AATS: American Association for Thoracic Surgery.
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Annual Meeting
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SATURDAY, MAY 1, 2010
8:00 a.m. - 12:00 p.m.   ADULT CARDIAC SKILLS COURSE
Constitution 107, Metro Toronto Convention Centre

Chair:
Gregory P. Fontana, MD
Cedars-Sinai Medical Center

COURSE OBJECTIVES
At the conclusion of this course, the participants will be able to:
• Analyze and apply optimal strategies for patients in need of coronary artery revascularization.
• Consider the adoption and employment of new techniques in the treatment of mitral valve disease, including a greater understanding of methods to prepare surgeons to safely modify their practice.
• Evaluate emerging transcatheter techniques to facilitate the development of postgraduate strategies to broaden future practice opportunities.
• Develop a greater understanding of the surgeon’s role in the rapidly evolving field of congestive heart failure therapy.
8:00 a.m. – 8:05 a.m. Introduction
Gregory P. Fontana, MD
Cedars-Sinai Heart Institure
8:05 a.m. – 8:45 a.m.   Coronary Artery Disease
8:05 a.m. – 8:15 a.m.   Total Arterial Revascularization: Is it Really Necessary?
Joseph F. Sabik, III, MD
Cleveland Clinic Foundation
8:15 a.m. – 8:25 a.m.   Hybrid Revascularization: Is it the Best of Both Worlds?
Volkmar Falk, MD
University of Zürich
8:25 a.m. – 8:35 a.m.   Off-Pump CABG: Does it Remain Relevant?
John D. Puskas, MD
Emory University
8:35 a.m. – 8:45 a.m.   CROSSFIRE DISCUSSION
8:45 a.m. – 9:15 a.m.   Debate: Left Main Disease is No Longer an Absolute Surgical Indication
    Pro: Raj Makkar, MD
Cedars-Sinai Heart Institute

Con: Michael J. Mack, MD
Cardiothoracic Surgery Associates of North Texas
9:15 a.m. – 10:00 a.m.   Mitral Valve Surgery
9:15 a.m. – 9:30 a.m. Moving From Median Sternotomy to Minimally Invasive Surgery with or without a Robot
Friedrich W. Mohr, MD, PhD
University of Leipzig
9:30 a.m. – 9:50 a.m. Approaches to the Mitral Annuls: Rings, Slings and Catheters
David H Adams. MD
Mount Sinai Medical Center

Important Anatomical and Physiologic Considerations
Friedrich W. Mohr, MD, PhD
University of Leipzig

New Transcatheter Devices
Saibal Kar, MD
Cedars-Sinai Medical Center
 9:50 a.m. – 10:00 a.m.   Is there a Role for Surgeons in Transcatheter Mitral Procedures?
Alfredo Trento, MD
Cedars-Sinai Medical Center
10:00 a.m. – 10:15 a.m.   CROSSFIRE DISCUSSION
10:15 a.m. – 10:30 a.m.   BREAK
  Transcatheter Cardiac Surgery: Where Will You Be in Five Years? Training, opportunities, and inevitabilities
10:30 a.m. – 10:40 a.m Aortic Disease
Eric E. Roselli, MD
Cleveland Clinic Foundation
10:40 a.m. – 10:50 a.m. Valvular Heart Disease
Anson Cheung, MD
University of British Columbia
10:50 a.m. – 11:00 a.m.   Structural Heart Disease
Georg Lutter, MD
University of Kiel
11:00 a.m. – 11:15 a.m.   CROSSFIRE DISCUSSION
  Congestive Heart Disease
11:15 a.m. - 11:25 a.m.   New Mini - VADS Will Have a Great Impact
William E. Cohn, MD, PhD
Texas Heart Institute
11:25 a.m. – 11:45 p.m.   Is the Solution in Cell Therapy or the Matrix?
Robert G. Matheny, MD
Cardiac Surgical Associates

John V. Conte, MD
Johns Hopkins Hospital
11:15 a.m. – 12:00 p.m.   CROSSFIRE DISCUSSION
12:00 p.m.   ADJOURN
 
8:00 a.m. – 12:00 p.m. GENERAL THORACIC SKILLS COURSE
Constitution 106, Metro Toronto Convention Centre

Chair:
Yolonda L. Colson, MD, PhD
Brigham & Women’s Hospital

COURSE OBJECTIVES
At the conclusion of this course, the participants will be able to:
• Apply new minimally invasive techniques for the endobronchial biopsy and marking of parenchymal lung lesions (navigational bronchoscopy) and the treatment of diaphragmatic paralysis.
• Describe the therapeutic potential for lung stem cells, new agents to minimize lung ischemia reperfusion injury and the artificial lung in the future treatment of end-stage lung disease.
• Identify the strengths and limitations associated with Natural Orifice Translumenal Endoscopic Surgery (NOTES) and new minimally invasive approaches to GE reflux.
• Relate current clinical outcomes with incidence of occult nodal disease in Stage I NSCLCA and develop future nanotech approaches to lymph node targeting.
8:00 a.m. - 8:10 a.m.   Introduction and Course Overview
Yolonda L. Colson, MD, PhD
Brigham & Women’s Hospital
8:10 a.m. - 8:30 a.m.   Navigational Bronchoscopy and Endobronchial Fiducial Placement
Philip A. Linden, MD
Case Medical Center/University Hospitals
8:30 a.m. - 8:50 a.m.   Lung Stem Cells
David M. Jablons, MD
University of California, San Francisco
8:50 a.m. - 9:10 a.m.   What is New in Lung Ischemia/Reperfusion
Christine L. Lau, MD
University of Virginia Health System 
9:10 a.m. - 9:30 a.m.   Expanding Options in Extracorporeal Lung Support
Shaf Keshavjee, MD, MSc
Toronto General Hospital
9:30 a.m. - 9:45 a.m.   DISCUSSION
9:45 a.m. - 10:15 a.m.   BREAK
10:15 a.m. - 10:35 a.m.   Nanotechnology and Lymph Node Targeting
Yolonda L. Colson, MD, PhD
Brigham & Women’s Hospital
10:35 a.m. - 11:05 a.m.   What is NOTES All About?
Elena Dubcenco, MD
University of Toronto
11:05 a.m. - 11:25 a.m.   New Techniques in GE Reflux
Virginia R. Litle, MD
University of Rochester
11:25 a.m. - 11:45 a.m.   Clinical Advances in Diaphragm Pacing
Christopher Ducko, MD
Brigham & Women’s Hospital
11:45 a.m. - 12:00 p.m.   DISCUSSION
12:00 p.m.   ADJOURN
 
8:00 a.m. - 12:00 p.m.   CONGENITAL SKILLS COURSE NEW in 2010
Constitution 105, Metro Toronto Convention Centre

Chair:
James S. Tweddell, MD
Medical College of Wisconsin

COURSE OBJECTIVES
At the conclusion of this course, the participants will be able to:
• Identify appropriate candidates for rare and/or complex procedures such as: the Senning procedure, 2-ventricle repair of heterotaxy with double outlet right ventricle and pulmonary outflow obstruction, neonatal supra-annular mitral valve replacement, interdigitating arch reconstruction, slide tracheoplasty for tracheal stenosis, sutureless repair of pulmonary vein stenosis and for extra-anatomic repair of aortic arch obstruction.
• Describe the steps and pitfalls of these rare and/or complex procedures.
• List the appropriate prosthetic materials to accomplish these procedures including patch material and choice of valves or conduits.
8:00 a.m. - 8:05 a.m.   Welcome and Introduction
James S. Tweddell, MD
Medical College of Wisconsin
8:05 a.m. - 8:20 a.m.   The Senning Procedure as Part of a Double Switch for CCTGA
David J. Barron, MD
Birmingham Children’s Hospital
8:20 a.m. - 8:30 a.m.   DISCUSSION
8:30 a.m. - 8:45 a.m.   Two Ventricle Repair of Heterotaxy with DORV/AVC with PS or PA
Eric J. Devaney, MD
University of Michigan
8:45 a.m. - 8:55 a.m.   DISCUSSION
8:55 a.m. - 9:10 a.m.   Supra-Annular Mitral Valve Replacement in a Neonate
Thomas L. Spray, MD
Children’s Hospital of Philadelphia
9:10 a.m. - 9:20 a.m.   DISCUSSION
9:20 a.m. - 9:35 a.m.   Norwood Procedure Interdigitating Arch Reconstruction
Glenn S. Van Arsdell, MD
Hospital for Sick Children
9:35 a.m. - 9:45 a.m.   DISCUSSION
9:45 a.m. - 10:15 a.m.   BREAK
10:15 a.m. - 10:30 a.m.   Slide Tracheoplasty
Carl L. Backer, MD
Children’s Memorial Hospital
10:30 a.m. - 10:40 a.m.   DISCUSSION
10:40 a.m. - 10:55 a.m.   Implantation of a Berlin Heart VAD
Robert D.B. Jaquiss, MD
Arkansas Children's Hospital / University of Arkansas for Medical Sciences
10:55 a.m. - 11:05 a.m.   DISCUSSION
11:05 a.m. - 11:20 a.m.   Sutureless Repair of Pulmonary Vein Stenosis following Repair of TAPVC
Christopher A. Caldarone, MD
The Hospital for Sick Children
11:20 a.m. - 11:30 a.m.   DISCUSSION
11:30 a.m. - 11:45 a.m.   Extra-anatomic Bypass for Complex Aortic Arch Obstruction
Harold M. Burkhart, MD
Mayo Clinic
11:45 a.m. - 12:00 p.m.   DISCUSSION
12:00 p.m.   ADJOURN
 
1:00 p.m. - 5:00 p.m.   DEVELOPING THE ACADEMIC SURGEON SYMPOSIUM
Constitution 107, Metro Toronto Convention Centre

Chair:
David H. Harpole, Jr., MD
Duke University

COURSE OBJECTIVES
At the conclusion of this course, the participants will be able to:
• Plan and implement a successful career in academic cardiothoracic surgery.
• Design and execute a clinical trial.
• Apply basic and clinical research methods to issues in cardiothoracic surgery.
1:00 p.m. - 1:10 p.m.   Introduction and Course Overview
David H. Harpole, Jr., MD
Duke University
1:10 p.m. - 1:30 p.m.   The Balancing Act of an Academic Career in Cardiothoracic Surgery
John W. Hammon, MD
Wake Forest University
1:30 p.m. - 1:50 p.m.   The Cardiothoracic Surgeon as an Educator
Ara Vaporciyan, MD
MD Anderson Cancer Center
1:50 p.m. - 2:10 p.m.   Basic Research in Thoracic Surgery
David R. Jones, MD
University of Virginia Health System
2:10 p.m. - 2:30 p.m.   Partnering with Industry for Clinical Trials and the FDA
Erle H. Austin, III, MD
University of Louisville
2:30 p.m. - 2:50 p.m.   Clinical Research as a Pathway to Academic Advancement
Eugene H. Blackstone, MD
Cleveland Clinic Foundation
2:50 p.m. - 3:20 p.m.   BREAK
3:20 p.m. - 3:40 p.m.   NIH-Sponsored Cooperative Cancer Groups and Thoracic Surgery
Bryan F. Meyers, MD, MPH
Washington University School of Medicine 
3:40 p.m. - 4:00 p.m.   NIH-Sponsored Cardiothoracic Surgical Trials Network
Timothy J. Gardner, MD
Christiana Care Health System
4:00 p.m. - 4:20 p.m.   An Academic Career in Clinical Practice
Eric Vallieres, MD
Swedish Health System
4:20 p.m. - 4:40 p.m.   Cardiothoracic Education in the Future
Edward D. Verrier, MD
University of Washington
4:40 p.m. - 5:00 p.m.   DISCUSSION
5:00 p.m.   ADJOURN
 
1:30 p.m. - 4:20 p.m.   PROFESSIONALISM AND THE CARDIOTHORACIC SURGERY SPECIALTY NEW in 2010
Constitution 105, Metro Toronto Convention Centre

Chair:
Pedro J. del Nido, MD
Children’s Hospital Boston

COURSE OBJECTIVES
At the conclusion of this course, the participants will be able to:
• Utilize newly gained interpersonal skills to deal with conflict in professional relationships.
• Apply the principles for communicating a positive, professional demeanor to patients.
• Communicate the fundamentals of professional integrity to trainees.
1:30 p.m. - 1:40 p.m.   Introduction
Pedro J. del Nido, MD
Children’s Hospital Boston
1:40 p.m.-2:00 p.m.   The Charter on Professionalism
Richard Cruess, MD
McGill Centre for Medical Education
2:00 p.m.-2:20 p.m.   The Doctor Patient Relationship
Wendy Levinson, MD
University of Toronto
2:20 p.m.-2:40 p.m.   Communication with Colleagues
Betsy White Williams, PhD, MPH
Professional Renewal Center
2:40 – 3:00 p.m.   BREAK
3:00 p.m.-3:30 p.m.   Education and Training on Professional Responsibilities
Richard L. Cruess, MD
McGill Centre for Medical Education

Sylvia R. Cruess, MD
McGill Centre for Medical Education
3:30 p.m.-3:50 p.m.   Professionalism and the American Board of Thoracic Surgery
John E. Mayer, Jr., MD
Children’s Hospital Boston
3:50 p.m.-4:20 p.m.   DISCUSSION
4:20 p.m.   ADJOURN
 
2:00 p.m. - 4:30 p.m.  

ROBOTIC CARDIOTHORACIC SURGERY SYMPOSIUM NEW in 2010
Constitution 106, Metro Toronto Convention Centre

Chairs:
W. Randolph Chitwood, Jr., MD
East Carolina University

Franca M. A. Melfi, MD
University of Pisa

COURSE OBJECTIVES
At the conclusion of this course, the participants will be able to:

• Practice the technique of robotic lobectomy.
• Utilize the device for appropriate surgical procedures for their own patients based upon results presented.
• Develop emerging robotic surgical technique for complex procedures in the field of cardiothoracic surgery.
• Apply basic and clinical research methods to issues in robotic cardiothoracic surgery.

2:00 p.m. – 2:10 p.m.   Keynote Introductory Lecture: Robotics in Cardiothoracic Surgery: What, Why and How?
W. Randolph Chitwood, Jr., MD
East Carolina University

PART I - Non-Cardiac Thoracic Surgery: Lung / Esophagus / Thymus
Chairs:
Kemp. H. Kernstine, MD, PhD
City of Hope National Medical Center and Beckman Research Institute

Ralph A. Schmid, MD, PhD
University Hospital Berne
2:10 p.m. – 2:20 p.m.   Learning Curve in Robot-Assisted Lobectomy for Lung Cancer
Lorenzo Spaggiari, MD, PhD
European Institute of Oncology

Giulia Veronesi, MD
European Institute of Oncology
2:20 p.m. – 2:30 p.m   Strategies for Challenging Major Resections for Lung Cancer
Franca M. A. Melfi, MD
University of Pisa
2:30 p.m. – 2:40 p.m.   Robotic versus Open versus VATS Lymphadenectomy – Feasibility versus Validity
Bernard Joon Hahn Park, MD
Memorial Sloan-Kettering Cancer Center
2:40 p.m. – 2:50 p.m.   Robotic-Assisted Thoracoscopic Esophagectomy: Basic Principles and Techniques
Kemp H. Kernstine, MD, PhD
City of Hope National Medical Center/Beckman Research Institute
2:50 p.m. – 3:00 p.m.   Robotic Approaches to Anterior Mediastinum for Thymic Diseases
Federico Rea, MD
University of Padua
3:00 p.m. – 3:20 p.m.   DISCUSSION

PART II - Robotic Cardiac Surgery

Chairs:
Tomislav Mihaljevic, MD
Cleveland Clinic Foundation

J. Michael Smith, MD
Cardiac, Vascular & Thoracic Surgeons, Inc.
3:20 p.m. – 3:30 p.m.   Principles of Robotic Cardiac Surgery
J. Michael Smith, MD
Cardiac, Vascular & Thoracic Surgeons, Inc.
3:30 p.m. – 3:40 p.m.   Robotic Mitral Valve Repair – Endoballoon Method
Tomislav Mihaljevic, MD
Cleveland Clinic Foundation
3:40 p.m. – 3:50 p.m.   Robotic Mitral Valve Repair
Evelio Rodriguez, MD
East Carolina University
3:50 p.m. – 4:00 p.m.   Robotic Coronary Surgery
Johannes Bonatti, MD
University of Maryland
4:00 p.m. – 4:10 p.m.   Robotic Cryo-MAZE for Atrial Fibrillation
W. Randolph Chitwood, Jr., MD
East Carolina University
4:10 p.m. – 4:30 p.m.   DISCUSSION
4:30 p.m.   ADJOURN


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