Minimal Access Cardiac Surgery

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					                    Minimal Access
                       Cardiac
                       Surgery



Re-Evolution Summit
MArCh 5 -7, 2009 | Course Director: Erik A.K. Beyer, MD
                                Course Co-Directors:
                                Michael J. Reardon, MD
                                Gerald M. Lawrie, MD, PA
                                Mahesh K. Ramchandani, MD, FRCS, FACS
Sponsored by
The Methodist Hospital System   Hotel ZaZa • Houston, Texas
Program overview
This course is designed to give a comprehensive review of minimally invasive cardiac surgical techniques
which have been adopted in a limited number of centers. Among the procedures performed are minimal
access valve surgery, atrial fibrillation surgery, and minimal access coronary bypass surgery. Minimal
access cardiac surgery has been successfully applied by few surgeons with dedicated Operating Room staff
for these purposes. The goal of this activity is compare standard cardiac surgical techniques to minimal
access techniques and to reinforce the rationale that there is an ongoing need for the newer less invasive
techniques. Research findings will also be presented so that cardiac surgeons can define the group of
patients that would best benefit from the current technological advances.

TargeT audience
This continuing medical education course is designed for practicing cardiac surgeons, thoracic surgeons,
cardiologists, residents and fellows in cardiac and thoracic surgery subspecialties, nurses, and nurse
practitioners.

objecTives
Upon completion of this course, the participant should be able to:
•	 Distinguish	between	open	cardiac	surgical	techniques	and	minimal	access	cardiac	surgical	techniques.
•	 Summarize	the	current	approaches	to	minimal	access	valve,	coronary	and	atrial	fibrillation	surgery.
•	 Apply	the	latest	techniques	for	minimal	access	atrial	fibrillation	surgery.
•	 Identify	developments	in	percutaneous	aortic	valve	technologies.
•	 Describe	the	physiology	of	autonomic	ganglion	and	their	potential	role	in	atrial	fibrillation.
•	 Identify	new	techniques	in	vascular	anastomotic	devices	for	coronary	bypass	surgery.
•	 Integrate	robotic	technology	into	their	practice	in	the	framework	of	a	team	approach.

educaTional meThods
Lectures, Case Presentations, Film/Slide Presentations, Syllabus, Question and Answer Sessions, and
Lab Workshop (optional).

evaluaTion
Evaluation by questionnaire will address program content, presentation, and possible bias.
accrediTaTion and crediT designaTion                       fees, regisTraTion and conference
sTaTemenTs                                                 informaTion
The Methodist Hospital System is a accredited by           Refer to the registration form for the fee schedule.
the Accreditation Council for Continuing Medical           Your registration will not be processed until payment
Education to provide continuing medical education          is	received.	Your	registration	will	be	confirmed.	If	you	
for physicians.                                            have not received confirmation at least five business
                                                           days before the course start date, contact the Office of
The Methodist Hospital System designates this
                                                           Continuing Medical Education (OCME) immediately.
educational course for a maximum of 7.5 AMA PRA
Category 1 Credits™. Physicians should only claim          If	you	plan	to	register	on-site,	contact	OCME	at	least	
credit commensurate with the extent of their               24 hours in advance to confirm course status and
participation in the course.                               space availability. The OCME reserves the right to
                                                           limit the number of participants in an activity and will
oPTional laboraTory workshoP                               not be responsible for any expenses incurred by an
                                                           individual whose registration is not confirmed and for
The Methodist Hospital System designates this              whom space is not available.
educational course for a maximum of 4.5 AMA PRA
Category 1 Credits™. Physicians should only claim
credit commensurate with the extent of their               cancellaTion/refund Policy
participation in the course.                               Requests for registration refunds must be in writing
                                                           and received by the Office of Continuing Medical
disclosure                                                 Education (OCME) at least 10 business days before
                                                           the course begins. The date the request is received
In	order	to	meet	the	requirements	of	the	                  by the OCME will be considered the cancellation
Accreditation Council for Continuing Medical               date. Requests received after the refund deadline
Education it is the policy of The Methodist Hospital       will not be processed. Cancellations are subject to a
System that all individuals who are in a position to       $50 administrative fee deducted from the registra-
control the content of a CME course (course director,      tion fee paid to cover guarantees and other expenses.
planning committee members, and faculty) disclose          Requests should be mailed to the OCME or faxed to
relevant financial relationships with commercial           713.441.0589.
interests.
                                                           The OCME reserves the right to cancel activities,
All identified conflicts of interest are managed to help   not less than 10 business days before the scheduled
ensure that the educational material is scientifically     date, if extenuating circumstances make it necessary.
based, accurate, and objectively presented. Faculty are    Registrants will be notified at the contact number
also required to disclose any discussions of off-label     indicated on the registration form followed by
or investigational uses of any commercial products or      written	notification.	If	an	activity	is	cancelled,	
devices not yet approved in the United States. Specific    OCME’s liability is limited to the registration fee paid.
disclosure will be made to the participants prior to       Note:	If	payment	is	made	by	check,	a	social	security	
the educational activity.                                  number is required to process the refund.

ada sTaTemenT                                              for furTher informaTion conTacT
          In	compliance	with	the	Americans	with	           The Methodist Hospital System
          Disabilities Act, The Methodist Hospital         Office of Continuing Medical Education
          System will make reasonable efforts to           6565 Fannin, MGJ9-004
accommodate persons with disabilities at this              Houston, TX 77030
symposium. Please call 713.441.4948 for further            Phone:	713.441.4971		•		Fax:	713.441.0589
information, or if you need special assistance.            Email: cme@tmhs.org
                        Visit our Website located at www.methodistcme.com for information
                                   about other Methodist hospital CME activities.
Re-Evolution Summit:
MINIMAL ACCESS CARDIAC SURGERY
Course Director: Erik A.K. Beyer, M.D.



Thursday, March 5th
5:00-8:00 p.m.   Registration and Welcome Reception

Friday, March 6th
7:00-8:00 a.m.   Registration and Continental Breakfast
8:00-8:10        Welcome

Atrial Fibrillation
Moderator: Erik A.K. Beyer, MD
8:10-8:30        right Sided On Pump:             9:30-9:50         Subxyphoid Future
                 MiniCryo                                           BK Lam, MD, CM, FRCSC
                 Evelio Rodriguez, MD             9:50-10:10        LAA Today and Tomorrow
8:30-8:50        r Mini-Thoracotomy                                 Richard Lee, MD, MBA
                 Off Pump: Ultrasound             10:10-10:30       Autonomic Ganglion
                 Ross M. Reul, MD                                   Anatomy and Function
8:50-9:10        L Mini Approach:                                   John H. Sirak, MD
                 Microwave                        10:30-10:40       Break
                 Mark I. M. La Meir, MD
9:10-9:30        B Mini-Thoracotomy
                 Bipolar rFx (Irrigated
                 vs. Non-Irrigated)
                 Richard Lee, MD, MBA

Minimal Access CABG
Moderator: Mahesh K. Ramchandani, MD, FRCS, FACS

10:40-11:00      right Mini-Thoracotomy           11:40-12:00 p.m. Distal Anastamosis
                 MICS                                              Techniques
                 Marcos A. Nores, MD                               Husam H. Balkhy, MD
11:00-11:20      robotic Coronary Surgery         12:00-12:20      robotic Future
                 William F. Turner, Jr., MD                        (Near or Far)
11:20-11:40      Proximal Anastamosis                              Joseph F. Sabik, III, MD
                 Devices                          12:20-1:30       Lunch
                 Baron L. Hamman, MD
Aortic Valve
Moderator: Michael J. Reardon, MD
1:30-1:50         hemi-Sternotomy                      2:50-3:10         Future Valve Developments
                  S. Chris Malaisrie, MD                                 (Bioengineering)
1:50-2:10         right Anterior Trap Door                               Jane Grande-Allen, PhD
                  Mark B. Anderson, MD, FACS           3:10-3:30         Break
2:10-2:30         Suture-less Aortic Valves
                  Jacob DeLaRosa, MD
2:30-2:50         Percutaneous AVr Update:
                  Get ready for the Future
                  Eric E. Roselli, MD

Mitral Valve
Moderator: Gerald M. Lawrie, MD, PA
3:30-3:50         right Mini-Thoracotomy:            4:30-4:50          robotic MVr: What You
                  No Clamp Technique                                    Need to Know
                  Jean-Luc Jansen, MD                                   J. Michael Smith, MD
3:50-4:10         right Mini-Thoracotomy:            4:50-5:10          Mini-MVr: Looking Ahead
                  Learning Curve                                        Vinod Thourani, MD
                  Volkmar Falk, MD, PhD              6:00               Adjourn
4:10-4:30         Endoscopic Approach
                  From the right
                  Borut Gersak, MD, PhD

Saturday, March 7th
Laboratory Workshop
Additional Registration Required (see registration form)
7:30	a.m.	        Transport	to	MITIE
7:30-8:30         Registration and Breakfast

Breakout Sessions
8:30-9:30         What do Surgeons Need to           10:15-11:00        rotation 1
                  Take Them into the Future?         11:00-11:45        rotation 2
9:45-10:00        MITIE Overview                     11:45-12:15 p.m.   Lunch
                  Mike Donovan, Director             12:15-1:00         rotation 3
                  Methodist Institute for            1:00-1:45          rotation 4
                  Technology, Innovation and         1:45-2:00          Evaluation and Adjourn
                  Education (MITIE TM)               2:00               Departure to Hotel

Station 1         Atrial Fibrillation (A-Fib)        Station 3	         Minimally	Invasive	Cardiac	
                  Experts Two Cadavers                                  Surgery	(MICS)	Coronary	
                  Showing Right and Bilateral                           Artery Bypass Grafting
                  Approaches                                            (CABG) Pig Model
Station 2         Right Anterior Thoracotomy         Station 4          Robotic Mitral Valve Repair
                  Approach and Percutaneous                             (MVR) Room with
                  Valve Simulator                                       Mannequin and Pig Hearts
Re-Evolution Summit
Program course direcTor & sPeakers
Erik A.K. Beyer, MD                      Borut Gersak, MD, PhD                  Ross M. Reul, MD
Course Director                          Professor                              Director
Surgical Director, Atrial Fibrillation   Department of Cardiovascular Surgery   Surgical	Innovations
Division of Cardiac Surgery              University Medical Center Ljubljana    St. Luke’s Episcopal Hospital
Methodist DeBakey Heart &                Ljubljana, Slovenia                    and	Texas	Heart	Institute
Vascular Center                          Jane Grande-Allen, PhD                 Houston, Texas
Houston, Texas                           Associate Professor                    Evelio Rodriguez, MD
Michael J. Reardon, MD                   Department of Bioengineering           Assistant Professor
Course Co-Director                       Rice University                        East	Carolina	Heart	Institute
Chief of Cardiac Surgery                 Houston, Texas                         Greenville, North Carolina
Methodist DeBakey Heart &                Baron L. Hamman, MD                    Eric E. Roselli, MD
Vascular Center                          Chairman                               Staff Surgeon
Houston, Texas                           Department of Cardiothoracic Surgery   Department of Thoracic
Gerald M. Lawrie, MD, PA                 Baylor University Medical Center       and Cardiovascular Surgery
Course Co-Director                       Dallas, Texas                          The Cleveland Clinic Foundation
Professor of Cardiac Surgery             Jean-Luc Jansen, MD                    Cleveland, Ohio
Methodist DeBakey Heart &                Department of Cardiac Surgery          Joseph F. Sabik, III, MD
Vascular Center                          Erasme University Hospital             Chair
Houston, Texas                           Brussels, Belgium                      Department of Thoracic
Mahesh K. Ramchandani, MD,               Mark I. M. La Meir, MD                 and Cardiovascular Surgery
FRCS, FACS                               Department of Cardiothoracic           The Cleveland Clinic Foundation
Course Co-Director                       Surgery                                Cleveland, Ohio
Clinical Assistant Professor             University Hospital of Maastricht      John H. Sirak, MD
Department of Surgery                    Maastricht, The Netherlands            Assistant Professor
Baylor College of Medicine
                                         BK Lam, MD, CM, FRCSC                  Department of Surgery
Houston, Texas
                                         Director                               Division of Cardiothoracic Surgery
Mark B. Anderson, MD, FACS               Valve Clinic                           Ohio State University College of
Associate Professor                                                             Medicine
                                         University	of	Ottowa	Heart	Institute
Division of Cardiothoracic Surgery                                              Columbus, Ohio
                                         Ottowa, Canada
Robert Wood Johnson
Medical School                           Richard Lee, MD, MBA                   J. Michael Smith, MD
                                         Surgical Director                      Director
University of Medicine and
                                         Center of Atrial Fibrillation at the   Robotic-Assisted Surgery
Dentistry of New Jersey
                                         Bluhm	Cardiovascular	Institute         for Tri-Health
New Brunswick, New Jersey
                                         Northwestern University                University of Cincinatti
Husam H. Balkhy, MD                      Northwestern Medical Faculty           Cincinnatti, Ohio
Private Practice
                                         Foundation                             Vinod H. Thourani, MD
Cardiothoracic Surgery Group
                                         Chicago,	Illinois                      Assistant Professor
Milwaukee, Wisconsin
                                         S. Chris Malaisrie, MD                 Associate Director of Research
Jacob DeLaRosa, MD                       Surgical Director                      Division of Cardiothoracic Surgery
Assistant Professor                                                             Emory University School of Medicine
                                         Thoracic Aortic Surgery
Idaho	State	University                                                          Crawford Long Hospital
                                         Bluhm	Cardiovascular	Institute	of	
Pocatello,	Idaho                                                                Atlanta, Georgia
                                         Northwestern Memorial Hospital
Volkmar Falk, MD, PhD                    Northwestern Medical Faculty           William F. Turner, Jr, MD
Department of Cardiac Surgery            Foundation                             Cardiovascular Surgeon
Heart	Center	Leipzig                     Chicago,	Illinois                      Turner Cardiovascular Associates
Department of Cardiac Surgery                                                   Tyler, Texas
                                         Marcos A. Nores, MD
Leipzig,	Germany                         Cardiovascular Surgeon
                                         King’s Daughters Medical Center
                                         Ashland, Kentucky
                                                                         regisTraTion form
Four Ways to register:
Phone: 713.441.4971                                       Mail: The Methodist Hospital
Fax:    713.441.0589                                            Office of Continuing Medical Education
Online: www.methodistcme.com                                    Attention: Re-Evolution
                                                                6565 Fannin, MGJ9-004
                                                                Houston, TX 77030

fees and PaymenT                           (before 2/1/09)         (after 2/1/09)
❑   Physicians Lecture & Lab                    $800                   $850            Note: Registration for lab
❑   Physicians Lecture (only)                   $350                   $375            sessions is limited to ensure
                                                                                       an optimal learning
❑   PAs, RNs, NPs Lecture & Lab                 $400                   $450            experience. Register early
❑   PAs, RNs, NPs Lecture (only)                $250                   $275            to guarantee your space.
❑   Industry (lecture only)                     $350                   $375

❑ Residents & Fellows Lecture & Lab $250                     ❑ TMH Staff/Faculty Lecture & Lab $250
❑ Residents & Fellows Lecture (only) $75                     ❑ TMH Staff/Faculty Lecture (only) $100

Please print clearly

Name:
Address:
City:                                                            State/Zip:
Ofc. Phone:                                                      Ofc. Fax:
Specialty/Title:
Institution:
Email:

❑ Check or Money Order (made payable in U.S. funds to The Methodist Hospital)
❑ Credit card:    ❑ Visa       ❑ MasterCard            ❑ Amex
Credit Card No.                                                                  Exp. Date:
Name on the Card:
Authorized	Signature:
❑ Special dietary needs (specify)

ConferenCe LoCation                 rESErVATIONS: A limited block of rooms has been reserved at the special
                                    discount rate of $199 for single or double occupancy. Discounted rates apply
and aCCommodations                  until the reservation deadline of Feb. 10, 2009 or until all rooms in the group
Hotel ZaZa                          block have been reserved, whichever occurs first. Thereafter, discounted group
5701 Main St                        rates may not be available. Please identify yourself as a participant of the
                                    Re-Evolution Summit when making your reservations. Due to the Houston Rodeo
Houston, Texas 77005                and other special events, the month of March is one of the most popular tourist
713.526.1991                        times of the year. Hotel room reservations will fill up quickly. In order to ensure
www.hotelzaza.com/Houston           accommodations reserve your room early.
           Re-Evolution Summit
           MArCh 5 -7, 2009 |                          Course Director: Erik A.K. Beyer, M.D.
           Hotel ZaZa • Houston, Texas

           Program overview
           This course is designed to give a comprehensive review of minimally invasive cardiac surgical
           techniques which have been adopted in a limited number of centers. Among the procedures
           performed are minimal access valve surgery, atrial fibrillation surgery, and minimal access
           coronary bypass surgery. Minimal access cardiac surgery has been successfully applied by few
           surgeons with dedicated Operating Room staff for these purposes. The goal of this activity is
           compare standard cardiac surgical techniques to minimal access techniques and to reinforce
           the rational that there is an ongoing need for the newer less invasive techniques. Research
           findings will also be presented so that cardiac surgeons can define the group of patients that
           would best benefit from the current technological advances.




           Sponsored by The Methodist Hospital System




The Methodist Hospital System
                                                                                                       Presorted
Office of Continuing Medical Education                                                              First Class Mail
6565 Fannin, MGJ9-004                                                                              U.S.	Postage	PAID
Houston, Texas 77030                                                                                Houston, Texas
                                                                                                    Permit No. 6311