27 July 2019
Dear Colleagues,
It is our great pleasure to invite you to participate in the AfroValve Repair Camp in Ghana. The first workshop will take place from:
Date: Saturday to Sunday, 14-15 September 2019
Venue: Swiss Spirit & Alisa Hotels, North Ridge, Accra, Ghana.
This initiative is designed to introduce repair techniques for juvenile rheumatic valve disease which affect mostly (85%) the mitral valve.
Practicing cardiac surgeons and members of heart teams (cardiologists and cardio-anaesthetists) who are responsible for the decision-making for juvenile rheumatic mitral valve procedures are cordially invited to register.
Participation by invitation only: Six (6) work stations are available for practicing surgeons for the hands-on training.
Hotel accommodation: Swiss Spirit & Alisa hotel, Accra.
Registration: Please complete the registration form and send it to: cyankah@web.de or per online www.pascats.org
We look forward to welcoming you to a most pleasant and educative AfroValve Repair Camp in Accra.
Kind regards
Charles Yankah
AfroValve Repair Camp, Ghana
Master Class Simulation Rheumatic Mitral Valve Repair
Course in West Africa, 14 -15 September 2019
Venue: Swiss Spirit & Alisa Hotels, Accra, Ghana
Program
Day 1: Saturday, 14 Sept 2019
Program Contents
I Hands-On Training on Wetlab Model
I Dissection of the Wetlab Heart Model
The hands-on training will begin with dissection of the wetlab heart model that will help you to understand the:
1. Gross overview of the mitral valve anatomy (annulus, anterior and posterior leaflets and the scallops (A1-3 ad P1-3),
2. The commissures, chordae and the papillary muscles) and the
3. Neighbouring structures of the mitral annulus:
- Coronary sinus
- Circumflex artery
- The landmark of the bundle of HIS.
4. Left atrium and the left atrial appendage
5. Aortic valve (the non-coronary and left coronary sinus segments including the aortic-mitral septum.
II Mitral Valve/Leaflet Prolapse Repair Techniques
Revisit the transatrial approach to the mitral valve via the left atrial appendage (auricle)
Open and transatrial (appendage) close commissurotomy/valvotomy techniques
AML, PML and leaflet hinge exposure techniques
Triangular leaflet resection techniques
PM annulus interrupted suturing techniques
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Day 1: Saturday, 14 Sept 2019
08:00 - 08:45 Breakfast
09 - 17:30 hr
Program
Pure rheumatic mitral valve stenosis
09:00 - 09:45 The cardiologist’s view: Echo features (Leaflet, Chordae, PM, EOA). Dr. Nana-Akyaa Yao, Consultant Congenital & Paediatric Cardiologist, Korle Bu Teaching Hospital, Accra
10:00 - 10:30 The surgeon’s view: Pathomorphology and surgical options Prof. Dr. Charles Yankah, German Heart Centre Berlin
10:45 - 11:00 Coffee/Tea break
11:00 - 12:30 Hands-on
12:30 - 13:15 Lunch
13:15 - 15:15 Hands-on
15:15 - 15:30 Coffee/Tea break
15:30 - 17:30 Hands-on
17:30 Adjourn
18.00 Dinner
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Day 2: Sunday, 15 Sept 2019
Program Contents
Hands-on: Repair techniques of complex cases
Resection of secondary chordae
Papillary muscle splitting technique, measurement of chordal insertion-leaflet distance
Annuloplasty techniques (using autologous pericardial strip)
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Day 2: Sunday, 15 Sept 2019
08:00 - 08:45 Breakfast
09 - 16:00 hr
Program
Pure rheumatic mitral valve regurge
09:00 - 09:45 The cardiologist’s view: Echo features (Leaflet, Chordae, PM, EOA) Dr. Nana-Akyaa Yao, Consultant Congenital & Paediatric Cardiologist, Korle Bu Teaching Hospital, Accra
10:00 - 10:30 The surgeon’s view: Pathomorphology and surgical options. Prof. Dr. Charles Yankah, German Heart Centre Berlin
10:45 - 11:00 Coffee/Tea break
11:00 - 12:30 Hands-on
12:30 - 13:15 Lunch
13:15 - 15:15 Hands-on
15:15 - 15:30 Coffee/Tea break
15:30 - 17:30 Hands-on
16:00 Adjourn/ Departure to Airport
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AfroValve Repair Camp, Ghana
Master Class Simulation Rheumatic Mitral Valve Repair
Course in Ghana Africa, 25 -27 November 2019
Venue: Swiss Spirit & Alisa Hotels, Accra, Ghana
Sunday, 24 November 2019
19:00 hr: Get together at the bar, Alisa Hotel
Program
Day 1: Monday, 25 November 2019
Program Contents
I Hands-On Training on Wetlab Model
I Dissection of the Wetlab Heart Model
The hands-on training will begin with dissection of the wetlab heart model that will help you to understand the:
1. Gross overview of the mitral valve anatomy (annulus, anterior and posterior leaflets and the scallops (A1-3 ad P1-3),
2. The commissures, chordae and the papillary muscles) and the
3. Neighbouring structures of the mitral annulus:
- Coronary sinus
- Circumflex artery
- The landmark of the bundle of HIS.
4. Left atrium and the left atrial appendage
5. Aortic valve (the non-coronary and left coronary sinus segments including the aortic-mitral septum.
II Mitral Valve/Leaflet Prolapse Repair
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Day 1: Monday, 25 November 2019
08:00 - 08:45 Breakfast
09 - 17:30 hr
Program
Lectures: Rheumatic mitral valve lesion with co-existing VSD or mitral cleft
09:00 - 09:45 The cardiologist’s view: Echo features (Leaflet, Chordae, PM, EOA). Dr. Nana-Akyaa Yao, Consultant Congenital & Paediatric Cardiologist, Korle Bu Teaching Hospital, Accra
10:00 - 10:30 The surgeon’s view: Pathomorphology and surgical options
Dr. Susan Vosloo, Christiaan Barnard Memorial Hospital, Cape Town
Prof. Dr. Charles Yankah, German Heart Centre Berlin
10:45 - 11:00 Coffee/Tea break
11:00 - 12:30 Hands-on
Revisiting the transatrial approach to the mitral valve via the left atrial appendage (auricle)
Open and close commissurotomy/valvotomy techniques
Triangular leaflet resection techniques
Papillary muscle splitting
12:30 - 13:15 Lunch
13-15 – 17:30 Hands-on
Quadrangular leaflet resection techniques
Sliding leaflet technique
Chordal transfer technique
Mitral cleft repair
Annuloplasty technique (using autologous pericardial strip)
13:15 - 15:15 Hands-on
15:15 - 15:30 Coffee/Tea break
15:30 - 17:30 Hands-on
17:30 Adjourn
Day 2: Tuesday, 26 November 2019
08:00 - 08:45 Breakfast
09 – 17:30 hr
Program
Lectures: Chordal Dysfunction & Mitral Leaflet Prolapse
09:00 - 09:45 The cardiologist’s view: Echo features (Leaflet, Chordae, PM, EOA) Dr. Nana-Akyaa Yao, Consultant Congenital & Paediatric Cardiologist, Korle Bu Teaching Hospital, Accra
10:00 - 10:30 The surgeon’s view: Pathomorphology and surgical options.
Dr. Susan Vosloo, Christiaan Barnard Memorial Hospital, Cape Town
Prof. Dr. Charles Yankah, German Heart Centre Berlin
10:45 - 11:00 Coffee/Tea break
11:00 - 12:30 Hands-on
AML augmentation technique
12:30 - 13:15 Lunch
13:15 – 17:30 Hands-on
Papillary muscle shortening
Reconstruction of ruptured papillary muscle
Chordal replacement techniques
Annuloplasty techniques in children (using autologous pericardial strip)
13:15 - 15:15 Hands-on
15:15 - 15:30 Coffee/Tea break
15:30 - 17:30 Hands-on
17:30 Adjourn
Day 3: Wednesday, 27 November 2019
08-08 - 45 Breakfast
09 - 16:30 hr
Program
Lectures: Failed repair and timing for reintervention
09:00 - 09:45 The cardiologist’s view: Echo features (Leaflet, Chordae, PM, EOA) Dr. Nana-Akyaa Yao, Consultant Congenital & Paediatric Cardiologist, Korle Bu Teaching Hospital, Accra
10:00 - 10:30 The surgeon’s view: Pathomorphology and surgical options.
Dr. Susan Vosloo, Christiaan Barnard Memorial Hospital, Cape Town
Prof. Dr. Charles Yankah, German Heart Centre Berlin
10:45 - 11:00 Coffee/Tea break
11:00 - 12:30 Hands-on
Chordal Transfer technique
Papillary muscle splitting and shortening
Reconstruction of ruptured papillary muscle
12:30 - 13:15 Lunch
13:15 – 16:30 Hands-on
AML augmentation technique
Mitral annuloplasty technique (using autologous pericardial strip) (Cont’d)
Tricuspid annuloplasty technique
13:15 - 16:30 Hands-on
17:00 Adjourn
Departure to Airport
Technical Support by Wetlab UK
Register Now for 2020 workshop!
Master Class Repair Courses for Rheumatic, Congenital and Acquired Valve Diseases in
Dates: March and April 2020
Venue: Berlin, Germany and Accra, Ghana
E-mail: cyankah@web.de
Hands-on simulation training
Program Contents
Mitral and Tricuspid valve repair techniques
Aortic valve repair and root remodeling techniques (David, Yacoub techniques)
Teachniques of A-V canal repair and TGA switch
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AfroValve Repair Camp, Ghana
Master Class Rheumatic Mitral Valve Repair
Course in West Africa, 14 -15 September 2019
Background
Mitral valve repair esp in children is an athrombogenic procedure versus replacement which is underutilized in sub-Saharan Africa (SSA) due to lack of skill training programs.
Aims
To promote athrombogenic valve repair procedures for the management of juvenile rheumatic mitral valve disease.
To advance cardiovascular education in rheumatic valve surgery.
Learning Objectives
The two-day course will provide an insight into the:
Normal anatomy, pathomorphology of mitral valve apparatus (annulus, leaflets, chordae, papillary muscle)
Echocardiographic features of the normal and rheumatic mitral valve apparatus.
To learn and understand the basic concepts of mitral valve repair.
To practice repeatedly on biological simulators under tutorial guidance how to apply the various techniques for repairing different mitral valve pathologies in individual patients.
To acquire surgical skills and competence in mitral valve repair.
To learn limitations and predictability for successful repair of different mitral valve pathologies on biological simulator.
To empower young generation surgeons to do complex valve repairs, in a reasonable time-frame with low rate of procedural related complications.
Structure and design
Module I: Introductory lectures and live surgeries (in Box)
Module II: Hands-on wetlab training
Module III: Local proctoring on request
Target Groups
Practicing cardiac surgeons and members of heart teams (cardiologists and cardio-anaesthetists) who are responsible for the decision-making for juvenile rheumatic mitral valve procedures are cordially invited.
Participation by invitation: Only six (6) surgeons for the hands-on training.
Hotel accommodation
Swiss Spirit & Alisa hotel, Accra. Please make your hotel reservation through the organizers: cyankah@web.de
The organizers will facilitate the reservation of the hotel rooms after confirmation of participation with arrival and departure dates on your behalf upon request.
Workstation
Six registered participants will work in three groups, each group of two trainees stand opposite each other. The work table will provide comfort in standing or sitting to avoid backache.
Curriculum
Hands-On Valve Repair Sessions
Session I
Closed mitral valvotomy without heart lung machine support
Pure non-calcified mitral stenosis
-Closed transatrial mitral valvotomy in children
Session II
Dilated Mitral Annulus: Annuloplasty techniques
Continuos posterior suture annuloplasty + autologous pericardial reinforcement
Synthetic ring annuloplasty
Session III
Leaflet procedures
Posterior leaflet prolapse
Quadrangular/Triangular resection of the posterior leaflet, plication of the annulus at the base of the resected leaflet segment with 2-4 sutures + Synthetic ring annuloplasty.
Leaflet plication
Thickened Leaflet without sever calcification
Peeling/shaving
Retracted anterior mitral leaflet
Augmentation of the anterior mitral leaflet with autologous pericardium + Synthetic ring annuloplasty.
Session IV
Retracted/elongated chordae
Chordal replacement with Gortex (PTFE)
Chordal transfer: Quandrangular resection of the posterior leaflet segment with chordae of proper length are borrowed and transposed to the adjacent anterior mitral leaflet.
Secondary chordae resection
Session V
Commissuroplasty
Fused Commissures
Commissurotomy
Thickened displaced papillary muscle
Papillary muscle splitting
Session VI
Repetitorium
Complex repair cases
Triangular/Quadrangular resections and sliding plasty. Chordal transfer, Chordal replacement etc.
How to register
E-mail registration form can be access HERE
Online registration form can be access HERE
www.pascats.com
Deadline for registration: 31 July 2019
Workshop preliminary program is available HERE
Sponsors: Edwards Lifesciences Foundation
Inauguration of AfroValve Repair Group (West Africa)
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Accra Cardiology Symposium in Collaboration with Embassy Clinic Accra
Course Director: Prof. Dr. Charles Yankah
Perioperative imaging, management of congenital and inflammatory heart diseases in children and adolescents
Objectives: To learn perioperative echocardiography techniques in the diagnosis and medical/surgical treatment of congenital (CHD) and rheumatic (RHD) and other inflammatory heart diseases. To understand the indications and surgical options for CHD and RHD.
Sunday, 24 November 2019
Venue: Swiss Spirit & Alisa Hotels, North Ridge, Accra
Program
Welcome: Prof. Charles Yankah, Berlin
Dr. Dirk Englisch, Regional Medical Officer, WA,
German Embassy, Accra
Chair: Dr. Susanna Vosloo, Cape Town, Dr. Ulrike Doll, Erlangen
9:00-12:00 Interactive Lectures
Echocardiographic assessment of cardiomyopathies
Dr. Nana Akyaa-Yao, Accra
Pre- and intraoperative management of congenital heart disease:
Dr. Ulrike Doll, Erlangen
Atrioventricular Septal defect (AVSD)
Dr. Susanna Vosloo, Cape Town
Postoperative management of congenital heart disease:
Prof. Christine Yuko-Jowi, Nairobi
Post TOF repair patient: PR assessment and surgical approach: Susanna Vosloo: Cape Town
12:00-12:30 Lunch Break
12:30-14:30 Interactive Lectures
Chair: Prof. Christine Yuko-Jowi, Nairobi, Dr. Kow Entsuah-Mensah, Accra, Dr. Nana Akyaa-Yao, Accra
Echocardiographic features of endomyocardial fibrosis.
Prof. Christine Yuko-Jowi, Nairobi
Surgical options for rheumatic mitral valve disease in children.
Dr. Susanna Vosloo, Cape Town
Burrowing aortic root abscess and surgical challenges
Prof. Charles Yankah, Berlin
Clinical experience in mechanical valve replacement in children in East Africa: What makes the difference?:
Prof. Christine Yuko-Jowi, Nairobi
14:20 Closing remarks
14:30 Adjourn
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AfroValve Repair Camp, Ghana
Master Class Rheumatic Mitral Valve Repair
Course in West Africa, 14 -15 September 2019
Preliminary Program
Echo features of pure rheumatic mitral stenosis: Dr. Nana Akyaa Yao, Paediatric Cardiologist, KTH, Accra
Anatomy & pathomorphology of rheumatic mitral valve stenosis. The surgeon’s view:
Prof. Dr. Charles Yankah, DHZB, Berlin
Coffee/Tea Break
Wetlab
Mentor: Prof. Charles Yankah
Demonstrations of the normal mitral valve apparatus
Demonstration of pig’s mitral valve and the possible structural changes.
Demonstration of transatrial approach to the mitral valve via the left atrial appendage (auricle)
Trainees (Hands-on training)
Day 1: Hands-on practice on pig heart under tutorial guidance for pure juvenile rheumatic mitral stenosis:
Transatrial approach to the mitral valve
Commissurotomy/valvotomy techniques
Papillary muscle splitting techniques
Resection of secondary chordae
Day 2: (Repair techniques for complex cases)
Posterior leaflet plication techniques
Triangular leaflet resection techniques
Quadrangular leaflet resection techniques
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