Weill Medical College of Cornell University, Heart Valve Society of America, NY Cardiological Society of the NYS State Chapter, ACC, and American Heart Association, Heritage Affiliate, New York City
April 28-30, 2005
Wednesday, April 27, 20056:00 - 8:00 P.M.
Registration Thursday, April 28, 2005 7:00 - 8:15
Registration and Continental Breakfast 8:15 - 8:20
Introduction and Symposium Goals
O. Wayne Isom, M.D., Jeffrey S. Borer, M.D. 8:20 - 8:25
Welcome from the American College of Cardiology
John Ambrose, M.D.
President, New York Cardiological Society of the American
College of Cardiology, New York State Chapter
8:25 - 8:30
Welcome from the Heart Valve Society of America
Jeffrey S. Borer, M.D. 8:30 - 10:30
OVERVIEW
Chairman: O. Wayne Isom, M.D.
8:30 - 8:50
THE HOWARD GILMAN FOUNDATION LECTURE
Valvular heart disease: increasing therapeutic options and a growing need for data
Shabudin H. Rahimtoola
8:50 - 9:05
The epidemiology of valvular heart diseases: a growing public health problem in an aging population
Phyllis Supino, Ed.D. 9:05 - 9:25
Anti-coagulation for AF and prosthetic valves: why, when, with what?
Jagat Narula, M.D. 9:25 - 9:40
Disordered cardiac mechanics: systolic versus diastolic dysfunction in valvular diseases
Blase Carabello, M.D. 9:40 - 9:55
The impact of age on patient selection for valve surgery in an aging population
Karl Krieger, M.D. 9:55 - 10:25
Panel Discussion/Q & A
Chairman: O.Wayne Isom, M.D.; Panelists: Drs. Supino, Carabello, Rahimtoola, Krieger, Narula 10:25 - 10:55
Coffee Break/Posters 10:55 - 12:25
AORTIC VALVE DISEASE I
Chairman: Robert O. Bonow, M.D. 10:55 - 11:15
Aortic stenosis: etiology, pathology, therapeutic implications
Valentin Fuster, M.D., Ph.D.
11:15 -- 11:30
Cholesterol and AS: the case for drug treatment
Nalini Rajamannan, M.D. 11:30 - 11:50
Aortic stenosis in the adult: indications for operation
Blase Carabello, M.D. 11:50 - 12:05
Percutaneous aortic valve replacement: ready for "prime time"?
Warren Laskey, M.D. 12:05 - 12:30
Panel Discussion/Q & A
Chairman: Robert O. Bonow, M.D.; Panelists: Drs. Fuster, Carabello, Rajamannan, Schwartz, 12:30 - 2:00
Lunch
Poster presentations of refereed abstracts
2:00 - 3:00
CASE PRESENTATIONS AND DISCUSSION
Chairman: Maurice E. Sarano, M.D * Unicuspid, unicommissural aortic valve in a 10 year-old: management
* Aortic-pulmonic switch operation in a 25 year-old with AS: expected outcome,
current data
* Prosthetic valve thrombosis: management
* AS with low gradient-low output: when to operate
* Subvalvular aortic stenosis with AR in an asymptomatic 35 year-old: repair,
replacement, ICD or nothing
* Marfan's Syndrome in a 30-year-old man: surgical considerations
* Aortic Regurgitation with LVEF 25% IN A 55-year-old man: how low is too low? Expert Panel: Rubin Cooper, M.D., Paul Stelzer, M.D., Blase Carabello, M.D., Nalini Rajamannan, M.D. 3:00 - 4:30
AORTIC VALVE DISEASE II
Chairman: Lawrence H. Cohn, M.D. 3:00 - 3:15
Heart failure from AR: is it all in the MMPs?
Jeffrey S. Borer, M.D. 3:15 - 3:30
Drug prophylaxis for asymptomatic AR: is it indicated?
Robert O Bonow, M.D. 3:30 - 3:50
Indication for operation AR: the symptomatic and asymptomatic patient
Jeffrey S. Borer, M.D. 3:50 - 4:10
Aortic valve replacement: matching the patient to the prosthesis
Lawrence H. Cohn, M.D. 4:10 - 4:30
Infective endocarditis: When do we operate?
Tim Gardner, M.D. 4:30 - 5:00
Coffee break/Posters 5:00 - 6:30
AORTIC REGURGITATION AND THE AORTIC ROOT
Chairman: Paul Stelzer, M.D. 5:00 - 5:20
Quantitation of AR: Current echo standard
Martin Goldman, M.D. 5:20 - 5:40
Aortic root disease and AR: indications for operation and results
Leonard Girardi, M.D. 5:40 - 6:00
Aortic valve repair - experimental or substantiated? Surgical techniques and results
Hartzell Schaff, M.D. 6:00 - 6:30
Panel Discussion/Q & A
Chairman: Hartzell Schaff, M.D.; Panelists: Drs. Girardi, Goldman, Cohn, Borer, Gardner FRIDAY, APRIL 29, 2005 7:00 - 8:00 A.M.
Continental breakfast 8:00 - 9:30
MITRAL REGURGITATION I
Chairman: W. Randolph Chitwood, M.D.
8:00 - 8:50 A.M.
Atrial Fibrillation: Indications for surgical and catheter-based treatment and results in patients with MR 8:00 - 8:15:
Catheter-based pulmonary vein exclusion: is it appropriate for asymptomatic patients to forestall valve surgery?
Larry Chinitz, M.D. 8:15 - 8:30
Surgical Cox-Maze procedure: long-term results
Charles Mack, M.D. 8:30 - 8:50
Is this the best use of the robot? Robotic valve surgery: promise or tease?
W. Randolph Chitwood, M.D. 8:50 - 9:10
Indications for mitral valve surgery: impact of symptoms, ventricular function and atrial rhythm
Maurice E. Sarano, M.D. 9:10 - 9:30
Ventricular arrhythmias and the right ventricle in MR: impact on natural history before and after surgery
Clare Hochreiter, M.D. 9:30 - 10:00
Panel Discussion/Q & A
Chairman: W. Randolph Chitwood, M.D.; Panelists: Drs. Chinitz, Mack, Sarano, Hochreiter 10:00 - 10:30 C
Coffee break/Posters 10:30 - 12:00
MITRAL REGURGITATION II
Chairman: Mehmet Oz, M.D. 10:30 - 10:45
The sympathetic system in MR - a case for beta blockade
Mark Starling, M.D. 10:45 - 11:00
Quantitation of MR: ERO and PISA
Martin G. St. John Sutton, M.D.
11:00 - 11:20
Repair versus replacement: why, when?
Cary W. Akins, M.D. 11:20 - 11:40
Coronary Disease and MR - when do you do both?
David Adams, M.D. 11:40 - 12:10
Panel Discussion/Q & A
Chairman: Mehmet Oz, M.D.; Panelists: Drs. Starling, Akins, Adams 12:10 - 1:30
Lunch
Poster presentations of refereed abstracts 1:30 - 2:30 CASE PRESENTATIONS AND DISCUSSION
Chairman: Mark Starling, M.D. * MVP with mild MR: is prophylaxis necessary
* MV infective endocarditis with vegetation: does size matter
* Perivalvular abscess: surgical challenges
* Tricuspid regurgitation in 75-year-old man with chronic MR and CAD: is
tricuspid surgery needed?
* Isolated flail tricuspid leaflet in a 40 year old: surgery or conservative
management? Expert Panel: Mehmet Oz, M.D., Jeffrey P. Gold, M.D., Edmund Herrold, M.D, Ph.D., Marvin Berger, M.D., Barry Hartman, M.D., Steven F. Bolling, M.D., Hartzell Schaff, M.D. 2:30 - 3:30
MITRAL REGURGITATION III
Chairman: Warren Laskey, M.D. 2:30 - 2:50
Repair of secondary mitral regurgitation: ring, run or both?
Steven F. Bolling, M.D. 2:50 - 3:10
Catheter-based valve repair: technique and current data
Allan Schwartz, M.D.
3:10 - 3:30
Alfieri-type repair for secondary MR: description, impact on natural history
John Elefteriades, M.D. 3:30 - 4:00
Panel Discussion/Q & A
Chairman: John Elefteriades, M.D.; Panelists: Drs. Schwartz, Laskey, Elefteriades, Oz, Gold 4:00 - 4:30
Coffee break/Posters 4:30 - 5:40
MITRAL REGURGITATION IV
Chairman: Craig Smith, M.D. 4:30 - 4:50
Re-operation for valve disease: impact of technical concerns on indications for re-operation and selection of procedures
Craig Smith, M.D. 4:50 - 5:10
Biventricular pacemaker therapy for MR: does it help?
Martin G. St. John Sutton, M.D. 5:10 - 5:40
Panel Discussion/Q & A
Chairman: Jeffrey P. Gold, M.D.; Panelists: Drs. Sutton,
Elefteriades, Oz, Smith 5:40 - 6:15
First Official Business Meeting of The Heart Valve Society of America and Valve Clinical Trialists
All members and prospective members welcome SATURDAY, APRIL 30, 2005 7:00 - 8:00 A.M.
Continental breakfast 8:00 - 9:20
MITRAL VALVE DISEASE V
Chairman: Jagat Narula, M.D. 8:00 - 8:20
Surgical considerations in treating IHSS: implications of mild, moderate and severe mitral regurgitation on the choice of therapy.
Nicholas Smedira, M.D. 8:20 - 8:40
Rheumatic Fever: where are we now
Jagat Narula, M.D. 8:40 - 9:00
Mitral stenosis: indications for mechanical therapy and comparative results of balloon valvulosplasty versus surgery
Igor F. Palacios, M.D. 9:00 - 9:20
Mitral valve repair for acute MR from rheumatic carditis and for chronic rheumatic MR: Do results support these approaches?
Carlos Duran, M.D 9:20 - 9:45
Coffee break/Posters 9:45 -- 11:30
CASE PRESENTATIONS AND DISCUSSION
Chairman: Warren Laskey, M.D. * Prosthetic endocarditis in a 70 year-old woman: management?
* Acute mitral regurgitation with mild symptoms in a 45-year-old woman: How soon to operate?
* Non-ischemic cardiomyopathy with severe secondary mitral regurgitation: medical versus surgical management
* One year increase in LVIDs of 5 mm, to 49mm, in asymptomatic 50- year-old man with AR: is it time to operate?
* Radiation-induced mitral and aortic valve disease and coronary occlusion in a 55-year-old woman with prior Hodgkin's Disease: Management? Surgical challenges? Expert Panel: Jagat Narula, M.D., Martin G. St. John Sutton, M.D., Nicholas Smedira, M.D., Edmund Herrold, M.D., Ph.D., Igor F. Palacios, M.D., Carlos Duran, M.D
11:30 - 11:40
Closing remarks
11:40 - 11:45
Participants complete and submit course evaluation and CME form
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Invited Speakers:
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Jeffrey S. Borer, M.D.; Gladys & Roland Harriman Professor of Cardiovascular Medicine, Weill Medical College of Cornell University; Professor of Cardiovascular Medicine in Radiology and in Cardiothoracic Surgery, Weill Medical College; Co-Director, The Howard Gilman Institute for Valvular Heart Diseases, Weill Medical College; Chief, Division of Cardiovascular Pathophysiology, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center O. Wayne Isom, M.D.; Terry Allen Kramer Professor and Chairman, Department of Cardiothoracic Surgery, Weill Medical College of Cornell University; Co-Director, The Howard Gilman Institute for Valvular Heart Diseases, Weill Medical College; Chairman, Department of Cardiothoracic Surgery, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center. Faculty David Adams, M.D.; Marie-Josée and Henry R. Kravis Professor and Chairman
Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York City Cary W. Akins, M.D.; Clinical Professor of Surgery, Harvard Medical School; Division of Cardiac Surgery, Massachusetts General Hospital, Boston, MA Marvin Berger, M.D.; Professor of Clinical Medicine, Albert Einstein College of Medicine; Director, Echocardiography Laboratory, Beth Israel Medical Center, New York City Steven F. Bolling, M.D.; Professor, Department of Surgery, University of Michigan Cardiovascular Center; Director, Mitral Valve Clinic, University of Michigan Cardiovascular Center, Ann Arbor, MI Robert O. Bonow, M.D.; Goldberg Distinguished Professor of Medicine, Northwestern University Feinberg School of Medicine; Chief, Division of Cardiology, Northwestern Memorial Hospital, Chicago, IL; Past president, American Heart Association Blase Carabello, M.D.; The W.A. “Tex” and Deborah Moncrief Jr. Professor of Medicine, Baylor College of Medicine; Vice Chairman, Department of Medicine, Baylor College of Medicine; Medical Care Line Executive, Houston VA Medical Center, Houston, TX Larry A. Chinitz, M.D.; Associate Professor of Medicine, New York University School of Medicine; Director, Invasive Cardiology & Cardiac Electrophysiology, New York University Medical Center, Bellevue Hospital Center, Manhattan VA Medical Center, New York City W. Randolph Chitwood, M.D.; Professor and Chairman, Department of Surgery, East Carolina University School of Medicine; Chief of Surgery, Chief/Division of Cardiothoracic Surgery, Director/Heart Center, East Carolina University School of Medicine, Greenville, NC Lawrence H. Cohn, M.D.; Virginia and James Hubbard Professor of Cardiac Surgery, Harvard Medical School; Chief, Cardiac Surgery, Brigham and Women’s Hospital, Boston, MA Rubin Cooper, M.D.; Professor of Clinical Pediatrics, Weill Medical College of Cornell University; Associate Director, Pediatric Cardiovascular Center, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center; Director, Pediatric Cardiology, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center, New York City Carlos M. G. Duran, M.D., Ph.D.; Professor and Chair of Cardiovascular Sciences, The University of Montana; President/CEO, The International Heart Institute of Montana, Missoula, MT John Elefteriades, M.D.; Professor of Surgery; Chief, Cardiothoracic Surgery, Yale University School of Medicine, New Haven, CT Valentin Fuster, M.D., Ph.D.; Richard Gorlin, M.D./Heart Research Foundation Professor of Cardiology; Director, The Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai Medical Center; Director, The Marie-Josée and Henry R. Kravis Cardiovascular Health Center, Mount Sinai Medical Center, New York City Timothy J. Gardner, M.D., Professor of Surgery, Cardiothoracic Division, University of Pennsylvania Health System; Chief, Division of Cardiac Surgery, University of Pennsylvania Health System; Philadelphia, PA. Leonard Girardi, M.D.; Assistant Professor of Cardiothoracic Surgery, Weill Medical College of Cornell University; Assistant Attending Cardiothoracic Surgeon, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center, New York City Jeffrey P. Gold, M.D.; Professor, Cardiothoracic Surgery, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY Martin E. Goldman, M.D.; Doctor Arthur and Hilda Master Professor of Medicine (Cardiology), Mount Sinai School of Medicine; Director, Echocardiography Laboratory, The Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai Medical Center, New York City Barry J. Hartman, M.D.; Clinical Professor of Medicine, Weill Medical Collge of Cornell University; Attending Physician, Department of Medicine, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center, New York City Edmund M. Herrold, M.D., Ph.D.; Associate Professor of Medicine and of Cardiothoracic Surgery, Weill Medical College of Cornell University; Associate Attending Physician, NewYork–Presbyterian Hospital New York Weill Cornell Medical Center; Director, Section of Biomechanics, Division of Cardiovascular Pathophysiology, NewYork–Presbyterian Hospital New York Weill Cornell Medical Center, New York City Clare Hochreiter, M.D.; Associate Professor of Medicine and of Cardiothoracic Surgery, Weill Medical College of Cornell University; Associate Attending Physician, NewYork–Presbyterian Hospital New York Weill Cornell Medical Center; Director, Section of Clinical Trials and Clinical Research, Division of Cardiovascular Pathophysiology, NewYork–Presbyterian Hospital New York Weill Cornell Medical Center, New York City Warren Laskey, M.D.; Robert S. Flinn Professor of Medicine and Chief of the Division of Cardiology, University of New Mexico, Albuquerque, NM Karl Krieger, M.D.; Michel C. Bergerac Professor of Cardiothoracic Surgery, Weill Medical College of Cornell University; Vice Chairman, Department of Cardiothoracic Surgery, NewYork–Presbyterian Hospital New York Weill Cornell Medical Center, New York City Charles A. Mack, M.D.; Assistant Professor of Cardiothoracic Surgery, Weill Medical College of Cornell University; Assistant Attending Cardiothoracic Surgeon, Director of Robotic Cardiac Surgery and Surgical Arrhythmia Program, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center, New York City Jagat Narula, M.D.; Professor of Medicine, Associate Dean, College of Medicine, University of California, Irvine; Chief, Division of Cardiology, University of California, Irvine Medical Center, Irvine, CA Mehmet C. Oz, M.D.; Associate Professor of Surgery, Columbia College of Physicians and Surgeons; Adjunct Associate Professor of Surgery, Weill Medical College of Cornell
University; Director, Cardiovascular Institute, NewYork-Presbyterian Hospital Columbia -Presbyterian Medical Center, New York City Igor F. Palacios, M.D.; Associate Professor of Medicine, Harvard Medical School; Department of Cardiology, Massachusetts General Hospital, Boston, MA Shabudin H. Rahimtoola, MD.; George C. Griffith Professor of Cardiology, Distinguished Professor of Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA Nalini Rajamannan, M.D.; Assistant Professor of Cardiology; Director/VA Echo Lab, Northwestern University Medical Center, Chicago, IL Maurice E. Sarano, M.D.; Professor of Medicine, Mayo Medical School; Director, Valvular Heart Disease Clinic, Mayo Clinic; Consultant, Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN Hartzell Schaff, M.D.; Professor of Surgery, Mayo Clinic College of Medicine; Division Chair, Cardiovascular Surgery, Mayo Clinic; Rochester, MN
Allan Schwartz, M.D.; Harold Ames Hatch Professor of Clinical Medicine, Columbia College of Physicians and Surgeons; Chief, Division of Cardiology; Vice Chair of Clinical Affairs, Department of Medicine, NewYork-Presbyterian Hospital Columbia University Medical Center, New York City Nicholas G. Smedira, M.D.; Co-director, Cardiothoracic Surgery Residents’ Training Program; Staff Cardiac Surgeon, Department of Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH Craig Smith, M.D.; Calvin F. Barber Professor of Surgery, Columbia College of Physicians and Surgeons; Adjunct Professor of Surgery, Weill Medical College of Cornell University; Chief/Cardiothoracic Surgery, Director/Cardiothoracic Residency Program, NewYork-Presbyterian Hospital Columbia-Presbyterian Medical Center, New York City Martin G. St. John Sutton, M.D.; John Bryfogle Professor of Medicine, Director of Cardiovascular Fellowship Program, Director/Cardiovascular Imaging, University of Pennsylvania Health System, Philadelphia, PA Mark Starling, M.D.; Medical Director, Banner Baywood Heart Hospital, Mesa, AZ Paul Stelzer, M.D.; Associate Professor of Surgery, Albert Einstein College of Medicine; Attending Physician, Division of Cardiac Surgery, Beth Israel Medical Center, New York City Phyllis Supino, Ed.D.; Associate Research Professor of Public Health in Medicine and Clinical Associate Professor of Public Health, Weill Medical College of Cornell University; Director, Section of Data Management and Educational Programs, Division of Cardiovascular Pathophysiology, NewYork-Presbyterian Hospital New York Weill Cornell Medical Center, New York City
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