This Issue of Cardiology in the Young represents the tenth annual publication in Cardiology in the Young generated from the two meetings that compose “HeartWeek in Florida”.Reference Jacobs and Anderson ^{1 –} Reference Jacobs, DeCampli and Cooper ⁹ The nine previous publications were free-standing Supplements to Cardiology in the Young; however, this year we have transitioned to publishing these proceedings as a regular Issue of Cardiology in the Young, the December Issue. Many of the manuscripts published in the nine previous Supplements rank among the most referenced manuscripts in Cardiology in the Young. Consequently, we intend to keep the proceedings from HeartWeek as the December Issue of Cardiology in the Young in the future.

As I have emphasised in the previous supplements, Florida is the fourth largest state in the United States of America. The programme for care of children with congenital cardiac malformations at The Children's Hospital of Philadelphia is one of the largest and most comprehensive programmes in the world. Similarly, Johns Hopkins Children's Heart Surgery is one of the largest and most comprehensive programmes in the world. “HeartWeek in Florida”, the joint collaborative project sponsored by the Cardiac Center at The Children's Hospital of Philadelphia and Johns Hopkins Children's Heart Surgery at All Children's Hospital of Saint Petersburg, averages over 1000 attendees every year and is now recognised as one of the major planks of continuing medical and nursing education for those working in the fields of diagnosis and treatment of cardiac disease in neonates, infants, children, and adults.

In 2013, the two HeartWeek Meetings will not be held in the United States of America. Gil Wernovsky and I, and the leaders of HeartWeek, have decided to cancel the North American HeartWeek Meetings to support the 6th World Congress of Paediatric Cardiology and Cardiac Surgery that will be held in Cape Town, South Africa, in 2013, under the leadership of Christopher Hugo-Hamman [http://www.pccs2013.co.za/]. Gil and I are hopeful that ALL of the usual attendees of HeartWeek will attend the World Congress, which truly is the “Olympics of our profession”!!

• • The 6th World Congress of Paediatric Cardiology and Cardiac Surgery takes place in Cape Town, South Africa between 17 and 22 February, 2013. The Paediatric Cardiac Society of South Africa is the host and organiser of this prestigious Congress, which takes place at the Cape Town International Convention Centre. For information and to register, please visit: [http://www.pccs2013.co.za/].

All institutions involved with the organisation of the events of “HeartWeek in Florida” are very grateful to Ted Baker, Bob Anderson, and the team at Cardiology in the Young, for their support and for the opportunity to publish this HeartWeek Issue of Cardiology in the Young, as well as the nine prior Supplements. On a personal note, I would like once again to congratulate Bob for his ability to remain massively involved in the academic world of professionals caring for patients with congenitally malformed hearts, even after his official so-called “retirement”. I would again like to thank Bob for his support, friendship, mentorship, professional guidance, and advice over the past 15 years. Bob has played a major role in the development of my own career, and I am appreciative for all that he has done for me. He placed an amazingly high level of trust in me when I was very young, and I appreciate this support. Bob has also been a strong supporter and advocate of our programme at All Children's Hospital for quite some time. In February of 2012, Bob was a featured speaker at our annual February meeting for the 11th consecutive year. Every morning for all 11 of these years we have started our sessions with an anatomy lesson from Bob. On a daily basis, he sets the stage for the rest of the day, and raises the academic level of our meeting.

The Cardiac Center at the Children's Hospital of Philadelphia hosted their 16th Annual Postgraduate Course at Loews Portofino Bay Hotel at Universal Orlando^® in Orlando, Florida, from February 22 through 26, 2012. This annual meeting organised by The Cardiac Center at The Children's Hospital of Philadelphia, under the direction of Gil Wernovsky and Tina Mannices, is typically attended by over 750 professionals and exhibitors gathered from around the globe to hear late-breaking research, to discuss controversial topics, to review current practices, and to enjoy each others’ company and insight.Reference Wernovsky ¹⁰ Physicians make up approximately half of the attendees, and include representation from all disciplines involved in the care of children with cardiac disease, including cardiologists, intensivists, surgeons, anaesthesiologist, neonatologists, and maternal foetal specialists. The remaining attendees include advanced practice, operating room, catheterisation lab and bedside nurses, sonographers, physician assistants, respiratory therapists, perfusionists, and administrators. A highlight of the meeting organised by The Children's Hospital of Philadelphia is the featured lectures in Cardiovascular Surgery, Cardiology, Nursing, Anesthesia and Critical Care, and Basic Sciences (Table 1). Over the last several years, this meeting has typically alternated annually between an east coast meeting, usually in Orlando, Florida, and a west coast meeting, usually in Scottsdale, Arizona. In February, 2012, the meeting organised by The Children's Hospital of Philadelphia returned to Orlando, Florida. The 16th Annual Update on Pediatric and Congenital Cardiovascular Disease: Developing a Lifelong Interdisciplinary Strategy for Your Patient with Congenital Heart Disease , organised by Children's Hospital of Philadelphia, was held in Orlando, Florida, from February 22 through 26, 2012.

Table 1

The Featured lectures given thus far during the Annual Postgraduate Course in Paediatric Cardiovascular Disease organised by The Children's Hospital of Philadelphia.

In February, 2014, the meeting organised by The Children's Hospital of Philadelphia will again return to Orlando, Florida. The 17th Annual Update on Pediatric and Congenital Cardiovascular Disease, organised by The Children's Hospital of Philadelphia, will be held at the Disney's Yacht and Beach Club^® Resorts in Lake Buena Vista, Florida, from February 19 through 23, 2014. To view the entire programme and register for the meeting, please visit the following web site: [heart.chop.edu/cardiology2014]. For detailed information, please e-mail Tina Mannices at: [mannices@email.chop.edu], or call +1 (215) 590-5263. The preliminary programme will be available in June, 2013. The abstract submission deadline is November 25, 2013.

In 2012, the component of HeartWeek in Florida organised by Johns Hopkins Children's Heart Surgery at All Children's Hospital, and representing our own 12th annual International Symposium on Congenital Heart Disease, was held from Friday February 17, 2012 through Tuesday February 21, 2012, with its focus being on Common Arterial Trunk and Transposition of the Great Arteries. Our Annual International Symposium on Congenital Heart Disease with Echocardiographic, Anatomic, Surgical, and Pathologic Correlation is held every February, and is now entering its 13th year. The first 11 meetings were sponsored by All Children's Hospital [www.allkids.org], The Congenital Heart Institute of Florida [www.chif.us], and the University of South Florida. The 2012 meeting was presented by All Children's Hospital and Sponsored by Johns Hopkins Medicine, and all future meetings organized by All Children's Hospital will also be Sponsored by Johns Hopkins Medicine. Our meetings in 2009, 2010, 2011, and 2012 were co-sponsored by The American Association for Thoracic Surgery [http://www.aats.org/CME/Programs.html], and our 2014 meeting will also be co-sponsored by The American Association of Thoracic Surgery. Our meeting in 2012 had as its focus Common Arterial Trunk and Transposition of the Great Arteries , with sessions aimed specifically at multi-disciplinary issues related to the following topics:

• • Anatomy of Common Arterial Trunk and Transposition of the Great Arteries;

• • Echocardiography of Common Arterial Trunk and Transposition of the Great Arteries;

• • Critical care of patients with Common Arterial Trunk and Transposition of the Great Arteries;

• • Surgery for Common Arterial Trunk and Transposition of the Great Arteries; and

• • Ethics.

We also continued two exciting new symposia that we first held in 2011:

• • Nursing Symposium

• • Ethics Symposium

Finally, we continued several of our popular features:

• • Hands-on demonstrations,

• • Panel discussions,

• • Q&A sessions, and

• • Pathologic heart specimens on exhibit.

The overall emphasis of the meeting is multi-disciplinary, with involvement of paediatric cardiac surgery, paediatric cardiology, paediatric cardiac critical care, paediatric cardiac anaesthesia, nursing, perfusion, and ultrasonography. Attendance at our meeting is typically between 250 and 300 participants.

• • Our meeting held in 2007 had 269 attendees from 30 states of the United States of America and 14 countries. The attendees were 43% physicians, 41% nurses, perfusionists, and ultrasonographers, and 16% allied health-care professionals. The University of South Florida designated this educational activity for a maximum of 24.25 AMA PRA Category 1 Credits.

• • Our meeting held in 2008 had 270 attendees from 32 states of the United States of America and 16 countries. The attendees were 52% physicians, 31% nurses, perfusionists, and ultrasonographers, and 17% allied health-care professionals. The University of South Florida College of Medicine designated this educational activity for a maximum of 30.25 AMA PRA Category 1 Credits.

• • Our meeting held in 2009 had 270 attendees from 32 states of the United States of America and 16 countries. The attendees were 40% physicians, 49% nurses and physician assistants, and 11% perfusionists, ultrasonographers, and allied health-care professionals. The University of South Florida College of Medicine designated this educational activity for a maximum of 29.5 AMA PRA Category 1 Credits (Program number BD2009399/1170).

• • Our meeting held in 2010 had 230 attendees from 29 states of the United States of America and 18 countries. The attendees were from the following categories: physicians (115), physician assistants (7), nurse practitioners (17), registered nurses (35), sonographers (16), perfusionists (4), and others (36).

• • Our meeting held in 2011 had 263 attendees including 116 physicians and 147 non-physicians. The highlight of the 2011 conference was the George R. Daicoff Dinner Presentation, which was presented by Edward L. Bove, MD, titled: “Innovation and Regulation: Can They Both Exist in Today's Medical Environment?” Dr Bove is the Helen and Marvin Kirsch Professor and Head of the Section of Cardiac Surgery, which includes Divisions of Pediatric and Adult Cardiac Surgery, at the University of Michigan C. S. Mott Children's Hospital. The Division of Pediatric Cardiac Surgery is one of the busiest congenital heart programmes in the United States, performing over 900 procedures annually. Additional featured speakers included William I. Norwood, Leonard L. Bailey, Robert Anderson, Tom Spray, and Constantine Mavroudis.

• • Our meeting held in 2012 had 309 attendees including 112 physicians and 187 non-physicians from 27 countries including the United States of America. The highlight of the 2012 conference was the George R. Daicoff Dinner Presentation, which was presented by Richard A. Jonas, MD, and was titled: “A View of Shanghai from Washington, DC: 25 Years of Change”. Dr Jonas is Chief of Cardiac Surgery, Co-Director of the Children's National Heart Institute, and Cohen Funger Professor of Cardiac Surgery at Children's National Medical Center in Washington, District of Columbia. He is a world-renowned paediatric cardiac surgeon specialising in optimising the developmental and cognitive outcomes of patients after surgery for congenital heart disease. Dr Jonas has also helped in the development of a number of international cardiac surgical programmes around the world and is a coveted international speaker and guest surgeon. Additional featured speakers included Robert Anderson, Tom Spray, and Constantine Mavroudis.

Table 2 highlights the featured topics and speakers from the meeting held in Saint Petersburg. The true summit of this meeting is the George Daicoff Lecture, given by the featured speaker to honour the founder of our surgical programme in Saint Petersburg. Previous and future Daicoff Lectures are presented below:

Table 2

Featured topics and speakers during the symposiums organised by The Congenital Heart Institute of Florida and All Children's Hospital.

• • (2003) Leonard L. Bailey and his wife Nancy from Loma Linda University Medical Center, California

• • (2004) Martin J. Elliott from The Great Ormond Street Hospital for Children, London, United Kingdom

• • (2005) Marc deLeval from The Great Ormond Street Hospital for Children, London, United Kingdom

• • (2006) Ross M. Ungerleider and his wife Jamie Dickey from Oregon Health Sciences University, Oregon

• • (2007) Constantine Mavroudis and Carl Backer from Children's Memorial Hospital, Chicago

• • (2008) Tom Spray from The Children's Hospital of Philadelphia, Philadelphia

• • (2009) Marshall Lewis Jacobs from Drexel University College of Medicine, Philadelphia, Pennsylvania

• • (2010) Roberto Canessa from Montevideo, Uruguay

• • (2011) Edward L. Bove from the University of Michigan, Ann Arbor, Michigan

• • (2012) Richard A. Jonas from Children's National Medical Center, Washington, District of Columbia

• • (2013) 6th World Congress of Paediatric Cardiology and Cardiac Surgery in Cape Town, South Africa, under the leadership of Christopher Hugo-Hamman [http://www.pccs2013.co.za/]

• • (2014) John Brown from Indiana University School of Medicine, Indianapolis, Indiana

In 2014, our 14th annual meeting will take place from February 14 through 18, 2014, presented by All Children's Hospital, Sponsored by Johns Hopkins Medicine, and co-sponsored by The American Association of Thoracic Surgery. The focus will be “Valvar Disease from the Neonate to the Adult”. The George Daicoff Lecture for 2014 will be given by John Brown, MD, Harris B. Shumacker Emeritus Professor of Surgery at Indiana University School of Medicine and current President of The Congenital Heart Surgeons’ Society. To view the entire programme for our 2014 meeting and to register for the meeting, please visit the following website: [www.allkids.org/conferences]. For detailed information, please e-mail Melodye Farrar at: [Melodye.Farrar@allkids.org], or contact us at +1 (727) 767-8584 or [cme@allkids.org]. Our preliminary programme will be available and posted on our website in June, 2013.

We have now reached the situation whereby the proceedings of the meetings held in 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, and 2012 have been published as supplements to Cardiology in the Young.Reference Jacobs and Anderson ^{1 –} Reference Jacobs, DeCampli and Cooper ⁹ This December, 2012 HeartWeek Issue of Cardiology in the Young is therefore the tenth Supplement or Issue of Cardiology in the Young that we have produced from the annual meeting held in Saint Petersburg; this December, 2012 HeartWeek Issue of Cardiology in the Young is also the eighth that we have produced jointly with The Children's Hospital of Philadelphia (2004 2006, 2007, 2008, 2009, 2010, 2011, and 2012):Reference Jacobs, Wernovsky, Gaynor and Anderson ^{2 ,} Reference Jacobs, Wernovsky, Gaynor and Anderson ^{4 –} Reference Jacobs, DeCampli and Cooper ⁹

1. 1. 2003 Meeting: Controversies Relating To The Hypoplastic Left Heart Syndrome

2. 2. 2004 Meetings: Controversies of the Ventriculo-Arterial Junctions and Other Topics

3. 3. 2005 Meeting: Controversies and Challenges in the Management of the Functionally Univentricular Heart

4. 4. 2006 Meetings: Controversies and Challenges of the Atrioventricular Junctions and Other Challenges Facing Paediatric Cardiovascular Practitioners and their Patients

5. 5. 2007 Meetings: Controversies and Challenges Facing Paediatric Cardiovascular Practitioners and their Patients

6. 6. 2008 Meetings: Controversies and Challenges of Tetralogy Of Fallot and Other Challenges Facing Paediatric Cardiovascular Practitioners and Their Patients

7. 7. 2009 Meetings: Innovation Associated with the Treatment of Patients with Congenital and Paediatric Cardiac Disease

8. 8. 2010 Meetings: Rare and Challenging Congenital Cardiac Lesions: An Interdisciplinary Approach

9. 9. 2011 Meetings: A Holistic Approach to Hypoplastic Left Heart Syndrome and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease

10. 10. 2012 Meetings: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease

The part of the joint programme of HeartWeek organised by The Congenital Heart Institute of Florida and All Children's Hospital and Sponsored by Johns Hopkins Medicine will continue to take place in Saint Petersburg, even in the years when the part designed by The Children's Hospital of Philadelphia will be held outside of Florida, as occurred in 2009 in the Bahamas and in 2011 when the meeting organised by the team from The Children's Hospital of Philadelphia returned to Arizona. Even during these years when the meeting organised by The Children's Hospital of Philadelphia is held outside of Florida, “HeartWeek” will continue to be a collaborative project as manifest by the collaborative publication of this December, 2012 HeartWeek Issue of Cardiology in the Young, as well the various shared members of our international faculties. As has been stated on the website for the programme coordinated by The Children's Hospital of Philadelphia, “Providing optimal care for neonates, children and young adults with heart disease requires a multi-disciplinary team approach, including physicians (from cardiology, cardiac surgery, cardiothoracic anesthesia, neonatal and paediatric critical care medicine, and multiple consulting services), nurses, perfusionists, respiratory therapists, social workers and many others. All of these various practitioners must be experts in their own area, but should also be knowledgeable in what the other members of the team provide to the overall care of the patient”. This statement presents the rationale not only for the annual part of the meeting emanating from The Children's Hospital of Philadelphia, but also for “HeartWeek in Florida”. Both meetings are proud to emphasise collaboration that spans traditional geographic, subspeciality, and professional boundaries.

In recent years, we have dedicated this “HeartWeek Supplement” to leaders in the field of caring for patients with paediatric and congenital cardiac disease:

• • The Supplement from the 2007 HeartWeek was dedicated to Professor Robert Anderson.

• • The Supplement from the 2008 HeartWeek was dedicated to Hiromi Kurosawa of The Heart Institute of Japan and Tokyo Women's Medical University, Tokyo, Japan, and Norman Silverman of Stanford University and Lucile Packard Children's Hospital, Palo Alto, California, United States of America.

• • The Supplement from the 2009 HeartWeek was dedicated to Marshall Lewis Jacobs and Charles S. Kleinman.

• • The Supplement from the 2010 HeartWeek was dedicated to Constantine Mavroudis and Gerald Marx.

• • The Supplement from the 2011 HeartWeek was dedicated to Martin Elliott and Gil Wernovsky.

• • This December, 2012 HeartWeek Issue of Cardiology in the Young is dedicated to Richard A. Jonas.

Tribute to: Richard A. Jonas

The theme of this December, 2012 HeartWeek Issue of Cardiology in the Young generated from the 2012 HeartWeek in Florida begins with the phrase: “A Lifelong Interdisciplinary Approach…”. We would like to dedicate this December 2012 HeartWeek Issue of Cardiology in the Young to a physician who exemplifies the “Lifelong Interdisciplinary Approach” and who is a global leader in the field of caring for patients with paediatric and congenital cardiac disease: Richard Jonas.

In the final manuscript of the HeartWeek 2010 Supplement,Reference Campbell ¹¹ Robert Campbell, Chief of Pediatric Cardiology at Children's Healthcare of Atlanta Sibley Heart Center, Emory University School of Medicine in Atlanta, Georgia, presented his 9th Annual William J. Rashkind Memorial Lecture in Paediatric Cardiology: “The Reimbursement Tsunami: Preserving the Passion”. In this manuscript, Robert Campbell describes the “quintuple threat” professional as the health-care professional, with excellence in the five following domains:

• • clinical care,

• • teaching,

• • research,

• • business leadership, and

• • alignment.

Richard Jonas is truly a “quintuple threat” professional, with sustained excellence in all five of these areas. It is our honour to dedicate this December 2012 HeartWeek Issue of Cardiology in the Young to Richard Jonas (Fig 1).

Figure 1

Richard A. Jonas, MD, is Chief of Cardiac Surgery, Co-Director of the Children's National Heart Institute, and Cohen Funger Professor of Cardiac Surgery at Children's National Medical Center in Washington, District of Columbia.

Richard A. Jonas, MD, is Chief of Cardiac Surgery, Co-Director of the Children's National Heart Institute, and Cohen Funger Professor of Cardiac Surgery at Children's National Medical Center in Washington, District of Columbia. On Wednesday, May 30, 2012, I had the pleasure to visit with Dr Jonas and his team at Children's National Medical Center as a Visiting Professor, when I had the opportunity to speak about: “Outcomes Analysis and Quality Improvement for the Treatment of Patients with Pediatric and Congenital Cardiac Disease”. During this visit, I had the chance to spend time with Richard and his team. It was obvious to me that Richard's programme at Children's National Medical Center excels in patient care, research, teaching, and leadership, alignment, and service. The clinical programme is equal to any centre in the world and achieves excellent results with the most complex of neonates. Under the leadership of Dr Jonas, the Children's National Heart Institute has active and productive programmes in laboratory and clinical research. The programme also excels in training students and young physicians. Dr Jonas also excels at training junior surgeons, and many practising paediatric cardiac surgeons throughout the world owe a portion of their success to lessons learnt from Richard. Indeed, as pointed out by my partner Paul Chai, even surgeons who did not train with Richard, and maybe do not even know him personally, are influenced by his teaching; his classic book, Comprehensive Surgical Management of Congenital Heart Disease , is now in its second edition and is a valuable resource to paediatric cardiac surgeons throughout the world. Dr Jonas is a true leader among cardiac surgeons: he is a former President of both The American Association for Thoracic Surgery and The Congenital Heart Surgeons’ Society, and a current Vice President and future President of The World Society for Pediatric and Congenital Heart Surgery. The efforts of Dr Jonas to develop paediatric cardiac surgery at Shanghai Children's Hospital in China are a model for overseas charitable surgical missions. Richard Jonas has excelled in multiple professional domains throughout his career. On a personal note, Richard has been a mentor to me and offered me important advice over the years in several areas including cardiac surgery, leadership, the STS Congenital Heart Surgery Database, and The Congenital Heart Surgeons’ Society, where I was Chair of the Program Committee and Richard was President.

At the All Children's Hospital faculty dinner in Saint Petersburg during HeartWeek 2012, several faculty members made important toasts to Richard Jonas. Marshall Jacobs has given me permission to reproduce his toast in this article.