American Association for Thoracic Surgery – 2014

Saturday, April 26, 2014

Congenital Skills and Decision Making – Developing Technical Excellence

8:00 a.m. – 5:00 p.m.

Course Chair: *J. William Gaynor, Children’s Hospital of Philadelphia

Classic Hemi-Fontan and Lateral Tunnel Fontan

*Thomas L. Spray, Children’s Hospital of Philadelphia

Slides and Audio:

Modified Hemi-Fontan and Lateral Tunnel Fontan

*Richard Ohye, University of Michigan

Slides and Audio:

Superior Cavopulmonary Connection and Extra-Cardiac Fontan Without CPB

*V. Mohan Reddy, Stanford University

Slides and Audio:

Computer Modeling to Optimize Fontan Energetics

*Kirk Kanter, Emory University

Slides and Audio:

Anatomic Repair of Recurrent Aortic Arch Obstruction

*E. Dean McKenzie, Texas Children’s Hospital

Slides and Audio:

Extra-anatomic Bypass for Recurrent Aortic Arch Obstruction

*Kristine J. Guleserian, University of Texas

Slides and Audio:

Trans-catheter Management of Recurrent Aortic Arch Obstruction

Lee Benson, Hospital for the Sick Children

Slides and Audio:

Repair of TOF with AVC

Sitaram Emani, Boston Children’s Hospital

Slides and Audio:

Valve Sparing Repair of TOF

*Constantine Mavroudis, Florida Hospital for Sick Children

Slides and Audio:

The Norwood Procedure

*James S. Tweddell, Medical College of Wisconsin

Slides and Audio:

Postoperative Management after the Norwood

*Jennifer C. Hirsch-Romano, University of Michigan

Slides and Audio:

The Hybrid Stage 1

*Mark E. Galantowicz, Nationwide Children’s Hospital

Slides and Audio:

Postoperative Management after the Hybrid Stage 1

Steven Schwartz, Hospital for the Sick Children

Slides and Audio:

Aortic Valve Repair

Viktor Hraska, German Pediatric Heart Centre

Slides and Audio:

Management of the Symptomatic Neonate with TOF: Initial Palliation

Christian Brizard, Royal Children’s Hospital

Slides and Audio:

Management of the Symptomatic Neonate with TOF: Primary Repair

*Glen Van Arsdell, Hospital for Sick Children

Slides and Audio:

Sunday, April 27, 2014

AATS/STS Congenital Heart Disease Symposium – Issues beyond the Textbook

8:00 a.m. – 3:30 p.m.

Course Chair: *Ivan M. Rebeyka, University of Alberta

Management of the Failing Fontan

Asif Hasan, Freeman Hospital

Slides and Audio:

Mechanic Circulatory Support in Univentricular Hearts

Holger Buchholz, University of Alberta

Slides and Audio:

Transplantation in the Fontan Patient

*Max B. Mitchell, The Children’s Hospital

Slides and Audio:

Checklists and Safety in Pediatric Cardiac Surgery

*Thomas J. Yeh, Tulane University

Slides and Audio:

The Evolution of Surgery for L-TGA

*Michel N. Ilbawi, Hope Children’s Hospital

Slides and Audio:

Root Translocation for CC-TGA and Other Lesions

*Jose Pedro Da Silva, Beneficencia Portuguesa Hospital

Slides and Audio:

LV Retraining – Theory and Practice

*Richard Ohye, University of Michigan

Slides and Audio:

Restrictive RV Physiology – Diagnosis and Management

Andrew Redington, The Hospital for Sick Children

Slides and Audio:

Legends Luncheon

  • Aldo R. Castaneda, UNICAR – Fundacion Aldo Castaneda
  • Ivan M. Rebeyka, University of Alberta


  • Ivan M. Rebeyka, University of Alberta
  • Richard A. Jonas, Children’s National Medical Center

Slides and Audio:

AAOCA – Which operation and When

*Frank L. Hanley, Stanford University

Slides and Audio:

Resynchronization and Pacing in CHD

Peter P. Karpawich, Children’s Hospital of Michigan

Slides and Audio:

Tracheo-bronchial Issues in CHD

*Michael J. Rutter, Cincinnati Children’s Hospital

Slides and Audio:

Hybrid catheter procedures in HLHS & non-HLHS lesions

John P. Cheatham, Nationwide Children’s Hospital

Slides and Audio:

Use of 3D Echo in Pediatric Cardiac Surgery

Jeffrey Smallhorn, Stollery Children’s Hospital

Slides and Audio:

AATS/STS Combined Adult – Congenital Cardiac Valve Symposium – Becoming a Master Valve Surgeon

3:30 p.m. – 5:30 p.m.

Course Co-chairs:

  • David H. Adams, Mount Sinai Medical Center
  • Pedro J. del Nido, Children’s Hospital Boston

Aortic Valve Replacements Options in Young Adults

*Thomas L. Spray, Children’s Hospital of Philadelphia

Slides and Audio:

Pulmonary Valve Replacement Strategies

*Emile A. Bacha, Children’s Hospital of New York

Slides and Audio:

Ebstein’s Repair in the Adult Patient

*Joseph A. Dearani, Mayo Clinic

Slides and Audio:

Rheumatic Mitral Valve Repair Strategies

Taweesak Chotivatanapong, Chest Disease Institute

Slides and Audio:

Patch Augmentation in Valve Reconstruction

*David H. Adams, Mount Sinai Medical Center

Slides and Audio:

Surgical Strategies in Adult Congenital Mitral Valve Disease

*Pedro J. del Nido, Children’s Hospital Boston

Slides and audio:

Root Surgery in Marfan’s Disease

*Duke E. Cameron, Johns Hopkins University

Slides and Audio:

When to Replace the Aorta at the time of Aortic Valve Surgery

*Lars G. Svensson, Cleveland Clinic

Slides and Audio:

Surgical Repair of the Bicuspid Aortic Valve

*Hans-Joachim Schaefers, University Hospital, EACTS

Slides and Audio:

Monday, April 28, 2014

Congenital Heart Disease Simultaneous Scientific Session

8 minute presentation, 12 minute discussion


  • Carl L. Backer
  • Jennifer C. Hirsch-Romano

The Modern Fontan Operation Shows No Increase in Late Mortality Risk Out to 20 Years: A New Paradigm

Robert J. Dabal, *James K. Kirklin, Edward V. Colvin, William S. McMahon, Manisha Kukreja, Robert N. Brown, David C. Cleveland, Walter Johnson, Bennett Pearce, Yung Lau, Robb L. Romp, Mark A. Law, Wally F. Carlo

University of Alabama at Birmingham, Birmingham, AL

Slides and Audio:

Stage 1 Hybrid Palliation for HLHS – Assessment of Contemporary Patterns of Use: An Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database

Tara Karamlou1, David Overman2, Kevin D. Hill3, Amelia Wallace3, Sara K. Pasquali4, *Jeffrey P. Jacobs5, *Marshall L. Jacobs6, *Christopher A. Caldarone7

1Benioff Childrens’ Hospital, UCSF, San Francisco, CA; 2Children’s Hospital of Minnesta, Minneapolis, MN; 3Duke University, Cary, NC; 4University of Michigan, Ann Arbor, MI; 5All Children’s Hospital, Saint Petersburg, FL; 6John Hopkins University, Newton Square, PA; 7Sick Kids, Toronto, ON, Canada

Slides and Audio:

Aspirin Unresponsiveness Predicts Thrombosis in Pediatric Patients Following High Risk Cardiac Surgery

Sirisha Emani, Bethany Trainor, David Zurakowski, Christopher Baird, Francis Fynn Thompson, *Frank Pigula, Sitaram M. Emani

Boston Children’s Hospital, Boston, MA

Slides and Audio:

Mechanisms of Tricuspid Regurgitation in Patients with Hypoplastic Left Heart Syndrome Undergoing Tricuspid Valvuloplasty

Victor Bautista-Hernandez, David W. Brown, Hugo Loyola, Patrick O. Myers, *Pedro J. del Nido, Christopher W. Baird

Boston Children’s Hospital, Boston, MA

Slides and Audio:

Validation of Association of the Apo-lipoprotein E (APOE) ?2 Allele withNeurodevelopmental Dysfunction after Cardiac Surgery in Neonates and Infants

JW. Gaynor1, D. S. Kim2, C. B. Arrington3, A. M. Atz4, D. C. Bellinger5, A. A. Burt2, N. S. Ghanayem6, J. P. Jacobs7, T. M. Lee8, A. B. Lewis9, W. T. Mahle10, B. S. Marino11, S. G. Miller12, J. W. Newburger5, C. Pizarro14, C. Ravishankar1, N. S. Wilder15, G. P. Jarvik2, S. Mital16, M. W. Russell15
1Children’s Hospital of Philadelphia, Philadelphia, PA ;2University of Washginton, Seattle, WA; 3Primary Childrens Medical Center, Salt Lake City, UT; 4Medical University of South Carolina, Charleston, SC;5Boston Children’s Hospital, Boston, MA ;6Children’s Hospital of Wisconsin, Milwaukee, WI; 7All Children’s Hospital, St Petersburg, FL; 8Columbia University, New York, NY; 9Children’s Hospital Los Angeles, Los Angsles, CA; 10Children’s Healthcare of Atlanta, Atlanta, GA; 11Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; 12Duke University, Durham, NC; 14Nemours, Wilmington, DE; 15University of Michigan, Ann Arbor, MI; 16Sick Kids, Toronto, ON, Canada

Slides and Audio:

Long-term Results of Biventricular Repair for Hypoplastic Left Heart Variants after Hybrid Approach

Can Yerebakan, Klaus Valeske, Matthias Müller, Hatem Elmontaser, Juergen Bauer, Christian Apitz, Dietmar Schranz, Hakan Akintuerk

Children’s Heart Center, Giessen, Germany

Slides and Audio:

Subclinical Seizures Identified by Postoperative Electroencephalographic Monitoring are Common Following Neonatal Cardiac Surgery

Maryam Y. Naim, J. William Gaynor, Jodi Chen, Susan C. Nicolson, Stephanie Fuller, *Thomas L. Spray, Dennis J. Dlugos, Robert R. Clancy, Daniel J. Licht, Nicholas S. Abend

Children’s Hospital of Philadelphia/University of Pennsylvania, Philadelphia, PA

Slides and Audio:

Congenital Heart Disease Moderated Poster Competition

5 minute presentation

Moderator: William J. Brawn

Small Weight Infants Are At Increased Mortality Risk Following Palliative Or Corrective Cardiac Surgery

*Bahaaldin Alsoufi, *Brian Kogon, William Mahle, Angel Cuadrado, William Border, Robert Vincent, *Kirk Kanter

Emory University, Atlanta, GA

Fenestration May Still be Important for Midterm Outcomes in Total Cavopulmonary Connection

Yasuhiro Kotani, Devin Chetan, Arezou Saedi, Jiaquan Zhu, Lars Grosse-Wortmann, *John Coles, *Christopher A. Caldarone, *Glen S. Van Arsdell, Osami Honjo

The Hospital for Sick Children, Toronto, ON, Canada

Technical Performance Score as Predictor for Post Discharge Reintervention in Valve Sparing Tetralogy of Fallot Repair

Meena Nathan, Audrey Marshall, Jason Kerstein, Hua Liu, Francis Fynn-Thompson, Christopher Baird, *John E. Mayer, Jr., *Frank A. Pigula, *Pedro J. del Nido, Sitaram Emani

Boston Childrens Hospital, Boston, MA

Predictors for Survival and Reintervention in Simple and Complex Subaortic Stenosis: Results from a Prospective, Procedure-Based National Database

Dan M. Dorobantu1, Mansour T. Sharabiani2, *Gianni D. Angelini2, Alison Hayes1, Robin P. Martin1, Andrew J. Parry1, Massimo Caputo1, Serban C. Stoica1

1Bristol Children’s Hospital, Bristol, United Kingdom; 2Imperial College, London, United Kingdom

Use of a Novel Vasoactive-Ventilation-Renal Score to Predict Outcomes after Pediatric Cardiac Surgery

Kyle Miletic1, Tyler Spiering1, *Ralph Delius2, *Henry Walters, III2, Christopher Mastropietro3

1Wayne State University, Detroit, MI; 2Children’s Hospital of Michigan, Detroit, MI; 3Riley Hospital for Children, Indianapolis, IN

Thoracoscopic Left Cardiac Sympathetic Denervation for the Treatment of Adults with Malignant Arrhythmia Syndromes

Aodhnait S. Fahy, Ryan M. Antiel, Michael J. Ackerman, *Claude Deschamps, Christopher Moir

Mayo Clinic, Rochester, MN

Patient Anatomy and Outcomes in Tetralogy of Fallot, Pulmonary Atresia and Multiple Aortopulmonary Collateral Arteries

Terry Shih, Kellianne C. Kleeman, Rajiv Devanagondi, Janet E. Donohue, Mallika Kommareddi, Caren S. Goldberg, *Richard G. Ohye

University of Michigan, Ann Arbor, MI

Long-term Fate of Aortic Valve after Arterial Switch 0peration

Mauro Lo Rito1, Mario Fittipaldi1, Randula Haththotuwa2, Timothy J. Jones1, Natasha Khan1, Paul F. Clift2, William J. Brawn1, David J. Barron1

1Birmingham Children’s Hospital, Birmingham, United Kingdom; 2Queen Elizabeth Hospital, Birmingham, United Kingdom

Although Weight Remains a Risk Factor, Neonatal Cardiac Repair at Less than 2.5kg Yields Excellent Results.

David Kalfa, Ganga Krishnamurthy, Jennifer Duchon, Marc Najjar, Stéphanie Levasseur, Jan Quaegebeur, *Emile Bacha

Morgan Stanley Children’s Hospital of New York-Presbyterian, Columbia University, New York, NY

Outcomes of Surgery for Infantile, Multivessel Pulmonary Vein Stenosis

Luis G. Quinonez, Kimberlee Gauvreau, Michele Borisuk, Christina Ireland, Kathy J. Jenkins, Audrey Marshall, *John E. Mayer, Francis E. Fynn-Thompson, *Pedro J. del Nido, Christopher W. Baird

Boston Children’s Hospital, Boston, MA

Surgical Outcomes of 380 Patients with Double Outlet Right Ventricle Who Underwent Biventricular Repair

Kai Ma, Shoujun Li, Zhongdong Hua, Keming Yang, Kunjing Pang, Hao Zhang, Junmin Chu, Jun Yan, *Shengshou Hu

Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medicine, Beijing, China

Twenty Five Years Experience of Modified Lecompte Procedure for the Anomalies of Ventriculoarterial Connection with Ventricular Septal Defect and Pulmonary Stenosis

Hong-Gook Lim, Woong-Han Kim, Jeong Ryul Lee, Yong Jin Kim

Seoul National University Hospital, Seoul, Republic of Korea

Is Preemptive Use of Cardiopulmonary Support for Gradually Deteriorating Cardiac Output Effective in Patients with Congenital Heart Disease When no Further Surgery or Intervention Can be Offered?

Kamal K. Pourmoghadam, Monica C. Olsen, Moui Nguyen, *William M. DeCampli

Arnold Palmer Hospital for Children, Orlando, FL

Congenital Heart Disease Simultaneous Scientific Session

8 minute presentation, 12 minute discussion


  • Christopher A. Caldarone
  • Robert D. Jaquiss

Losartan Ameliorates ‘Upstream’ Pulmonary Vein Vasculopathy in a Piglet Pulmonary Vein Banding Model

Jiaquan Zhu1, Haruki Ide1, Hideyuki Kato1, Anouk-Martine Teichert1, Yaqin Y. Fu1, *John G Coles1, *Richard D. Weisel2, Jason T Maynes1, *Christopher A. Caldarone1

1The Hospital for Sick Children, Toronto, ON, Canada; 2Toronto General Hospital, Toronto, ON, Canada

Slides and Audio:

Survival into Adulthood of Patients with Atrial Isomerism Undergoing Cardiac Surgery

Jayapadman Bhaskar1, John Galati2, Paul Brooks2, Guido Oppido3, *Igor E. Konstantinov1, Michael Cheung1, Christian P. Brizard1, Yves d’Udekem1

1The Royal Children’s Hospital, Parkville, VIC, Australia; 2Murdoch Children’s Research Institute, Melbourne, VIC, Australia; 3S.Orsola-Malpighi Hospital, Bologna, Italy

Slides and Audio:’Udekem_Jayapadaman_Bhaskar.mp4

Factors Associated With Right Ventricular Dilation and Dysfunction in Patients With Chronic Pulmonary Regurgitation After Repair of Tetralogy of Fallot: Analysis of Magnetic Resonance Imaging Data in 251 Patients

Cheul Lee, Chang-Ha Lee, Jae Gun Kwak, Seong-Ho Kim, Woo-Sup Shim, Sang Yun Lee, So-Ick Jang, Su-Jin Park, Yang Min Kim

Sejong General Hospital, Bucheon, Republic of Korea

Slides and Audio:

Long-term Outcomes After Definitive Repair Fortetralogy of Fallot With Preserving Pulmonary Valve Annulus

Takaya Hoashi, Meng Yin, Koji Kagisaki, *Toshikatsu Yagihara, *Hajime Ichikawa

National Cerebral and Cardiovascular Center, Suita, Japan

Slides and Audio:

Late Outcomes after Arterial Switch Operation for Taussig-Bing Anomaly: Can we afford Biventricular Repair?

Mathieu Vergnat, Virginie Lambert, Alban Baruteau, Lucile Houyel, Mohamed Ly, Andre Capderou, David Kalfa, Emre Belli

Marie-Lannelongue Hospital, Le Plessis Robinson, France

Slides and Audio:

Strategy for Bi-ventricular Repair Transposition of the Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis: Nikaidoh’s vs Conventional Procedure

Qin Yan, Shanghai Children’s Medical Center, Shanghai, China

Slides and Audio:

Early Norwood vs Later Comprehensive Stage 2 Following Hybrid: Which is Better? For Whom?

Ryan Robert Davies, Wolfgang Radtke, Bhat A Majeed, Jeanne M Baffa, Edward Woodford, *Christian Pizarro Nemours

A.I. duPont Hospital for Children, Wilmington, DE

Slides and Audio:

Performance Monitoring of the Arterial Switch Operation: A Moving Target

Hanna Jensen, *Victor Tsang, Hopewell Ntsinjana, Catherine Bull, Katherine Brown, Andrew Taylor, Martin Kostolny, *Marc De Leval

Great Ormond Street Hospital for Children, London, United Kingdom

Slides and Audio:

Congenital Heart Disease Simultaneous Scientific Session

5 minute presentation, 6 minute discussion


  • Frank Pigula
  • Priooz Eghtesady

Management of Mitral Valve Regurgitation in Marfan Syndrome: Outcomes of Valve Repair versus Valve Replacement and Comparison to Patients with Myxomatous Mitral Disease

Meghana R. Kunkala, *Hartzell V. Schaff, *Joseph A. Dearani, Zhuo Li, John M. Stulak, *Rakesh M. Suri, Heidi M. Connolly

Mayo Clinic, Rochester, MN

Slides and Audio:

Bicuspid Aortic Valve Morphology: Does the Pattern of Leaflet Fusion Determine Aortic and Valvar Pathology?

Mark Ruzmetov, Noel Molina, Jitendra J. Shah, Randall S. Fortuna, Karl W. Welke

Children’s Hospital of Illinois, Peoria, IL

Slides and Audio:

Controlled Reoxygenation during Cardiopulmonary Bypass Induces Anti-inflammatory and Cardioprotective Response in Single Ventricle Patients Undergoing Paediatric Heart Surgery

Massimo Caputo, amir Mokhtari, Antonio Miceli, Mohamed T. Ghorbel, *Gianni D. Angelini, Andrew Parry, M-Saadeh Suleiman

Bristol Heart Institute, Bristol, United Kingdom

Slides and Audio:

When to Do A Biventricular Repair for Double Outlet Right Ventricle With Non-committed Ventricular Septal Defect

Zhongdong Hua, Shoujun Li, *Shengshou Hu

Fuwai Hospital Beijing, Beijing, China

Slides and Audio:

A Paired Membrane Umbrella Double Lumen Cannula Assures Consistent Cavopulmonary Assistance in a Fontan Sheep Model

Dongfang Wang1, Guodong Gao1, Mark Plunkett1, Guangfeng Zhao2, Stephen Topaz2, Cherry Ballard-Croft1, *Joseph B. Zwischenberger1

1University of Kentucky, Lexington, KY; 2W-Z Biotech, LLC, Lexington, KY

Slides and Audio:

Should Early Extubation be the Goal for All Children, Including Neonates, Undergoing Surgery for Congenital Heart Disease?

Kevin Harris, Spencer Holowachuk, Sandy Pitfield, Shubhayan Sanatani, Norbert Froese, Jim Potts, *Sanjiv Gandhi

University of British Columbia, Vancouver, BC, Canada

Slides and Audio:

Chronic Cavopulmonary Assist for the Failing Fontan Circulation: Motor Design for a Biconical Viscous Impeller Pump

Anna-Elodie M Kerlo1, Yann T. Delorme2, Guruprasad A. Giridharan3, Steven H. Frankel4, *Mark D. Rodefeld1

1Indiana University, Indianapolis, IN; 2Technion, Israel Institute of Technology, Haifa, Israel; 3University of Louisville, Louisville, KY; 4Purdue University, West Lafayette, IN

Slides and Audio:

Minimally Invasive Transthoracic Device Closure of Perimembranous Ventricular Septal Defect without Cardiopulmonary Bypass: Long-term Fellow-up Results

Quansheng Xing1, Qin Wu1, Lei Shi1, Yuhan Xing2, Guiling Yu1

1Women and Children’s Hospital of Qingdao University, Qingdao, China; 2Chongqing Medical University, Chongqing, China

Slides and Audio:

Congenital Masters of Surgery Video Session, Moderated Live


  • Pedro J. del Nido
  • Joseph A. Dearani

Session I

9:00 a.m. – 9:30 a.m.

Master: *James S. Tweddell

Topic: The Sano Procedure for HLHS

Slides and Audio:

Master: Viktor Hraska

Master: Ross-Konno with EFE Resection

Slides and Audio:

Session II

9:30 a.m. – 10:00 a.m.

Master: David Barron

Topic: The Senning Procedure as Part of Double Switch

Slides and Audio:

Master: *Joseph A. Dearani

Debate I

10:00 a.m. – 10:45 a.m.

Topic: An Athletic 15-year old with Aortic Valve Disease: Repair or Replace?



Debate II

10:45 a.m. – 11:30 a.m.

Topic: Comprehensive Perioperative Neuromonitoring Improves Outcomes

Moderator: *J. William Gaynor