Cardiac Surgery

Cardiology

213 - VALVES UNDER PRESSURE: NAVIGATING VALVULAR HEART DISEASE IN SPECIAL POPULATIONS

Presenter(s)

• 

  Jonathan Afilalo, MD

  Physician
  McGill University
  McGill University

Co-Chair(s)

• 

  Ian Burwash, MD

  Physician
  University of Ottawa Heart Institute
  University of Ottawa Heart Institute
• 

  Jessica Forcillo, MD, PhD,FRCSC

  Cardiac Surgeon
  Centre hospitalier de l'Université de Montréal
  Centre Hospitalier de l'Université de Montréal
• DM

  David Messika-Zeitoun, MD PhD

  Cardiologist
  University of Ottawa Heart Institute
  University of Ottawa Heart Institute

Panelist(s)

• 

  Jonathan Afilalo, MD

  Physician
  McGill University
  McGill University
• MB

  Munir Boodhwani, MD

  Cardiac Surgeon
  CSCS
• 

  Beatriz Fernandez Campos, MD (she/her/hers)

  ACDH Cardiologist / Cardio Obstetrics
  Toronto General Hospital

Presenter(s)

• MB

  Munir Boodhwani, MD

  Cardiac Surgeon
  CSCS
• 

  Beatriz Fernandez Campos, MD (she/her/hers)

  ACDH Cardiologist / Cardio Obstetrics
  Toronto General Hospital
• 

  Maria Lopez Laporte, MDCM FRCPC

  Echocardiography Fellow
  University of Ottawa Heart Institute
  University of Ottawa Heart Institute

Early Career(s)

• LL

  Lawrence Lau, MD

  Cardiologist
  University of Ottawa Heart Institute
  University of Ottawa Heart Institute

Trainee(s)

• TD

  Tara D'Ignazio, MD, FRCPC (she/her/hers)

  Fellow in Interventional Echocardiography
  McGill University
  McGill University
• 

  Maria Lopez Laporte, MDCM FRCPC

  Echocardiography Fellow
  University of Ottawa Heart Institute
  University of Ottawa Heart Institute

Moderator(s)

• 

  Jessica Forcillo, MD, PhD,FRCSC

  Cardiac Surgeon
  Centre hospitalier de l'Université de Montréal
  Centre Hospitalier de l'Université de Montréal

Planning Committee Member(s)

• HA

  Hassan Alfraidi, MD

  Cardiologist
  University of Ottawa
• 

  Jonathan Beaudoin, MD

  research clinician
  IUCPQ
  Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval
• TD

  Tara D'Ignazio, MD, FRCPC (she/her/hers)

  Fellow in Interventional Echocardiography
  McGill University
  McGill University
• 

  Janine Eckstein, MD FRCPC

  Assistant Professor
  University of Saskatchewan
  University of Saskatchewan
• LL

  Lawrence Lau, MD

  Cardiologist
  University of Ottawa Heart Institute
  University of Ottawa Heart Institute
• 

  Harindra Wijeysundera, MD PhD (he/him/his)

  Cardiologist
  Sunnybrook Health Sciences Centre
  University of Toronto

Moderator(s)

• KP

  Kendra Pelland, BSc, MSc

  Program Manager
  Canadian Cardiovascular Society

Workshop Description: The number of Canadians living with valvular heart disease (VHD) continues to rise. About 2.5% of the population has VHD, with even greater proportions reached in the elderly population, where 13% of individuals above the age of 75 are affected. It is thus imperative to the general cardiologists to be well-equipped to assess associated risk and ensure timely and comprehensive care for this commonly encountered problem. VHD is a broad umbrella term that encompasses a wide variety of pathology. We have therefore carefully selected 3 special populations that present unique challenges.

First, we will discuss the timely intervention in young adults with VHD, with a focus on how to select the right valve for the right patient, as young adults face unique challenges with rapid deterioration of bioprosthesis, prolonged exposure to anticoagulation, need for re-intervention, among others. Then, we will further nuance our discussion to describe the risk associated with valve disease during pregnancy and in the postpartum period, and share examples of adequate pre-conception risk assessment to best inform patients. Lastly, we will discuss valve care in the very elderly, who are burdened by multimorbidity, frailty, and in whom novel advances in percutaneous interventions offer promising avenues.

To achieve these ambitious objectives, we have recruited a multi-disciplinary team of experts to guide our discussions. Our planning committee members and presenters include clinical cardiologists, interventional cardiologists, cardiac surgeons, echocardiographers, cardiologists with expertise in cardio-obstetrics and valve disease, as well as trainees.