Download - American Association for Thoracic Surgery

Visit Sanofi booth 837for more information and ahands-on demonstrationManufactured byGenzyme Corporation, a Sanofi Company175F New Boston StreetWoburn, MA 01810 USA 1-800-261-1570LeGoo is a registered trademark of Genzyme Corporation, a Sanofi Company.©2013 Genzyme Corporation. All rights reserved. US.LEG.13.03.008

8 AATS 93 RD ANNUAL MEETING MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013Perioperative Care previous pagetreatment of profound thrombocytopenia.This approach is also probablycost effective,” said Dr. Rankin.Routine immunologic interventionsfor pT have the potential of reducingcardiac surgical mortality and morbiditysignificantly,” he concluded.Infants having cardiopulmonary bypassare often given perioperative corticosteroids,but there is a question as towhat the effect of corticosteroid druglevels has on the innate hypothalamicpituitary response in these children.Sheri S. Crow, MD, and her colleaguesat the Mayo Clinic, foundthat corticosteroid induced adrenalsuppression persists even afterblood levels of these drugs have declined,suggesting that continuedtherapeutic intervention may bebenefical.They looked at the relationshipbetween dexamethasone, methylprednisolone,cortisol, and adrenocorticotropichormone (ACTH)plasma levels following perioperativecorticosteroid administration ininfants undergoing CPB surgery forcongenital heart disease. Dr. Crowand her colleagues measured plasmalevels of the steroids, cortisol,and ACTH in 32 infants rangingfrom 3 days old to around 11Sheri S. Crow, MD, examined corticosteroidsin congenital heart surgery.months at the following perioperativetimes: anesthesia induction,post-bypass/pre-modified ultrafiltration(MUF), and at 0, 4, 8, 12,and 24 hrs after ICU arrival.All 32 patients received dexamethasoneat anesthetic induction,with infants less than 30 days old(around 19%) also receiving methylprednisoloneat midnight prior tosurgery.This session was moderated byLyle D. Joyce, MD, and Harold M.Burkhart, MD, both of the MayoClinic.MARTIN ALLREDEmerging TechnologiesForum Highlights InnovationWednesday morning’s EmergingTechnologies forum willfeature 10 papers that highlightintriguing new developmentsin cardiothoracic surgery.Some of the papers address preclinicaldevices, others describe earlydata in humans; all have thepotential to impact clinical practice,according to Vivek Rao, MD, ofToronto General Hospital, who willmoderate the forum along withMatthew R. Williams, MD, of ColumbiaUniversity.The 2-hour forum will begin withtwo reports on technologies for thetreatment of mitral regurgitation.The first is a presentation of earlyfindings regarding the use of a novelleaflet plication clip (LCP) for the repairof mitral valve prolapse, whichwill be presented by Eric N. Feins,MD, of Boston Children’s Hospitaland Harvard Medical School.The LCP, which was designed totreat a prolapsed leaflet segment –mimicking a segmental leaflet resection– was successful for treating mitralregurgitation secondary to mitralvalve prolapse in an animal model.In previous ex-vivo studies, the devicewas shown to successfully eliminateP2 segment prolapse andmitral regurgitation in fresh swinehearts.Dr. Feins will present data that suggestthe device has the potential toimprove the effectiveness of beatingheartvalve surgery, and may enhancethe ease and reproducibility of leafletplication in patients undergoingopen-heart minimally invasive valvesurgery.The second paper is a report ofearly results from the TransapicalPlacement of Artificial ChordaeTendinae (TACT) Trial – an industry-sponsored,multicenter, prospective,non-randomized study toevaluate a new technology for offpump,beating-heart correction ofmitral regurgitation.The technology involves placementof an artificial chorda tendina(ACT) using the Neochord chordaldelivery system (Neochord Inc.Minneapolis).Giovanni Speziali, MD, of the Universityof Pittsburgh Medical Center,will present findings in the first 30patients, 26 of whom were treatedsuccessfully. Although the overalldurability of mitral regurgitation repairwas only 65% at 30 days amongthose who experienced acute proceduresuccess, refinements of surgicaltechnique throughout the study dramaticallyimproved the results at 30days in the latter half of the studypopulation, according to Dr. Speziali.Among the other emerging technologiesand techniques that will bediscussed are: A novel surgical technique for performingsympathectomy by embryonicnatural orifice transumbilicalendoscopic surgery using a nasal gastroscopefor the treatment of patientswith hyperhidrosis. WeishengChen, MD, of Fuzhou General Hospital,will present 1-year results in 35patients showing that 97% and 72%of those with palmar and axillary hyperhidrosis,respectively, were treatedsuccessfully. The use of thoracic aortic endograftsto facilitate the resection oftumors infiltrating the aorta.Stephane Collaud, MD, of TorontoGeneral Hospital will present datafrom five patients suggesting thatthis innovative approach is safe andeffective. After a median of 30months, all five patients – who hadeither non–small cell lung carcinomasor sarcomas infiltrating the aorta– were alive and disease-free, andnone suffered complications fromthe endograft. A laser-assisted zero ischemia coronaryanastomotic connector, whichserves as a simplified alternative forhand-sutured anastomosis to facilitateminimal access and closed chest coronaryartery bypass grafting (CABG).David Stecher, MD, of UniversityMedical Center, Utrecht, will presentfindings from a porcine model showingthat the connector enabled fast,simple and reliable anastomosis construction,and that it has potential forminimally invasive or endoscopicCABG.“The technological field is changingrapidly,” Dr. Rao said, notingthat the forum will provide attendeeswith an improved awareness ofthese and other emerging technologiesthat they may be inclined toemploy in their own practice, andwill provide a glimpse of the futurelandscape in cardiothoracic technology.Dr. Rao disclosed that he has receivedcompensation for serving asan advisory board member or consultantfor Medtronic, CorMatrixCardiovascular, Terumo Inc., andHeartWare Inc. He owns CorMatrixCardiovascular stock options.

This momentyour team meets our hands-on trainingis everything.This is the moment your team embraces innovationwith customized training. It’s the moment you ourclinical experts support you with current advances.This is the moment your team achieves itsaspirations with Edwards.Progress ConfidentlyLearn more about the history, products,and educational opportunities in this moment.www.edwards.com/ThisMomentEdwards, Edwards Lifesciences, and the stylized E logo are trademarks of Edwards Lifesciences Corporation.© 2012 Edwards Lifesciences Corporation. All rights reserved. AR08712Edwards LifesciencesIrvine, USA I Nyon, Switzerland I Tokyo, Japan I Singapore, Singapore I São Paulo, Braziledwards.com

10 AATS 93 RD ANNUAL MEETING MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013AATS Exhibit Hall HoursTuesday, May 7, 20139:00 am – 4:00 pmA & E Medical Corporation 16312310 South Miami Blvd., Suite 240Durham, NC 27703-5796Acute Innovations 52621421 NW Jacobson Road, Suite 700Hillsboro, OR 97124www.acuteinnovations.comFurthering their reputation as a leader in thethoracic industry, ACUTE Innovations® continuesto make advancements in chestwall stabilizationtechnology. Stop by booth 526 to learnabout ACUTE’s cutting-edge products: the RibLoc®Rib Fracture Plating system, Biobridge®Resorbable Chest Wall Stabilization Plate, andthe AcuTie® Sternal Closure System.AME Publishing Company 5393/F, Building 1#, Lesu Science Park, 1526Chunbo Road, Binjiang districtHangzhou, Chinawww.amepc.orgThe Annals of Cardiothoracic Surgery is a bimonthlypeer-reviewed publication, dedicatedto the field of cardiothoracic surgery. Each issueis overseen by a special Guest Editor andfeatures operative videos provided byrenowned surgeons. The Journal of ThoracicDisease is a bi-monthly, international,Pubmed-indexed journal with a primary focuson thoracic disease.ATMOS, Inc. 7453717 Huckleberry RoadAllentown, PA 18104www.atmosmed.comAtmos offers the S201 Thorax Drainage MonitoringSystem. Our advanced digital chestdrainage system allows for patient mobility whilemaintaining suction, quantifies drainage flow inL/min, requires less intervention and ultimatelya reduction in length of stay for the patient.2013 AATS Annual Meeting ExhibitorsAtriCure, Inc. 14196217 Central Park DriveWest Chester, OH 45069www.atricure.comAtriCure, Your Partner in Afib Solutions, featuringthe only FDA approved surgical AF device,Synergy RF, and Cryothermic Ablation energydevices. Providing the only Maze IV AF certificationcourse. AtriCure’s portfolio includes theAtriClip®, which is the ONLY Complete LA Appendagemanagement solution that permanentlyisolates both mechanically and electrically.Atrium Medical Corporation - a MAQUETGetinge Group company 9295 Wentworth DriveHudson, NH 3051www.atriummed.comAtrium is now part of MAQUET Getinge Group.Express Mini 500TM and PneumostatTM MobileChest Drains, OceanTM Water Seal, OasisTMDry Suction & ExpressTM Dry Seal ChestDrains. Coated & uncoated PVC & Silicone ThoracicCatheters, PleuraGuideTM DisposableChest Tube Kit, Cardiac Surgery Devices &complete line of Aortic Vascular Grafts.Baxter Healthcare 627One Baxter ParkwayDeerfield, IL 60015www.baxter.comBaxter is a global, diversified healthcare companywith expertise in medical devices, pharmaceuticals,and biotechnology. The companycontinues its quest for advancing BioSurgery byoffering a comprehensive line of products forhemostasis and sealing, adhesion reduction solution,and preparation/delivery devices basedon the latest scientific advances in the field.Berlin Heart 520200 Valleywood Rd., Ste. A500The Woodlands, TX 77380www.berlinheart.comBerlin Heart, the only company worldwide, thatdevelops, manufactures and distributes VADsfor patients of every age and body size. EX-COR® Pediatric provides medium to long-termcirculatory support specifically for infants andchildren awaiting heart transplants. EXCOR Pediatricis approved for use in the USA underHDE regulations by the FDA.BFW, Inc. 10292307 River Road, #103Louisville, KY 40206www.bfwinc.comRecognized worldwide for unmatched designand engineering in surgical illumination, fromits Thru-the-Lens Headlight Video System tothe groundbreaking 10,000-hour Chroma-LUME Plasmas Headlight System, or the incrediblybright and portable VistaView II LED,BWF is the technological leader offering themost dependable headlight illumination systemin the medical field today.Biomet Microfixation 7371520 Tradeport DriveJacksonville, FL 32218www.biometmicrofixation.comBiomet Microfixation is a leading global healthcareprovider of orthopedic products. Our thoracicportfolio includes the Pectus Bar forrepair of Pectus Excavatum and the SternaLockBlu Primary Closure System for sternal closure.The Blu System aligns and stabilizes the sternumafter sternotomy and enables easier closureafter minimally invasive access.Bolton Medical Inc. 621799 International PkwySunrise, FL 33325www.boltonmedical.comBolton Medical is a subsidiary of the WerfenLife Group. Werfen Life Group is an internationalcompany that manufactures and distributesmedical diagnostic solutions and medical devicesworldwide. Bolton Medical sells endovasculartherapies for thoracic repair, such asRelay Thoracic Stent-Graft in both U.S. and internationalmarkets and Relay NBS (non-barestent) in international markets.Cardiovascular Research Foundation 428111 E. 59th StreetNew York, NY 10022www.crf.comThe Cardiovascular Research Foundation (CRF)is an independent, academically focused nonprofitorganization dedicated to improving thesurvival and quality of life for people with cardiovasculardisease through research and education.Since its inception in 1991, CRF has played amajor role in realizing dramatic improvements intreating heart disease by establishing the safeuse of new technologies, drugs, and therapies ininterventional cardiovascular medicine.Cardivon 427602, Block A, Jinzun International SuiteHuaian, Jiangsu Province, 223002 ChinaChase Medical 444885 E. Collins Suite #110Richardson, TX 75081www.chasemedical.comChase Medical: Dedicated to providing cardiacsurgeons innovative devices for sugery. The SVRSystem creates an elliptical ventricle everytime. The Triumph System is a soft aortic balloonocclusion cannula used for minimally invasivevalve procedures. Our beating heartproducts include heart stabilizers, shunts, blowermisters and apical lift devices.Cook Medical 1310750 Daniels Way, P.O. Box 489Bloomington, IN 47402-0489Cormatrix Cardiovascular, Inc. 1613286 South Main Street Suite 200Alpharetta, GA 30009www.cormatrix.comCorMatrix® Cardiovascular markets its ECM®Technology biomaterial devices for pericardialclosure, cardiac tissue repair, and carotid repairand is currently conducting preclinicalstudies to evaluate future applications inheart failure as well as other cardiovascularapplications.CORONEO 16289250 Park Avenue, #514Montreal, QC H2N 1Z2 CanadaCovidien 805555 Long Wharf DriveNew Haven, CT 6511www.covidien.comCovidien is a leading global healthcare productsContinued on page 11SanofiBiosurgery8371334Kapp SurgicalInstrument IncS2EdwardsLifesciencesThompson SurgicalInstruments, Inc423TerumoCardiovascularSystemsSorin Group1328Surgitel/GeneralScientific Corp1730Olympus MedicalSystems GroupInternetCafe419I-Flow Corporation919 1019Medtronic Inc.EdwardsLifesciences6059051607MAQUET MedicalSystems, USAAATS Daily News Advertisers

MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013 AATS 93 RD ANNUAL MEETING 11Continued from page 10company that creates innovative medical solutionsfor better patient outcomes and deliversvalue through clinical leadership and excellence.Please visit www.covidien.com to learn more.CRC Press - Taylor& Francis Group LLC 9396000 Broken Sound Parkway NW,Suite 300Boca Raton, FL 33487www.crcpress.comCRC Press – Taylor & Francis Group is a globalpublisher of world-class references, handbooks,journals, and textbooks for the medical, scientificand technical communities including academics,professionals, and students. Ouraward-winning CRCnetBASE has our eBook collections.Visit www.crcpress.com or contact us at1-800-634-7064, or +44 (0) 1235 400 524.CryoLife, Inc. 7291655 Roberts Blvd.Kennesaw, GA 30144www.cryolife.comCryoLife® is a leader in the development andimplementation of advanced technologies associatedwith allograft processing and cryopreservation.CryoLife also offers solutions forpatients with Refractory Angina utilizing TransmyocardialRevascularization or TMR with theCardiogenesis Holmium:YAG system.CTSNet 410www.ctsnet.orgCTSNet (www.ctsnet.org), headquartered inChicago, Illinois, USA, is the leading internationalsource of online resources related tocardiothoracic surgery, as well as the majorhub of the international online community ofcardiothoracic surgeons and allied health careprofessionals.Dallen Medical 5221046 Calle Recodo, Suite GSan Clemente, CA 92673www.dallenmedical.comDallen Medical, Inc. is an early stage orthopediccompany whose patented technology providessuperior fixation and compression. Dallenhas FDA 510(K) clearances for its Compressynband for sternal closure & the Compressynfor small bone fixation and expects tofile additional 510(K)’s around its bandingtechnology.Davol Inc., a BARD Company 140760 Technology DriveIrvine, CA 92618Delacroix - Chevalier 14293825 Commerce Dr.St. Charles, IL 60174www.delacroix-chevalier.comFamous French instrument manufacturer since1920, DELACROIX-CHEVALIER is proud to offerindisputable best-seller instruments and innovativedevices dedicated to MIS and videocardio-thoracic surgery developed in cooperationwith key opinion leaders. Specialized R&D,cutting edge manufacturing capabilities, anddynamic market strategies help Delacroix-Chevalier rank among world market leaders inthe field.DePuy Synthes CMF 12101301 Goshen ParkwayWest Chester, PA 19380www.synthes.comSynthes CMF develops, produces and marketsinstruments and implants for the surgical reconstructionof the human skeleton and softtissues. Our product offering includes systemsfor internal fixation of the sternum following asternotomy/ osteotomy or fracture of the sternumand rib, with options to stabilize and promotefusion.Designs For Vision, Inc. 1606760 Koehler AvenueRonkonkoma, NY 11779www.designsforvision.comJust See It with Designs for Vision's lightweightcustom-made Surgical Telescopes- nowavailable with Nike® frames. See It Event Betterwith the L.E.D. Daylite®, the new Ultra-Mini L.E.D. Daylite® or trin Beam®, L.E.D.Daylite® providing the brightest and safest untetheredillumination.Dynasil Products 154244 Hunt StreetWatertown, MA 2472EACTS 412Maderia WalkWindsor, SL4 1LU UKwww.eacts.orgThe EACTS is the largest European Associationdevoted to the practice of Cardio-thoracicsurgery. The main objects of the Association areto advance education in the field of cardio-thoracicsurgery and to promote, for the publicbenefit, research into cardiovascular and thoracicphysiology and therapy and to correlateand disseminate the useful results thereof. Visitthe booth for information on membership, futuremeetings, EACTS Academy and all otheractivities of EACTS.Edwards Lifesciences 905One Edwards WayIrvine, CA 92614www.edwards.comEdwards Lifesciences is the global leader in thescience of heart valves and hemodynamic monitoring.Driven by a passion to help patients,the company partners with clinicians to developinnovative technologies in the areas of structuralheart disease and critical care monitoringthat enable them to save and enhance lives.Additional company information can be foundat www.edwards.com.Elmed Incorporated 132560 West Fay Ave.Addison, IL 60101www.elmed.comELMED INCORPORATED has been serving theMedical Profession since 1955. We will be introducingthe “Jacubian” Cardio-Vascular OccluderClamp – Maximum occlusion atminimum trauma. Featuring Endoscopic CardiothoracicInstruments and the all newELMED “Strong-Arm Retractor System for theMICS CABG procedure along with the traditionalRetract-Robot, the most versatile retractorsystem.Elsevier Inc. 13041600 JFK Blvd. , Ste 1800Philadelphia, PA 19103www.us.elsevierhealth.comELSEVIER is a leading publisher of health sciencepublications, advancing medicine by deliveringsuperior reference information anddecision support tools to doctors, nurses, healthpractitioners and students. With an extensivemedia spectrum — print, online and handheld,we are able to supply the information you needin the most convenient format.Enova Illumination 10361839 Buerkle RdSt Paul, MN 55110ESTS 4261 The Quadrant, Wonford RoadExeter, EX2 4LE UKwww.ests.orgESTS is the largest international general thoracicsurgery organization with over 1300 membersfrom all Continents. Our mission is toimprove quality in our specialty: from clinicaland surgical management of patients to education,training and credentialing of thoracic surgeonsworldwide.Ethicon Endo-Surgery 12044545 Creek RoadCincinnati, OH 45242www.ethicon.comThe ETHICON brand is used for the products ofEthicon, Inc. and Ethicon Endo-Surgery, Inc.,two companies with long histories of medicalinnovation, which provide globally a broadrange of surgical technologies and productsused to treat colorectal and thoracic conditions,women’s health conditions, hernias, cancer andobesity.Experimental Surgical Services 621420 Delaware St. SE MMC 220Minneapolis, MN 55455www.ess.umn.eduExperimental Surgical Services as the Universityof Minnesota is more then just a contract researchorganization. From discovery toregulatory strategy to submission we are the industryleader in research and testing rep-clinicalmedical devices and surgical techniques.Fehling Surgical Instruments, Inc. 718509 Broadstone LaneAcworth, GA 30101www.fehlingsurgical.comFEHLING SURGICAL features the “CERAMO®Instrument Line”, “SUPERPLAST Probes” andnew innovative Retractor Systems for MinimallyInvasive Cardiac Surgery. CERAMO® surfacemeans high efficiency through enhanced performance,increased endurance and minimalmaintenance.G & N Medical 518Maydwell Ave, Off Stane St.Horsham, 91902 UKwww.gandn.comG & N Medical is a British medical device manufacturerand distributor. Having gained its regulatoryapprovals, the new patented sternalclosure device ThorAcc® was launched in Europein September 2012. Following successfulevaluation in Boston, MA and elsewhere, thedevice is being introduced to US surgeons atthis year's Meeting.Genesee BioMedical, Inc. 16241308 South Jason StreetDenver, CO 80223-3408www.geneseebiomedical.comDesign Beyond Standard. Genesee BioMedical,Inc. provides unique devices for cardiothoracicsurgery including sternal/thoracicvalve retractors, instruments for MICS, coronarygraft markers, suture guards, retractionclips and myocardial needles. All productsare CE approved.Gore & Associates, Inc. 535960 W. Elliot RdTempe, AZ 85284www.goremedical.comThe Gore Medical Products Division has providedcreative solutions to medical problems forthree decades. Over 35 million Gore MedicalDevices have been implanted worldwide. Productsinclude vascular grafts, endovascular andinterventional devices, surgical materials, andsutures for use in vascular, cardiac and generalsurgery. For more information, visithttp://www.goremedical.com.Haemonetics Corp. 430400 Wood RoadBraintree, MA 2184www.haemonetics.comHaemonetics is a global healthcare companydedicated to providing innovative blood managementsolutions for our customers. Our devices,consumables, IT products, andconsulting services deliver a suite of businesssolutions to help our customers improve clinicaloutcomes and reduce the cost of healthcare forblood collectors, hospitals, and patients aroundthe world.Heart Hugger/Gen'l Cardiac Technology 64415814 Winchester Blvd., #105Los Gatos, CA 95030www.hearthugger.comHeart Hugger-Sternum Support Harness is apatient operated support harness applied postopto splint surgical wounds. Benefits includeimproved patient compliance, faster return topremorbid respiratory levels, fewer wound complicationsand better post-op mobility. It is usefulfor post open-heart, thoracotomy, fracturedrib and other chest trauma patients.HeartWare, Inc 434205 Newbury St.Framingham, MA 1701www.heartware.comHeartWare is dedicated to delivering safe, highperformingand transformative therapies thatenable patients with heart failure to get back tolife. The company’s breakthrough innovationsbegin with the HVAD® Pump, designed to beimplanted in the pericardial space avoiding themore invasive surgical procedures required witholder LVAD technologies. The HVAD Pump iscommercially available around the world.I-Flow, LLC, a Kimberly-ClarkHealth Care Company 41920202 Windrow Dr.Lake Forest, CA 92630www.iflo.comI-Flow, LLC, a Kimberly-Clark Health Care Company,is the manufacturer of the non-narcotic,ON-Q* Pain Relief System, and is a global marketleader in acute pain and ambulatory medicationdelivery, driving innovative clinicalapplications for surgical procedures and regionalanesthesia for better outcomes and satisfiedpatients. For more information, visitwww.iflo.com.Integra Lifesciences 1234311 Enterprise DrivePlainsboro, NJ 8536www.integralife.comIntegra is a leader in Acute Care Surgical Products.The company’s portfolio includes qualityinstrumentation solutions for your sterile processingand OR needs in laparoscopic, general,cardiovascular, neuro, plastic and reconstructivesurgery. Products include Luxtec® illuminationsystems and cables, instruments fromJarit®, Redmond, Padgett ®, Omni-Tract®table-mounted retractors and CIMS® ConsultingServices.International Society of Minimally InvasiveCardiothoracic Surgery 935500 Cummings Center, Suite 4550Beverly, MA 1915www.ismics.orgISMICS is the leader in Innovation, Technologies,and Techniques in Cardiothoracic and Cardiovascular/VascularSurgery. 2013 ISMICSAnnual Scientific Meeting, 12-15 June 2013,Hilton Prague, Prague, Czech Republic, www.ismics.org.Intuitive Surgical, Inc. 10331266 Kifer Rd, Bldg 101Sunnyvale, CA 94086www.intuitivesurgical.comIntuituve Surgical is the global leader in minimallyinvasive, robotic-assisted surgery. TheCompany's da Vinci® System- with 3D-HD visionand EndoWrist® instrumentation-enablessurgeons to offer a minimally invasive approachfor complex conditions. With da Vinci heart andlung surgery patients typically avoid the largeincision and rub-spreading of open surgeryIsoRay Medical 743350 Hills St, Suite 106Richland, WA 99354www.isoray.comIsoRay Medical offers radiation therapy(brachytherapy) products for the treatment ofprostate, brain and lung cancers, among others.IsoRay’s FDA-cleared cesium-131 mesh implantis applied to the staple line following resectionof Stage I NSCLC. The 9.7 day half-lifeof cesium-131 guarantees dose delivery sixtimes faster than iodine-125 implants.Kapp Surgical Instrument Inc. 13344919 Warrensville Center Rd.Cleveland, OH 44128www.kappsurgical.comKapp Surgical is a custom design shop whichdesigns surgical instruments and implants,manufactures them, and sells as well as distributesdomestically and internationally. Kapp’sexclusive products are: The Cosgrove Heart Retractor,Bariatric Ring, Strip T’s surgical organizer,and countless surgical devices all FDAapproved with several pending approvals.(KappContinued on page 12

12 AATS 93 RD ANNUAL MEETING MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013Continued from page 11owns 39 patents)Karl Storz Endoscopy-America, Inc. 15252151 E. Grand AveEl Segundo, CA 90245www.karlstorz.comKARL STORZ, a leader in endoscopic equipmentand instruments, offers solutions forvideo-assisted thoracic surgery (VATS). Our EndoCAMeleon®Laparoscope enables surgeonsto adjust the viewing direction from 0° to 120°throughout procedures without changing laparoscopes.And our Video Mediastinoscopes withDCI®-D1® Camera allow video recording whileworking under direct vision.KLS Martin, LP 742PO Box 16369Jacksonville, FL 32245www.klsmartinnorthamerica.comKLS-Martin, a responsive company, is focusedon the development of innovative products fororal, plastic and craniomaxillofacial surgery.New product developments in our titanium osteosynthesisplating systems allow these productsto be used for rapid sternal fixation andreconstruction.Lexion Medical 843109 Preston CourtMacon, GA 31210www.lexionmedical.comLEXION Medical, a leader of innovative medicaltechnologies improving patient safety, offershumidified warm gas via the Insuflow®Gas Conditioning System for all thoracic andabdominal laparoscopic procedures, Vessel-Guardian® for desiccation free saphenousvein harvesting and PneuVIEW®XE SmokeElimination System.LifeNet Health 13351864 Concert DrVirginia Beach, VA 23453Lippincott Williams & Wilkins 5082 Commerce Sq, 2001 Market StreetPhiladelphia, PA 19103www.lww.comLippincott Williams & Wilkins, a Wolters KluwerHealth company, is a leading international publisherof medical books, journals, and electronicmedia. We proudly offer specialized publicationsand software for physicians, nurses, studentsand clinicians. Please visit our booth tobrowse our comprehensive product line.LoupeCam 103423623 N. Scottsdale Road D 3256Scottsdale, AZ 85255www.loupeCam.comHD Video Recording Camera Solutions for SurgicalLoupes & Headlights. Finally, Surgical HDVideo Recording has never been easier and accessiblefor under 5K. USB Footpedals offer acomplete control over the camera and MegaPixelLenses guarantee the needed Magnification.USB Plug and Play for Hands-On Surgeons.LSI Solutions 8427796 Victor-Mendon RoadVictor, NY 14564www.lsisolutions.comCOR-KNOT® delivers instant security with automatedknotting and integrated suture trimmingin one easy step. COR-KNOT® mayreduce cardiopulmonary bypass and crossclamptime in your OR. Visit LSI SOLUTIONS®at booth 842 and see the newest edition to theCOR-KNOT® family, the CK® Standard.MAQUET Medical Systems, USA 160745 Barbour Pond RoadWayne, NJ 7470www.maquet.comMAQUET Medical Systems, USA is a globalmarket leader offering a comprehensive portfolioof products designed for use in the Hybrid OR,ICU, Cath Lab and Cardiovascular Therapies.Market Access Partners 14353236 S. Meadow View RoadEvergreen, CO 80439www.marketaccesspartners.comMarket Access Partners provides market researchconsulting to the medical device andpharmaceutical industries. We use innovativequalitative and quantitative methodologies toresearch opinions of physicians, nurses and patients.We offer a management orientated approachto product development and marketing.Mayo Clinic andUniversity of Minnesota 507200 1st Street SWRochester, MN 55905www.mayoclinic.orgMayo Clinic and University of Minnesota presentHealing the Heart, a heritage of innovationexhibit. This display brings together, for thefirst time, two of the original heart-lung bypasscircuits that helped set the world standard foropen heart surgery. These institutions serve patientsand advance science throughout theUnited States and around the world.Medafor Inc. 5132700 Freeway Blvd. Suite 800Minneapolis, MN 55430www.medafor.comMedafor’s patented technology, MicroporousPolysaccharide Hemospheres (MPH®) providesa unique solution for adjunctive hemostasis insurgical applications. Arista® with MPH is asurgically-indicated, plant-based hemostat, providingan all-natural way to accelerate thebody’s intrinsic clotting cascade with no inherentrisk of adverse events.Medical Concepts Europe 5451083 Delaware AveBuffalo, NY 14209www.medicalconcepts.euMCE provides complete solutions for temporarypacing. Advanced design of temporary pacingleads and FastLockSingle Ude Interconnect Cablesincrease reliability and efficacy of pacingwhile reducing potential bleeding. Bipolar andPediatric leads are available.Medistim 151914000 25th Ave. N. Ste. 108Plymouth, MN 55447Medpace Medical Device 10385375 Medpace WayCincinnati, OH 45227www.medpace.com/devicesMedpace Medical Device, MMD, is a division ofMedpace exclusively dedicated to the designand conduct of medical device trials and offersglobal support for in over 40 countries. The divisionis led by device experts highly knowledgeableabout international regulatoryrequirements, i.e. FDA and EMA regulations.Medtronic Inc. 605710 Medtronic ParkwayMinneapolis, MN 55432www.medtronic.comFind Opportunity in Change and considerMedtronic’s intuitive solutions in structuralheart and aortic diseases including: tissue, mechanicaland transcatheter valves; irrigated RFand cryo surgical ablation devices; aortic stentgraft systems; and OPCAB, MICS CABG, cannulaeand perfusion products.NeoChord 5387700 Equitable Drive, Suite 206Eden Prairie, MN 55344www.neochord.comNeoChord's CE Marked device enables beatingheart, sternal sparing impantation of neochordaeand allows real time echo feedback of MRcorrecting. The company is also developingNeoNav, an "augmented reality" device navigationtechnology for mitral procedures. Caution:The NeoChord device in not available for commercialuse in the U.S.Nordson MICROMEDICS 12291270 Eagan Industrial RoadSt. Paul, MN 55121www.nordsonmicromedics.comMicromedics is the partner of choice to thehealthcare industry for custom biomaterial deliverysolutions and provides innovative productdevelopment and design expertise, comprehensiveglobal regulatory support, and broad manufacturing,assembly and packaging capabilities.For over 25 years, Micromedics has developedand manufactured quality, single-use devices foroptimal delivery of single- and multi-componentliquid biomaterials. Visit us in booth 1229.Olympus Medical Systems Group 17303500 Corporate Parkway, POB 610Center Valley, PA 18034-0610www.olympusamerica.comOlympus offers the newest, most versatile videosystem, EVIS EXERA III. Compatible with anyOlympus scope, rigid of flexible, this universalplatform can be used with the EndoBronchialUltraSound(EBUS) bronchoscope and ViziShot,EBUS-TBNA, aspiration needle system. Integratefurther with ENDOALPHA , and controlyour OR equipment from a single touch screen.On-X Life Technologies, Inc. 11291300 E. Anderson Lane, Building BAustin, TX 78752www.onxlti.comOn-X® Heart Valves and MV Chordal Repair:Patented natural design and On-X® Carbon offerreduced turbulence in a mechanical valve torival the clinical and hemodynamic performanceof bioprostheses. FDA IDE approvedPROACT (Prospective Randomized On-X® AnticoagulationClinical Trial) is in process. Chord-XePTFE Suture for MV chordae tendineae repair.Orascoptic Research 14243225 Deming WayMiddleton, WI 53562www.orascoptic.comOrascoptic designs and manufactures high-performancemagnification loupes for dentists, hygienistsand other dental professionals.Renowned for quality craftsmanship, Orascopticloupes deliver remarkable resolution over adeep and wide viewing field. Superior visualizationis achieved through innovative, lightweightoptics made from only the finest grade of glass.With six different telescopes models to choosefrom, each available on a variety of frame stylesand colors, Orascoptic offers one of the mostcomprehensive portfolios of magnification eyewearin the healthcare industry.Oscor Inc. 11153816 DeSoto BlvdPalm Harbor, FL 34683www.oscor.comOscor is a leading manufacturer of permanentand temporary Cardiac Pacing and StimulationLeads, External Pacemakers, Peel Away and Hemostaticvalved Introducers, Transseptal GuidingSheaths, Guiding Catheters, Diagnostic, Angiographyand Balloon Catheters. Typical productsare Pacing and Stimulation Leads, Introducers,Adaptors, Catheters and Shaft Assemblies. FDAregistered. ISO 13485:2003 certified.Oxford University Press 1343198 Madison AveNew York, NY 10016www.oup.comOUP publishes some of the most respectedmedical books and journals in the world, includingthe renowned trio of journals from theEuropean Association for Cardio-ThoracicSurgery. Come and visit our stand to browsebooks and pick up journal sample copies.Pemco Inc. 15295663 Brecksville RoadCleveland, OH 44131-1593Péters Surgical 152842, Rue Benoit FrachonBobigny cedex, 93000 Francewww.peters-surgical.comPéters Surgical develops, manufactures anddistributes medical devices worldwide. ThisFrench company was founded in 1926 and hascontinued to grow. Today Péters Surgical hasfour operating locations all maintaining a highstandard of quality and service. Offering specializedcardiac suture brands Corolene, Cardioxyl,Cardionyl, and now introducingCardioflon Evolution.Pfizer Pharmaceuticals 413235 E. 42nd St, 219 7 1New York, NY 10016Philips Medical Systems 183622100 Bothell-Everett HighwayBothell, WA 98021www.philips.com/hybridORTAVI procedures require high quality imagingand workflow planning for device placement.The Philips TAVI Suite takes integration to thenext level with its advanced imaging tools suchas HeartNavigator for procedure planning andlive image guidance and EchoNavigator, whichcombines Live 3D TEE with fluoroscopy for enhancedvisualization of complex anatomy.Pioneer Surgical Technology 1610375 River Park CircleMarquette, MI 49855www.pioneersurgical.comPioneer Surgical proudly offers Tritium SCP,an FDA cleared sternal cable plating system.Complementing their current cable system,Tritium provides more options to surgeonsand addresses varying patient anatomies. Pioneeris a leading innovator in the design andmanufacturing of implants and instrumentsused for chest closures following median sternotomies.Qualiteam s.r.l. 1238Casale Nassio Sopra 15AChiaverano TO, 10010 Italywww.qualiteam.comQualiteam develops, manufactures and distributesunique products gentle to the human bodywith focus on patient comfort and functionalconvenience for staff. Come visit our booth foran in-depth look at how our products couldhelp your patients recover sooner and ultimatelydecrease the costs of cure.Quest Medical Inc. 634One Allentown ParkwayAllen, TX 75002-4211www.questmedical.comQuest Medical, Inc. is a medical device manufacturerand worldwide distributor specializingin protecting the heart during cardiacsurgery with the Quest MPS 2® and Microplegia.Quest also offers a unique varietyof aortic punches, safety valves, vascularloops, and an anesthesia line designed foroptimum cardiovascular surgery.Richard Wolf MedicalInstruments Corp. 1511353 Corporate Woods ParkwayVernon Hills, IL 60061www.richardwolfusa.comRichard Wolf offers complete solutions for minimallyinvasive diagnostic and operative applicationsincluding bronchoscopy, thoracoscopy,esophagoscopy and mediastinoscopy.Rose Micro Solutions 9424105 Seneca StreetWest Seneca, NY 14224Rultract 15295663 Brecksville RoadCleveland, OH 44131-1593www.rultract.netRultracts'’ surgical retractor provides gentleand uniform lift allowing maximum exposurefor IMA dissection, re-do hearts, xiphoid entry,subxiphoid pericardial procedures, minimallyinvasive procedures (capable for usewith Thoratrak), Parasternal procedures, Pediatric/ASD,T-incisions, Trans-Abdominal GEAmidcab, Pectus, TEMLA, VAMLA, MICS,CABG, LVAD and Pectus Excavcatum NUSSRepair.Sanofi Biosurgery 83755 Cambridge ParkwayCambridge, MA 2142www.sanofi.usSanofi Biosurgery is a global strategic businessunit of Sanofi. It develops and markets innovative,biologically based products for osteoarthritisrelief, adhesion prevention, temporaryContinued on page 13

MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013 AATS 93 RD ANNUAL MEETING 13Continued from page 12endovascular occlusion of blood vessels, cartilagerepair, and severe burn treatment. SanofiBiosurgery is committed to transforming diseasemanagement through innovative medicalinterventions.Scanlan International, Inc. 1205One Scanlan PlazaSt. Paul, MN 55107www.scanlaninternational.comHighest quality surgical products designed andmanufactured by the Scanlan family since1921. Over 3000 titanium and stainless steelprecision instruments including: VATS/MIS thoracoscopicinstruments, Scanlan® SUPERCUT Scissors, and Scanlan® LEGACY titaniumneedle holders and forceps. Single-useproducts include Aorta/Vein Punches, VASCU-STATT® bulldog clamps and graft markers.Siemens Healthcare 173651 Valley Stream ParkwayMalvern, PA 19355www.usa.siemens.com/surgeryThe Siemens Healthcare Sector is one of theworld's largest suppliers to the healthcare industryand a trendsetter in medical imaging,laboratory diagnostics, medical informationtechnology and hearing aids. With over 150 installationsin US (over 300 worldwide),Siemens is a leading provider of imaging systemsfor the Hybrid OR.Society for Heart Valve Disease 937500 Cummings Center, Suite 4550Beverly, MA 1915www.shvd.orgThe SHVD, which promotes research and educationregarding the causes, prevention, andtreatment of heart valve disease, is comprisedof individuals dedicated to improving heartvalve disease in the global population, includingcardiologists, cardiothoracic surgeons, researchers,allied health professionals, students,and institutional representatives. The Societyholds biennial meetings in conjunction with theHeart Valve Society of America (HVSA).Society of Thoracic Surgeons 404633 N St ClairChicago, IL 60611www.sts.orgThe Society of Thoracic Surgeons representsmore than 6,400 surgeons, researchers, andallied health care professionals worldwidewho are dedicated to ensuring the best possibleoutcomes for surgeries of the heart, lung,and esophagus, as well as other surgical procedureswithin the chest. The Society offers awide variety of member benefits, includingreduced participation fees in the renownedSTS National Database, a complimentarysubscription to the prestigious Annals of ThoracicSurgery, dynamic educational offerings,online patient information resources, andmuch more. Stop by booth #404 or visit theSTS website, www.sts.org, to learn moreabout The Society of Thoracic SurgeonsSontec Instruments Inc. 4057248 South Tucson WayCentennial, CO 80112www.sontecinstruments.comSontec offers headlights and loupes and themost comprehensive selection of exceptionalhand held surgical instruments available to thediscriminating surgeon. There is no substitutefor quality, expertise and individualized service.Sontec's vast array awaits your consideration atour booth.Sorin Group 101914401 W. 65th WayArvada, CO 80004www.sorin.comSorin Group is a world leader in the treatmentof cardiovascular diseases. Our innovative productportfolio includes aortic and mitral valve replacementand repair, perfusion equipment,cannula and MICS instruments. For more informationvisit our web site at www.sorin.com.Spec-Med 1214113 Teal St.St. Rose, LA 70087www.spec-med.comSt. Jude Medical, Inc. 7196300 Bee Cave Road Bldg 2 Ste 100Austin, TX 78746www.sjm.comSt. Jude Medical’s history of commitment tocardiac surgery continues with our legacy ofmarket-leading heart valves, which continuesour passion of putting more control into thehands of physicians to offer patients an improvedquality of life.Welcome Reception OpensExhibit HallAATS members visited Exhibit Hall on Sunday evening. Exhibitors welcomedmembers with food and drink and booths with a wide variety displays.MARTIN ALLREDSTS Advocacy Center 408633 N. St ClairChicago, IL 60611-3658www.sts.orgThe STS Advocacy Center Booth #408 is thebest place to learn about STS government relationsactivities and to find out how you canhelp your practice and the future of the specialty.Stop by Booth #408 where you can receivetimely information on federal legislation andregulations impacting your practice, obtaintools to engage members of Congress, andlearn about how to become a Key Contact forcardiothoracic surgery.Sunshine Heart 61912988 Valley View RoadEden Prairie, MN 55344www.sunshineheart.comThe C-Pulse Heart Assist System is a CEMarked extra-aortic balloon pump using counterpulsationtechnology to treat Class III/ClassIVa Heart Failure. It is placed outside thebloodstream, can be performed minimally invasively,and can be disconnected. It improvesheart function by, increasing coronary bloodflow, decreasing afterload and increasing cardiacflow.superDimension, Inc. 542161 Cheshire Lane, Ste 100Minneapolis, MN 55441www.superdimension.comsuperDimension, Inc. develops and manufacturessoftware, hardware and disposables forthe lung disease market. superDimension’siLogic system is the total bronchial access andnavigation system that provides a safe pathwayto peripheral or central lung lesions, even forpatients with procedure-restricting conditions.Surge Cardiovascular /MED Alliance Solutions, LLC 15343825 Commerce DriveSt. Charles, IL 60174www.surgecardiovascular.comSurge Cardiovascular designs, develops, manufactures,and markets a wide range of openheart surgical products for cardiothoracic procedures.The company serves commercial acutecare hospitals, federal government facilities,and provides OEM operations. The Surge Cardiovascularportfolio is CE Marked and distributedacross North America, South America,Europe, and Asia.Surgical Acuity, Inc. 6383225 Deming WayMiddleton, WI 53562Surgitel/General Scientific Corp 132877 Enterprise DriveAnn Arbor, MI 48103SurgiTel Systems is dedicated to offering thebest in ergonomics, vision, and comfort. CouplingSurgiTel Systems' High Definition Opticswith Oakley Frames, we offer the very best inmagnification systems. SurgiCam, our loupemountedcamera system, is digital and lightweightallowing the viewers to see images atthe user’s perspective.SynCardia Systems, Inc. 9431992 E Silverlake DriveTucson, AZ 85713www.syncardia.comThe SynCardia temporary Total Artificial Heart(TAH-t) is the world’s only FDA, Health Canadaand CE approved Total Artificial Heart. It is approvedas a bridge to transplant for patients dyingfrom end-stage biventricular failure. Visit ourbooth for updates on the Freedom portabledriver, 50cc TAH-t and destination therapy.Teleflex Medical 11282917 Weck RriveDurham, NC 27709www.teleflex.comThe Teleflex portfolio offers today’s cardiothoracicsurgeon comprehensive resources including:Horizon, Hemo-clip® ligation,Hem-o-lok®, Tevdek®, Deklene® Maxx suture,Pleur-evac® chest drainage. Weck, Deknatel, &Pilling are recognized pioneer companies providingcardiovascular products enhancing patientoutcomes.Terumo Cardiovascular Systems 9196200 Jackson RoadAnn Arbor, MI 48103Thompson Surgical Instruments, Inc. 42310170 East Cherry Bend RoadTraverse City, MI 49684www.thompsonsurgical.comThompson Surgical is the original manufacturerof table-mounted retractors .The Bolling MitralValve Retractor System is a result of an extensivecollaboration with Dr. Stephen Bolling, aninternationally renowned cardiac surgeon; offeringlow profile handles that are never in theway and the frame and handles do not interferewith sutures. The Bolling Retractor provides uncompromisedexposure for a variety of proceduresincluding Trans Septal Approach, DirectAtrial Approach, Mitral Valve Repair, MitralValve Replacement and MAZE.Thoracic Surgery Foundation for Researchand Education 1105633 N. St ClairChicago, IL 60611www.tsfre.orgTSFRE was established in 1988 as a 501c(3)not-for-profit charitable organization by the fourleading thoracic surgery societies: AATS, STS,STSA, and WTSA. TSFRE’s mission is to fosterthe development of surgeon scientists in cardiothoracicsurgery; increasing knowledge andinnovation to benefit patient care.Thoramet Surgical Products 944301 Route 17 N, Suite 800Rutherford, NJ 7070www.thoramet.comThe Surgeon’s choice for VATS instrumentation!We offer the most extensive catalog of pure thorascopicpatterns available anywhere. The feelyou want, the actuation you need, the patternsyou demand! Come see our unique versatilityand new instruments!Thoratec Corporation 5046035 Stoneridge DrivePleasanton, CA 94588www.thoratec.comThoratec is the world leader in mechanical circulatorysupport with the broadest product portfolio totreat the full range of clinical needs for patientssuffering from advanced heart failure. Thoratec’sproducts include the HeartMate LVAS, ThoratecVAD, CentriMag and PediMag / PediVAS.Transonic Systems Inc. 113934 Dutch Mill Rd.Ithaca, NY 14850www.transonic.comWhat do you routinely think about when you'releaving the O.R.? Are you hoping that the graftsyou just placed are patent after reversing anticoagulation?Obtain peace of mind by measuringblood flow just prior to approximation withTransonic transit-time ultrasound flow measurementtechnology.USB Medical, Ltd. 6422000 Pioneer RoadHuntingdon Valley, PA 19006Valves of Heart, Inc. 422120 E 87th Street, Unit R14 BNew York, NY 10128Vitalcor, Inc. 1111100 E. Chestnut AvenueWestmont, IL 60559www.vitalcore.comLatex Free Coronary Artery Balloon Canulaewith self-inflating Balloon (3-year shelf life).Reusable Dingo (Bulldog) Clamp. Titanium andstainless steel specialty instruments and retractors.Reusable stabilizer for Beating HeartSurgery and Mitral Valve Retractor.Continued on page 14

14 AATS 93 RD ANNUAL MEETING MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013Continued from page 13Vitalitec 141310 Cordage Park Circle, Suite 100Plymouth, MA 2360www.vitalitec.comVitalitec Geister will be displaying all ourproducts, highlighting our Enclose® II AnastomosisAssist Device, Cygnet® FlexibleClamps, Intrack® Atraumatic TemporaryClamps and Inserts and Geister® ValveGate®and Valvegate® PRO line of MIS CV instrumentation.You may view out products at www.vitalitec.com and www.geister.com priorto visiting at our booth.Wake Forest/Preclinical Surgical Services 442200 East First StreetWinston-Salem, NC 27101www.wakepreclinicalservices.comPreclinical Surgical Services is a full-serviceCRO focusing on proof-of-principle, methoddevelopment, and efficacy testing in thepreclinical medical technology research arena.Pre-surgical bench analysis, ex-vivomodeling, dynamic imaging and surgicalmodels in all specialties. From concept toclinical applications, PSS is your innovationpartner.Wexler Surgical 52711333 Chimney Rock Road, #110-120Houston, TX 77035www.wexlersurgical.comWexler Surgical designs and manufactures avariety of titanium and stainless steel specialtysurgical instruments and products for Cariac,Vascular, Thoracic, and Micro Surgery. Come see our new VATS/MICS instrumentsand ask about out Optimus Series. Visit usonline at www.wexlersurgical.com for more informationabout our products and the services.World Society for Pediatric and CongenitalSurgery 4392300 Tupper St. C8-29Montreal, QC H3H1P3 Canadawww.wspchs.orgThe mission of the World Society for Pediatricand Congenital Heart Surgery is topromote the highest quality comprehensivecardiac care to all patients with congenitalheart disease, from the fetus tothe adult, regardless of the patient’s economicmeans, with an emphasis on excellencein teaching, research andcommunity service.Worldwide Trends 15072120 Prospect StMenlo Park, CA 94025Worldwide Trends is a network of experiencedmarket professionals working with medical deviceglobal companies.AATS Exhibit AdditionsCadence Pharmaceuticals 4377436 West Shore DriveEdina,MN 55435www.cadencepharm.comCadence Pharmaceuticals, Inc. offers Ofirmev(acetaminophen) injection 1000 mg/100 mL(10mg/mL). Ofirmev is indicated for the managementof mild to moderate pain; the managementof moderate to severe pain withadjunctive opioid analgesics; and the reductionof fever.GE Healthcare 6389900 Innovation Dr.Wauwatosa, WI 53103www.gehealthcare.comGE is making a new commitment to health.Healthymagination will change the way weapproach healthcare, with more than 100 innovationsall focused on addressing threecritical needs: lowering costs, touching morelives and improving quality.Grifols Inc. 15134101 Research Commons,79 T.W. Alexander DriveResearch Triangle Park, NC 27709www.thrombate.comGrifols is a multinational pharmaceutical andchemical company. Principally a producer ofblood plasma-based products and also suppliesdevices, instruments and reagents forclinical testing laboratories. Product descriptionfor Thrombate can be found onwww.thrombate.com.Lifelike Biotissue 1614700 Collip CircleLondon, Ontario, Canadawww.lifelikebiotissue.comMesocare.org 530440 Louisiana #1212Houston TX 77002www.mesocare.orgOur mission at Mesocare.org is to empowermesothelioma patients, family members, andcaregivers through education about the diseaseand its treatment and through awarenessof the services and resources available tothem wherever they may live. The stakes inthe battle against this cancer are high, andwe hope that we provide everyone with accessto the most current and accurate informationavailable.St. Cloud Hospital 15381406 6th Ave. NSt. Cloud , MN 56303www.centracare.com

VISIT US AT AATS BOOTH #419non-narcotic pain relief meansBetter outcomes. Satisfied patients.With the ON-Q* non-narcotic pain relief system, patients:• Went home an average of 1.1 days sooner• Reported up to 69% lower pain scores• Were up to 3x as likely to report high satisfaction scores• Are more likely to experience better pain management with fewer side effectsEvery day withoutcosts you more.See how ON-Q* can help you. Call your ON-Q* representativetoday for a complimentary consultation: 1-888-962-4ONQ (4667).Visit iflo.com today to view our extensive online library of peer-reviewed journal articles, papers, posters and additional clinical trial information.There are inherent risks in all medical devices. Please refer to the product labeling for Indications, Cautions, Warnings, and Contraindications. Failure to follow the product labeling could directly impact patientsafety. Physician is responsible for prescribing and administering medications per instructions provided by the drug manufacturer. Refer to www.iflo.com for product safety Technical Bulletins.I-Flow*, LLC, A Kimberly-Clark Health Care Company 20202 Windrow Drive, Lake Forest, California 92630 USA ON-Q* Pain Relief System *Registered trademark or trademark of Kimberly-ClarkWorldwide, Inc. ©2013 KCWW All rights reserved.

16 AATS 93 RD ANNUAL MEETING MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013Lung Cancer and More at GT Surgery SessionIn Monday’s General ThoracicSurgery Simultaneous ScientificSession, Mark K. Ferguson, MD,of the University of Chicago, presenteda modified scoring system topredict major cardiovascular eventsafter lung resection, which was developedusing the Society of ThoracicSurgeons General ThoracicDatabase. “We analyzed outcomesfor the period 2003 to 2011 for patientshaving elective major lung resection,applying the ThRCRI Riskscoring system. We found thatThRCRI successfully stratified patientsat risk for major postoperativecardiovascular complications,”Dr. Ferguson said.The ThRCRI Risk score was basedon weighted values for serum creatinine,coronary artery disease, cerebrovasculardisease, and extent oflung resection, and was stratified intofour risk categories: 0 (A), 1-1.5 (B),2-2.5 (C), and greater than 2.5 (D).The major cardiovascular complicationsfollowed included myocardialinfarction, ARDS, ventricular arrhythmiarequiring treatment, andall-cause death.The four scoring categoriesdemonstrated significantly differentMark K. Ferguson, MD, presented ascoring system for major lung resection.incremental risks of major cardiovascularcomplications, ranging fromaround 3% for category A, nearly 6%for category B, to over 11% for categoriesC and D. This expected riskcalculated in the study group wasfound to be similar to the actual observedrisk, indicating that ThRCRIaccurately predicted specific riskrather than just relative risk, said Dr.Ferguson.This finding could have importantclinical relevance. “Using the ThRCRIscoring system may help in identifyingpatients who may benefit fromadditional preoperative evaluationand from closer perioperative monitoring,”Dr. Ferguson concluded.Pradheep Krishnamohan, MD, andhis colleagues from the Mayo Clinic,performed a retrospective record reviewof around 500 patients who underwentlaparoscopic myotomybetween April 1998 and June 2011.Patients’ follow-up was performedusing a standardized dysphagia questionnaire.Laparoscopic myotomy with partialfundoplication was performed inover 95% of the patients, the rest receivingmyotomy alone. There wasno operative mortality. Complicationswere relatively low.Analysis of all patients that returnedthe questionnaires revealedthat around 70% reported heartburn,more than one-third had regurgitation,and around 68% took antacids,H2 blockers or PPIs within the past30 days of the survey.“Our study shows that laparoscopicmyotomy with partial fundoplicationis a safe operation with extremely effectiveoutcomes in about one-thirdof patients, with those patients whoPradheep Krishnamohan, MD, studiedpatients who had laparoscopic myotomy.were older than 65 years tending tohave better outcomes,” Dr. Krishnamohanconcluded.Outcomes for sub-lobar resection(SLR) were equivalent to those forlobectomy for treatment of earlystage non–small cell lung cancer(NSCLC), according to a large,prospective study presented by NasserK. Altorki, MD, of the Weill CornellMedical Center.He and his colleagues comparedContinued on following pagePATRICE WENDLING/IMNG MEDICAL MEDIASAVE THE DATEThe Duke Endosurgery CenterPRESENTSMasters of Minimally InvasiveThoracic SurgerySeptember 19–21, 2013Waldorf Astoria OrlandoOrlando, FloridaCourse Director:Thomas D’Amico, MDProfessor of SurgeryDuke University Medical CenterRegistration/Information:endo.surgery.duke.edu/coursesREGISTER NOWTOPICS:Learn about the most recent advances in minimally invasive thoracic surgery,discuss the technical aspects of the most challenging procedures withinternational experts, and share your most difficult cases with knowledgeableand skilled faculty. This postgraduate course emphasizes the use of video-basededucation and detailed discussion of technical details to meet the continuingeducational needs of surgeons who routinely practice thoracoscopic surgery.AUDIENCE:This program is designed to meet the continuing educational needs of thoracicsurgeons, as well as others who may assist thoracic surgeons in practice. Althoughthe curriculum focuses on the most challenging and complex procedures, fellowsand residents in thoracic and surgical training programs have also benefited fromprevious courses, as have physician assistants and other operative personnel.REGISTRATION:By July 19, $695; after July 19, $795To register or get more information, visit us at endo.surgery.duke.edu/courses.Co-sponsored byAmerican Associationfor Thoracic Surgery

MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013 AATS 93 RD ANNUAL MEETING 17Congenital Simultaneous Session Focuses on TOFMonday’s Congenital HeartSurgery Simultaneous Sessionaddressed attempts toimprove Tetralogy of Fallot repairand on using left ventricle assist device(LVAD) technology to treatchildren with a single functionalventricle, as well as studies to limitcomplications in treating other importantcongenital heart conditions.Despite hopes that the use of amore limited right ventriculotomywould lead to a lowered incidenceof ventricular dilatation and dysfunctionin patients undergoingtransannular repair of Tetrology ofFallot (TOF), there were no benefitsseen for using this procedure comparedwith the standard operation,said Cheul Lee, MD, of the SejongGeneral Hospital.Because long-term complicationsof conventional transannular repairwith a large right ventriculotomy(RV-tomy) in patients with TOF arecommon, many centers adopted theuse of transatrial and transpulmonaryapproach with a limited (lessthan 1 cm) transannular RV-tomy inhopes of getting better results, despitea lack of evidence of long-termresults.Dr. Lee and his colleagues performeda study in more than 113 patientsto test whether the use of amore limited RV-tomy would, in fact,result in less right ventricular (RV) dilatationand dysfunction, comparedwith conventional RV-tomy.Between June 2002 and April 2012,patients who had transannular repairContinued from previous pagelung cancer–specific (LSC) survivalin more than 500 patients with clinicalstage 1A NSCLC who had eitherlobectomy or SLR resection inthe International Early Lung CancerAction Program (I-ELCAP)from 1993 to 2011. They evaluateddifferences in the demographic andclinical characteristics between thelobectomy and SLR groups and determinedthe LCS survival asymptoteusing Kaplan-Meier.“We identified patients in whomthe cancer presented as a solidnodule (with the greater majorityof tumors less than or equal to 2cm as determined by CT screening)who were treated with eitherlobectomy or SLR and found thatthere was no difference betweenthe two groups in median age [63years], sex, presence of hypertension,COPD, cardiac disease, orCheul Lee, MD discussed the longtermresults of a limited RV-tomy.other major comorbidities,” saidDr. Altorki.Overall, there was no significantdifference found in the 14-yearLCS survival rates for SLR andlobectomy, with both slightly over90%. For those with tumors lessthan or equal to 2 cm, the LCSsurvival was also in the low 90%range for both procedures, a nonsignificantdifference.“In addition, regression analysisshowed there was still no significantdifference in survival ofthose who had lobectomy andSLR,” he said.The session, which also includedpapers on topics as diverse aspulmonary hypertension and postsurgicalfollow-up, was moderatedby Harvey I. Pass, MD, of theNew York University MedicalCenter, and David R. Jones, MD,of the University of VirginiaHealth System.MARTIN ALLREDof TOF at a mean age of 2.8 yearsunderwent magnetic resonance imaging(MRI) for evaluation of pulmonaryregurgitation at a mean ageof around 19 years.Patients were divided into limitedRV-tomy group (about one-third) andconventional RV-tomy group (abouttwo-thirds).An equal number of patientsfrom each group were matched forcomparison using propensity scorematching with covariates of sex,age at repair, and history of priorshunt.There was no difference in thesepropensity score–matched comparisons,even though there was a longerinterval between repair and MRI examinationin conventional RV-tomygroup.“Our study couldn’t demonstrateany long-term benefits of using limitedRV-tomy, compared with conventionalRV-tomy in patients, at least interms of RV size and function,” heconcluded, stating that further studieswere necessary to determine whetherthere was a beneficial role of usinglimited RV-tomy for patients who undergotransannular TOF repair.In another examination of theproblems encountered after repairof TOF, Vladimiro Vida, MD, of theUniversity of Padua, and his colleaguesdid a study to examinewhether balloon dilation to preservethe pulmonary valve could be usedto prevent progressive pulmonaryvalve regurgitation leading to rightventricular failure after repair.Since 2008, more than 69 patientswith TOF were enrolled. Therewere 34 patients assigned to pulmonaryvalve preservation using acombination of early trans-atrial repairand intra-operative balloon dilationof the pulmonary valve annulus(Group 1).The remaining 35 patients underwentan early trans-atrial repair withtransannular patch repair and pulmonaryvalve (PV) cusp reconstruction(Group 2), Dr. Vida stated.The degree of pulmonary valve regurgitationwas none/mild in the majorityof the Group 1 patients, whichwas statistically better than in theGroup 2 patients. Follow-up was unequalbetween the 2 groups.“Pulmonary valve preservation usingintra-operative balloon dilationyielded better pulmonary valve functionand leads to improved right ventricularfunction in the mid term,compared to patients who underwenta classical trans-annular patch,” Dr.Vida concluded.Despite a rapidly increasing and favorableexperience with pediatric-specificventricular assist devices (VAD) tobridge children with severe heart failureto transplant or recovery, there isvery little data concerning the use ofVADs in children with functional singleventricle, according to Samuel Weinstein,MD, of the MontefioreMedical School, and his colleagues.Dr. Weinstein presented their largeprospective database study of childrenwith a single functional ventriclesupported with the Berlin HeartPediatric EXCOR VAD, comparedwith the results of those supportedwith biventricular circulation.The researchers reviewed the EX-COR Investigational Device Exemption(IDE) study database of over200 patients implanted between May2007 and December 2010. Around10% of the patients had a singlefunctional ventricle, with the majorityof these having a diagnosis of hypoplasticleft heart syndrome(HLHS).The difference in support days forsingle ventricle patients and the biventriclepatients was non-significant.Transplantation occurred in around42% of the 26 single ventricle patients,compared with 73% of the biventriclepatients who were transplanted orweaned.“The EXCOR device can provide abridge to transplant for children withsingle ventricle physiology, albeit lesssuccessfully than in children withbiventricular circulation. Furtherevaluation of this challenging patientpopulation is warranted,” Dr. Weinsteinconcluded.The session was moderated by PedroJ. del Nido, MD, of Boston Children’sHospital, and Christopher A.Caldarone, MD, of the Hospital forSick Children.The AATS Daily NewsThe Official Newspaper of the AATS93 rd Annual MeetingAATS StaffExecutive Director:Cindy L. VerColenManaging Editor:Lorraine M. O’GradyPublication StaffDirector, IMNG Society PartnersMark BrancaAdvertising Sales:Betty Ann Gilchrist, 203-938-3156Manager, Onsite News Products:Mark LesneyPublication Editors:Therese Borden, Lora McGladeDesigner:Elizabeth LobdellPhotographers:Martin Allred, Nick PiegariProduction Specialist:Maria AquinoCover photo courtesy Meet Minneapolis©Copyright 2013, AmericanAssociation for Thoracic Surgery, 500Cummings Center, Suite 4550, Beverly,MA 01915Produced and distributed for AATS byIMNG Society Partners, Frontline MedicalCommunications. All rights reserved. Nopart of this publication may be reproducedor transmitted in any form, by anymeans, without prior written permissionof the AATS. The opinions expressed inthis publication are those of the presentersand authors, and do not necessarilyreflect the views of the Association.

18 AATS 93 RD ANNUAL MEETING MINNEAPOLIS CONVENTION CENTER • MINNEAPOLIS, MN • MAY 4 – 8, 2013Presidential Address from page 1“People don’t care how much youknow until they know how muchyou care.”Inevitably, as a leader, you will haveto make difficult decisions, and youwill have those difficult conversationswith staff. The ability to persuade isimportant, rather than just using thepower of your position, he said.Dr. Schaff then listed four keycharacteristics of leadership. You must live and adhere to thevalues of your group. Leaders should be expert in somedomain of the group that they lead. The leader must have a vision andplan. The leader must consider the interestsof colleagues first.“You need to have their back, andnot because leadership is a popularitycontest. Your colleagues will be persuadedbecause they know youwatch out for them. They will goalong with your decisions, even withmisgivings if they trust that you considertheir interests first.” And finally,the leader should be a role model,not a mentor. Mentoring involvesmultiple individuals and has becomesynonymous with counselor orguide.Role models, however, are peoplethat individuals compare themselvesto and who occupy the professionaland social roles to which the individualaspires, he said.Thoracic surgery is recoveringfrom a minor crisis in confidence becauseof a diminishing applicantpool, and needs role models becauseof this, he said. “Role models are thesurgeons who by dedication, skill andcharacter, drew you to our specialty,”said Dr. Schaff. “Don’t settle for beinga mentor, but rather, be a rolemodel.”The second important aspect ofthe AATS that Dr. Schaff addressedwas scholarship, the knowledge thatresults from study and research.“It is my strong belief that the bestresearch is done by those who achieveclinical excellence, because a clinicianknows the important questions to askand has insights into the best avenuesfor investigation. Likewise, the bestclinicians not only have busy practicesbut have thought about and writtenabout their experiences, so that otherswill use their methods and avoid thepitfalls they have observed,” he said.Dr. Schaff emphasized that researchin thoracic surgery is verybroad; it may involve molecular biology,integrated physiology, device development,or outcomes research. Allof these domains are important toour specialty, but what are the benefitsto the trainee? The first benefit to the residentmight be something as simple andpractical as career advancement. A second benefit of research is thesatisfaction of discovery and recognitionof the work through presentationand publication. And thirdly, in some instances thelaboratory experience will be a directlead into a career in investigation as asurgeon/scientist. Often, the techniques learned andthe concepts mastered while doingresearch can be applied later to problemsthat are wholly unrelated to theoriginal project.He gave an example from his ownlife, where in the research laboratory,he learned an important implicationfrom extensive research on the effectof ventricular volume on diastolicfunction. “I remember with crystalclarity the day the cardiologist whorefers many HOCM patients forsurgery showed me the echocardiogramof a patient with apical diseaseand said, ‘too bad we don’t have aprocedure for diastolic dysfunction…this patient’s heart is too stiff.’ Atthat time I immediately recalled thediastolic dysfunction in reperfusedhearts and thought that the problemin this patient was not muscle stiffnessper se, but reduced ventricularvolume. And this extrapolation to anoperation for diastolic dysfunctionwas an unexpected benefit of research,20 years after my laboratoryexperience.“As I look out to you in the audience,I see present and future leadersin thoracic surgery. I hope you willtake some time to think about thedefining qualities of leadership, andespecially the importance of rolemodels,” said Dr. Schaff. “And remember,too, of the unexpected benefitsof scholarly activity,” he urged.AATS Mitral Conclave in New York: A Resounding SuccessAlmost 1,000 cardiothoracic surgery professionals attended the2013 Mitral Conclave held on May 2-3 at the Hilton New York. TheConclave, directed by David H. Adams, gathered the world's leadingfigures in mitral valve disease to discuss the latest informationregarding management guidelines, imaging, pathology, minimallyinvasive approaches, percutaneous approaches, surgical techniques,devices, and long term results. Complete coverage of the 2013 MitralConclave will appear in the June issue of Thoracic Surgery News.Francis C. Wells, Papworth Hospital,United Kingdom, kicked off hispresentation on “The Bishop’s Mitre” witha bit of British wisdom.On behalf of the AATS, Hartzell V. Schaff,AATS President, welcomed attendees tothe Mitral Conclave and presented severaltalks, including “Pathophysiology of MitralValve Regurgitation.”The Friday morning Breakfast Breakout Session at 7:15 on “Leaflet Augmentation in ComplexValve Repair” attracted a “standing room only” crowd. The session, co-chaired by Tirone E.David and Robert A. Dion, included Gilles D. Dreyfus - Pericardial Patch Augmentation inTricuspid Valve Repair; David H. Adams - Pericardial Patch Augmentation in Mitral ValveRepair; and Pedro J. del Nido - Biological Scaffolds for Leaflet Regeneration.David H. Adams, Program Director, welcomedattendees and thanked the Program Committee fortheir efforts: Anelechi C. Anyanwu, Michael A.Borger, Pedro J. del Nido, Robert J.M. Klautz, IrvingL. Kron, Tomislav Mihaljevic, and D. Craig Miller.AATS

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