Cases in Echocardiography, Cardiac CT, and MRI

Cases in Echo

Cases in Echocardiography, Cardiac CT, and MRI

The Meritage Resort, Napa, CA

10/25/2017 - 10/28/2017


The decision has been made to cancel this conference to be held in Napa October 25-28.  This was a very difficult decision; however, Mayo Clinic leadership and the Course Directors support this decision due to safety concerns, air quality and overall surrounding devastation.

Join us next year in Napa, October 24-27, 2018.

This advanced course is designed to provide the clinician and advanced sonographer with an update on thoracic, stress, and transesophageal echocardiography as well as cardiac CT and MRI. This is not a "how-to" course, but instead will concentrate on the application of these modalities to clinical decision making.

The program consists primarily of clinical cases which illustrate the problems cardiovascular specialists commonly encounter.  Multiple choice questions addressing the clinical utility and limitations of echocardiography follow each case.  Utilization of cardiac CT and MRI is also incorporated into the cases.  In addition, faculty presents “rapid fire” and “unknown” cases. 

Special breakout sessions are devoted to the interpretation of Doppler hemodynamics, diastolic function, stress echocardiography, congenital heart disease, interventional, heart failure, CT/MRI, and perioperative echocardiography.

Attendees have the opportunity to share an interesting case with the faculty and audience.  If you would like to share an interesting case, please make this available as an MPEG, AVI, or WMV file.  The images should be deidentified. Please provide this case to the registration desk at check-in with a small written history of the patient.

This course is designed to encourage maximum audience participation and interaction with the faculty.


  • Optimize selection of imaging modalities to aid in clinical decision making for evaluation and management of patients with valvular heart disease
  • Identify normal and abnormal features of patients with prosthetic valves
  • Identify the pitfalls of interpretation with exercise and dobutamine stress echocardiography
  • Apply Doppler hemodynamics and strain imaging into clinical decision-making in patients with heart failure symptoms with both normal and abnormal systolic function
  • Describe a systematic approach to echocardiography for patients with complex congenital heart disease
  • Recognize the utility of echocardiography in patients with acute ischemic syndromes and other acute illnesses requiring admission to the intensive care unit
  • Identify common indications and potential pitfalls for intraoperative and interventional transesophageal echocardiography

The course is intended for physicians and sonographers with an advanced background in echocardiography.



Tuesday, October 24, 2017

6:00-7:00 p.m. Registration - Carneros Prefunction

Wednesday, October 25, 2017

7:00 a.m. Registration/Continental Breakfast - Carneros Prefunction 
7:45 a.m. Welcome and Course Overview
Drs. Miller, Nishimura, and Connolly
8:00 a.m. Precourse Case Questions
Drs. Miller, Nishimura, and Connolly
8:15 a.m. Clinical Decision Making: Cases in Valvular Heart Disease and Endocarditis
Cases 1-7
Drs. Nishimura, Connolly, and Miller
10:15 a.m. Refreshment Break
10:45 a.m. Lecture
Mechanical Versus Tissue Valve Prosthesis - Making the Right Choice for Your Patients
Dr. Schaff
11:15 a.m. Clinical Decision Making: Cases in Valvular Heart Disease, Prosthetic Valve, and Endocarditis
Cases 8-10
Drs. Bruce, Schaff, and Abel
  Pre-Recorded Lecture (NO CME OFFERED) - link will be sent out in advance
Cardiac MRI and CT: Basic Principles for Non-Radiologists. When Should I Choose Which Test?
Dr. Anavekar
12:15 p.m. Lunch - Oakville and Rutherford Terrace
12:15 p.m. Special Feature for Sonographers - Lunch with Mayo Clinic Sonographers
Ask Your Questions
Pre-Assigned Tables - Register On-Site
1:15 p.m. Cases in Stress Echocardiography and MRI: Read With the Experts
Cases 11-16
Drs. Armstrong, Bruce, and Anavekar
2:45 p.m. Refreshment Break
3:15 p.m. Cases of Aortic Disease
Cases 17-20
Drs. Connolly, Anavekar, Bruce, Abel, and Schaff
4:15 p.m. Rapid Fire Case Presentations - Test Your Skills
All Faculty
5:00 p.m. Adjourn
5:00-6:00 p.m. Welcome Reception - Vineyard Terrace
All Faculty, Participants, and Exhibitors (Guests Invited)

Thursday, October 26, 2017

7:30 a.m. Continental Breakfast
8:00 a.m. Clinical Decision Making: Cases from the ICU
Cases 21-26
Drs. Reeder, Schaff, Anavekar, and Abel
9:30 a.m. Echo in End-Stage Heart Failure
Cases 27-28
Dr. Grace Lin
10:00 a.m. Unknown Cases from Michigan
Cases 29-30
Dr. Armstrong
10:30 a.m. Refreshment Break
  Pre-Recorded Lecture (NO CME OFFERED) - link will be sent out in advance
Echocardiography in Congenital Heart Disease: A Systematic Approach
Dr. Connolly
11:00 a.m. Cases in Congenital Heart Disease and Pregnancy and Heart Disease
Cases 31-36
Drs. Connolly, Nishimura, and Lin
12:30 p.m. Lunch - Oakville and Rutherford Terrace
12:30 p.m. Special Feature for Sonographers - Lunch with Mayo Clinic Sonographers
Ask Your Questions
Pre-Assigned Tables - Register On-Site
1:30-3:00 p.m.

Breakout Sessions (Optional) - Attendees rotate after 45 minutes
A. Intraoperative and Perioperative Echocardiography
     Drs. Abel and Schaff

B. Congenital Heart Disease
     Dr. Connolly

3:00 - 4:30 p.m.

Breakout Sessions (Optional) - Attendees rotate after 45 minutes
C. Stress Echocardiography
     Dr. Armstrong

D. 3-D and Interventional Echocardiography
     Dr. Bruce and Mr. Fosland

4:30 p.m. Adjourn

Friday, October 27, 2017

7:30 a.m. Continental Breakfast
  Pre-Recorded Lecture (NO CME OFFERED) - link will be sent out in advance
A Practical Approach to Evaluation of Diastolic Function of the Heart by Doppler
Dr. Nishimura
  Pre-Recorded Lecture (NO CME OFFERED) - link will be sent out in advance
Review of Strain for Ventricular Function
Dr. Miller
8:00 a.m. Clinical Decision Making: Cases in Heart Failure
Cases 37-43
Drs. Miller, Nishimura, Schaff, Abel, and Lin
10:00 a.m. Refreshment Break
10:30 a.m. Clinical Decision Making: Cases in Heart Failure II
Cases 44-46
Drs. Lin and Miller
11:15 a.m. Rapid Fire Cases, Interesting Cases from the Audience
Attendees and All Faculty
12:30 p.m. Lunch - Oakville and Rutherford Terrace
12:30 p.m. Special Feature for Sonographers - Lunch with Mayo Clinic Sonographers
Ask Your Questions
Pre-Assigned Tables - Register On-Site
1:30 - 3:00 p.m.

Breakout Sessions - Attendees rotate after 45 minutes
A. Diastole
     Dr. Nishimura

B. Echocardiography in the Cath Lab and ICU
     Dr. Reeder

3:00 - 4:30 p.m. Attendees rotate after 45 minutes, but will not be able to do all 3.
C. Multimodality Imaging
     Dr. Anavekar

3:00 - 3:45 p.m.

4:45 - 4:30 p.m.

D. Hemodynamics (first 45 minutes)
     Hemodynamic Live Scanning (second 45 minutes)
     Drs. Miller and Garfield and Mr. Fosland

3:00 - 3:45 p.m.

4:45 - 4:30 p.m.

E. Heart Failure Live Scanning - Including Strain (first 45 minutes)
     Echocardiography in Heart Failure (second 45 minutes)
     Drs. Lin and Garfield and Ms. Kahoun
4:30 p.m. Adjourn

Saturday, October 28, 2017

7:00 a.m. Continental Breakfast
7:45 a.m. Post Course Case Questions
Drs. Miller, Nishimura, and Connolly
8:00 a.m. Cases of Masses and Source of Embolism
Cases 47-49
Drs. Reeder and Anavekar
9:00 a.m. Special Presentations - Case of the Year
Attendees vote for the best case.
Cases 50-59
All Faculty
10:30 a.m. Refreshment Break
10:45 a.m. Interesting Cases from Faculty and Attendees (attendees, please provide your interesting case at registration)
Participants and All Faculty
12:00 p.m. Closing Remarks and Adjournment



Heidi M. Connolly, M.D.
Fletcher A. Miller, Jr., M.D.
Rick A. Nishimura, M.D.

Martin D. Abel, M.D.
Nandan S. Anavekar, MB, B.Ch.
Charles J. Bruce, MBChB
Joshua G. Fosland, BS, RDCS
Jessica B. Kahoun, RCS
Grace Lin, M.D.
Guy S. Reeder, M.D.
Hartzell V. Schaff, M.D.

William F. Armstrong, M.D.
Allan Garfield, M.D.

As a provider accredited by ACCME, Mayo Clinic College of Medicine and Science (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity, and scientific rigor in its educational activities. Course directors, planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals and instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

Mayo Clinic College of Medicine and Science complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payment Sunshine Act).


Mayo Clinic College of Medicine and Science is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Professionals
A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

Attendees should ensure in advance that their credentialing or licensing organization accepts AMA PRA Category 1 CreditsTM from the sponsor of this activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Participation information will be shared with ABIM through PARS.


MD, PhD, DO, PharmD $830
Fellow, Resident, RN, NP, PA, Sonographer $650

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, lunch, and welcome reception. Although it is not Mayo Clinic Cardiovascular CME (CV CME) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited.

If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo Clinic CV CME before Wednesday, October 11, 2017, (email: No refunds will be made on or after Wednesday, October 11, 2017. Canceled registrations are non-transferable.

This course is intended to be a live learning experience. If you do not attend this course on-site as a live learner, you will not be allowed access to the materials/lectures during or after the course. No refunds will be given for no-show registrants.

Mayo Clinic CV CME reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo Clinic CV CME must cancel or postpone this course, Mayo Clinic CV CME will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.


Please note, The Meritage hotel has sold out for this conference. Please locate a hotel before registering for this conference. 

Guest rooms have been reserved for attendees and their guests with special course rates at The Meritage Resort. In order to receive the group rate, reservations must be made before the room block is filled or before the expiration date of Monday, October 2, 2017, whichever comes first. NOTE: The block has been sold out before this date in the past. Reservations will be taken after this date based on space and rate availability.

The Meritage Resort
875 Bordeaux Way
Napa, CA 94558

Group Rate: $260 single/double a night for any night in the block except for Saturday, October 28 which is sold out and the hotel will not offer additional rooms at the group rate. If you are in need of a Saturday night stay, please ask the reservation contact what the rate is for Saturday night before booking it.
Group Code: Mayo Clinic
Online Reservations
Phone Reservations: 866-370-6272 or 707-251-1900

Lodging arrangements are the sole responsibility of the individual registrant.

Mayo Clinic CV CME is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

Travel Information
San Francisco International Airport - Approximately 55 miles
Oakland International Airport - Approximately 47 miles
Sacramento International Airport - Approximately 60 miles

Travel arrangements are the sole responsibility of the individual registrant.

Commercial Support

At the time of this posting, a complete listing of commercial supports (financial or in-kind) was not available. Appropriate acknowledgement will be given to all supporters at the time of the meeting.

This course offers the opportunity for commercial companies to interact with health care providers and highlight their products and services. If you are interested in exhibit space during this course, please contact Sheila Fick. Exhibits will be available for viewing at all scheduled breaks.

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