1996 AATS Postgraduate Course Congenital Heart Disease Sunday, April 28, 1996 8:00 a.m. - 4:30 p.m. Room 14 San Diego Convention Center San Diego, California

Objectives The 1996 Postgraduate Course in Congenital Heart Disease will address the following topics: Late Problems following the Fontan Procedure including arrhythmias, protein losing enteropathy, cirrhosis, stroke and developmental delay and subaortic stenosis. Diagnosis and management options will be discussed. In addition, various topics related to brain protection in pediatric cardiac surgery will be covered. Finally, several videos demonstrating surgical techniques for managing complex congenital anomalies will be shown. This course will provide attendees the opportunity to interact with recognized experts involved in the research and development of new techniques and procedures in congenital heart disease. The format of the course will include lectures and videos of current issues within each of the topics areas, with ample time provided during each session for discussion of specific questions from the audience. Registration The registration fee is $75 per person and includes the course, coffee breaks and lunch. Accreditation The American Association for Thoracic Surgery is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The American Association for Thoracic Surgery designates this continuing education activity for 6 credit hours in Category 1 of the Physicians Recognition Award of the American Medical Association.

Postgraduate Course on Congenital Heart Disease

San Diego Convention Center - Room 14

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION

Richard A. Jonas, M.D., Course Chairman

Session I LATE PROBLEMS FOLLOWING THEFONTAN PROCEDURE

Moderator: John E. Mayer, M.D.

8:05 a.m. Arrhythmia

Charles B. Huddles ton, M.D., St. Louis, Missouri

8:25 a.m. Protein Losing Enteropathy and Cirrhosis

Gordon K. Danielson, M.D., Rochester, Minnesota

8:45 a.m. Stroke and Developmental Delay

John E. Mayer, M.D., Boston, Massachusetts

9:05 a.m. Subaortic Stenosis and Restrictive Intraventricular Communication

Marshall Jacobs, M.D., Browns Mills, New Jersey

9:25 a.m. Conversion of the Traditional Fontan to Lateral Tunnel

Hillel Laks, M.D., Los Angeles, California

9:45 a.m. Panel Discussion

10:00 a.m. Coffee Break

Session II BRAIN PROTECTION AND PEDIATRIC CARDIAC SURGERY

Moderator: Richard A. Jonas, M.D.

10:45 a.m. Latest Results of the Boston Circulatory Arrest Study

Jane Newburger, M.D., Boston, Massachusetts

11:05 a.m. pH Stat Versus Alpha Stat

Richard A. Jonas, M.D., Boston, Massachusetts

11:25 a.m. Potential Benefits of Delayed Rewarming

Erle H. Austin, III, M.D., Louisville, Kentucky

11:45 a.m. Retrograde Cerebral Perfusion

Randall B. Griepp, M.D., New York, New York

12:05 a.m. Cerebroplegia

Julie A. Swain, M.D., Kenosha, Wisconsin

12:25 a.m. Modified Ultrafiltration and Cerebral Protection

Ross M. Ungerleider, M.D., Durham, North Carolina

12:45 p.m. Luncheon

2:00 p.m. VIDEO PRESENTATIONS OF SURGICAL TECHNIQUES OF CONGENITAL ANOMALIES

5:00 p.m. RECEPTION - EXHIBIT HALL

1996 AATS General Thoracic Surgery Symposium Progress, Technical Pitfalls And Management Of Complications Sunday, April 28, 1996 8:00 a.m. - 5:00 p.m. Room 15 San Diego Convention Center San Diego, California

Objectives The 1996 General Thoracic Surgery Symposium entitled "Progress, Technical Pitfalls and Management of Complications" will provide an overview of the current "state of the art" of general thoracic surgery. Discussion topics will include the surgical treatment of myobacterial disease, malignant mesothelioma, gastroeso-phageal reflux, Barrett's esophagus and emphysema; technical challenges and complications of tracheal surgery, surgical treatment of stage IIIA and IIIB lung cancer, chest wall resection and reconstruction, and transhiatal esophagectomy; new directions in video assisted thoracic surgery; and new developments in molecular biology, which have exciting implications for gene therapy for malignant mesothelioma and diagnosis of adenocarcinoma of the cardia. This symposium will provide attendees with the opportunity to interact with recognized experts in their respective fields. The course format will include lectures with ample time provided for discussion of specific questions from the audience. Registration The registration fee is $75 per person and includes the symposium, coffee breaks and lunch. Accreditation The American Association for Thoracic Surgery is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The American Association for Thoracic Surgery designates this continuing education activity for 6.5 credit hours in Category 1 of the Physicians Recognition Award of the American Medical Association.

General Thoracic Surgery Symposium

San Diego Convention Center - Room 15

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION AND WELCOME

Mark B. Orringer, M.D., Chairman

8:00 a.m. Surgical Treatment of Mycobacterial Disease

Marvin Pomerantz, M.D., Denver, Colorado

8:30 a.m. Surgical Treatment of Malignant Mesothelioma

David J. Sugarbaker, M.D., Boston, Massachusetts

9:00 a.m. Gene Therapy for Malignant Mesothelioma

Larry R. Kaiser, M.D., Philadelphia, Pennsylvania

9:30 a.m. Trachea! Surgery - Pitfalls and Avoidance of Problems

Douglas J. Mathisen, M.D., Boston, Massachusetts

10:00 a.m. REFRESHMENT BREAK

10:30 a.m. Prosthetic Replacement of SVC

Philippe G. Dartevelle, M.D., Le Plessis Robinson, France

11:00 a.m. Technical Problems in the Management of Stage III A and IIIB Lung Cancer

Robert J. Ginsberg, M.D., New York, New York

11:30a.m. LUNCHEON

1:00 p.m. Treatment Strategy for Barren's Esophagus

Victor F. Trastek, M.D., Rochester, Minnesota

1:30 p.m. Adenocarcinoma of the Cardia - The Role of Molecular Biology in Diagnosis and Early Detection

David G. Beer, Ph.D., Ann Arbor, Michigan

2:00 p.m. REFRESHMENT BREAK

2:30 p.m. Pitfalls and Unusual Challenges of Chest Wall Resection and Reconstruction

Peter C. Pairolero, M.D., Rochester, Minnesota

3:00 p.m. Hiatal Hernia and Gastroesophageal Reflux Disease -Does Thoracic Surgery Still have a Role?

F. Griffith Pearson, M.D., Toronto, Ontario, Canada

3:30 p.m. Lung Volume Reduction for Generalized Emphysema

Joseph I. Miller, M.D., Atlanta, Georgia

4:00 p.m. Thoracoscopy - New Directions

Rodney J. Landreneau, M.D., Pittsburgh, Pennsylvania

4:30 p.m. Transhiatal Esophagectomy - Avoiding and Managing Complications

Mark B. Orringer, M.D., Ann Arbor, Michigan

5:00 p.m. RECEPTION - EXHIBIT HALL

1996 AATS Adult Cardiac Surgery Symposium Sunday, April 28, 1996 8:00 a.m. - 4:30 p.m. Room 16 San Diego Convention Center San Diego, California

Objectives The 1 996 Adult Cardiac Surgery Symposium is divided into four parts. The morning session provides a focused discussion of risk and cost prediction in coronary artery surgery with experts presenting data from databases accumulated over the last several years. The second half of the morning session will relay to the paricipant experience of experts in cost management focusing upon length of stay issues and hospital physician interaction for cost control. The first part of the afternoon session will bring together four experts on aortic valve operations, presenting techniques and results with aortic valve repair, homograft aortic valve replacement, the Ross procedure, and prosthetic valve replacement of the aortic valve. A panel discussion will follow these four presentations. The final session will present two techniques for coronary revascularization which represent the frontier in revascularization: transmural laser channels for revascularization and direct revascularization with video assisted, limited access techniques. Registration The registration fee is $75 per person and includes the symposium, coffee breaks and lunch. Accreditation The American Association for Thoracic Surgery is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The American Association for Thoracic Surgery designates this continuing education activity for 6.5 credit hours in Category 1 of the Physicians Recognition Award of the American Medical Association.

Adult Cardiac Surgery Symposium

San Diego Convention Center - Room 16

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION

Robert A. Guyton, M.D., Chairman

Session I RISK AND COST PREDICTION IN CORONARY ARTERY SURGERY

8:05 a.m. Prediction of Mortality, Length of Stay and Complications with Data from the STS Database

Richard E. Clark, M.D., Pittsburgh, Pennsylvania

8:35 a.m. Prediction of Mortality, Length of Stay and Complications with Data from the VA Database

Frederick L. Graver, M.D., Denver, Colorado

9:05 a.m. Clinical Application of Risk Assessment Techniques

William Nugent, M.D., Lebanon, New Hampshire

9:35 a.m. Prediction of Costs with Preoperative Variables

Gregory L. Kay, M.D., Los Angeles, California

10:05 a.m. COFFEE BREAK

Session II COST MANAGEMENT IN CORONARY ARTERY SURGERY

10:30 a.m. Aggressive Reduction in Hospital Stay - Discharge on the Third or Fourth Postoperative Day

Joseph M. Graver, M.D., Atlanta, Georgia

11:00 a.m. Physician-Hospital Collaboration for Cost Management

Steven R. Gundry, M.D., Loma Linda, California

11:30a.m. LUNCHEON

Session III STATE OF THE ART IN AORTIC VALVE OPERATIONS

12:45 p.m. Aortic Valve Repair: Indications, Techniques and Results

Delos M. Cosgrove, M.D., Cleveland, Ohio

1:15 p.m. Homograft Replacement of the Aortic Valve: Indications, Techniques and Results

Robert B. Karp, M.D.. Chicago, Illinois

1:45 p.m. Autograft Replacement of the Aortic Valve: Indications, Techniques and Results

Nicholas T. Kouchoukos, M.D., St. Louis, Missouri

2:15 p.m. New Options for Prosthetic Valve Replacement of the Aortic Valve

Ellis L. Jones, M.D., Atlanta, Georgia

2:45 p.m. PANEL DISCUSSION

3:00 p.m. COFFEE BREAK

Session IV THE FRONTIER IN MYOCARDIAL REVASCULARIZATION

3:30 p.m. Transmural Laser Channels for Revascularization in Advanced Coronary Artery Disease

Lawrence H. Cohn, M.D., Boston, Massachusetts

4:00 p.m. Direct Coronary Revascularization with Video-Assisted, Limited Access Techniques

Thomas A. Burdon, M.D., Stanford, California

5:00 p.m. RECEPTION - EXHIBIT HALL