Vanderbilt Heart Adult Congenital Program

Data valid for 2014

General Information
Address: 1215 21st Avenue South, Nashville, TN 37232
Program Website
Patient Inquiries Phone: (615) 322-2318
Appointment Requests: (615) 322-2318
Year Formalized: 1995
24/7 ACHD On-Call Schedule: Yes
Hospital (Adult or Pediatric Hospital): Vanderbilt University Medical Center (Adult Hospital)
Hospital (Adult or Pediatric Hospital): Monroe Carell Jr Children's Hospital at Vanderbilt (Pediatric Hospital)
Medical School: Vanderbilt University Medical School
Medical Director
Medical Director:
Board Certified In:
Larry W. Markham, MD, MS
IM, Peds, Ped Card
Years in ACHD: 12
% of Time Dedicated to ACHD: 75%
Medical Co-Director
Medical Co-Director:
Board Certified In:

Years in ACHD:
% of Time Dedicated to ACHD:
Care Setting
Total ACHD Patient Visits: 2558
Half-day Sessions (per week): 8
Outpatients seen at:Vanderbilt University Medical Center
Outpatients seen at:Monroe Carell Jr. Children's Hospital at Vanderbilt
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/Pediatric Hospital
Invasive EP procedures are done: Adult/Pediatric Hospital
ACHD Surgeries are done: Adult/Pediatric 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: 16)
Do you offer regularly scheduled patient care conferences?Yes, 1-3 times per month
Does your program provide patient/family support or education meetings?Yes
ACHD Clinic Staffing
Number of Additional Cardiologists who attend ACHD Clinic:3
Additional cardiologist:
Board Certified In:
Frank Fish, MD
Peds, Ped Card, EP
Additional cardiologist:
Board Certified In:
Robert Piana, MD
IM, IM Card
Additional cardiologist:
Board Certified In:
Benjamin F. Byrd, III, MD
IM, IM Card
Additional cardiologist:
Board Certified In:
Benjamin Frischhertz, MD
IM, Peds, Ped Card Eligible
Number of NPs/PAs:
NP/PA: Jennifer Koonce ACNP
RN/LPN: Gretchen Jayawardena, RN
Other Program Staff: Shirley Guye, Admin Assistant
Surgical and Interventional Resources
Number of Pediatric (< 18) CHD operations performed: 422
Number of ACHD (> 18) operations performed: 42
Number of Cardiologists performing interventional catheterizations: 5
Number of Surgeons performing more than 75 CHD or ACHD operations: 3
Director's Description
The Vanderbilt Heart Adult Congenital program is a collaborative effort between adult and pediatric providers in a center of excellence for medical and surgical management of congenital heart disease. The Vanderbilt Heart Adult Congenital program is staffed by a highly specialized team of adult cardiovascular specialists, pediatric cardiologists, electrophysiologists, cardiothoracic surgeons, nurses, and administrative support focused on the unique needs of adults with congenital heart disease.
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: In collaboration with our pulmonary hypertension specialists
PAH in ACHD is managed medically: In collaboration with our pulmonary hypertension specialists
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 and Peds), Individualized long-term mentoring (or informal ACHD fellowship)
Does your program undertake ACHD Research? Yes
Program's last publication: 2014
Program's most recent receipt of external funding: N/A