cardiac SurgeonAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Caroline JonesConsultant Fetal and Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Parallel Sessions Committee
Dr Phil ArnoldConsultant Paediatric Cardiac AnaesthetistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Steven BrearyConsultant Paediatrician and Neonatal LeadCountess of Chester NHS Foundation Trust
Linda GriffithsACHD Nurse SpecialistLiverpool Heart & Chest Hospital
Dr Musa KaleemConsultant Paediatric RadiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Joyce LimConsultant Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust
Dr Sameer MisraConsultantRoyal Bolton Hospital
Dr Kent ThorburnConsultant Paediatric IntensivistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Helen WalkerLead Cardiac Nurse SpecialistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Alex WilliamsConsultant Paediatric RadiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
International speakers
Dr Wayne TworetzkyProfessor of PediatricsDirector of Fetal Cardiology ProgramBoston Children’s Hospital, Massachusetts
Dr Xing QuanshengConsultant Congenital Cardiac SurgeonQuindao Women and Children’s Hospital, China
Dr Shi-Joon YooProfessor of Medical Imaging & PediatricsHospital for Sick Children University of Toronto
BCCA Faculty
Dr Jamie BenthamConsultant Interventional Congenital CardiologistLeeds Teaching Hospital NHS Trust
Dr Tara BharuchaConsultant Paediatric CardiologistUniversity Hospital, Southampton
Dr Sarah BowaterConsultant CardiologistQueen Elizabeth Hospital, Birmingham
Dr David CrosslandConsultant ACHD and Paediatric CardiologistFreeman Hospital, Newcastle
Dr Damien CullingtonACHD Consultant Leeds General Infirmary
Dr Vivienne EzzatConsultant ElectrophysiologistSt Bartholomew’s Hospital, London
Dr Matthew FentonConsultant Paediatric CardiologistHeart Transplant PhysicianGreat Ormond Street Hospital, London
Mr Martin KostolnyConsultant SurgeonGreat Ormond Street Hospital, London
Dr David LloydRegistrar Evelina London Children’s Hospital
Faculty Lists:
![Page 17: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/17.jpg)
Dr Jasveer MangatPaediatric CardiologistGreat Ormond Street Hospital, London
Dr Chetan MehtaConsultant Paediatric CardiologistBirmingham Women & Children’s Hospital
Dr John O’SullivanConsultant Paediatric and Adult Congenital Car-diologistFreeman Hospital, Newcastle
Dr Kuberan PushparajahConsultant Paediatric CardiologistEvelina London Children’s Hospital
Prof John SimpsonProfessor of Paediatric and Fetal CardiologyEvelina London Children’s Hospital
Dr Ben SmithPaediatric CardiologistThe Royal Hospital for Children, Glasgow
Dr Graham StuartConsultant CardiologistElectrophysiologistBristol Royal Hospital for ChildrenBristol Heart Institute
BCCA Chairs
Dr Aaron BellConsultant Paediatric CardiologistHead of ServiceEvelina London Children’s Hospital
Mr Phil BothaConsultant Cardiac SurgeonBirmingham Children’s Hospital
Dr Natali ChungConsultant ACHDGuy’s & St Thomas’ NHS Foundation Trust, London
Dr Brian GrantConsultant Paediatric CardiologistRoyal Belfast Hospital for Sick Children
Dr Dominic HaresConsultant in Congenital CardiologyLeeds Teaching Hospital
Dr Marina HughesCardiologistRoyal Papworth Hospital, Cambridge
Dr Joyce LimConsultant Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust
Mr Attilio LottoConsultant Congenital Cardiac SurgeonAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Andrew ParryConsultant SurgeonBristol Royal Hospital for Children
Dr Anna SealeConsultant Paediatric CardiologistBirmingham Women & Children’s Hospital
Dr Arjamand ShauqConsultant Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Dirk WilsonConsultant Paediatric CardiologistUniversity Hospital of Wales
PECSIG Faulty
Dr Michael BowesConsultantAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Stephen BrearyConsultant PaediatricianCountess of Chester Hospital
Dr David CrosslandConsultant ACHD and Paediatric CardiologistFreeman Hospital, Newcastle
Dr Ramana DhannapuneniCardiac SurgeonAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Lindsey HunterConsultant Paediatric & Fetal CardiologistRoyal Hospital for Children, Glasgow
Anna JohnsonHighly Specialist CardiographerFreeman Hospital, Newcastle
Dr Robert JohnsonCardiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Caroline JonesConsultant Fetal and Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Prof David MabinConsultant PaediatricianRD & E Foundation Trust
Dr Vicky McKayConsultant Clinical GeneticistLiverpool Women’s NHS Foundation TrustLiverpool Heart & Chest Hospital
![Page 18: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/18.jpg)
Dr Ram RamarajConsultant Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Sameer MisraConsultantRoyal Bolton Hospital
Dr Yogen SinghConsultant NeonatologistExpertise in Paediatrics CardiologyCambridge University Hospital NHS Foundation Trust
Dr Nim SubhedarConsultant NeonatologistLiverpool Women’s Hospital
Dr Poothirikovil VenugopalanConsultant Paediatrician with Cardiology Expertise& Honorary Senior Clinical LecturerBrighton & Sussex University Hospitals NHS Trust
BACCNA Faculty
Dr Ashique AhamedConsultant in Palliative CareManchester Royal Infirmary
James AnthonyClinical Nurse SpecialistUniversity Hospitals Birmingham
Emma BeagleholePhysiotherapistLeeds General Infirmary
Joanna BirkettAdult Congenital Nurse SpecialistLeeds Teaching Hospital
Alex BostockPatient
Mr Eddie CaldowLecturer in Clinical Exercise PhysiologyUniversity of Salford
Dr Robin CondliffeConsultant PhysicianSheffield Pulmonary Vascular Disease Unit
Dr Damien CullingtonACHD Consultant Leeds General Infirmary
Anna DinsdaleClinical Nurse SpecialistBarts Health NHS Trust
Lorraine EnglishCardiac Device and Heart Failure Nurse SpecialistLiverpool Heart & Chest Hospital
Angela Graves MSc BSc RNClinical LeadConsultant Nurse in Heart FailurePumping Marvellous Foundation
Toni HardimanCardiology Specialist NurseNorfolk & Norwich University NHS Trust
Anna HarrisonACHD Nurse SpecialistLiverpool Heart & Chest Hospital
Dr Petra JenkinsConsultant ACHD CardiologistClinical Lead ACHD-PHTNorth West Congenital Heart Disease Partnership
Amy SmeatonPatient
Dr Katy SilvermanClinical Psychologist for Cardiothoracic TransplantWythenshawe Hospital
Jo QuirkLead NurseYorkshire & Humber Congenital Heart Disease Network
Sheena VernonLead Nurse CHD NetworkUnited Hospitals Bristol Trust
PICU Faculty
Dr Philip ArnoldConsultant Paediatric Cardiac AnaesthetistAlder Hey Children’s Hospital NHS Foundation Trust
Dr Allan GoldmanDivisional Co-ChairDivisional DirectorGreat Ormond Street Hospital, London
Dr Marie HoranConsultant in Paediatric Intensive CareAlder Hey Children’s Hospital NHS Foundation Trust
Dr Petr JirasekConsultant in Paediatric Intensive CareAlder Hey Children’s Hospital NHS Foundation Trust
Dr Atul KalantreConsultant Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust
Dr Tim MurphyConsultant Paediatric Cardiac AnaesthetistUniversity Hospital Bristol
Dr Naveen RajConsultant AnaesthetistAlder Hey Children’s Hospital NHS Foundation Trust
Dr Dan TaylorConsultantEvelina London Children’s Hospital
![Page 19: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/19.jpg)
Dr Kent ThorburnConsultant in Paediatric Intensive CareClinical Director of Critical CareAlder Hey Children’s Hospital NHS Foundation Trust
Dr Shane TibbyConsultant in Paediatric Intensive CareEvelina London Children’s Hospital
Charlotte Tivy-JonesCICU Cardiac Nurse PractitionerGreat Ormond Street Hospital
CCNA Faculty
Patricia CoylePaediatric Cardiac Nurse SpecialistAlder Hey Children’s Hospital NHS Foundation Trust
Dr Gordon GladmanConsultant Paediatric CardiologistRoyal Liverpool Children’s HospitalJessica HartPatient
Amanda HaworthCardiac Nurse SpecialistAlder Hey Children’s Hospital NHS Foundation Trust
Vicky HughesPatient Representative
Rebecca HillAdvanced Nurse Practitioner Paediatric Inten-sive CareAlder Hey Children’s Hospital NHS Foundation Trust
Sophie JohnsonInnovation Project ManagerAlder Hey Children’s Hospital NHS Foundation Trust
Lynne LattenAdvanced Paediatric Dietician – Critical CareAlder Hey Children’s Hospital NHS Foundation Trust
Dr Robyn LottoSenior LecturerLiverpool John Moore’s University
Gillian McBurneyPaediatric Cardiac Nurse SpecialistAlder Hey Children’s Hospital NHS Foundation Trust
Michelle McLarenPaediatric Cardiac Nurse SpecialistAlder Hey Children’s Hospital NHS Foundation Trust
Denise MoranTrainee Advanced Nurse PractitionerAlder Hey Children’s Hospital NHS Foundation Trust
Marie MurphyCardiac Nurse SpecialistAlder Hey Children’s Hospital NHS Foundation Trust
Lorna O’BrienHealth Play SpecialistAlder Hey Children’s Hospital NHS Foundation Trust
Jayne PetersHigh Dependency Unit Ward ManagerAlder Hey Children’s Hospital NHS Foundation Trust
Dr Emma TwiggConsultant Clinical PsychologistAlder Hey Children’s Hospital NHS Foundation Trust
Helen WalkerLead Cardiac Nurse SpecialistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Naomi WarnerLead Pharmacist Cardiac & HDU ServicesAlder Hey Children’s Hospital NHS Foundation Trust
Kerry WatsonAPNP CardiacAlder Hey Children’s Hospital NHS Foundation Trust
Imaging Faculty
Mr Rafael GuererroConsultant Congenital Cardiac SurgeonAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Arjamand ShauqConsultant Paediatric CardiologistAlder Hey Children’s Hospital NHS Foundation Trust, Liverpool
Dr Shi-Joon YooProfessor of Medical Imaging & PediatricsHospital for Sick Children University of Toronto
![Page 20: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/20.jpg)
Notes:
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
![Page 21: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/21.jpg)
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
![Page 22: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/22.jpg)
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................
![Page 23: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/23.jpg)
![Page 24: British Congenital Cardiac Association · Mr Caner Salih - Lead Congenital Surgeon and Head of clinical services, Evelina Children’s Unit, Guy’s and St Thomas’s Hospital. 4)](https://reader033.vdocuments.site/reader033/viewer/2022043007/5f92db857363c97c1d32f0e9/html5/thumbnails/24.jpg)
CFS Events Ltdwww.cfsevents.co.uk