Learning Objectives

At the conclusion of this activity, participants should be able to:
1. Recognize when patients have suboptimal response to treatments and be aware of what advanced treatments are available.
2. Identify the imaging features that indicate operability in CTEPH patients.
3. Acknowledge the overlap in the use of BPA and PEA in patients with segmental CTEPH disease dependent on institutional experience and hence the uncertainty in the current guidelines.
4. Recognize the advanced technical endarterectomy procedure and care of patients with perioperative complications.
5. Explain how to risk stratify patients with advanced right heart failure in order to assess optimally time mechanical circulatory support (MCS) implantation.
6. Recognize the various types of MCS support available for patients with advanced right heart failure and the technological differences that may impact pump selection and patient/device management.
7. Explain how to evaluate and list potential candidates for lung transplantation.
8. Discuss perioperative management of the donor, lung procurement and operative strategies including use of extracorporeal life support and ex-vivo lung perfusion.
9. Recognize the most common post-transplant complications.
10. Identify the challenges during the diagnosis and management of complex cardiogenic shock patients and the potential benefits of a multidisciplinary team approach.
11. Name the diagnostic and therapeutic challenges of early and late RV failure.
12. Develop an understanding of ECMO placement, management, and explant in combination with lung transplantation.