# PROGRAM

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RCPSC Section 1: 15.5 hours | RCPSC Section 3: 3 hours 
AMA PRA Category 1: 18.5 credits | ECMEC: 15.5 credits

 

7:30AM – 8:00AM       Registration and Breakfast

 

8:00AM – 8:10AM      Welcome Remarks

Dr. Thierry Mesana (Canada), Dr. Hans-Joachim Schäfers (Germany) & Dr. Gébrine El Khoury (Belgium)

 

8:10AM – 9:15AM       

Medical Management, Echocardiographic Assessment and Indications for Surgery
Moderated by Dr. Tirone David (Canada) & Dr. Craig Miller (USA)

 

  • Guidelines for Surgical Intervention for Aortic Insufficiency and Aortic Dilatation – Dr. Maurice Enriquez-Sarano (USA)
  • Classification of Aortic Insufficiency (Echocardiography and Surgery) – Dr. Stefano Mastrobuoni (Belgium) & Dr. Michel Van Dyck (Belgium)
  • Patients with Severe AI who are Candidates for Repair Should Undergo Early Surgery – Dr. Maurice Enriquez-Sarano (USA)

 

Explain the evaluation and medical management of aortic insufficiency; Discuss the echocardiographic evaluation, mechanisms, and classification of aortic insufficiency; Define the indications for surgical aortic valve intervention for aortic insufficiency

 

9:15AM – 10:10AM      Live Case #1

 

10:10AM – 10:30AM     Nutrition and Networking Break

 

10:30AM – 11:30AM      

Valve Sparing Aortic Root Replacement
Moderated by Dr. Joseph Bavaria (USA) & Dr. Emmanuel Lansac (France)

 

  • Anatomic Considerations for Aortic Valve Repair Procedures – Dr. Stefano Mastrobuoni (Belgium)
  • Valve Sparing Root Replacement: Remodeling Technique, How & Why? – Dr. Hans-Joachim Schäfers (Germany)
  • Valve Sparing Root Replacement: Reimplantation Technique, How & Why? – Dr. Tirone David (Canada)

 

Discuss the detailed anatomy of the aortic valve and root complex and surrounding structures; Explain the role of the functional aortic annulus in normal aortic valve physiology and function; Review the detailed steps of a valve sparing aortic root replacement procedure using the The Reimplantation Technique and The Remodeling Technique

 

11:30AM – 12:30PM      Live Case #2

 

12:30PM – 2:15PM       Networking Lunch

 

12:45PM – 1:15PM       CTSNet Round Table Discussion: Aortic Valve Intervention: Are We Spoiled for Choice?

 

1:15PM – 2:15PM
Abstract and Video Session #1
Moderated by Dr. Ed Chen (USA) & Dr. Johanna Takkenburg (Netherlands)

 

  • Valve-Sparing Root Reimplantation After Repair of Tetralogy of Fallot Mr. Fadi Hage, MD Candidate (Canada)
  • Geometric Changes of Aortic Valve Annulus During Cardiac Cycle: Analysis of MS-CT Data Dr. Johannes Petersen (Germany)
  • Valve-Sparing Root Replacement in Patients with Bicuspid vs. Tricuspid Aortic Valves Dr. Maral Ouzounian (Canada)
  • Lessens Learned from Japanese Registry of Valve-Preserving Root Replacement Dr. Takashi Kunihara (Japan)
  • Modification of Ventriculo-Aortic Junction Reconstruction During Valve Sparing Aortic Root Replacement in Aortic Root Aneurysm with Severe Aortic Regurgitation Dr. Ye Kong (China)
  • Combined Presentation:
    Higher AI Severity and Decreased Cusp Coaptation Area Result from FAA Dilatation – A Computational Model Dr. Michel Labrosee (Canada) &
    The Effect of Ventriculo-Aortic Junction Dilatation on Aortic Insufficiency Dr. Hadi Toeg (Canada)

 

2:15PM – 3:30PM    

Aortic Valve Cusp Repair and Annuloplasty
Moderated by Dr. Ismail El-Hamamsy (Canada) & Dr. Craig Miller (USA)

 

  • Assessment and Repair of Cusp Prolapse – Dr. Hans-Joachim Schäfers (Germany)
  • Managing Complex Cusp Disease: Multiple Cusp Prolapse, Shaving, Decalcification, Patch Reconstruction – Dr. Gébrine El Khoury (Belgium)
  • Overview of Annuloplasty Options for AV Repair – Dr. Emmanuel Lansac (France)
  • Indications and Sizing for Different AV Annuloplasty Approaches – Dr. Stefano Mastrobuoni (Belgium)

 

Explain normal aortic valve cusp function, aortic valve assessment, and common cusp pathologies; Discuss commonly used techniques for cusp repair in trileaflet aortic valves; List the indications for pericardial patch use for cusp repair. Identify detailed anatomic aspects of the functional aortic valve annulus; Recognize the different techniques and devices available for aortic valve annuloplasty; List the indications for aortic valve annuloplasty

 

3:30PM – 4:15PM     Live Case #3

 

4:15PM – 5:00PM      

Post Repair Aortic Valve Assessment

 

  • Predicting Durability Following Aortic Valve Repair: Is There a Role for 3D Echo? – Dr. Benjamin Sohmer (Canada)
  • When to Re-clamp the Aorta: Echo/Surgery Case Based Discussions – Dr. Michel Van Dyck (Belgium)

 

Determine the quantitative and qualitative metrics for post-repair aortic valve assessment,  predictors for repair durability and decision making for aortic valve re-exploration

 

5:30PM      Shuttle to the AVRS Reception and Dinner

  • Shaw Centre Departure 5:30PM
  • Novotel Ottawa Hotel Departure 5:45PM
  • Fairmont Chateau Laurier Hotel 6:00PM

 

6:30PM – 10:30PM      AVRS Reception and Dinner at the Canada Aviation and Space Museum

 

10:30PM                      Return Shuttle to the Novotel Ottawa Hotel and Fairmont Chateau Laurier Hotel

 

 

 

Regsiter Now!
Download Full Course Program
RCPSC Section 1: 15.5 hours | RCPSC Section 3: 3 hours 
AMA PRA Category 1: 15.5 credits | ECMEC: 15.5 credits

 

7:30AM – 8:00AM      Networking Breakfast

 

8:00AM – 8:10AM      Welcome Back

 

8:10AM – 9:10AM      

Bicuspid Aortic Valve Repair
Moderated by Dr. Tirone David (Canada) & Dr. Maurice Enriquez-Sarano (USA)

  • Anatomy, Classification, and Pathophysiology of Bicuspid Aortic Valve Insufficiency – Dr. Maurice Enriquez-Sarano (USA)
  • Echo and Surgical Assessment of the Bicuspid Aortic Valve – Dr. Stefano Mastrobuoni (Belgium) & Dr. Michel Van Dyck (Belgium)
  • Reimplantation Approach – Dr. Gébrine El Khoury (Belgium)
  • Remodeling Approach +/- Annuloplasty – Dr. Hans-Joachim Schäfers (Germany)

 

Identify bicuspid aortic valve anatomy and the classification of bicuspid aortic valves as it pertains to valve repair; Discuss the various techniques used for bicuspid aortic valve cusp repair; List the options for management of the annulus for bicuspid aortic valves; Explain the indications for aortic replacement in patients undergoing bicuspid aortic valve repair

 

9:10AM – 10:10AM      Live Case #4

 

10:10AM – 10:30AM       Nutrition and Networking Break 

 

10:30AM – 11:40AM      

Bicuspid Aortic Valve Repair and Outcomes
Moderated by Dr. Joseph Bavaria (USA) & Dr. Hans-Joachim Schäfers (Germany)

 

  • Approach to Cusp Repair in Bicuspid Aortic Valves – Dr. Joseph Bavaria (USA)
  • Impact of Annuloplasty on Outcomes in BAV Repair – Dr. Tom Gleason (USA)
  • DEBATE: An Aggressive Approach to Root Replacement is Justified to Facilitate Bicuspid Aortic Valve Repair
    Pro – Dr. Ed Chen (USA) Con – Dr. Joseph Bavaria (USA)
  • Repair or Replace: Case-based Discussions of Failures/Difficult Decisions
    Moderated Live-on-Tape Case #1: Complication or Failure – Dr. Joseph Bavaria (USA)
    Moderated Live-on-Tape Case #2: Complication or Failure – Dr. Stefano Mastrobuoni (Belgium)

 

Identify bicuspid aortic valve anatomy and the classification of bicuspid aortic valves as it pertains to valve repair; Discuss the various techniques used for bicuspid aortic valve cusp repair; List the options for management of the annulus for bicuspid aortic valves; Explain the indications for aortic replacement in patients undergoing bicuspid aortic valve repair

 

11:40AM – 12:30PM      Live Case #5

 

12:30PM – 1:45PM       Networking Lunch

 

12:45PM – 1:45PM
Abstract and Video Session #2
Moderated by Dr. Tom Gleason (USA) & Dr. Stefano Mastrobuoni (Belgium)

 

  • Featured Abstract: Reimplantation of the Aortic Valve in 642 Patients: Where Do We Go From Here? – Dr. Lars Svensson (USA)
  • Outcomes of Valve-Sparing Root Replacement Surgery in Acute Type A Aortic Dissection Dr. Hiroshi Tanaka (Japan)
  • Pulmonary Valve Construction Using Tissue-Engineered Pericardium: ‘Benko’ Procedure Dr. Jaroslav Benedik (Germany)
  • Fifteen-Year Experience with Valve-Sparing Reimplantation Technique For The Treatment Of Aortic Aneurysm and Aortic Regurgitation Dr. Stefano Mastrobuoni (Belgium)
  • Isolated Bicuspid Aortic Valve Repair – Annuloplasty Leads To Improved Repair Durability Dr. Ulrich Schneider (Germany)
  • Aviator Presentation – Dr. Emmanuel Lansac (France)

 

1:45PM – 3:15PM
Aortic Valve Repair Outcomes and Alternatives
Moderated by Dr. Ed Chen (USA)

 

  • Aortic Valve Repair Durability: What Does the Data Show? – Dr. Craig Miller (USA)
  • Valve Related Complications Following AV Repair vs. Replacement: Insights from Systematic Reviews and Meta-Analyses – Dr. Johanna Takkenburg (Netherlands)
  • The Ross Procedure in Adolescents and Young Adults: Who, How, and Why – Dr. Ismail El-Hamamsy (Canada)
  • DEBATE: AV Replacement in the Young Adult
    I would replace with a Tissue Valve (Future TAVI) – Dr. Marc Ruel (Canada)
    Mechanical Valve is the Gold Standard – Dr. Craig Miller (USA)
    Ross Procedure optimizes Survival and Quality of Life – Dr. Ismail El-Hamamsy (Canada)

 

Discuss the alternatives to aortic valve repair and their advantages and disadvantages, particularly in young patients with aortic valve disease; Identify the outcomes of aortic valve repair with respect to durability and valve related events and contrast that with replacement alternatives; Explain the surgical techniques and outcomes following the Ross procedure

 

3:15PM – 4:00PM       Live Case #6

 

4:00PM – 4:15PM      Nutrition and Networking Break

 

4:15PM – 5:30PM
Pediatric and Adult Congential Aortic Valve Repair
Moderated by Dr. Hans-Joachim Schäfers (Germany) & Dr. Yves d’Udekem (Australia)

 

  • Balloon Valvuloplasty vs Surgery: A Very Long Term Perspective – Dr. Yves d’Udekem (Australia)
  • Techniques of Repair for Unicuspid Valves – Dr. Hans-Joachim Schäfers (Germany)
  • The Peculiarities of Paediatric Aortic Valve Sparing Root Surgeries  – Dr. Luca Vricella (USA)
  • Techniques for the Failing Autograft in Ross Procedure: Is There a Place for “Prevention” Surgery? – Dr. Gébrine El Khoury (Belgium)

 

Compare surgical aortic valve repair to balloon valvuloplasty for aortic valve stenosis in the neonate and infant; Discuss the techniques available for repair of unicuspid aortic valves; Explain techniques for aortic valve sparing surgery and pulmonary autograft valve repair in patients with previous Ross procedure

 

5:30PM      Abstract Awards and Closing Remarks

Regsiter Now!
Download Full Course Program
RCPSC Section 1: 15.5 hours | RCPSC Section 3: 3 hours 
AMA PRA Category 1: 18.5 credits | ECMEC: 15.5 credits

 

7:30AM – 8:00AM      Shuttle to the University of Ottawa, Skills and Simulation Centre

 

8:00AM – 8:30AM      Breakfast

 

8:30AM – 10:00AM      Concurrent Skills Labs Session A (Choose One)

 

Option #1:
Remodeling Technique –  Dr. Munir Boodhwani (Canada), Dr. Stefano  Mastrobuoni (Belgium), Dr. Gébrine El Khoury

 

Option #2:
Reimplantation Technique –  Dr. Ismail El-Hamamsy (Canada), Dr. Emmanuel Lansac (France)

 

Option #3:
Echocardiography Simulation –  Dr. Benjamin Sohmer (Canada), Dr. Michel Van Dyck (Belgium), Dr. Jean-Louis Vanoverschelde (Belgium)

 

10:00AM – 10:30AM      Nutrition Break

 

10:30AM – 12:00PM      Concurrent Skills Labs Session B (Choose One)

 

Option #1:
Remodeling Technique –  Dr. Munir Boodhwani (Canada), Dr. Stefano  Mastrobuoni (Belgium), Dr. Gébrine El Khoury

 

Option #2:
Reimplantation Technique –  Dr. Ismail El-Hamamsy (Canada), Dr. Emmanuel Lansac (France)

 

12:00PM       Adjourn

 

 

Surgery Simulation

Discuss the nuances of aortic valve and functional aortic annulus anatomy in a porcine or bovine heart model; Perform a valve sparing aortic root replacement on a porcine or bovine heart using a Remodeling Technique and a Reimplantation Technique

 

Echo Simulation

Review 3D anatomy of the aortic valve as assessed through transesophageal echocardiography; Discuss image acquisition and interpretation of common views of the aortic valve through transesophageal echocardiography; Discuss the utility of 2D deconstruction of 3D TEE in understanding aortic valve anatomy, function, and mechanisms of aortic insufficiency