1997

AATS

Postgraduate

Course

Congenital

Heart

Disease

Sunday, May 4, 1997

8:00 a.m. - 4:30 p.m.

Washington Ballroom Sheraton Washington Hotel

Washington, DC

Objectives

The 1997 Postgraduate Course in Congenital Heart Disease will address the following topics: Complete common atrioventricular (AV) canal defects including management of the common atrioventricular valve, the problem of the small left ventricle in complete and partia AV canal, the decision-making process regarding single ventricle or two-ventricle repair in unbalanced AV canal and long-term outcome and reoperation rates. In addition, various topics related to postoperative care, including management strategies for single ventricle palliation in hypoplastic left heart syndrome, the management of postoperative arrhythmias, and strategies for improved postoperative care including early extubation and use of care paths in congenital heart surgery will be covered. Finally, a comprehensive discussion of approaches to the management of pulmonary atresia with ventricular septal defect and aortopulmonary colaterals will include video presentations of surgical techniques. The current status of knowledge of the molecular basis of congenital heart disease will be presented by a national expert. The course will provide attendees the opportunity to interact with recognized experts involved in 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. At the completion of the course, participants should have an enhanced knowledge of the diagnosis and management options in patients with complex congenital heart anomalies.

Registration

The registration fee is $100 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

Sheraton Washington Hotel - Washington Ballroom

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION

Thomas L. Spray, M.D., Course Chairman

Session I ATRIOVENTRICULAR CANAL DEFECTS

Moderators: Thomas L. Spray, M.D.

Marc R. de Leval, M.D.

8:05 a.m. Repair of CAVC in Infancy - Current Results

Thomas L. Spray, M.D., Philadelphia, PA

8:25 a.m. Partial AVC and the Problem of the Small LV

Peter Manning, M.D., Cincinnati, OH

8:45 a.m. "Unbalanced" AVC - Repair vs. Fontan

Marc R. de Leval, M.D., London, UK

9:05 a.m. Reoperation after Repair of AVC

Francisco J. Puga, M.D., Rochester, MN

9:25 a.m. Discussion

9:45 a.m. Refreshment Break

Session II POSTOPERATIVE MANAGEMENT ISSUES

Moderator: Erie H. Austin, III, M.D.

10:30 a.m. Critical Care Pathways for Congenital Heart Surgery

John E. Mayer, Jr., M.D., Boston, MA

10:50 a.m. Early Extubation After Cardiac Surgery in Neonates and Small Infants

Lawrence S. Fox, M.D., Fort Worth, TX

11:10 a.m. Modified Ultrafiltration - Effects on Morbidity

J. William Gaynor, M.D., Philadelphia, PA

11:30 a.m. Postoperative Management Strategies after Norwood Operation

Erie H. Austin, III, M.D., Louisville, KY

11:50 a.m. Current Management of Postoperative Arrhythmias - JET

Larry Rhodes, M.D., Philadelphia, PA

12:10 p.m. Discussion

12:30 p.m. Luncheon

Session III MANAGEMENT OF TETRALOGY OF FALLOT WITH PULMONARY ATRESIA

Moderators: Frank L. Hanley, M.D.

Thomas L. Spray, M.D.

1:45 p.m. Initial Iterventions (Video)

Roger B.B. Mee, M.D., Cleveland, OH

2:05 p.m. Staged Unifocalization (Video)

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

2:25 p.m. One-Stage Repair (Video)

Frank L. Hanley, M.D., San Francisco, CA

2:50 p.m. Homograft Reconstruction with Catheter Interventions

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

3:10 p.m. Discussion and Case Presentations

Session IV BASIC SCIENCE LECTURE

3:40 p.m. Towards a Molecular Understanding of Congenital Heart Disease

Arnold W. Strauss, M.D., St. Louis, MO.

5:00 p.m. RECEPTION IN EXHIBIT HHALL

1997

AATS

General Thoracic

Surgery

Symposium

Sponsored in cooperation with

The General Thoracic

Surgical Club

Sunday, May 4, 1997

8:00 a.m. - 5:00 p.m.

North Sheraton Ballroom,

Sheraton Washington

Hotel

Washington, DC

Objective

The 1997 General Thoracic Surgery Symposium will begin with a discussion of complex esophageal problems The management of T3N1 esophageal cancer will include two presentations: surgery alone versus preoperative adjuvant therapy prior to resection and chemoradiation alone. A panel discussion with audience participation will follow. The Palliation of unresectable esophageal cancer will then be discussed. Management of esophagea perforation will complete the program on esophageal problems. The morning session will conclude with a review of surgery for metastatic disease to the lung.

Session II will be devoted to pleural space problems: following infection (empyema), post-lobectomy, and post-pneumonectomy empyema. Again, a panel discussion will facilitate audience participation.

Session III will cover controversies in pulmonary surgery: postoperative adjuvant therapy for lung cancer, chest trauma, and thoracoscopic lobectomy.

Session IV will feature issues for the thoracic surgeon in the managed care environment.

This symposium is designed for the practicing thoracic surgeon and provides attendees the opportunity to interact with individuals experienced in the management of difficult problems, some of which are infrequently seen. Topics will be illustrated by using clinical cases, and management issues will be stressed. Finally, an appraisal of our common preoperative, hospital, and postoperative practices will be reviewed from the managed care perspective.

At the completion of the symposium, participants should have an enhanced knowledge of the diagnosis and management of complex esophageal problems, a better understanding of the intricacies of pleural space problems, and current information on several areas of controversy in thoracic surgery. In addition, participants will be better able to practice their specialty in the current as well as forthcoming managed care environment.

Registration

The registration fee is $100 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

Sheraton Washington Hotel - North Sheraton Ballroom

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION AND WELCOME

Larry R. Kaiser, M.D., Co-Chair

Carolyn E. Reed, M.D., Co-Chair

Session I MANAGEMENT OF T3N1 ESOPHAGEAL CANCER

Moderator: Carolyn E. Reed, M.D.

8:05 a.m. Surgery vs. Adjuvant Therapy/Surgery

Richard F. Heitmiller, M.D., Baltimore, MD

8:25 a.m. Combined Modality Therapy of Esophageal Cancer

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

8:45 a.m. PANEL DISCUSSION

9:00 a.m. Palliation of Unresectable Esophageal Cancer

Darroch W.O. Moores, M.D., Albany, NY

9:30 a.m. Managing the Patient with Esophageal Perforation

Alex G. Little, M.D., Las Vegas, NV

10:00 a.m. COFFEE BREAK

10:30 a.m. Surgery for Metastatic Disease to the Lung

Joe B. Putnam, Jr., M.D., Houston, TX

Session II SPACE PROBLEMS

Moderator: Larry R. Kaiser, M.D.

11:00 a.m. Management of Empyema

Douglas E. Wood, M.D., Seattle, WA

11:20 p.m. Prolong Air Leak and Post-Lobectomy Space Problems

Jean DesLauriers, M.D., Sainte-Foy, Quebec, Canad

11:40 p.m. Post-Pneumonectomy Empyema

Willard A. Fry, III, M.D., Evanston, IL

12:00 noon PANEL DISCUSSION

12:30 p.m. LUNCHEON

Session III

Moderator: Larry R. Kaiser, M.D.

2:00 p.m. Adjuvant Therapy of N1 and N2 Lung Cancer Following Resection

Steven M. Keller, M.D., New York, NY

2:30 p.m. Chest Trauma/Flail Chest/Airway Disruption/Lung Contusion

Kenneth L. Mattox, M.D., Houston, TX

3:00 p.m. Thoracoscopic Lobectomy vs. Muscle-Sparing Lobectomy

Malcolm DeCamp, Jr., M.D., Boston, MA

3:30 p.m. REFRESHMENT BREAK

Session IV THORACIC SURGERY IN THE MANAGED CARE ENVIRONMENT: COST EFFECTIVENESS & OUTCOMES

Moderator: Carolyn E. Reed, M.D.

4:00 p.m. Pre-Operative Staging of Lung Cancer: What Tests are Necessary?

Gerard A. Silvestri, M.D., Charleston, SC

4:20 p.m. Providing Quality Care in a Cost-Constrained Environment

J. Sanford Schwartz, M.D., Philadelphia, PA

4:40 p.m. Thoracic Surgeryin the Managed Care Environment: Follow-up Management

Leslie J. Kohman, M.D., Syracuse, NY

5:00 p.m. RECEPTION IN EXHIBIT HALL

1997 AATS Adult Cardiac Surgery Symposium

Frontiers in Cardiac Surgery

Sunday, May 4, 1997

8:00 a.m. - 5:00 p.m.

South Sheraton Ballroom Sheraton Washington

Hotel

Washington, DC

Objective

The 1997 Adult Cardiac Surgery Symposium will feature the evolving frontiers in cardiac surgery covering the following specific topics: minimally invasive aortic valve and mitral valve procedures as well as minimally invasive coronary revascularization with and without cardiopulmonary bypass.

In addition, the afternoon session will cover the specific topics of arterial revascularization with emphasis on utilization of the radial artery, gastroepiploic artery, and strategies for total arterial revascularization in patients undergoing reoperation (including interior epigastric artery utilization). Finally, techniques in ventricular remodeling for chronic left ventricular failure will be presented.

This symposium is designed for the practicing cardiac surgeon. At the completion of this symposium, participants should have an enhanced knowledge of the procedures using state-of-the-art techniques for minimally invasive aortic valve and mitral valve procedures, minimally invasive coronary revascularization with and without cardiopulmonary bypass, arterial revascularization with and without coronary bypass, arterial revascularization with emphasis on utilization of the radial artery, gastroepiploic artery, total arterial revascularization in patients undergoing reoperation (including interior epigastric artery utilization), and ventricular remodeling for chronic left ventricular failure.

Registration

The registration fee is $100 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

Sheraton Washington Hotel - South Sheraton Ballroom

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

Session I MINIMALLY INVASIVE AORTIC VALVE PROCEDURE

8:00 a.m. Right Paramedian Approach

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

8:15 a.m. Mini Sternotomy Approach to Aortic Valve Repair/ Replacement

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

8:30 a.m. Critique: Limitations and Pitfalls

Frank C. Spencer, M.D., New York, NY

Session II MINIMALLY INVASIVE MITRAL VALVE PROCEDURE

8:45 a.m. Minithoracotomy

Delos M. Cosgrove, M.D., Cleveland, OH

9:00 a.m. Minithoracotomy with Port Access

Steven B. Colvin, M.D., New York, NY

9:15 a.m. Critique: Limitations and Pitfalls

Albert Starr, Portland, OR

9:30 a.m. PANEL DISCUSSION - QUESTIONS AND ANSWERS Minimally Invasive Valve Procedures

10:00 a.m. REFRESHMENT BREAK

Session III INITIAL MINIMALLY INVASIVE CORONARY REVASCULARIZATION

10:30 a.m. Thoractomy Without Pump

Valavanur A. Subramanian, M.D., New York, NY

10:45 a.m. Ministernotomy Without Pump

Kit V. Arom, M.D., Minneapolis, MN

11:00 a.m. Revascularization With Port Access

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

11:15 a.m. Critique: Limitations and Pitfalls

Denton A. Cooky, M.D., Houston, TX

11:30 a.m. PANEL DISCUSSION - QUESTIONS AND ANSWERS

Minimally Invasive Coronary Revascularization

12:00 noon LUNCHEON

Session IV SURGERY FOR ISCHEMIC HEART DISEASE

1:00 p.m. Rationale for Total or Partial Arterial Revascularization Including Internal Mammary

Noel L. Mills, M.D., New Orleans, LA

1:15 p.m. Radial Artery - Harvesting, Preparation and Use

Hendrick B. Earner, M.D., St. Louis, MO

1:30 p.m. Gastroepiploic Artery - Harvesting, Preparation and Use

John Pym, M.B., F.R.C.S., Kingston, Ontario, Canada

1:45 p.m. Strategies for Total Arterial Revascularization Including Inferior Epigastric in Patients Undergoing Reoperation for Coronary Disease

Bruce W. Lytle, M.D., Cleveland, OH

2:00 p.m. Critique: Limitations and Pitfalls

O. Wayne horn, M.D., New York, NY

2:15 p.m. PANEL DISCUSSION - QUESTIONS AND ANSWERS

Surgery for Ischemic Heart Disease

2:45 p.m. REFRESHMENT BREAK

3:15 p.m. Ventricular Remodeling for Left Ventricular Failure

Randes J. Batista, M.D., Curitiba, Brazil

3:45 p.m. Critique: Limitations and Pitfalls of Remodeling Including Alternative Surgical Procedures

Craig R. Smith, M.D., New York, NY

4:15 p.m. PANEL DISCUSSION - QUESTIONS AND ANSWERS

5:00 p.m. RECEPTION IN EXHIBIT HALL