Toronto Congenital Cardiac Centre for Adults

Data valid for 2013

General Information
Address: 585 University Avenue, Toronto, ON M5G 2N2
Program Website
Patient Inquiries Phone: (416) 340-4871
Appointment Requests: (416) 340-4393
Year Formalized: 1982
24/7 ACHD On-Call Schedule:
Hospital (Adult or Pediatric Hospital): University Health Network/Toronto General Hospital, Peter Munk Cardiac Centre (Adult Hospital)
Hospital (Adult or Pediatric Hospital): Mount Sinai Hospital, Toronto (Adult Hospital)
Medical School: University of Toronto
Medical Director
Medical Director:
Board Certified In:
Erwin Oechslin, MD
IM Card
Years in ACHD: 18
% of Time Dedicated to ACHD: 85%
Medical Co-Director
Medical Co-Director:
Board Certified In:
Candice Silversides, MD
IM, IM Card
Years in ACHD: 13
% of Time Dedicated to ACHD: 50%
Care Setting
Total ACHD Patient Visits: 4062
Half-day Sessions (per week): 15
Out-patients seen at:Toronto General 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: 12)
Do you offer regularly scheduled patient care conferences?Yes, weekly
Does your program provide patient/family support or education meetings?
ACHD Clinic Staffing
Number of Additional Cardiologists who attend ACHD Clinic:11
Additional cardiologist:
Board Certified In:
Jack Colman, FRCPC, FACC
IM, IM Card
Additional cardiologist:
Board Certified In:
Lucy Roche, MD
Ped Card
Additional cardiologist:
Board Certified In:
Rachel Wald, MD
Ped Card
Additional cardiologist:
Board Certified In:
Andrew Crean, MD
IM Card, Radiology
Additional cardiologist:
Board Certified In:
Eric Horlick, MD
IM, IM Card
Number of Cardiac Care Associates: 2
Cardiac Care Associates: Angela Lee, RN(EC), MN-NP; Noorin Jamal, RN (EC), MN-NP, CCN(C)
Other Program Staff: Carole Ryan (Program Coordinator)
Surgical and Interventional Resources
Number of Pediatric (< 18) CHD operations performed: 570
Number of ACHD (> 18) operations performed: 84
Number of Cardiologists performing interventional catheterizations: 3
Number of Surgeons performing more than 75 CHD or ACHD operations: 4
Director's Description
The multidisciplinary team approach and patient-centred, comprehensive care are the strengths of the program. Program includes combined ACHD/Pulmonary Hypertension clinic and access to OB/GYNs experienced in high-risk pregnancy.
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: No
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: Typically transplanted within our own institution
Training & Research
ACHD Training for Fellows: Yes
Programs that Apply:Formal ACHD rotation for general cardiology fellows (in Adult & Peds), Individualized long-term mentoring (or informal ACHD fellowship), Formal dedicated ACHD fellowship (1 & 2 year)
Does your program undertake ACHD Research? Yes
Program's last publication: 2014
Program's most recent receipt of external funding: 2013