Pacific Adult Congenital Heart (PACH) Clinic

Data valid for 2014

General Information
Address: 1081 Burrard Street, Vancouver, BC V6Z 1Y6
Program Website
Patient Inquiries Phone: (604) 806-8520
Appointment Requests: (604) 806-8520
Year Formalized: 1986
24/7 ACHD On-Call Schedule: Yes
Hospital (Adult or Pediatric Hospital): St. Paul's Hospital (Adult Hospital)
Medical School: University of British Columbia
Medical Director
Medical Director:
Board Certified In:
Marla Kiess, MD
IM Card
Years in ACHD: 30+
% of Time Dedicated to ACHD: 50%
Medical Co-Director
Medical Co-Director:
Board Certified In:

Years in ACHD:
% of Time Dedicated to ACHD:
Care Setting
Total ACHD Patient Visits: 1632
Half-day Sessions (per week): 4
Outpatients seen at:St. Paul's Hospital
Do you have providers who see patients in both pediatric and adult settings?Yes
Do you perform invasive cardiac procedures on ACHD patients at your institution?Yes
Catheter-based procedures are done: Adult Hospital
Invasive EP procedures are done: Adult Hospital
ACHD Surgeries are done: Adult Hospital
Established referral relationships with other ACHD programs for needed consultation, procedures or second opinions: Yes
Formal transition program between pediatric and ACHD clinics: Yes (Formal transition at age: 18)
Do you offer regularly scheduled patient care conferences?No
Does your program provide patient/family support or education meetings?No
ACHD Clinic Staffing
Number of Additional Cardiologists who attend ACHD Clinic:5
Additional cardiologist:
Board Certified In:
Amanda Barlow, mD
Ped Card
Additional cardiologist:
Board Certified In:
Shanta Chakrabarti, MD
Additional cardiologist:
Board Certified In:
Derek Human, MD
Ped Card
Additional cardiologist:
Board Certified In:
Jasmine Grewal, MD
Number of NPs/PAs:
NP/PA: Karen LeComte MSN, RN, CNCCP(C)
RN/LPN: Emma Lacoe, BN, RN, Patient Educator
RN/LPN: Alexia Gillespie, BA, BSN, CCN(C), Patient Educator
Surgical and Interventional Resources
Number of Pediatric (< 18) CHD operations performed: 0
Number of ACHD (> 18) operations performed: 28
Number of Cardiologists performing interventional catheterizations: 1
Number of Surgeons performing more than 75 CHD or ACHD operations: 2
Director's Description
We are a regional tertiary centre that follows a model of collaborative care incorporating expertise from adult and pediatric cardiologists, cardiac surgeons, consultants and allied health personnel. Our comprehensive services include Pregnancy and CHD, Heritable Aortopathies, Pulmonary Hypertension, CHD Surgery and Interventional cardiology.
Clinical Services Offered
ACHD-experienced Diagnostic Catheterization: Yes
ACHD-experienced Interventional Catheterization: Yes
ACHD-experienced Diagnostic Electrophysiology: Yes
ACHD-experienced Interventional Electrophysiology: Yes
ACHD-experienced Cardiac MRI: Yes
ACHD-experienced Multi-Slice Cardiac CT: Yes
ACHD-experienced High Risk Obstetrics/Perinatology: Yes
Contraceptive Counseling: Yes
Geneticist/Genetic Counseling: Yes
Cardiac Rehabilitation Service: Yes
Financial/Medical Insurance Counseling: Yes
Medical Social Worker:Yes
Pulmonary arterial hypertension (PAH) in ACHD is evaluated: Within our ACHD Program
PAH in ACHD is managed medically: Within our ACHD Program
When lung transplant is considered in our ACHD patients with PAH, they are: Referred to a suitable lung transplant program
Training & Research
ACHD Training for Fellows: Yes
Programs that Apply:Formal ACHD rotation for general cardiology fellows (in Adult), Formal dedicated ACHD fellowship (1 year)
Does your program undertake ACHD Research? Yes
Program's last publication: 2014
Program's most recent receipt of external funding: NA