1998 AATS Symposium Congenital Heart Disease Chairman: John E. Mayer, Jr., M.D. Sunday, May 3, 1998 8:00 a.m. - 5:00 p.m. Room 312 John B. Hynes Convention Center Boston, Massachusetts

Objectives: The 1998 Congenital Heart Disease Symposium will address several topics including 1) the natural history and options for surgical management of patients with "congenital corrected" transposition of the great arteries, 2) the surgical management of patients with functional single ventricle beginning in the newborn period and extending through bidirectional cavopulmonary shunt and Fontan procedures with a discussion of the role of fenestration, 3) the options for surgical management of patients with failure of prior atrial level repairs of d-transposition of the great arteries including arterial switch procedures and transplantation, 4) the current status of cardiac and pulmonary transplantation, including the roles of living related lung transplantation and combinations of lung transplantation, including the roles of living related lung transplantation and combinations of lung transplantation with repair of cardiac defects, and 5) medical economic issues of interest to congenital heart surgeons. The symposium will provide attendees the opportunity to interact with recognized experts involved in the development and implementation of new techniques and procedures in these area of congenital heart disease. The format of the symposium will include lectures addressing these topics with expanded time for audience participation in the discussion of the various topics. At the completion of the symposium, participants should have an enhanced understanding of these areas of congenital heart disease management, of the problems which have been identified in follow-up following prior surgical management, and ol the newer techniques which have been designed to either avoid or manage these problems. 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 7 credit hours in Category 1 of the Physicians Recognition Award of the American Medical Association.

Symposium on Congenital Heart Disease

John B. Hynes Convention Center - Room 312

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION

John E. Mayer, Jr., M.D., Chairman

Session I MANAGEMENT OF SINGLE VENTRICULAR PATIENTS

8:05 a.m. Management of Neonates with Single Ventricle and Aortic Arch Obstruction by Arch Repair and Pulmonary Artery Band

Hillel Laks, M.D., UCLA School of Medicine, Los Angeles, California

8:25 a.m. Management of Neonates with Single Ventricle and Aortic Arch Obstruction by Stage I Palliative Operation

Richard A. Jonas, M.D., The Children's Hospital, Boston, Massachusetts

8:45 a.m. The Bidirectional Cavopulmonary Shunt: Should Every Single Ventricle Patient Have One?

John J. Lamberti, M.D., Children' Hospital and Health Center, San Diego, California

9:05 a.m. Early and Late Outcomes with Fontan Operations: Patient Selection Issues and the Role of Fenestration

Francisco J. Puga, M.D., Mayo Clinic, Rochester, Minnesota

9:25 a.m. Early and Late Outcomes of the Fenestrated Fontan Operation

Nancy Bridges, M.D., Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

9:45 a.m. Experience with the Extracardiac Fontan Procedure

Frank L. Hanley, M.D., University of California, San Francisco,San Francisco, California

10:05 a.m. Panel Discussion

10:20 a.m. Coffee Break

Session II COMPLEX TRANSPOSITION PROBLEMS

10:40 a.m. Results of "Standard" Therapies for "Corrected" Transposition (L-TGA)

Michael H. Freed, M.D., Children's Hospital, Boston, Massachusetts

11:00 a.m. Double Switch Operation for Congenially Corrected Transposition

Yasuharu Imai, M.D., Tokyo Women's Medical College, Shinjuku-ku, Japan

11:20 a.m. Late Arterial Switch Operations for Failing Atrial Level Repairs of D-Transposition

Roger B.B. Mee, M.B., Ch.B., FRACS, The Cleveland Clinic Foundation, Cleveland, Ohio

11:40 a.m. Transplantation for Failing Atrial Level Repairs of

D-Transposition

Pedro J. Del Nido, M.D., Children's Hospital, Boston, Massachusetts

12:00 p.m. Panel Discussion

12:30 p.m. Luncheon

Session III TRANSPLANTATION

2:00 p.m. Mechanical Circulatory Support in Cardiac Patients

Brian Duncan, M.D., Children's Hospital, Seattle, Washington

2:20 p.m. Early and Late Results of Heart, Heart Lung, and Lung Transplantation in Children

Thomas L. Spray, M.D., The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

2:40 p.m. Experience with Living Related Lung Transplantation in Children

Vaughn A. Starnes, M.D., Childrens Hospital, Los Angeles,

California

3:00 p.m.Panel Discussion

3:20 p.m.Coffee Break

Session IV ECONOMIC AND INSURANCE ISSUES IN CONGENITAL HEART SURGERY

3:40 p.m. Factors Predicting High Cost in Congenital Heart Surgery

Ross M. Ungerleider, M.D., Duke University Medical Center,

Durham, North Carolina

4:00 p.m. Strategies to Cope with Changing Insurance and Reimbursement for Congenital Heart Disease

John E. Mayer, Jr., M.D., Children's Hospital, Boston, Massachusetts

4:20 p.m. Panel Discussion

5:00 p.m. RECEPTION IN EXHIBIT HALL

1998 AATS General Thoracic Surgery Symposium Sponsored in cooperation with The General Thoracic Surgical Club "International Trends in General Thoracic Surgery" Co-Chairs: Leslie J. Kohman, M.D. Richard H. Feins, M.D. Sunday, May 3, 1998 8:00 a.m.-5:30 p.m. Room 311 John B. Hynes Convention Center Boston, Massachusetts

Objective: The General Thoracic Surgery Symposium will comprehensively review the treatment of four major thoracic surgical problems. The subjects covered will be: lung cancer, esophageal cancer, malignant mesothelioma and lung volume reduction surgery for emphysema. For each of these subjects three internationally recognized authorities will discuss diagnosis, treatment options and future therapies. By having discussion from different parts of the world, the symposium should broaden and expand the understanding of treatment for each subject area. A panel discussion will follow each subject presentation to better define management options. Upon completion of this symposium, the participant should have a better understanding of each of the four subjects presented and be familiar with different innovative treatments from throughout the world. 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

John B. Hynes Convention Center - Room 311

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION AND WELCOME

Leslie J. Kohman, M.D., Co-Chair

Richard H. Feins, M.D., Co-Chair

Session I INTERNATIONAL PERSPECTIVES ON SURGERY FOR ESOPHAGEAL CANCER

Moderator: Leslie J. Kohman, M.D.

8:05 a.m. The North American Perspective

Mark B. Orringer, M.D., University of Michigan Medical Center, Ann Arbor, Michigan

8:35 a.m. The Asian Perspective

John Wong, M.D., Ph.D., University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong

9:05 a.m. The European Perspective

Antoon E.M.R. Lerut, M.D., Ph.D., University Hospital Leuven, Leuven, Belgium

9:35 a.m. Panel Discussion

10:05 a.m. Coffee Break

Session II INTERNATIONAL PERSPECTIVES ON SURGERY FOR LUNG CANCER

10:30 a.m. The European Perspective

Peter Goldstraw, M.D., Royal Brompton Hospital, London, England

11:00 a.m. The Asian Perspective

Tsuguo Naruke, M.D., National Cancer Center Hospital, Tokyo, Japan

11:30 a.m. The North American Perspective

Robert J. Ginsberg, M.D., Memorial Sloan-Kettering Cancer Center, New York, New York

12:00 p.m. Panel Discussion

12:30 p.m. Lunch

Session III INTERNATIONAL PERSPECTIVES ON MALIGNANT MESOTHELIOMA

Moderator: Richard H. Feins, M.D.

1:30 p.m. The British Perspective

Eric Butchart, M.D., University Hospital, Cardiff, Wales, United Kingdom

2:00 p.m. The European Perspective

Christian Boutin, M.D., Hospital de la Conception, Marseille, France

2:30 p.m. The North American Perspective

Valerie W. Rusch, M.D., Memorial Sloan-Kettering Cancer Center, New York, New York

3:00 p.m. Panel Discussion

Session IV INTERNATIONAL PERSPECTIVES ON LUNG VOLUME REDUCTION SURGERY

3:30 p.m. The European Perspective

Walter Weder, M.D., University Hospital, Zurich, Switzerland

4:00 p.m. The Japanese Perspective

Hiroshi Date, M.D., Okayama University School of Medicine, Okayama, Japan

4:30 p.m. The North American Perspective

Joel D. Cooper, M.D., Washington University, School of Medicine, St. Louis, Missouri

5:00 p.m. Panel Discussion

5:30 p.m. Adjourn

5:00 p.m. RECEPTION IN EXHIBIT HALL

†Presenter has a relationship with Biovascular, Inc.

1998 AATS Adult Cardiac Surgery Symposium Chairman: Delos M. Cosgrove, III, M.D. Sunday, May 3, 1998 8:00 a.m.-5:00 p.m. Ballroom B John B. Hynes Convention Center Boston, Massachusetts

Objective: The 1998 Adult Cardiac Surgery Symposium will focus on the evolving issues in cardiac surgery and is divided into two sessions. The first session will entail the discussion of options for aortic valve surgery to include the following specific topics: actual versus actuarial analyses, comparison of porcine and pericardial valves and bileaflet valves, aortic valve repair secondary to aortic pathology and for leaflet prolapse, aortic homografts, the Ross Procedure and stentless valves. The second session will deal with Minimal Invasive Surgery to include aortic valve, mitral valve, aortic surgery, the Maze Procedure and CABG. The 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 adult cardiac surgery with a better understanding of the latest in options for aortic valve surgery which will enable them to better practice their specialty in the current and future environment of managed care. 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

John B. Hynes Convention Center - Ballroom B

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION

Delos M. Cosgrove, M.D., Chairman

Session I OPTIONS FOR AORTIC VALVE SURGERY

8:00 a.m. Actual Versus Actuarial Analyses

Eugene H. Blackstone, M.D., Cleveland Clinic Foundation, Cleveland, Ohio

8:20 a.m. Comparison of Porcine and Pericardial Valves

Gary L. Grunkemeier, Ph.D., Providence Health System,

Portland, Oregon

8:40 a.m. Comparison of Bileaflet Valves

David Naftel, Ph.D., University of Alabama, Birmingham,

Alabama

9:00 a.m. Panel Discussion

9:20 a.m. Aortic Valve Repair Secondary to Aortic Pathology

Magdi H. Yacoub, M.D., Harefield Hospital, London, England

9:40 a.m. Aortic Valve Repair for Leaflet Prolapse

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

10:00 a.m. Panel Discussion

10:15 a.m. Coffee Break

10:30a.m. Aortic Valve

Mark F. O'Brien, FRCS, Prince Charles Hospital, Brisbane, Australia

10:50 a.m. Ross Procedure

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

11:10 a.m. Stentless Valves

Tirone E. David, M.D., Toronto General Hospital, Toronto, ON, Canada

11:30 a.m. Panel Discussion

12:00 noon Luncheon

Session II MINIMAL INVASIVE SURGERY

1:00 p.m. Aortic Valve Surgery

Steven R. Gundry, M.D., Loma Linda University Medical Center, Loma Linda, California

1:20 p.m. Mitral Valve Surgery - Direct Access

Lawrence H. Cohn, M.D., Brigham and Womens Hospital, Boston, Massachusetts

1:40 p.m. Mitral Valve Surgery - Port Access

Donald D. Glower, M.D., Duke University Medical Center, Durham, North Carolina

2:00 p.m. Aortic Surgery

Lars G. Svensson, M.D., Lahey Clinic, Burlington, Massachusetts

2:20 p.m. Maze Procedure - Port Access

James L. Cox, M.D., Georgetown University Medical Center,

Washington, D.C.

2:40 p.m. Panel Discussion

3:00 p.m. Coffee Break

3:20 p.m. Current Morbidity and Mortality for CABG

Bruce W. Lytle, M.D., Cleveland Clinic Foundation, Cleveland, Ohio

3:40 p.m. Port Access CABG

Bruce A. Reitz, M.D., Stanford University Medical Center, Stanford, California

4:00 p.m. Off-Pump CABG

Erik W. L. Jansen, M.D., Utrecht University Hospital, Utrecht,

The Netherlands

4:20 p.m. CABG via Ministernotomy

Donald B. Doty, M.D., IDS Hospital, Salt Lake City, Utah

4:40 p.m. Panel Discussion

5:00 p.m. RECEPTION IN EXHIBIT HALL