Agenda

Day 1 – Friday, September 6, 2024

6:30 AM – 7:30 AM
Registration & Breakfast

6:45 AM -7:30 AM
Networking/Breakfast/Visit with Industry Partners
(Note:  there will be “looping” detailed surgical videos featuring aortic valve repair and advanced aortic root operations throughout the venue)

7:30 AM – 7:45 AM
Opening remarks and “The Aortic Root Universe”: National trends from the STS database
Joseph Bavaria MD
Munir Boodhwani MD

SESSION I: THE AORTIC ROOT AND VALVE: TACKLING THE FUNDAMENTALS
Moderators: Joseph Bavaria MD, Eric Isselbacher MD

7:45 AM – 8:00 AM
Aortic Valve Anatomy and Function
Roland Assi MD

8:00 AM – 8:15 AM
Surgical thresholds for operating on the ascending aorta: (Focus on BAV and Sporadic) What do the 2022 ACC/AHA AORTA guidelines tell us and why?
Karen Kim MD

8:15 AM – 8:25 AM
Treatment in Thoracic Aortic Aneurysm:  Early insights from the first Randomized Controlled Trial in the treatment ascending aortic aneurysms
Munir Boodhwani, MD

Comprehensive Exploration into Aortic Valve Insufficiency; “The Misunderstood Valve Lesion”
Moderators: Joseph Bavaria MD, Eric Isselbacher MD

8:25 AM – 8:35 AM
Aortic Valve Insufficiency and the 2021 European Valve Guidelines:  What can we learn?
Friedhelm Beyersdorf MD

8:35 AM -8:50 AM

CARDIOLOGY KEYNOTE LECTURE

Natural History of Aortic Insufficiency and Guidelines for Medical and Surgical Management
Eric Isselbacher MD

8:50 AM -9:00 AM
Is it surging into the fast lane? Aortic Valve Insufficiency and CMR:  What should we know?
Andrew Peters MD

9:00 AM -9:20 AM
Panel Discussion on emerging diagnostic and management paradigms for Aortic Valve Insufficiency
Moderator:  Joseph Bavaria MD
Expert Panel:  Eric Isselbacher MD, Emmanuel Lansac MD PhD, Friedhelm Beyersdorf MD, Karen Kim MD, Andrew Peters MD

9:20 AM – 9:40 AM
TEE Assessment of the Aortic Valve & Root: What every repair surgeon and echo anesthesiologist needs to know (15 min lecture, 5 min discussion)
Adam Dryden MD

9:40 AM – 10:15 AM
Interoperative Valve Analysis: Understanding Aortic Valve Assessment with Focus on Mechanisms of Insufficiency…..”how does one think?”
Moderator: Joseph Bavaria MD
Echocardiography Moderator: Jared Feinman MD
Video Moderator:  John J Kelly MD
Expert Panel: Gebrine El-Khoury MD, Munir Boodhwani MD, Emmanuel Lansac MD PhD, Maral Ouzounian MD PhD, Prashanth Vallabhajosyula MD

10:15 AM – 10:35 PM
Coffee break and visit with Industry

SESSION II: MANAGING THE AORTIC ROOT AND ANNULUS: Techniques for Reconstruction
Moderators: Prashanth Vallabhajosyula MD, Maral Ouzounian MD PhD

Introduction of Honorary Speaker
Nimesh Desai MD PhD

10:35 AM – 10:55 AM
Honorary Lecture:  Bicuspid Aortic Valve Repair:  From the early days to the present…what have we learned from the Cleveland Clinic Experience?
Eric Roselli MD

10:55 AM – 11:05 AM
Deep External Dissection of the Aortic Root: Technique and Pitfalls
Munir Boodhwani MD

11:05 AM – 11:15 AM
Valve-sparing root 3-cusp reimplantation technique (Tips and Tricks) Valsalva Graft
Wilson Szeto MD

11:15 AM – 11:25 AM
Valve-sparing root replacement – different perspectives
George Arnaoutakis MD

11:25 AM – 11:35 AM
Valve sparing surgery in connective tissue/syndromic disorders: special considerations
Himanshu Patel MD

11:35 AM – 11:45 AM
(Live-in-box; 7-minute video, 3 minutes for introduction/echos/conclusion)
Valve-sparing root reimplantation technique in a 3-cusp valve (tailored graft)
Thomas Gleason MD

11:45 AM – 12:00 PM
(Live-in-box with clinical examples)
Video Session:  Aortic Root Aneurysm – tricuspid valve repair and specific lesion sets
Pouya Youssefi MD

12:00 PM-12:15 PM
Discussion of video techniques
Moderator: Prashanth Vallabhajosyula MD, Maral Ouzanian MD PhD
Expert Panel: Munir Boodhwani MD, Pouya Youssefi MD, Wilson Szeto MD, Himanshu Patel MD, George Arnaoutakis MD, Thomas Gleason MD

12:15 PM-12:20 PM
Introduction of Keynote Speaker
Munir Boodhwani, MD

12:20 PM – 12:45 PM
SYMPOSIUM KEYNOTE ADDRESS
Three Decades of Aortic Valve Repair: What have we learned and what’s next?
Gebrine El-Khoury MD

12:45 PM-12:50 PM
Q&A with keynote speaker
Moderator:  Munir Boodhwani MD

12:50 PM – 1:10 PM
BREAK
Pick up lunch and visit with Industry

1:10 PM – 1:40 PM (with lunch)
LUNCH AT THE MOVIES
Rapid Fire Video Presentations/Abstracts on Valve Repair and Related Procedures
Marijan Koprivanac MD, Timothy Carter MD, Konstadinos Plestis MD, Edward Percy MD, Scott Deroo MD
Moderators: Chris Mehta MD
Video Moderator:  John J Kelly MD
Panel: Nimesh Desai MD PhD, Josh Grimm MD, Roland Assi MD, and Kendall Lawrence MD

1:40 PM – 1:50 PM
BREAK

SESSION III:  ROSS MASTERCLASS: a deep dive into the Ross for unrepairable valves
Moderators: Nimesh Desai MD PhD, Shinichi Fukuhara MD

1:50 PM – 2:00 PM
Outcomes following the Ross Procedure: What does the latest data say?
William Brinkman MD

2:00 PM – 2:10 PM
Ross Procedure: Full Root Technique – How and why I do it
Michael Chu MD

2:10 PM – 2:20 PM
Supported Ross in AI: How and why I do it
Shinichi Fukuhara MD

2:20 PM – 2:30 PM
Individualized approach to autograft protection: Techniques and Video demonstration
Christopher Burke MD

2:30 PM – 2:40 PM
Sizing and Implanting the Pulmonary Homograft
Elbert Williams MD

2:40 PM – 2:50 PM
Ross Procedure for BAV, AI, and dilated annulus: Techniques and Outcomes
Nimesh Desai MD PhD

2:50 PM – 3:05 PM
Panel Discussion: (Theme: Patient and technique selection for Ross in Aortic Valve Insufficiency)
Moderator: Nimesh Desai MD PhD
Expert Panel: Shinichi Fukuhara MD, Chris Burke MD, Elbert Williams MD, Michael Chu MD, William Brinkman MD

3:05 PM – 3:30 PM
Abstract & Video Session #2
Moderators:  Bradley Leshnower MD, Christopher Burke MD

• “The Ross Resurgence: North American Trends in Utilization and In-Hospital Outcomes”
   Amine Mazine MD
• Video Abstract: BAV D5 Loeys-Dietz
  Edward Percy, MD

• Isolated Asymmetric Bicuspid Aortic Valve Repair
  Marko Boskovski, MD and Siavash Zamirpour, M.Sc

• Butterfly Patch Technique for Bicuspid Aortic Valve Reconstruction
  William C. Frankel, MD

3:30 PM – 3:45 PM
Break

SESSION IV: REPAIR, REPLACE, AND ADVANCED ROOT PROCEDURES
Moderator: G. Chad Hughes MD, William Brinkman MD

3:45 PM -3:55 PM
BioBentall: How I do it?
Josh Grimm MD

3:55 PM – 4:05 PM
VSRR for Type A dissection: How I do it?
Bradley Leshnower MD

4:05 PM – 4:15 PM
Clinical Outcomes with the Bentall Procedure in Aortic Valve Insufficiency with Root Aneurysm
Filip Casselman MD

4:15 PM – 4:40 PM
Panel Discussion ‘The Art of the Possible’ – Would you repair this valve?
Presenters: Aurelien Vallee MD
Moderator: Munir Boodhwani MD
Video Moderator: John Kelly
Echo Moderator: Adam Dryden, Bonnie Milas MD
Panel: Gebrine El-Khoury MD, Joseph Bavaria MD, Prashanth Vallabhajosyula MD, Emmanuel Lansac MD, Eric Roselli MD

4:45 PM– 5:10 PM
Debate: Aortic Valve Repair should not be performed in patients over age 65
Moderator: George Arnaoutakis MD
Yes, repair the valve:   Munir Boodhwani MD
No, do not repair: Prashanth Vallabhajosyula MD

5:10 PM – 5:35 PM
THE BATTLE OF THE TORONTO DIASPORA!
Debate: Acute Type A Aortic Dissection with severe  (+4) AI in a hemodynamically stable 55 year old patient
Moderator: Prashanth Vallabhajosyula MD
Replace the valve/Bentall: Mark Peterson MD PhD
Repair the valve/VSRR: Maral Ouzanian MD PhD

5:35 PM – 5:40 PM
Closing Remarks
Munir Boodhwani MD
Joseph Bavaria MD

5:40 PM – 7:00 PM
Cocktail Reception

DAY 2 – Saturday, September 7, 2024

6:45 AM – 7:45 AM
Registration and Breakfast

7:00 AM – 7:35 AM
“Early Riser” Breakfast program (Industry sponsored, Non-CME)

7:40 AM – 7:45 AM
Opening remarks
Joseph Bavaria MD
Munir Boodhwani MD

SESSION IV: BICUSPID AORTIC VALVE REPAIR AND VIDEO SESSION (+/- root aneurysm)
Moderators:  Joseph Bavaria, S. Christopher Malaisrie MD

7:45 AM -8:05 AM
SPECIAL ROUNDTABLE:  two physician-patients and why BAV Repair is so important.
Prashant Kedia MD, Todd Crawford MD

8:05 AM – 8:20 AM

HONORARY SURGICAL ANATOMY LECTURE
New Radical Anatomy and Classification Standards for Bicuspid Aortic Valve Insufficiency: Symmetric, Asymmetric, the “Michelena” continuum and Implications for repair
Christopher Malaisrie MD

8:20 AM – 8:30 AM
BAV Aortopathy: When should we intervene/review specific BAV aorta guidelines?
Elaine Tseng MD

8:30 AM – 8:45 AM

BAV SPECIAL LECTURE
Managing the spectrum of BAV pathology: From symmetric to the very asymmetric BAV
Gebrine El Khoury MD

8:45 AM – 8:55 AM
BAV repair with root reimplantation (symmetric)
Munir Boodhwani MD

8:55 AM – 9:05 AM
BAV repair with root reimplantation (asymmetric 140-160)
Joseph Bavaria MD

9:05 AM– 9:15 AM
BAV repair, severe AI, complex
TBD

9:15 AM– 9:25 AM
Isolated BAV repair with intact root and external annuloplasty ring
Emmanuel Lansac MD PhD

9:25 AM – 9:35 AM
Type I R/L BAV repair with selective sinus replacement
Chad Hughes MD

9:35 AM – 9:45 AM
Internal stabilization with Annuloplasty ring and reimplantation procedure
Brett Reece MD

9:45 AM – 10:00 AM
Panel Discussion
Moderator: Joseph Bavaria, MD, Gebrine El-Khoury MD
Expert Panel: Munir Boodhwani MD, Christopher Malaisrie MD, Elaine Tseng MD, Emmanuel Lansac MD PhD, G. Chad Hughes MD, T. Brett Reece MD

10:00 AM – 10:05 AM
Introduction of Honorary Speaker
Joseph Bavaria MD

10:05 – 10:20 AM
HONORARY LECTURE
Rationale for Aortic Annuloplasty for a step-by-step valve-sparing root replacement
Emmanuel Lansac MD PhD

10:20 AM – 10:45 AM
Coffee Break and Visit with Industry

SESSION V:  AORTIC VALVE REPAIR 2.0 – CHALLENGES, CONTROVERSIES, AND NOVEL APPROACHES
Moderators:  Maral Ouzounian MD PhD and Himanshu Patel MD

10:45 AM – 10:55 AM
Avoiding and Addressing Complications in AV Repair: Pacemakers, Perforations, Fistulas, & Coronaries
Mark Peterson MD PhD

10:55 AM – 11:10 AM
Symmetric vs. Asymmetric Repair of the BAV: Video Examples and Nuanced Decision Making
Prashanth Vallabhajosyula MD

11:10 AM – 11:20 AM
Cusp Shaving to Improve Coaptation and Enable Valve Repair
Hugo Issa, MD

11:20 AM – 11:45 AM
A Titanic and Relevant Debate: Very Asymmetric Bicuspid Aortic Valve (<140) with Severe Aortic Valve Insufficiency in a 25-year-old patient: Repair or Ross
Moderators:  Maral Ouzounian MD PhD and Himanshu Patel MD
Repair: Joseph Bavaria MD.  
Ross: Nimesh Desai MD PhD

11:45 AM – 11:55 PM
Special Session: “The Valve Leaks, What do I do?”
The Valve Leaks: Approach to Recurrent AI following AV repair (Echo + Surgery joint talk)
Echo: Adam Dryden, MD.  
Surgery: Ming Guo, MD

12:00 PM – 12:30 PM
Panel Discussion: Assessing the repaired valve – when to re-explore and re-repair/replace?
Moderator: Munir Boodhwani MD
Expert Panel: Emily MacKay MD, Gebrine El-Khoury MD, Adam Dryden MD, Emmanuel Lansac MD PhD

12:30 PM – 1:00 PM
Break to pick up lunch and visit with Industry

SESSION VI: Working Lunch – Advanced Imaging Symposium
Moderator: Nimesh Desai MD PhD, Elaine Tseng MD and William Brinkman MD

1:00 PM – 1:10 PM
Using imaging to assess aortic stiffness and compliance and predict outcomes in aortopathy
Thais Coutinho MD

1:10 PM – 1:20 PM
Understanding the leftward shift: Where and how should we measure the Root and Ascending Aorta?
John Elefteriades MD

1:20 PM – 1:30 PM
AI Based Aortic Analysis – Is it Ready for Prime Time?
Hamid Mojibian MD

1:30 PM – 1:40 PM
Can Novel Imaging Techniques Guide Aortic Valve Repairs?
Allison Pouch MD

1:40 PM – 2:00 PM
Panel Discussion
Moderator: Nimesh Desai MD PhD
Panelists: Thais Coutinho MD, John Elefteriades MD, Hamid Mojibian MD, Alison Pouch MD

2:00 PM
Closing Remarks and Adjournment
Joseph E. Bavaria MD
Munir Boodhwani MD