ROOM GIALLA • 09:00 – 13:00
EXTENDED FETAL CARDIAC EXAMINATION FOR OBSTETRICIANS: PRENATAL DIAGNOSIS, COUNSELING AND PRACTICE SESSIONS

Organizer: Paola Veronese
Chairs: Alessia Cerutti, Maria Giovanna Russo, Alvise Guariento,  Isabella Fabietti

Aims: to raise awareness about the primary types of congenital heart defects detectable during the second trimester of pregnancy and to offer comprehensive counseling to expectant couples upon diagnosis

Methods: Through frontal lectures, the most prevalent cases of congenital heart defects detectable during pregnancy will be explored. Additionally, 3D reconstruction techniques from fetal ultrasounds to create detailed three-dimensional models will be described. Participants will engage in prenatal counseling sessions utilizing these 3D models, supplemented by practical exercises involving ultrasound equipment to analyze fetal heart volumes affected by congenital heart disease

Duration: 240 minutes.

Schedule:
• Introduction (lecture)(15 minutes)
• Introduction to 3D reconstruction from fetal ultrasounds to create3D models (15 minutes) A. Guariento
• Presentation on anomalies of the 4-chamber scan (30 minutes) P. Veronese
• Prenatal counseling using 3D reconstruction models (25 minutes) P. Veronese, A. Guariento
• Presentation on anomalies of the Left and Right Ventricular Outflow Tract (30 minutes) P. Veronese
• Further discussion on prenatal counseling using 3D reconstruction models (25 minutes) P. Veronese, A. Guariento
• Invited lecture: Presentation on fetal intervention for Congenital Heart Disease (40 minutes) I. Fabietti
• Hands-on session with ultrasound equipment for analyzing fetal heart volumes with congenital heart disease, covering Atrioventricular Septal Defect, Univentricular Heart, Transposition of the Great Arteries and Tetralogy of Fallot (45 minutes) P. Veronese,  I. Fabietti
• Discussion, farewells, and distribution one free copy of the book “Congenital hearths. A virtual atlas of congenital heart disease in prenatal and postnatal life”to each participant (15 minutes).

Participants: (Max. n=30): Obstetricians and pediatric cardiologists

ROOM ROSSA • 14:00 – 18:00
HANDS-ON IN PEDIATRIC AND CONGENITAL CARDIAC SURGERY (3D SIMULATION)

Chairs: Vladimiro Vida, Gaetano Gargiulo, Lorenzo Galletti, Alessandro Giamberti

Tutors: Mark Bleiweis, Attilio Lotto, Jurgen Horer, Aydemir Numan Ali, Ali Dodge-Khatami

Aims: To master simple and complex cardiac surgical techniques using cutting-edge tools and materials such as aortic biological valves, prosthetic conduits, and biological patches for aortic arch or valve reconstruction, along with advanced suturing methods

Methods: THands-on procedures will be conducted on 3D-printed heart and great vessel models, contained in 12 specialized simulators accommodating up to 24 trainees and early-career surgeons

Simulated Procedures:
• Aortic Valve Replacement (4 stations – 2 surgeons per station)
• Norwood Procedure for Hypoplastic Left Heart Syndrome (4 stations – 2 surgeons per station)
• Mitral Valve Repair with posterior leaflet patch extension (4 stations – 2 surgeons per station)
Each simulation station will feature two 3D-printed models, allowing active participation of all attendees (totaling 24 models).

Duration: 240 minutes

Schedule:
• Introduction (lecture) – 15 minutes
• Briefing: (covering surgical background, demonstration, and task assignments) – 30 minutes
• Execution: Two sessions with two 3D heart models per simulator – 90 minutes
• Debriefing and Discussion – 15 minutes

Participants: (Max. n=24): Cardiac surgery residents, fellows, and attending cardiac surgeons

ROOM VERDE • 14:00 – 18:00
HANDS-ON IN INTERVENTIONAL CARDIOLOGY

Chairs: Massimo Chessa, Gianfranco Butera, Biagio Castaldi, Andrea Donti

Aims: to delve into the world of innovative percutaneous interventions for congenital and acquired heart and valve diseases

Methods: Our simulation will unfold across four dynamic “working stations,” where participants will engage with devices on simulators or 3D printed heart models.

Simulated Procedures:
• Atrial Septal Defect/Ventricular Septal Defect occluders
• Percutaneous pulmonary valve implantation
• Percutaneous mitral valve repair
• Percutaneous atrial flow regulator implantation

Duration: 240 minutes

Schedule:
• Introduction: Lecture – 30 minutes
• Briefing: Dive into procedure execution, group division, and a concise overview of each intervention 30-minute session
• Execution: Each trainee will rotate through a single simulation station for 20 minutes. Explore device functionality and simulate implantation under expert guidance
• Debriefing and Discussion: Reflect on experiences and engage in a 15-minute discussion session

Participants: (Max. n=30): Cardiologists, clinicians, and cardiac surgeons seeking to deepen their understanding of indications, contraindications, and procedural techniques for these innovative interventions

ROOM GIALLA • 14:00 – 17:00
TRAINING SIMULATION ON ADVANCED PAEDIATRIC ECHOCARDIOGRAPHY

Chairs: Giovanni Di Salvo, Gabriele Rinelli, Gabriele Egidy Assenza, Silvia Favilli

Aims: to delve into the forefront of pediatric echocardiography with our immersive training simulation. Designed to elevate your expertise, this session offers hands-on experience using state-of-the-art technology and advanced software, including 4D and Speckle tracking, to explore real-time 3D echocardiography and functional analysis

Methods: Experience firsthand the intricacies of pediatric echocardiography through a hands-on session with pediatric simulators. Additionally, participants will have the opportunity to work with laptops equipped with cutting-edge software, allowing them to familiarize themselves with the latest developments in echo techniques

Duration: 180 minutes

Schedule:
• Introduction: Kickstart your journey with a comprehensive overview in a 15-minute session
• Presentation on New 2D-3D Echo Techniques: Dive into the latest advancements in echo technology in a 15-minute presentation
• Direct Echo Scanning on Pediatric Simulator: Engage in direct scanning on pediatric simulators, encountering up to 250 congenital heart disease cases over 90 minutes
• Hands-on Session on Laptops for 4D Echo and Speckle Tracking: Explore the capabilities of 4D echo and speckle tracking in a 60-minute hands-on session.

Participants: (Max. n=30): Cardiologists, clinicians, obstetricians, and cardiac surgeons seeking to expand their knowledge and skills in advanced pediatric echocardiography.

(OUTDOOR) • 14:00 – 18:00
MEDTRONIC CAPSULE ON TRANSCATHETER HEART VALVE THERAPIES

Aim: to uncover the cutting-edge transcatheter technologies from Medtronic for treating both congenital and acquired heart valve diseases. This immersive session is designed to equip participants with the skills and knowledge needed to achieve optimal clinical outcomes through the precise implantation of self-expandable valves.

Methods: Participants will engage in a comprehensive program that includes an overview of Medtronic’s current transcatheter technologies and insights into future innovations. Delve into the transcatheter pulmonary valve implantation procedure with updates on the latest clinical evidence. Experience a step-by-step guide to the Transcatheter Aortic Valve Implantation (TAVI) procedure, followed by hands-on practice using a TAVI virtual simulator. Through group sessions, participants will learn the best practices for implanting self-expandable valves.

Schedule:
• Overview of Medtronic’s Transcatheter Technologies and Future Innovation (15 minutes)
• Deep Dive into Transcatheter Pulmonary Valve Implantation Procedure and Latest Clinical Evidence Step-by-Step Guide to TAVI Procedure (15 minutes)
• Hands-On Session with TAVI Virtual Simulator for Optimal Valve Implantation – Participants will be divided into groups of 3-4 people (210 minutes)

Duration: 240 minutes

Participants (Max. n=30): Cardiologists, clinicians, and cardiac surgeons seeking to enhance their understanding and proficiency in percutaneous therapy options for congenital and acquired heart valve diseases