| Wednesday April 11, 2007 |
| 6:00 – 8:00 P.M. |
Registration |
| |
| Thursday April 12, 2007 |
| 7:00 – 7:45 |
Registration and Continental Breakfast |
| 7:45 – 7:55 |
Introduction and Symposium Goals
O. Wayne Isom, M.D., Jeffrey S. Borer, M.D. |
| 7:55 – 8:00 |
Welcome from the American College of Cardiology
Paul Kligfield, M.D.
President, American College of Cardiology, New York State Chapter |
| 8:00 – 8:05 |
Welcome from the Heart Valve Society of America
Jeffrey S. Borer, M.D. |
OVERVIEW
Chairman: O. Wayne Isom, M.D.
(8:05 - 10:25) |
| 8:05 – 8:25 |
THE HOWARD GILMAN FOUNDATION LECTURE Percutaneous Valve Replacement and Repair: Where Do We Stand —The Balance Between Investigator Enthusiasm and Regulatory Standards
Bram Zuckerman, M.D. |
| 8:25 – 8:40 |
The epidemiology of valvular heart diseases: New data, new problems
Phyllis Supino, Ed.D . |
| 8:40 – 8:55 |
Mechanisms of myocardial dysfunction in VHD: Impact on therapeutic decisions
Jeffrey S. Borer, M.D. |
| 8:55 – 9:10 |
Proper pre-operative preparation of the patient with valvular heart disease to minimize anesthetic complications
Stephen Thomas, M.D. |
| 9:10 – 9:25 |
Systolic and diastolic mechanics of valve disease: Implications for selection of therapy
Blase Carabello, M.D. |
| 9:25 – 9:40 |
Age: Is it a selection factor for valve surgery?
Karl Krieger, M.D. |
| 9:40 – 9:55 |
A lternative medicine strategies: What do they offer for the patient with VHD?
Mehmet Oz, M.D. |
| 9:55 -10:25 |
Panel Discussion/Q & A
Chairman: O.Wayne Isom, M.D .; Panelists: Drs. Borer, Supino, Carabello, Oz, Thomas, Krieger, Zuckerman |
| 10:25 – 10:55 |
Coffee Break/Posters |
|
AORTIC VALVE DISEASE I
Chairman: Lawrence Cohn, M.D.
(10:55 - 12:30) |
| 10:55 – 11:15 |
Anti-coagulation for prosthetic valves and AF: How do you do it and how do you interrupt it?
Valentin Fuster, M.D., Ph.D. |
| 11:15 – 11:30 |
Operation for AS primarily in the asymptomatic patient: The time has come
Jamil Tajik, M.D. |
| 11:30 – 11:45 |
We should provide statin prophylaxis for patients with AS: A critical appraisal of clinical data and their scientific basis Nalini Rajamannan, M.D. |
| 11:45 – 12:00 |
Coronary disease and AS: When can you ignore the CAD? When should you perform a “hybrid” procedure?
Richard J. Shemin, M.D. |
| 12:00 – 12:30 |
Panel Discussion/Q & A
Chairman: Lawrence Cohn, M.D. Panelists: Drs. Tajik, Shemin, Rajamannan, Fuster, Pai |
| 12:30 – 2:00 |
Lunch |
| 2:00 – 3:00 |
CASE PRESENTATIONS AND DISCUSSION
Chairman: Maurice E. Sarano, M.D
- Mitral valve patient prosthesis mismatch.
- Robotic valve surgery
- Subvalvular aortic stenosis
- Aortic stenosis in young man — The Ross Procedure
- Infective endocarditis
Panel: Drs. Chen, Stelzer, McCarthy, Cohn, Oz, Pibarot, Tajik, Shemin, Herrold, Pai |
AORTIC VALVE DISEASE II
Chairman: Mark Starling, M.D.
(3:00 - 4:15) |
| 3:00 – 3:15 |
Drug prophylaxis for asymptomatic AR: Is it indicated?
Robert O Bonow, M.D. |
| 3:15 – 3:30 |
Indication for operation AR: the symptomatic and asymptomatic patient
Jeffrey S. Borer, M.D . |
| 3:30 – 3:45 |
Patient prosthetic mismatch: Implications for outcome in aortic valve disease
Philippe Pibarot, D.V.M., Ph.D. |
| 3:45 – 4:00 |
Aortic valve replacement: valve selection to match patient to prosthesis
A. Mark Gillinov, M.D. |
| 4:00 – 4:15 |
Apical-aortic conduit for aortic stenosis when ascending aortic calcification is severe
John Brown, M.D. |
| 4:15 – 4:45 |
Coffee break/Posters |
THE AORTIC ROOT AND ASSOCIATED VALVE DISEASE
Chairman: Richard J. Shemin, M.D.
(4:45 - 6:15) |
| 4:45 – 5:15 |
Debate: When the aortic root is aneurismal and the aortic valve is incompetent, the valve should be repaired
Pro: Hartzell Schaff
Con: Leonard Girardi |
| 5:15 – 5:30 |
Bicuspid aortic valve: exercise restriction, medication, root replacement — when is each appropriate?
John Elefteriadis , M.D. |
| 5:30 – 5:45 |
Valve-sparing aortic root replacement
Alan Hilgenberg, M.D. |
| 5:45 – 6:15 |
Panel Discussion/Q & A
Chairman: To be determined
Panelists: Drs Bonow, Schaff, Brown, Pibarot, Girardi, Elefteriadis, Hilgenberg, Brown, Gilinov, Pibarot, Starling, Borer |
| |
| Friday April 13, 2007 |
| 7:00 – 7:45 |
Continental breakfast |
| 7:45 – 10:30 |
SPLIT SESSION:
Session 1
Echocardiography – current standards and techniques
Chairperson: Judy Hung, M.D.
Panelists: Drs. Tajik, Sarano, Goldman, St. John Sutton
Session 2
Surgical techniques and decisions
Chairman: O. Wayne Isom, M.D.
Panelists: Drs. Akins, Adams, Cohn, Elefteriadis, Galloway, Girardi, Herrold, Krieger, McCarthy, Sahn, Schaff
- Mitral valve repair – non-ischemic
- Minimally invasive aortic valve replacement
- Mitral valve repair
- Aortic root replacement with aortic valve repair
|
| 10:30 – 11:00 |
Coffee break/Posters |
MITRAL REGURGITATION I
Chairman: A. Jamil Tajik, M.D.
(11:00 - 12:30) |
| 11:00 – 11:15 |
Echocardiographic quantitation of MR
A. Jamil Tajik, M.D. |
| 11:15 – 11:30 |
Indications for mitral valve surgery: impact of symptoms, ventricular function and atrial rhythm
Maurice E. Sarano, M.D. |
| 11:30 – 11:45 |
Ventricular arrhythmias and MR: implications for timing of surgery and post-op care
Clare Hochreiter, M.D. |
| 11:45 – 12:00 |
Prophylactic drug treatment for MR: beta blockade? vasodilatation? nothing?
Robert O Bonow, M.D. |
| 12:00 – 12:30 |
Panel Discussion/Q & A
Chairman: A. Jamil Tajik, M.D. ; Panelists: Drs. Bonow, Goldman, Carabello, Hochreiter, Sarano, Starling |
| 12:30 – 2:00 |
SPLIT SESSION LUNCH
Session A
Allied Health Professionals in VHD care
Chairpersons: Beth Eichhorn, RN; Jerene Bitondo, PA
- Home monitoring of INR: is the US behind the curve?
Jerene Bitondo , PA
- Bridging anticoagulation for intercurrent procedures: is there a best approach?
Warren Laskey, MD.
- Interpretation of hemodynamic data from catheterization
Warren Laskey, M.D.
- Patient Education – materials and methods
Beth Eichhorn, RN
Session B
Poster presentations of refereed abstracts |
MITRAL REGURGITATION II
Chairman: David Adams, M.D.
(2:15 - 4:15) |
| 2:15 – 2:45 |
Debate:
In patients with VHD, pulmonary vein isolation for AF should be reserved only for surgery
Pro: Charles Mack, M.D.
Con: Larry Chinitz, M.D. |
| 2:45 – 3:00 |
Structural basis of ischemic MR – implications for therapy
Robert Levine, M.D. |
| 3:00 – 3:15 |
Ischemic MR: when to operate
Maurice E. Sarano |
| 3:15 – 3:30 |
Mitral valve replacement for MR: when is it still indicated?
Cary W. Akins, M.D. |
| 3:30 – 3:45 |
Coronary Disease and MR – when do you fix both? How do you fix both?
David Adams, M.D. |
| 3:45 – 4:15 |
Panel Discussion/Q & A
Chairman : David Adams, M.D. ; Panelists: Drs. Akins, Chinitz, Mack, Levine, Sarano, Starling |
| 4:15 – 4:45 |
Coffee break/Posters |
MITRAL REGURGITATION III AND TRICUSPID VALVE DISEASE
Chairman: Cary Akins, M.D.
(4:45 - 6:30) |
| 4:45 – 5:15 |
Mitral regurgitation in cardiomyopathy should be managed medically
Pro: Blase Carabello, M.D.
Con: Steven F. Bolling, M.D. |
| 5:15 – 5:30 |
Secondary MR is best treated with b iventricular pacing: a supportable strategy?
Martin G. St. John Sutton, M.D. |
| 5:30 – 5:45 |
Infective endocarditis: scope of the problem and medical/surgical management strategy
Patrick J. O’Gara |
| 5:45 - 6:00 |
When to correct tricuspid regurgitation
Patrick McCarthy |
| 6:00 – 6:30 |
Panel Discussion/Q & A
Chairman: Cary Akins, M.D. ; Panelists: Drs. Carabello, Bolling, St. John Sutton, O’Gara, McCarthy, Starling |
| |
| Saturday April 14, 2007 |
| 7:00 – 8:00 |
Continental breakfast |
PERCUTANEOUS REPAIRS
Chairman: Jagat Narula, M.D.
(8:00 - 9:40) |
| 8:00 – 8:20 |
Percutaneous mitral valve repair: current techniques and results
Ted Feldman |
| 8:20 – 8:35 |
Re-operation for valve disease: impact of technical concerns on indications for re-operation and selection of procedures
Craig Smith, M.D. |
| 8:35 – 8:55 |
Mitral stenosis: indications for mechanical therapy and comparative results of balloon valvulosplasty versus surgery
Igor F. Palacios, M.D. |
| 8:55 – 9:10 |
Percutaneous aortic valve repair: techniques and current data
Allan Schwartz, M.D. |
| 9:10 – 9:25 |
Percutaneous correction of asymmetric septal hypertrophy
Michael Fifer, M.D. |
| 9:25 – 9:40 |
Clinical evaluation: Is there any place for symptom determination and physical examination in the world of echo evaluation and percutaneous therapy?
Shahbudin Rahimtoola, M.D. |
| 9:40 – 10:05 |
Coffee break/Posters |
| 10:05 -- 11:45 |
CASE PRESENTATIONS AND DISCUSSION
Chairman: Warren Laskey, M.D.
- Infiltrative cardiomyopathy with MR
- Long vegetation in IE
- Radiation-induced valve disease
- Rapid progression of LV size in AR
- RV changes in MR
- AS and AF
- Tricuspid Flail Leaflet
Expert Panel: Drs. Sarano, Tajik, Fifer, Feldman, Smith, Narula, Palacios, Schwartz, Herrold |
| 11:45 – 11:55 |
Closing Remarks |
| 11:55– 12:00 |
Participants complete and submit course evaluation and CME form |