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DAY 1 - Friday, September 13, 2019
6:45 am - 7:40 am Registration & Continental Breakfast
7:40 am - 7:50 am Opening Remarks: Overview of the Symposium
Joseph Bavaria, MD
Munir Boodhwani, MD
7:50 am - 8:00 am Opening the Session:
Critcal Challenges Regarding Al Worldwide

Joseph E. Bavaria, MD
Aortic Root Complex - Anatomic and Physiologic Physiologic Principles Guiding Valve Repair
  Moderators: Joseph Bavaria, MD
Bonnie Milas, MD
8:00 am - 8:10 am Aortic Valve Anatomy and Function
Shinichi Fukuhara, MD
8:10 am - 8:25 am Threshold for Surgical Intervention in Ascending
Aortic Aneurysms: Comparison of American, Canadian, and European Guidelines

Arminder Jassar, MBBS
8:25 am - 8:45 am MRI Versus Echo in Aortic Insufficiency: What is the Gold Standard in Quantification?
MRI: Victor Ferrari, MD
Echocardiography: Jared Feinman, MD
8:45 am - 9:00 am Natural History of Aortic Insufficiency and Guidelines for Medical and Surgical Management
Robert Bonow, MD
9:00 am - 9:20 am Panel Discussion
9:20 am - 9:40 am Repair Focused Echocardiographic Assessment of the Aortic Valve and Root
Benjamin Sohmer, MD
9:40 am - 10:00 am Mechanisms of Aortic Insufficiency:
Implications for Valve Repair

Munir Boodhwani, MD, MMSc, FRCSC
10:00 am - 10:20 am Debate: 45 Year Old Active Male With Severe Asymptomatic AI: Surgery or Watchful Waiting?
Moderator: Munir Boodhwani, MD
Pro Surgery: Joseph Bavaria, MD
Watchful Waiting: Robert Bonow, MD
10:20 am - 10:40 am Break
Surgical Approaches to Aortic Root / Valve Disease
  Moderators: Munir Boodhwani, MD,
Prashanth Vallabhajosyula, MD, MS
10:40 am - 10:50 am Introduction to Aortic Valve Repair – What’s in the Surgeon’s Armamentarium?
Moderator: Prashanth Vallabhajosyula, MD, MS
10:50 am - 11:10 am Valve Sparing Root Reimplantation Technique –
Step-by-step Approach

Munir Boodhwani, MD
11:10 am - 11:30 am Valve Sparing Root Remodeling Technique –
Step-by-step Approach [Live-in-box
Hans-Joachim Schäfers, MD
11:30 am - 11:50 am Valve Repair:
Asymmetric BAV Versus Symmetric BAV

Respect Valve Asymmetry: Joseph Bavaria, MD
Conversion to Symmetric or 3-cusp Valve:
Laurent Dr Kerchove, MD
11:50 am - 12:05 am BAV Repair with Internal Subannular Aortic Ring - Step-by-step Approavh - Duke Experience
G. Chad Hughes, MD
12:05 pm - 12:35 pm

Focused Session: Learn from the Experts:
Case Presentations

Moderator: Joseph Bavaria, MD
Panel Members: Laurent Dr Kerchove, MD,
Hans-Joachim Schäfers, MD, G. Chad Hughes, MD,
Alberto Pochettino, MD, Michael Fischbein, MD,
Munir Boodhwani, MD

  • Case 1: Severe AI, VAJ dilated, aortic root 4.1 cm
  • Case 2: Marfan patient, severe root dilation, no A
  • Case 3: Cusp prolapse with fenestrations
  • Case 4: Type 1A Ascending aortic aneurysm and moderate AI, non-dilated VAJ
    1. Root reimplantation or repair with external ring
    2. Remodeling versus reimplantation
    3. Valsalva versus straight tube graft
12:35 pm - 12:45 pm Panel Disscussion
12:45 pm - 1:00 pm Pick-up Lunch
1:00 pm - 2:15 pm Working Lunch with Debate/Discussion
Moderators: Munir Boodhwani, MD, Prashanth Vallabhajosyula, MD, MS
Panel: Joseph Bavaria, MD, G. Chad Hughes, MD
Robert Bonow, MD, Hans-Joachim Schäfers, MD
Laurent De Kerchove, MD, Michael Fischbein, MD, Maral Ouzounian, MD, PhD, Himanshu Patel, MD, Ismail El-Hamamsy, MD, PhD

Debate: Debate on factors influencing repair versus replacement – consider thresholds of age, low EF, enlarged left ventricle
Debate: Complex BAV repair with remoldeling/reimplantation versus Ross precedure in yound patients.
2:15 pm - 2:30 pm Break
2:30 pm - 2:35 pm Introduction to Keynote Speaker
2:35 pm - 3:05 pm KEYNOTE
25-year Experience With Aortic Valve Repair –
Evolution of Cusp Repair and Root Remodeling Techniques

Hans-Joachim Schäfers, MD
Trileaflet Aortic Valve Repair - Deep Dive
  Moderator: G. Chad Hughes, MD
3:05 pm - 3:20 pm Complex Trileaflet Aortic Valve Repair
Munir Boodhwani, MD
3:20 pm - 3:35 pm Valve Sparing Surgery in Aortic Dissection – Indications, Technique, Outcomes, Where do you Draw the Line?
Himanshu Patel, MD
3:35 pm - 3:45 pm Valve Sparing Surgery in Aortic Dissection II - Live-in-box Presentation
Nimesh Desai, MD, PhD
3:45 pm - 4:00 pm How to Manage Cusp Calcification and Restriction?
4:00 pm - 4:20 pm Break
Outcomes and Alternatives to Aortic Valve Repair
  Moderator: Nimesh Desai, MD, PhD
4:20 pm - 4:30 pm Outcomes of Aortic Valve Repair: Focus on Mortality and Valve Related Events
Maral Ouzounian, MD, PhD
4:30 pm - 4:40 pm When Repair is not Possible: Outcomes of Biologic Versus Mechanical Prostheses in Young Adltus and Outcomes of Preserving Sinus Segment With Ascending Arch Resection
Prashanth Vallabhajosyula, MD, MS
4:40 pm - 4:50 pm Outcomes of Aortic Valve Repair II: Long Term Results of BAV Repari and Risk Factors for Failure
George Armaoutakis, MD
4:50 pm - 5:10 pm Ross Procedure in Aortic Insufficiency – When to do it, how to do it?
Ismail El-Hamamsy, MD, PhD
5:10 pm - 5:40 pm

STCVS Debate: Size Threshold for Intervention on the Aortic Root and Ascending Aorta in Patients with Concomitant Aortic Insufficiency
Moderator: Mohamad Bashir, MD, PhD
Panel: Joseph Bavaria, MD, Robert Bonow, MD,
Laurent De Kerchove, MD, Hans-Joachim Schäfers, MD,
G. Chad Hughes, MD, Himanshu Patel, MD,
Munir Boodhwani, MD

5:40 pm - 5:45 pm Closing Remarks
Joseph Bavaria, MD
5:45 pm - 7:00 pm Reception
Chez Colette - 1st Floor, Sofitel Philadelphia