Agenda – Friday and Saturday, September 9-10, 2022, Sofitel Philadelphia

Day 1 – Friday, September 9, 2022

6:45 – 7:45 AM
Registration & Continental Breakfast Coffee

7:45 – 8:00 AM
Opening remarks
Joseph Bavaria MD
Munir Boodhwani MD

SESSION I: FUNDAMENTAL PRINCIPLES OF AORTIC VALVE ANATOMY AND FUNCTION

Moderators: Victor Ferrari MD, Joseph Bavaria MD

8:00 – 8:15 AM (10 min presentation, 5 min discussion)
Aortic Valve Anatomy and Function
Roland Assi MD

8:15 – 8:30 AM (10 min presentation, 5 min discussion)
When to operate for Proximal Aortopathy: Review of data and guidelines
Karen Kim MD

8:30 – 8:45 AM
Cardiology Keynote: Natural History of Aortic Insufficiency and Guidelines for the Medical and Surgical Management
Robert Bonow MD

8:45 – 9:15 AM
Controversies in Aortic Insufficiency and timing of intervention – Moderated Panel Discussion
Moderator:  Munir Boodhwani MD
Expert Panel: Robert Bonow MD, Maral Ouzounian MD, Michael Fischbein MD, Chad Hughes MD, Victor Ferrari MD, Joseph Bavaria MD

9:20 – 9:40 AM
Repair Focused Echocardiographic Evaluation of the Aortic Valve & Root
Adam Dryden MD

9:40 – 9:50 AM
Principles of Surgical Aortic Valve Assessment for Valve Repair
Munir Boodhwani MD

9:50 – 10:20 AM
Deep Dive into both Surgical and Echocardiographic Aortic Valve Analysis – Intraoperative Video Presentations
Moderator: Joseph Bavaria MD
Video Moderator: John J. Kelly MD
Expert Panel: Munir Boodhwani MD, Bonnie Milas, MD, Emmanuel Lansac, MD PhD, Laurent De Kerchove MD, Edward Chen MD, Jared Feinman MD, Adam Dryden MD

10:20 AM – 10:40 PM
Coffee break and visit

SESSION II: INTRODUCTION TO SURGICAL TECHNIQUES FOR AORTIC ROOT AND VALVE RECONSTRUCTION

Moderators: Thomas Gleason MD, Maral Ouzounian, Prashanth Vallabhajosyula MD

10:40 – 10:50 AM
Aortic Valve Repair – Overview of surgical techniques
Prashanth Vallabhajosyula MD

10:50 AM – 11:05 AM
Honorary Lecture: Valve-sparing root remodeling technique and external annuloplasty
Emmanuel Lansac, MD PhD

11:05 AM – 11:15 AM
(Live-in-box; 7-minute video, 3 minutes for introduction/echos/conclusion)
Valve-sparing root reimplantation technique in a trileaflet valve (Tailored Graft)
Michael Fischbein MD,

11:15 AM – 11:25 AM
(Live-in-box; 7-minute video, 3 minutes for introduction/echos/conclusion) Valve-sparing root reimplantation technique in a trileaflet valve (Valsalva Graft)
TBD

11:25 AM – 11:35 AM
(Live-in-box; 7-minute video, 3 minutes for introduction/echos/conclusion)
Internal Annuloplasty with the HAART ring +/- Type A dissection
Joshua Baker MD

11:35 AM – 11:45 AM
(Live-in-box; 7-minute video, 3 minutes for introduction/echos/conclusion)
The Florida Sleeve Operation: When and How?
Thomas Beaver MD

11:45 AM – 12:00 PM
Panel Discussion
Moderator: Thomas Gleason MD
Expert Panel: Thomas Beaver MD, Maral Ouzounian, MD, Joshua Baker MD, Emmanuel Lansac, MD PhD, Prashanth Vallabhajosyula MD, Michael Fischbein MD, Christopher Burke MD, Emily MacKay, MD

12:00 PM-12:05 PM
Introduction of Keynote Speaker
Joseph Bavaria MD

12:05 PM – 12:30 PM
Keynote Address
The Anatomic Roadmap of the Aortic Valve – What we have learned over the years from anatomic and imaging studies about the aortic valve anatomy and function
Laurent DeKerchove MD

12:30 PM-12:35 PM
Q&A with keynote speaker
Moderator: Joseph Bavaria MD

12:35 PM – 12:50 PM
Break to obtain lunch and visit

12:50 PM – 1:30 PM
Lunch at the Movies: Rapid-Fire Video Presentations (3 min video/ 2 min discussion) on Valve Repair and Related Procedures
Presentations from Course Participants: TBD
Moderator: Keerit Tauh MD
Video Moderator: John J. Kelly MD
Panel: Nimesh Desai MD PhD, Keerit Tauh MD, John J. Kelly MD

1:30 PM – 1:50 PM
Break to obtain lunch and visit

SESSION III:  AORTIC VALVE CUSP REPAIR

Moderators: Nimesh Desai MD PhD, Edward Chen MD, Laurent de Kerchove MD, Emmanuel Lansac, MD PhD

1:50 PM – 2:20 PM
Learning from the Experts: How I choose my Root/Annuloplasty Technique
Moderator: Nimesh Desai MD PhD
Expert Panel:  Laurent de Kerchove MD, Edward Chen MD, Chad Hughes, Emmanuel Lansac, MD PhD, Maral Ouzounian MD, Himanshu Patel MD

2:20 PM – 2:30 PM
(Live-in-box; 7 min video, 3 min discussion)
Marfan Syndrome: Valve-Sparing Special Considerations
Himanshu Patel MD

2:30 PM – 2:45 PM
Core Concepts in the Assessment and Treatment of Cusp Pathology
Ibrahim Sultan MD

2:45 PM – 3:00 PM
(Live-in-box; 10 min video, 5 min didactic/discussion)
Single and Multiple Cusp Prolapse: Assessment and Repair Techniques
Munir Boodhwani MD

3:00 PM – 3:15 PM
Aortic Valve and Root Preservation in Acute Type A Aortic Dissection: technique, video, pearls, and data review
Bradley Leshnower MD

3:15 PM – 3:20 PM
4D CTA Computational Model Simulating BAV Repair
William Brinkman, MD

3:20-3:30 PM
Surgeon to Patient and Back Again: A BAV Repair Odyssey
Todd Crawford, MD

3:30 PM – 3:45 PM
Panel Discussion: (Theme: Should we ever use a pericardial patch to facilitate cusp repair?)
Moderator: Prashanth Vallabhajosyula MD
Expert Panel: Emmanuel Lansac, MD PhD, Bradley Leshnower MD,  Munir Boodhwani MD,  Maral Ouzounian MD, Ibrahim Sultan MD, William Brinkman

3:45 PM – 4:00 PM
Coffee & snack break

SESSION IV: OUTCOMES AND ALTERNATIVES TO AORTIC VALVE REPAIR

Moderators: Ismail El-Hamamsy MD, Wilson Szeto MD, Karen Kim

4:00 PM– 4:15 PM
Is Aortic Valve Repair really better than replacement? Review of the evidence
Joshua Grimm MD

4:15 PM – 4:30 PM
Bio-Bentall for the non-repairable aortic valve: technical overview and video
Wilson Szeto MD

4:30 PM – 4:45 PM
Ross procedure in Aortic Insufficiency – when and how? Video and data
Nimesh Desai MD PhD

4:45 PM – 5:00 PM
Going beyond the root – options for management of concomitant aortic arch pathology
Michael Chu MD

5:00 PM – 5:20 PM
Panel Discussion
Moderator: Ismail El-Hamamsy MD
Expert Panel: Wilson Szeto MD, Nimesh Desai MD PhD, Michael Chu MD, Joshua Grimm MD, Karen Kim MDTodd Crawford, Laurent DeKerchove

5:20 – 5:40 PM
Extra! Extra!
Breaking News! Catastrophe: State of Cardiac Surgery in Kyiv During the Russian Invasion
Presenter: Varbanets Serhii (Sergey)

5:40 PM – 5:45 PM
Closing Remarks
Munir Boodhwani MD
Joseph Bavaria MD

5:45 – 7:15 PM
Cocktail Reception

DAY 2 – Saturday, September 10, 2022

7:00 AM – 7:40 AM
Early riser breakfast session
Technical Considerations of Stented Bio-Bentall Procedures (Edwards LifeSciences sponsored)
Joseph Bavaria MD
Joshua Grimm MD
S. Christopher Malaisrie, MD

7:45 AM – 8:00 AM
Opening remarks
Joseph Bavaria MD
Munir Boodhwani MD

SESSION IV: BICUSPID AORTIC VALVE REPAIR – MASTERCLASS SESSION

Moderators:  Joseph Bavaria MD and Laurent DeKerchove MD

8:00 AM – 8:15 AM
Honorary Surgical Anatomy Lecture: Classification of Bicuspid Aortic Valve Insufficiency
S. Christopher Malaisrie MD

8:15 AM – 8:30 AM
Atlas of Techniques for BAV Repair
Maral Ouzounian MD

Video Session: BAV repair techniques (7 min video, 3 min introduction/echo/conclusion)

8:30 – 8:40 AM
BAV repair with root reimplantation [Live in box] Nimesh Desai MD PhD

8:40 AM– 8:50 AM
BAV repair with root remodeling [Live in box] Ismail El-Hamamsy MD

8:50 AM– 9:00 AM
BAV repair in complex anatomic BAV/unicusp presentation with root reimplantation (BAV outside of the normal classification system) [Live in box] Joseph Bavaria MD

9:00 AM – 9:10 AM
BAV repair +/- with root remodeling with internal subannular aortic ring [Live in box] Chad Hughes MD

9:10 AM – 9:20 AM
Cusp repair in BAV [Live-in-box] Munir Boodhwani MD

9:20 AM – 9:40 AM
Debate: 50-year-old male with severe AI, BAV and aortic root = 4.2 cm: How best to repair the valve? Preserve or Replace the Root?
Isolated BAV repair with external Subannular Aortic Ring
Emmanuel Lansac, MD PhD
vs.
Valve sparing Root Replacement
Laurent de Kerchove MD

9:40 AM – 9:55 AM
Panel Discussion
Moderator: Joseph Bavaria MD
Expert Panel:  Laurent DeKerchove MD, Emmanuel Lansac, MD PhD, Munir Boodhwani MD, Chad Hughes MD, Maral Ouzounian MD, Nimesh Desai MD, S. Christopher Malaisrie MD

9:55 AM – 10:00 AM
Introduction of Honorary Speaker
Nimesh Desai MD PhD

10:00 AM – 10:25 AM
Honorary Lecture: Bicuspid Aortic Valve Repair: A Glimpse into the Future
Edward Chen, MD

10:25 AM – 10:50 AM
Coffee Break and Visit

SESSION V: AORTIC VALVE REPAIR 2.0 – CHALLENGES, CONTROVERSIES, AND NOVEL APPROACHES

10:50 AM – 11:00 AM
Bicuspid Aortic Valve Repair and the Florida Perspective: Sleeve or No Sleeve? (Live-in-box; 7 min video, 3 min introduction/echo/conclusion)
George Arnaoutakis MD

11:00 – 11:10 AM
Selective use of Pericardial Patch in BAV Repair/BAV Conversion to Sievers 0
Thomas Gleason MD

11:10 AM – 11:25 AM
How does the BAV Commissural Angle Configuration Concept Affect BAV Repair: Video Examples and Thinking About BAV Repair in Depth
Laurent DeKerchove MD

11:25 AM – 11:40 AM
Symmetric or Asymmetric Reconstruction in Bicuspid Aortic Valves: Concepts, Video Examples, Results
Prashanth Vallabhajosyula MD

11:40 AM – 11:50 AM
Very Asymmetric BAV Repair with 210o-150o Reimplantation (Live-in-box; 7 min video, 3 min introduction/echo/conclusion)
Joseph Bavaria MD

11:50 AM – 12:00 PM
Paper Thin Aortic Sinus: Repair or Replace?
Munir Boodhwani MD

12:00 AM – 12:30 PM
Panel Discussion
Moderator: Maral Ouzounian MD
Expert Panel: Thomas Gleason MD, Munir Boodhwani MD, Prashanth Vallabhajosyula MD, Laurent DeKerchove MD, George Arnaoutakis MD, Joseph Bavaria MD, Edward P. Chen

12:30 – 1:00 PM
Break to obtain lunch & visit

Session VI: Working Lunch – “The Valve Leaks, What do I do?” Approach to Recurrent AI following AV Repair” (Case-based Discussions

Moderator: Munir Boodhwani MD

1:00-2:00 PM
Case Videos of Early and Late Valve Repair Failure

2:00 PM
Closing Remarks and Adjournment
Joseph Bavaria MD, Munir Boodhwani MD, Nimesh Desai MD PhD, Prasanth Vallabhajosyula MD