DEVELOPING THE ACADEMIC

SURGEON - A SYMPOSIUM

SATURDAY, APRIL 29, 2000 12:00 NOON - 6:00 P.M.

METRO TORONTO CONVENTION CENTRE

ROOM 201

OBJECTIVE

The Academic Surgeon's Symposium is designed to help develop the Academic Cardiothoracic Surgeon. This is a continuing effort by the American Association for Thoracic Surgery to provide a specific educational conference for potential and active academic cardiothoracic surgeons. The present symposium will focus on several areas including building a clinical program, developing new technology, getting published, administrative skills and mentorship.

This Symposium is designed for Residents interested in a career in academic cardiothoracic surgery, junior Faculty in academic institutions, as well as senior Faculty including Division and Department Heads. It is intended that at the completion of this Symposium, participants should have better knowledge regarding developing and teaching academic skills.

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 4 credit hours in Category 1 of the Physicians Recognition Award of the American Medical Association.

PROGRAM

12:00 p.m. LUNCH Room 204

Introduction and Welcome

Chairs: Edward D. Verrier, M.D.

Irving L. Kron, M.D.

1:00 p.m. GETTING PUBLISHED

Andrew S. Wechsler, M.D.

Hahnemann University

Philadelphia, Pennsylvania

1:30 p.m. BUILDING A CLINICAL PROGRAM - MULTI-INSTITUTIONAL

Vaughn A. Starnes, M.D.

University of Southern California

Los Angeles, California

2:00 p.m. BUILDING A CLINICAL PROGRAM - IN A SINGLE INSTITUTION

William A. Baumgartner, M.D.

Johns Hopkins Hospital

Baltimore, Maryland

2:30 p.m. GETTING PROMOTED

Irving L. Kron, M.D.

University of Virginia Health Sciences Center

Charlottesville, Virginia

3:00 p.m. BREAK

3:15 p.m. BECOMING A DIVISION HEAD

Edward D. Verrier, M.D.

University of Washington

Seattle, Washington

3:45 p.m. MANAGING A MEDICAL CENTER

Floyd D. Loop, M.D.

Cleveland Clinic Foundation

Cleveland, Ohio

4:15 p.m. DEVELOPING NEW TECHNOLOGY

Delos M. Cosgrove, M.D.

Cleveland Clinic Foundation

Cleveland, Ohio

4:45 p.m. INFLUENCING THE POLITICAL PROCESS

Timothy J. Gardner, M.D.

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania

5:15 p.m. RECEPITON Room 204

CONGENITAL HEART DISEASE

SYMPOSIUM

SUNDAY, APRIL 30, 2000 8:00 A.M. - 5:00 P.M.

METRO TORONTO CONVENTION CENTRE

ROOM 201

OBJECTIVE

The 2000 AATS Congenital Heart Disease Symposium will be divided into four sessions, each one addressing different aspects of complex congenital heart surgery. The first session will address the operative options for management of patients with single ventricle requiring a Fontan procedure. The presenters will be describing their surgical techniques including a video presentation and summary of results. Management of specific problems with single ventricle patients including arrhythmias and the Fontan procedure in adult patients will also be covered.

The second session will be devoted entirely to "How I Do It" video presentations of corrective surgery for various complex anatomic defects. These will include tetralogy of Fallot, total anomalous pulmonary venous connection, aortic arch repair in conjunction with intra-cardiac procedures, and LV outflow reconstruction preserving the native aortic valve. Presentations will focus on technical aspects of the operations as well as surgical results.

Session three will discuss in-depth management options for patients with hypoplastic left heart syndrome variants where there is potential for a two-ventricle repair. Surgical techniques, decision making and management will be discussed as well as surgical results. A discussion session will be held at the end of the presentations that will cover controversial topics. The three presentations will be: Two-ventricle repair of hypoplastic left ventricle, Two-ventricle repair of unbalanced AV canal defects and Results with staged palliation for hypoplastic left heart syndrome variants. The final session will discuss new techniques including the use of continious bypass for repair of hypoplastic left heart syndrome and physiologic parameters utilized to monitor organ perfusion during regional cardiopulmonary bypass. The second presentation will cover the rapidly evolving area of tissue engineering with the creation of valved conduits from patient's autologous tissue to permit growth and prevent rejection. At the completion of the symposium the participants should have an enhanced understanding of management of patients with single ventricle and current surgical options as well as specific techniques for repair of complex congenital heart defects. An in-depth understanding of hypoplastic left heart syndrome variants and their management should also be gained from session three.

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.

PROGRAM

7:00 a.m. REGISTRATION AND CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION AND WELCOME

Pedro del Nido, M.D., Chairman

SESSION I OPERATIVE VARIATIONS OF FONTAN'S PROCEDURE (VIDEO Presentations)

Moderator: William G. Williams, M.D.

8:05 a.m. LATERAL TUNNEL CAVO-PULMONARY CONNECTION

John E. Mayer, M.D.

Children's Hospital

Boston, Massachusetts

8:35 a.m. INTRA-TO-EXTRA CARDIAC CONDUIT

Marc R. de Leval, M.D.

Great Ormond Hospital for Children

London, England

9:05 a.m. EXTRACARDIAC CONDUIT (WITHOUT BYPASS)

Frank L. Hanley M.D.

University of California at San Francisco

San Francisco, California

9:25 a.m. PANEL DISCUSSION

9:55 a.m. BREAK

10:20 a.m. ARRHYTHMIA SURGERY AND THE FONTAN CONVERSION

Constantine Mavroudis, M.D.

Northwestern University Medical School

Chicago, Illinois

10:50 a.m. FONTAN PROCEDURE IN THE ADULT

William G. Williams, M.D.

University of Toronto

Toronto, ON, Canada

SESSION II SURGICAL TECHNIQUES

(Video Presentations)

Moderator. Roger B.B. Mee, FRACS

11:20 a.m. TRANSATRIAL-TRANSPULMONARY REPAIR OF TETRALOGY OF FALLOT

Roger B. B. Mee, FRACS

Cleveland Clinic Foundation

Cleveland, Ohio

11:50 a.m. TOTAL ANOMALOUS PULMONARY VENOUS RETURN

Thomas L. Spray, M.D.

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania

12:10 p.m. Panel Discussion

12:20 p.m. LUNCHEON- Exhibit Hall C

SESSION II SURGICAL TECHNIQUES (Cont.)

(Video Presentations)

1:30 p.m. AORTIC ARCH REPAIR IN CONJUNCTION WITH INTRA CARDIAC PROCEDURES

Edward L. Bove, M.D.

University of Michigan Hospital

Ann Arbor, Michigan

2:00 p.m. MODIFIED KONNO PROCEDURE FOR LV OUTFLOW OBSTRUCTION

Richard A. Jonas, M.D.

Children's Hospital

Boston, Massachusetts

2:20 p.m. Panel Discussion

SESSION III MANAGEMENT OF HLHS VARIANTS

Moderator: Pedro J. del Nido,M.D.

2:30 p.m. TWO-VENTRICLE REPAIR OF HYPOPLASTIC LEFT HEART COMPLEX

Christo I. Tchervenkov, M.D.

The Montreal Children's Hospital

Montreal, Quebec, Canada

2:45 p.m. INDUCTION OF LEFT VENTRICLE GROWTH AND TWO-VENTRICLE REPAIRS

John E. Foker, M.D.

University Hospitals

Minneapolis, Minnesota

3:00 p.m. STAGED PALLIATION OF HLHS VARIANTS

Pedro J. del Nido, M.D.

Children's Hospital

Boston, Massachusetts

3:15 p.m. DISCUSSION

3:30 p.m. BREAK

SESSION IV NEW TECHNIQUES

Moderator: Pedro J. del Nido, M.D.

3:50 p.m. NEO NATAL AORTIC ARCH RECONSTRUCTION: ALTERNATIVES TO CIRCULATORY ARREST

Frank A. Pigula,M.D.

Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania

4:10 p.m. TISSUE ENGINEERED OF VALVED CONDUIT

John E. Mayer, M.D.

Children's Hospital

Boston, Massachusetts

5:00 p.m. RECEPTION- EXHIBIT HALL

GENERAL THORACIC SURGERY

SYMPOSIUM

SPONSORED IN COOPERATION WITH THE GENERAL

THORACIC SURGICAL CLUB

SUNDAY, APRIL 30, 2000 8:00 A.M. - 5:45 P.M.

METRO TORONTO CONVENTION CENTRE

ROOM 205

OBJECTIVE

The 2000 General Thoracic Surgical Symposium will provide an in-depth review of four common problems: the solitary pulmonary nodule, stage I bronchogenic carcinoma, pleural collections and achalasia. These are familiar clinical entities and the management of these diseases is fundamental to the practice of general thoracic surgery. However, a better understanding of disease pathophysiology, the introduction of new screening and diagnostic technologies and the development of innovative treatment modalities have provided new options in detection, diagnosis and treatment.

The symposium consists of four moderated sessions. The format groups speakers to emphasize options and variations. The panel discussion allows debate which will provide a current consensus in the diagnosis and management of these common clinical problems. Audience participation is a vital component of the discussion period and the symposium.

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 7.75 credit hours in Category 1 of the Physicians Recognition Award of the American Medical Association.

PROGRAM

7:00 a.m REGISTRATION & CONTINENTAL BREAKFAST

8:00 a.m. INTRODUCTION

Chairman: Thomas W. Rice, M.D.

SESSION I PULMONARY NODULE

Moderator: Douglas J. Mathisen, M.D.

Boston, Massachusetts

8:10 a.m. SCREENING AND EVALUATION

Carolyn E. Reed, M.D.

Medical University of South Carolina

Charleston, South Carolina

8:40 a.m. INFECTIOUS AND INFLAMMATORY NODULES

Mark S. Allen, M.D.

Mayo Clinic

Rochester, Minnesota

9:10 a.m. NEOPLASTIC NODULES

G. Alexander Patterson, M.D.

Washington University

St. Louis, Missouri

9:40 a.m. DIAGNOSIS AND TREATMENT

Joel D. Cooper, M.D.

Washington University

St. Louis, Missouri

Malcolm DeCamp, M.D.

Cleveland Clinic Foundation

Cleveland, Ohio

10:10 a.m. PANEL DISCUSSION

10:30 a.m. BREAK

SESSION II ACHALASIA

Moderator: F. Griffith Pearson, M.D.

Toronto ON, Canada

11:00 a.m. THE PATHOLOGY OF ACHALASIA

John R. Goldblum, M.D.

Cleveland Clinic Foundation

Cleveland, Ohio

11:20 a.m. ACHALASIA: DIAGNOSIS AND THERAPY

Joel E. Fichter, M.D.

Cleveland Clinic Foundation

Cleveland, Ohio

11:40 a.m. LAPAROSCOPIC HELLER MYOTOMY

Claude Deschamps, M.D.

Mayo Clinic

Rochester, Minnesota

12:00 p.m. THE END-STAGE ESOPHAGUS: DEFINITION AND TREATMENT

Mark B. Orringer, M.D.

University of Michigan Medical Center

Arm Arbor, Michigan

Thomas W. Rice, M.D.

Cleveland Clinic Foundation

Cleveland, Ohio

12:30 p.m. PANEL DISCUSSION

1:00 p.m. LUNCH - Exhibit Hall C

SESSION III THE PLEURA

Moderator: Douglas E. Wood, M.D.

Seattle, Washington

2:00 p.m. MALIGNANT PLEURAL EFFUSION

Joe B. Putnam, Jr., M.D.*

University of Texas MD

Anderson Cancer Center

Houston, Texas

Mark J. Krasna, M.D.

University of Maryland

Baltimore, Maryland

2:20 p.m. ACUTE EMPYEMA

Stephen R. Hazelrigg, M.D.

Southern Illinois University School of Medicine

Springfield, Illinois

Michael Jaklitsch, M.D.

Brigham & Women's Hospital

Boston, Massachusetts

2:40 p.m. SPONTANEOUS PNEUMOTHORAX

Keith S. Naunheim M.D.

St. Louis University Medical Center

St. Louis, Missouri

Darroch W. O. Moores, M.D.

Albany Cardiothoracic Surgeons

Albany, New York

*Author has a relationship with Denver Biomaterials & Life Stream, Inc.

3:00 p.m. CHYLOTHORAX

Daniel Miller, M.D.

Mayo Clinic

Rochester, Minnesota

3:15 p.m. PANEL DISCUSSION

4:00 p.m. BREAK

SESSION IV STAGE I NON-SMALL CELL LUNG CANCER

Moderator: Richard Feines, M.D.

Rochester, New York

4:30 p.m. OPEN RESECTION

L. Penfield Faber, M.D.

Rush - Presbytarian - St. Luke's Medical Center

Chicago, Illinois

4:45 p.m. VATS RESECTION

Scott J. Swanson, M.D.

Brigham & Women's Hospital

Boston, Massachusetts

5:00 p.m. PREOPERATIVE THERAPY

John Roberts, M.D.**

Vanderbilt University Hospital

Nashville, Tennessee

5:15 p.m. POSTOPERATIVE THERAPY

Robert J. Ginsberg

Memorial-Sloan Kettering Cancer Center

New York, New York

5:30 p.m. PANEL DISCUSSION

5:45 p.m. ADJOURN - RECEPTION EXHIBIT HALL

**Author has a relationship with Bristol-Myers

ADULT CARDIAC SURGERY

SYMPOSIUM

SUNDAY, APRIL 30, 2000 8:00 A.M. - 5:00 P.M.

METRO TORONTO CONVENTION CENTRE CONSTITUTION HALL

OBJECTIVE

The 2000 Adult Cardiac Surgical Symposium will focus in depth on two problems that are fundamental to cardiac surgery: aortic valve replacement and myocardial revascularization. The morning session is video-based and is entirely devoted to the technical aspects of various types of aortic valve replacement and strategies including standard mechanical and bioprostheses, stentless valves, homografts, and pulmonic valve autotransplantation. This approach represents a departure from previous years but emphasizes the importance of technical surgery and will provide participants with a concentrated exposure to aortic valve replacement by multiple experienced surgeons.

The afternoon session focuses on myocardial revascularization and includes both technical and data-related segments. The emphasis is on arterial grafting and off-pump surgery, as well as new concepts of myocardial revascularization including percutaneous intervention, robotic bypass grafting, laser revascularization, and gene therapy.

At the end of the symposium the participants should understand the technical aspects of all commonly performed operations for aortic valve replacement. They will understand the fundamental principles we have learned about myocardial revascularization during the bypass surgery era, technical aspects of recent innovations in bypass surgery and alternative invasive therapies.

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.

PROGRAM

7:00 am. REGISTRATION AND CONTINENTAL BREAKEFAST

8:00 a.m. INTRODUCTION

Bruce W. Lytle, M.D., Chairman

SESSION I TECHNICAL SYMPOSIUM:

AORTIC VALVE REPLACEMENT

8:05 a.m. AVR WITH HOMOGRAFT TECHNIQUE OF ROOT INCISION

Tirone E. David, M.D.

Toronto General Hospital

Toronto, Ontario, Canada

8:20 a.m. AVR WITH TILTING DISC PROSTHESIS

Gary W. Akins, M.D.**

Massachusetts General Hospital

Boston, Massachusetts

8:35 a.m. AVR WITH BILEAFLET PROSTHESIS

Joseph M. Graver, M.D.*

Emory University School of Medicine.

Atlanta, Georgia

8:50 a.m. MINIMALLY INVASIVE AVR

Michael K. Banbury, M.D.

The Cleveland Clinic Foundation

Cleveland, Ohio

9:05 a.m. AVR WITH BIOPROSTHESIS AND ROOT ENLARGEMENT

Hartzell V. Schaff, M.D.

Mayo Clinic

Rochester, Minnesota

9:20 a.m. PARTIAL AORTIC ROOT AVR WITH FREESTYLE STENTLESS PORCINE VALVE

Sary F. Aranki, M.D.

Brigham & Women's Hospital

Boston, Massachsuetts

9:35 a.m. PANEL DISCUSSION

10:00 a.m. BREAK

10:20 a.m. THE TORONTO SPV™ IMPLANTATION TECHNIQUE

Christopher M. Feindel, M.D.

The Toronto Hospital

Toronto, Ontario, Canada

*Author has a relationship with Silver Carbomedics, Inc.

**Author has a relationship with Medtronics, Inc.

10:35 a.m. SUBCORONARY INSERTION OF AORTIC HOMOGRAFT

Donald B. Doty, M.D.*

LDS Hospital

Salt Lake City, Utah

10:50 a.m. HOMOGRAFT AORTIC ROOT REPLACEMENT FOR ADVANCED AORTIC VALVE ENDOCARDITIS: A VIDEO PRESENTATION OF SURGICAL TECHNIQUE

Gosta B. Pettersson, M.D.

The Cleveland Clinic Foundation

Cleveland, Ohio

11:05 a.m. AVR WITH A PULMONARY AUTOGRAFT

Nicholas T. Kouchoukos, M.D.

Missouri Baptist Medical

Center St. Louis, Missouri

11:20 a.m. PANEL DISCUSSION

11:45 a.m. LUNCH - Exhibit Hall C

1:00 p.m. ADVANCES IN INTERVENTIONAL CARDIOLOGY

Stephen Ellis, M.D.**

The Cleveland Clinic Foundation

Cleveland, Ohio

1:20 p.m. RADIAL ARTERY BYPASS GRAFTING

Richard F. Brodman, M.D.

New York Hospital Cornell Medical Center

New York, New York

1:35 p.m. PATENCY RATES OF ARTERIAL BYPASS GRAFTS

Hendrick B. Earner, M.D.

Washington University School of Medicine

St. Louis, Missouri

1:55 p.m. COMPOSITE ITA GRAFTING

Alfred J. lector, M.D.

Midwest Heart Surgery Institute

Milwaukee, Wisconsin

2:15 p.m. WHAT WE KNOW ABOUT CORONARY BYPASS GRAFTING

Bruce W. Lytle, M.D.

The Cleveland Clinic Foundation

Cleveland, Ohio

2:40 p.m. PANEL DISCUSSION

3:00 p.m. BREAK

*Author has a relationship with Cryolife, Inc.

*Author has a relationship with Cardio/Johnson &Johnson, Boston Scientific/Scimed, Centeon & Eli Lilly

3:15 p.m. OPERATIVE TECHNIQUES FOR BEATING HEART

CORONARY ARTERY BYPASS SURGERY WITH SUCTION STABILIZATION

Michael J. Mack, M.D.

Medical City Dallas Hospital

Dallas, Texas

3:30 p.m. EXPOSURE OF POSTERIOR CIRCULATION WITH PRESSURE STABILIZATION: SKELETONIZATION OF ITA GRAFTS

Antonio M. Calafiore M.D.

University G. D'Annunzio

Chieti, Italy

3:50 P.M. ROBOTICALLY ASSISTED CORONARY ARTERY BYPASS GRAFtTNG

Ralph J. Damiano, Jr., M.D.*

Hershey Medical Center

Hershey, Pennsylvania

4:05 p.m. TRANSMYOCARDIAL REVASCULARIZATION

Craig Richey Smith, M.D.**

Columbia Presbyterian Medical Center

New York, New York

4:20 p.m. GENE THERAPY FOR CORONARY ARTERY DISEASE

Todd K. Rosengart, M.D.***

Evanston Hospital, Northwestern Univ. Medical School

Evanston, Illinois

4:35 p.m. PANEL DISCUSSION

5:00 p.m. ADJOURN - RECEPTION EXHIBIT HALL

*Author has a relationship with ComputerMotion.

**Author has a relationship with Eclipse, Inc.

***Author has a relationship with Genvec.