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Agenda - (work in progress)

DAY 1 - Friday, September 13, 2019
6:45 am - 7:45 am Registration & Continental Breakfast
7:40 am - 7:45 am Opening the Session: Critical Challenges Regarding AI Worldwide
Joseph Bavaria, MD
7:45 am - 8:00 am Opening Remarks: Overview of the Symposium
Joseph E. Bavaria, MD
Munir Boodhwani, MD
Aortic Root Complex - Anatomic and Physiologic Physiologic Principles Guiding Valve Repair
8:00 am - 8:15 am Aortic Valve Anatomy and Function
Karen Kim, MD
8:15 am - 8:30 am Threshold for Surgical Intervention in Ascending
Aortic Aneurysms: Comparison of American, Canadian, and European Guidelines

Thoralf Sundt, MD
8:30 am - 8:45 am MRI Versus Echo in Aortic Insufficiency: What is the Gold Standard in Quantification?
Paul Fedak, MD
Victor Ferrari, 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
A. Stephane Lambert, MD
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
10:40 am - 11:00 am Introduction to Aortic Valve Repair – What’s in the Surgeon’s Armamentarium?
Joseph Bavaria, MD
11:00 am - 11:20 am Valve Sparing Root Reimplantation Technique –
Step-by-step Approach

Gebrine El Khoury, MD
11:20 am - 11:40 am Valve Sparing Root Remodeling Technique –
Step-by-step Approach [Live-in-box
Hans-Joachim Schafers, MD
11:40 am - 12:00 am Annuloplasty Techniques for Isolated Aortic Valve Repair
Thoralf Sundt, MD
12:00 pm - 12:30 pm

Focused Session: Learn from the Experts: Case Presentations
Panel members: Gebrine El Khoury, MD,
Hans-Joachim Schäfers, MD, 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
12:30 pm - 12:45 pm Panel Disscussion
1:00 pm - 2:15 pm Working Lunch With Debate
Moderators: Munir Boodhwani, MD and
Prashanth Vallabhajosyula, MD, MS
Panel: Joseph Bavaria, MD, Thoralf Sundt, MD
Robert Bonow, MD, Hans-Joachim Schäfers, MD
Gebrine El Khoury, MD

Debate: annular ectasia in BAV repair, how best to manage? Remodel with annular ring, external and STJ ring, VSRR, internal annular ring?
Debate: on factors influencing repair versus replacement – consider thresholds of age, low EF, enlarged left ventricle
Debate: respect BAV geometry versus forced geometry, and introduction to the new anatomical classification by the El Khoury group
2:15 pm - 2:30 pm Break
2:30 pm - 2:35 pm Introduction to Keynote Speaker
2:35 pm - 3:05 pm KEYNOTE
30-year Experience With Aortic Valve Repair –
Evolution of Cusp Repair and Root Remodeling Techniques

Hans-Joachim Schäfers, MD
Trileaflet Aortic Valve Repair - Deep Dive
3:05 pm - 3:20 pm Complex Trileaflet Aortic Valve Repair
Munir Boodhwani, MD
3:20 pm - 3:40 pm Valve Sparing Surgery in Aortic Dissection –
Indications, Outcomes, Where do you Draw the Line?

Himanshu Patel, MD
3:40 pm - 4:00 pm How to Manage Cusp Calcification and Restriction?
Gebrine El Khoury, MD
4:00 pm - 4:20 pm Break
Outcomes and Alternatives to Aortic Valve Repair
4:20 pm - 4:30 pm Outcomes of Aortic Valve Repair: Focus on Mortality and Valve Related Events
Maral Ouzounian, MD, PhD
4:50 pm - 5:00 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
Rita Milewski, MD, PhD
5:00 pm - 5:20 pm Ross Procedure in Aortic Insufficiency – When to do it, how to do it
Ismail El-Hamamsy, MD, PhD
5:20 pm - 5:30 pm Quality of Life Following Valve Repair Versus Replacement: Is There a Difference?
Nimesh Desai, MD, PhD
5:30 pm - 6:00 pm Panel Discussion and Closing Remarks