The 24th Annual Toronto Perioperative Echo Symposium will be held on Saturday & Sunday September 20-21, 2025.

Virtual Symposium | Saturday & Sunday | September 20-21, 2025

Registration

Registration opening April 2025.

REGISTRATION

REGISTRATION FEES

Early bird registration fee before August 1, 2025:
Physicians*: $450 CAD (includes tax)
Fellows: $125 CAD (includes tax)

Regular fee after August 1st, 2025:
Physicians*: $550 CAD (includes tax)
Fellows: $150 CAD (includes tax)

*Physicians from low to high Human Development Index (HDI) countries qualify for a discounted registration fee, which will be applied at checkout.

Registrants will receive the link to the virtual symposium 1 month prior to the event.

Registration

Registration opening April 2025.

OBJECTIVES: 

Demographic shifts & technical developments in therapeutic interventions and imaging are contributing to a significant expansion of the use of POCUS and TEE. In this two-day virtual symposium, our international multi-disciplinary faculty will illustrate the application of POCUS & TEE to address critical decisions in patient management across a wide range of acute care settings.
Upon completion of this program, participants should be able to
  • Describe the expanding scope of perioperative echo, including the range of modalities and new areas of application
  • Illustrate the application of TEE and POCUS to address critical point-of-care decisions in a variety of acute-care situations & settings
  • Review recent updates on the current guidelines related to the application of perioperative echocardiography in different clinical settings
  • Critically discuss factors limiting translation of echocardiography into improved patient outcomes, and outline strategies for addressing these challenges

Program

Day 1:

  • EACTAIC – Aortic Valve 
    • Aortic Valve repair – the surgeon’s perspective, (TBA) 
    • Aortic Valve repair TEE, Oana Cole
    • TEE quantification of AS (Including 3D and Low Flow Low Gradient), Johan Bence 
    • TEE Assessment of AV Prosthesis, Stefaan Bouchez
    • TEE for Basilica Procedure, F Guarracino
  • Toronto – Mitral Valve
    • Classical mitral valve repair techniques – David and Omran
    • Emerging and minimally invasive techniques – Piroze and Salvatori
  • UCLA – Adult Congenital Heart Disease 
    • Common post-surgical ECHO findings in ACHD patients. Speaker: Dr. Jeannette Lin, cardiologist
    • ECHO support for Structural Heart Disease Intervention in ACHD patients. Speaker: Dr. Gentian Lluri cardiologist
    • ECHOing the unexpected and undiagnosed ACHD patient. Speaker: Dr. Tiffany Williams, anesthesiologist

 

Day 2

South America and South Africa – Infectious disease in developing nations (TBA)

    • Chagas Disease – Carlos Galhardo
    • Endocarditis – Felipe Munoz
    • HIV and TB – Blanche Cupido (South Africa)

Boston – Mechanical Circulatory Support

    • TEE Guided Decision Making for LVAD Implantation (TBA) – Aidan Sharkey
    • ECHO guidance for temporary MCS (TBA) – Mark Robitaille
    • The ECMO Alphabet Soup (TBA) – Maurizio Bottiroli
    • MCS Case Review (TBA)  – Megan Krajewski

Montreal – Structural Heart Disease

    • TEE and triclip, Patrick Garceau cardiologist
    • Introduction to ICE for structural heart disease, Reda Ibrahim cardiologist 
    • Challenging mitral clip cases, Marco Julien anesthesioogist
    • New development in educational tools to teach TEE, André Denault anesthesiologist 

Additional program details coming soon.

PROGRAM:

Day 1: Saturday, September 20, 2025

08:45 : Opening Remarks – Drs. Marcin Wasowicz and Marcus Salvatori

Curator: Dr. Massimiliano Meineri, Co-Chair Department of Anesthesia, Herzzentrum Leipzig, Germany for the European Association of Cardiothoracic Anesthesiology and Intensive Care (EACTAIC).

Moderator: Dr. Jacobo Moreno, Consultant Cardiothoracic Anesthesiologist, Sunnybrook Health Sciences Centre, Toronto, Canada.

09:00 – 09:20 : Aortic Valve Repair – The Surgeon’s Perspective. Mr. David Zicho, Consultant Cardiothoracic Surgeon, Hull University Teaching Hospitals NHS Trust, England, UK.

09:20 – 09:40 : TEE for Aortic Valve Repair. Dr. Oana Cole, Consultant Cardiothoracic Anesthesiologist, Hull University Teaching Hospitals NHS Trust, England, UK.

09:40 – 10:00 : TEE Quantification of AS (Including 3D and Low Flow-Low Gradient). Dr. Johan Bence, Consultant Cardiothoracic Anesthesiologist, Glenfield Hospital, University Hospitals of Leicester NHS Trust, England, UK. 

10:00 – 10:20 : TEE Assessment of the Prosthetic Aortic Valve. Dr. Stefaan Bouchez, Consultant Cardiothoracic Anesthesiologist, OLV Hospital, Aalst, Belgium.

10:20 – 10:40 : TEE for the BASILICA (Bioprosthetic or Native Aortic Scallop Intentional Laceration to Prevent Iatrogenic Coronary Artery Obstruction) Procedure During TAVR. Dr. Fabio Guarracino, , Consultant Cardiothoracic Anesthesiologist, Azienda Ospedaliero Universitaria in Pisa, Italy.

10:40 – 11:10 :  Session Q+A

11:10 – 11:30 Morning Break 

Curators: Drs. Marcin Wasowicz and Marcus Salvatori, Consultant Cardiothoracic Anesthesiologists, Toronto General Hospital, University Health Network, Toronto, Canada.

Moderator: Dr. Annette Vegas, Consultant Cardiothoracic Anesthesiologist, Toronto General Hospital, University Health Network, Toronto, Canada.

11:30 – 12:15 : Classic Mitral Valve Repair Techniques: Integrating TEE into the Surgical Plan. Dr. Tirone David, Consultant Cardiac Surgeon and Dr. Ahmad Omran, Consultant Cardiologist, Toronto General Hospital, University Health Network, Toronto, Canada. 

12:15 – 13:00 : Emerging and Minimally Invasive Techniques for Mitral Valve Repair. Dr. Piroze Davierwala, Consultant Cardiac Surgeon and Dr. Marcus Salvatori, Consultant Cardiothoracic Anesthesiologist, Toronto General Hospital, University Health Network, Toronto, Canada.

13:00 – 13:30 : Session Q+A

13:30 – 14:30 : Lunch Break 

14:30 – 14:40 : TPES Award 

Curator: Dr. Tiffany Williams,  Consultant Cardiothoracic Anesthesiologist, Ronald Reagan UCLA Medical Centre, UCLA, Los Angeles, USA.

Moderator: Dr. Rafa Alonso, Consultant Cardiologist, Toronto General Hospital, University Health Network, Toronto, Canada.

14:40 – 15:00Common Post-surgical Findings in ACHD Patients. Dr. Jeannette Lin, Consultant Cardiologist, Ahmanson/UCLA Adult Congenital Heart Disease Centre, UCLA, Los Angeles, USA.

15:00 – 15:20Echo Support for Structural Heart Disease Intervention in ACHD Patients. Dr. Gentian Liuri, Consultant Cardiologist, Ahmanson/UCLA Adult Congenital Heart Disease Centre, Los Angeles, USA.

15:20 – 15:40Echoing the Unexpected and Undiagnosed ACHD Patient. Dr. Tiffany Williams,  Consultant Cardiothoracic Anesthesiologist, Ronald Reagan UCLA Medical Centre, UCLA, Los Angeles, USA.

15:40 – 16:00 : Session Q+A

16:00 : Wrap Up and Adjournment 

Day 2: Sunday, September 21, 2025

08:45 : Opening Remarks – Drs. Marcin Wasowicz and Marcus Salvatori

Curators: Dr. Elmari Neethling, Consultant Cardiothoracic Anesthesiologist, Kelowna General Hospital, Kelowna, Canada and Dr. Marcin Wasowicz, Consultant Cardiothoracic Anesthesiologist, Toronto General Hospital, University Health Network, Toronto, Canada.

Moderator: Dr. Elmari Neethling, Consultant Cardiothoracic Anesthesiologist, Kelowna General Hospital, Kelowna, Canada.

09:00 – 09:20 : Chagas Disease. Dr. Carlos Galhardo Jr., Consultant Cardiothoracic Anesthesiologist, Hamilton Health Sciences, Hamilton, Canada.  

09:20 – 09:40 : Endocarditis. Dr. Felipe Munoz-Leyva, Consultant Cardiothoracic Anesthesiologist, Colombia. 

09:40 – 10:00 : HIV and TB.  Dr. Blanche Cupido, Consultant Cardiothoracic Anesthesiologist, Groote Schuur Hospital, Cape Town, South Africa.

10:00 – 10:20 : Rheumatic Heart Disease. Dr. Adri Vorster, Consultant Cardiothoracic Anesthesiologist, Groote Schuur Hospital, Capetown, South Africa.

1020 – 1050 :  Session Q+A

10:50 – 11:00 :  Morning Break 

Curators: Dr. Aidan Sharkey, Consultant Cardiothoracic Anesthesiologist, Beth Israel Deaconess Medical Centre, Harvard, Boston.

Moderator: Dr. Azad Mashari, Consultant Cardiothoracic Anesthesiologist, Toronto General Hospital, University Health Network.

11:00 – 11:20 : TEE Guided Decision Making for LVAD Implantation. Dr. Aidan Sharkey, Consultant Cardiothoracic Anesthesiologist, Beth Israel Deaconess Medical Centre, Harvard, Boston.

11:20 – 11:40 Echo Guidance for Temporary MCS. Dr. Mark Robitaille, Consultant Cardiothoracic Anesthesiologist, Beth Israel Deaconess Medical Centre, Harvard, Boston.

11:40 – 12:00 : The ECMO Alphabet Soup.  Dr. Maurizio Bottiroli, Consultant Cardiothoracic Anesthesiologist, Beth Israel Deaconess Medical Centre, Harvard, Boston.

12:00 – 12:20 : Challenging MCS Cases.  Dr. Megan Krajewski, Consultant Cardiothoracic Anesthesiologist, Beth Israel Deaconess Medical Centre, Harvard, Boston.

12:20 – 12:50 :  Session Q+A

12:50 – 14:00 : Lunch Break 

Curators: Dr. Andre Denault, Consultant Cardiothoracic Anesthesiologist, Institut de Cardiologie de Montréal, Montreal, Canada.

Moderator: Dr. Wendy Tsang, Consultant Cardiologist, Toronto General Hospital, University Health Network, Toronto, Canada.

14:00 – 14:20 : TEE and TriClip for Tricuspid Regurgitation. Dr. Patrick Garceau, Consultant Cardiologist,  Institut de Cardiologie de Montréal, Montreal, Canada.

14:20 – 14:40 : Introduction to Intracardiac Echo (ICE) for Structural Heart Disease. Dr. Reda Ibrahim, Consultant Cardiologist,  Institut de Cardiologie de Montréal, Montreal, Canada.

14:40 – 15:00 : Challenging MitraClip Cases. Dr. Marco Julien, Consultant Cardiothoracic Anesthesiologist,  Institut de Cardiologie de Montréal, Montreal, Canada.

14:40 – 15:00 : New Developments in Educational Tools to Teach TEE. Dr. André Denault, Consultant Cardiothoracic Anesthesiologist,  Institut de Cardiologie de Montréal, Montreal, Canada.

15:20 – 15:50 : Session Q+A 

15:50 – 16:00 : Closing Comments and Adjournment