THE SOCIETY OF THORACIC SURGEONS
Twenty-eighth Annual Meeting February 3-5, 1992 Walt Disney World Dolphin Hotel, Lake Buena Vista (Orlando), Florida
The Twenty-eighth Annual Meeting of The Society of Thoracic Surgeons will be held at the Walt Disney World Dolphin Hotel on February 3-5, 1992, preceded by the Twenty-fifth Postgraduate Program on Sunday, February 2. The meeting is open to all duly qualified physicians. Both members and nonmembers are urged to register in advance.
The 1991 Program Committee is very pleased with the response to the abstract call, counting 358 abstracts sub- mitted. In addition to the quantity, the high quality of the abstracts made possible the development of a program that represents all aspects of adult and pediatric cardiac surgery and general thoracic surgery. The utilization of breakout sessions continued to be very successful at the last Annual Meeting. On Monday afternoon, there will be parallel research-oriented sessions entitled ”General Tho- racic Research,” “Cardiac Research,” and “Transplanta- tion/Congenital Research’ running simultaneously from 1:30 to 2:45.
On Tuesday afternoon, all sessions will run from 1:30 to 5:OO PM. Session I will include ”Transplantation” followed by “General Thoracic” segments. Session I1 will include ”Valvular Surgery” followed by ”Congenital Surgery,” and Session 111 comprises the “Acquired Heart Disease I and 11” segments.
The popular Tuesday morning Problem Case Presenta- tions will be scheduled opposite the new Technical “How I Do It” Sessions. The Wednesday morning Clinical Work- shops will also continue.
The Committee had a significant increase in the number of video tapes submitted for the Annual Movie Night, making it possible to develop an excellent program rep- resentative of all aspects of the specialty. The movie night session will be in the Walt Disney World Dolphin Hotel.
At 11:15 AM on Tuesday, Mark V. Braimbridge of The Rayne Institute, St. Thomas Hospital, London, England, will present the second Herbert Sloan Lecture entitled “The International Cardiothoracic Surgeon.”
Registration and Fees An advance registration form with hotel reservation in- formation and details regarding spouses’ activities will be mailed to Society members. Nonmembers should write to the Secretary, Richard P. Anderson, MD, The Society of Thoracic Surgeons, 401 N Michigan Ave, Chicago, IL 6061 1.
Members are not required to pay a registration fee for the Scientific Program. Residents and fellows may register without payment of a registration fee upon presentation of a letter from their chief of service. The fee for other
8 1991 by The Society of Thoracic Surgeons
physicians is $250, except guest speakers, authors, coauthors, and invited discussan ts. Nurses and paramedical personnel may register upon payment of a $40 fee and presentation of a letter of introduction from a Society member.
The Postgraduate Program is sponsored by the Com- mittee on Postgraduate Education of The Society. Regis- tration fee, which includes lunch, for the Postgraduate Program is $65 for all physicians, residents, and fellows.
There will be no mail-in registration for the concurrent Problem Case Presentations or the Technical “How I Do It” Sessions on Tuesday, February 4, or the Clinical Workshops on Wednesday, February 5. Attendance will be by ticket only, and each seminar is limited to 40 physicians. Tickets can be purchased at The Society’s registration desk beginning Saturday, February 1, at 1:30 PM. A continental breakfast is included.
Presentation and Publication Papers presented at the Scientific Session must be submit- ted to the Secretary at the time of presentation, or may be submitted to the Editor prior to the meeting for possible earlier publication.
Speakers for the Scientific Sessions should limit their presentations to 10 minutes. They are requested to meet with the projectionist in the preview room prior to the opening of their session to prepare their slides for presen- tation.
Those who wish to discuss a paper may write the Secretary prior to the meeting. Discussants from the floor should submit their names to the Moderator at the podium prior to the opening of the session during which the paper is to be presented. Discussants from the floor are limited to 2 minutes; primary discussants are limited to 3 minutes.
Discussants will receive a copy of their remarks shortly after the Annual Meeting. Any delay in the return of the corrected discussion to the Editor will hold up publication of the paper. Timely response of all authors and discus- sants is, therefore, urged since delays are unfair to those who promptly return their material for publication.
Accreditation The Society of Thoracic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. One credit hour in Category I of the Physician’s Recogni- tion Award of the American Medical Association may be claimed for each hour of participation by the individual physician. The Postgraduate Program is authorized for eight hours of Category I CME credit.
Ann Thorac Surg 1991;52:1372-82 0003-4975/91/$3.50
Ann Thorac Surg The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting 1373
TWENTY-FIFTH POSTGRADUATE PROGRAM THE SOCIETY OF THORACIC SURGEONS
Sunday, February 2, 1992 Walt Disney World Dolphin Hotel, Lake Buena Vista (Orlando), Florida
8300-22:OO Morning Session
8:OO Introduction to the 1992 Postgraduate Course Cary W. Akins, Boston, MA, Co-Chairman, Postgraduate Committee
I. Mini Symposium: Reoperative Myocardial Revascularization
Indications for and Timing of Coronary Reoperations Ellis L. Jones, Atlanta, GA
Choice of Bypass Conduits for Coronary Reoperation Noel L. Mills, New Orleans, LA
Myocardial Preservation for Coronary Reoperation Richard D. Weisel, Toronto, Ontario, Canada
Should Old Patent Grafts Be Preserved? Hartzell V. Schae, Rochester, MN
11. Mini Symposium: Problems in Thoracic Aortic Surgery
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9:25 Ascending Aortic Dissection
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Nicholas T. Kouchoukos, St. Louis, MO
Spinal Cord Preservation in Descending Aortic Surgery Joseph N. Cunningham, Jr, Brooklyn, NY
Traumatic Disruption of the Thoracic Aorta Alan D. Hilgenberg, Boston, MA
Recurrent Coarctation of the Aorta John W. Brown, Indianapolis, IN
9:45
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IO:l5-12:00 Coffee Break: Visit Exhibits
22:OO 111. C.C.C.E.T.S. Basic Science Lecture** Introduction George C. Kaiser, St. Louis, MO, Chairman, Coordinating Committee for Continuing Education in Thoracic Surgery
Optimal Transfusion Practice in 1992 Harold A. Oberman*, The University of Michigan, University Hospital, Ann Arbor, MI
22:OO-1:30 Luncheon
Luncheon Address: Military Preparations for Managing Thoracic and Cardiovascular Trauma in International Conflicts David J. Cohen, San Antonio, TX
2:30-4:45 Afternoon Session
Introduction Robert J. Ginsberg, New York, NY, Co-Chairman, Postgraduate Committee
IV. Mini Symposium: Esophageal Reflux
Indications for Antireflux Procedures Robert J. Ginsberg, New York, NY
Belsey Repair-Indications, Contraindications, Technique, and Late Results David B. Skinner, New York, NY
2 :30
1 :40
* By Invitation ** Open Session
1374 The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting Ann Thorac Surg
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Nissen Repair-Indications, Contraindications, Technique, and Late Results Tom R. DeMeester, Los Angeles, CA
Hill Repair-Indications, Contraindications, Technique, and Late Results Donald E. Low*, Seattle, WA
Collis Gastroplasty-Indications, Contraindications, Technique, and Late Results F. Griffith Pearson, Toronto, Ontario, Canada
Panel Discussion
Coffee Break: Visit Exhibits
V. State of the Art Lectures
Conservative Mitral Valve Surgery Delos M. Cosgrove 111, Cleveland, OH
Conservative Aortic Valve Surgery Carlos G. Duran, Riyadh, Saudi Arabia
Thoracoscopy-Indications and Technique Ralph J . Lewis, New Brunswick, NJ
PROGRAM
THE SOCIETY OF THORACIC SURGEONS TWENTY-EIGHTH ANNUAL MEETING
February 3-5, 1992
February 3, 1992 (Monday) Morning
Business Meeting (members only)
Opening Remarks for General Scientific Session
Scientific Session
J. Maxwell Chamberlain Memorial Paper
Fontan’s Procedure for Hypoplastic Left Heart Syndrome William I. Norwood, Jr, Marshall L. Jacobs, and John D. Murphy, Philadelphia, PA
Aprotinin Therapy for Reoperative Myocardial Revascularization: A Randomized, Double- Blind, Placebo-Controlled Study Delos M. Cosgrove 111, Blaine Heric, Bruce W. Lytle, Paul C. Taylor, Roberto Novoa, Leonard A. R. Golding, Robert W. Stewart, Patrick M. McCarthy, and Floyd D. Loop, Cleveland, OH
Barrett’s Esophagus With High-Grade Dysplasia: An Indication for Esophagectomy? Manual Pera, Victor F. Trastek, Herschel A. Carpenter, Mark S. Allen, Claude Deschamps, and Peter C. Pairolero, Rochester, MN
Composite Valve Graft Replacement of the Proximal Aorta: Comparison of Techniques in 348 patients Lars G. Svensson, E. Stanley Crawford, Kenneth R. Hess, Joseph S. Coselli, and Hazirn J . Safi, Houston, TX
Management of Thyroid Carcinoma Invading the Airway Hon-Chi Suen, Hermes C. Grillo, Douglas J. Mathisen, and John C. Wain, Jr, Boston, MA
Pediatric Lung Transplantation for Pulmonary Hypertension and Congenital Heart Disease Thomas L. Spray, George B. Mallory, Charles E. Canter, Charles 8. Huddleston, and Larry R. Kaiser, St. Louis, MO
* By Invitation
Ann Thorac Surg The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting 1375
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The Radial Artery for Coronary Bypass Operations: Revival of an Old Conduit Christophe Acar, Victor A. Jebara, Michele Portoghese, Patrice Dervanian, Miguel De Souza, Juan C. Chachques, Jean-Noel Fabiani, Alain Deloche, and Alain Carpentier, Paris, France
Presidential Address If Not the Art, Why the Science? Robert W. Jamplis
Afternoon
Parallel Scientific Sessions Session I
General Thoracic Research Moderators: Victor F. Trastek, Rochester, MN, and John C. Wain, Jr, Boston, MA
Optimal Pleurodesis: A Comparison Study Michael Bresticker, Junichi Oba, Joseph LoCicero 111, and Rodney Greene, Chicago, IL, and Boston, MA
The Present Role of Thoracoscopy in the Diagnosis and Treatment of Diseases of the Chest Michael Mack, Ronald Aronoff, Tea Acuff, Mark Douthit, Richard Bowman, and William H. Ryan, Dallas, TX
Acute Rejection of Pulmonary Allografts: Incidence, Severity, and Effect of Induction With Rabbit Antithymocyte Globulin Bartley P. Griffith, John M. Armitage, Robert L. Kormos, Gary C. Marrone, Irvin Paradis, James Dauber, Samuel A. Yousem, and Robert L. Hardesty, Pittsburgh, PA
Early Cellular Events in the Lung Allograft Riad Adoumie, Cyril Serrick, and Hani Shennib, Montreal, Quebec, Canada, and Marseilles, France
Predictive Criteria for the Need of Extracorporeal Circulation in Single-Lung Transplantation Stephan W. Hirt, Axel Haverich, Thorsten Wahlers, Jochen Schafers, Aiman Alken, and Hans G. Borst, Hannover, Germany
Session I1
Cardiac Research Moderators: Richard D. Weisel, Toronto, Ontario, Canada, and Peter K. Smith, Durham, NC
Right Heart Assist With Skeletal Muscle Ventricles: Up to 16 Weeks’ Experience in Circulation Hiroshi Niinami, Timothy L. Hooper, Renato Ruggiero, Robert L. Hammond, and Larry W. Stephenson, Detroit, MI
A Quantitative Electron Microscopic Analysis of Injury to Leaflet Fibroblasts Associated With Variable Warm Ischemic Time in Human Cryopreserved Valve Conduits Donald Crescenzo, Stephen Hilbert, Robert Messier, Jr, Patrick Domkowski, Mary Kay Bamck, Perry Lange, Ali Analouei, Robert B. Wallace, and Richard A. Hopkins, Washington, DC
Leukocyte Depletion in a Neonatal Model of Cardiac Surgery Ian Wilson, Joseph M. DiNatale, William E. Curtis, A. Marc Gillinov, Duke E. Cameron, and Timothy J. Gardner, Baltimore, MD
Bioassay of Endothelium-Derived Relaxing Factor From Internal Mammary Arteries: Implications for Early and Late Bypass Patency Paul J. Pearson, Paulo R. B. Evora, and Hartzell V. Schaff, Rochester, MN
Expression of Adhesion Molecules by In Vivo Fresh and Cryopreserved Aortic Valve Allografts Michael S. Mulligan, Thomas T. Tsai, James M. Kneebone, Peter A. Ward, and Flavian M. Lupinetti, Ann Arbor, MI
Session 111 TransplantatiodCongenital Research Moderators: Adnan Cobanoglu, Portland, OR, and Jeffrey M. Pearl, Los Angeles, CA
Inhibition of Contracture by Butanedione Monoxime Extends Myocardial Cold Ischemic Tolerance James C. Stringham, Karen L. Paulsen, James H. Southard, Barry L. Fields, and Folkert 0. Belzer, Madison, WI
1376 The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting Ann Thorac Surg
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The Use of Epicardial Electrocardiograms for Detecting Cardiac Allograft Rejection Eric D. Irwin, Richard Bianco, Rose Clack, David Slovut, Raouf Nakhleh, R. Morton Bolman 111, and Sara Shumway, Minneapolis, MN
University of Wisconsin Solution Induces Endothelial Functional Damage During Long- Term Storage in the Isolated Rat Heart Raymond Cartier, Charleen Hollmann, Josie Buluran, and Yves Leclerc, Montreal, Quebec, Canada
Cerebral Blood Flow a n d Metabolism in Hypothermic Circulatory Arrest Craig K. Mezrow, Ali M. Sadeghi, Alejandro Gandsas, Howard Shiang, Dale Levy, Robert Green, Ian R. Holzman, and Randall B. Griepp, New York, NY
Optimal Strategies for Cerebral Protection During Neonatal Heart Repair James Mault, Shigeaki Ohtake, Mary Lilly, Jeffrey Heinle, William J. Greeley, and Ross M. Ungerleider, Durham, NC
Business Meeting (members only)
Evening
Surgical Motion Pictures Moderators: Delos M. Cosgrove 111, Cleveland, OH, and Douglas J. Mathisen, Boston, MA
Aortic Operation for Chronic Type A Dissection, Act 11: Elephant Trunk Replacement of the Proximal Descending Aorta Hans G. Borst and Joachim Laas, Hannover, Germany
Restoring Normal Tracheal Architecture Without Resection in Diffuse Tracheal Malacia With Expiratory Collapse George B. Haasler, Jonathan Hammond, Akira Funahashi, David Rosenzweig, Marilyn Corlew, and Karin Madsen, Milwaukee, WI
Aortic Root Replacement With a Cryopreserved Homograft in a Child Dominique Metras and Bernard Kreitmann, Marseille, France
Sleeve Pneumonectomy With Combined Resection of Superior Vena Cava for Lung Cancer Ryosuke Tsuchiya, Haruhiko Kondo, Tomoyuki Goya, Tsuguo Naruke, and Keiichi Suemasu, Tokyo, Japan
Patch Angioplasty for Isolated Left Main Coronary Artery Stenosis Nicholas P. Rossi, Iowa City, IA
Panoramic View of Thoracoscopic Procedures Stephen R. Hazelrigg, Paul E. Seifert, and James E. Auer, Milwaukee, W1
Radical Aortic Root Enlargement Adnan Cobanoglu, Portland, OR
En Bloc Resection of a Mediastinal Malignant Fibrous Histiocytoma With Aortic Arch Reconstruction Joe B. Putnam, Michael S. Sweeney, N. E. J. Papodapolous, E. M. Milissinos, and J. P. Williams, Houston, TX
The Maze Procedure for Atrial Fibrillation: Surgical Technique Patrick M. McCarthy and James L. Cox, Cleveland, OH, and St. Louis, MO
February 4,1992 (Tuesday) Morning
7:00-8:00 Breakfast Sessions
N o advance registration. Attendance by ticket only and limited to 40 per seminar. Tickets can be purchased a t registration desk beginning Saturday, February 1, at 1:30 PM. Price of ticket covers attendance a t seminar a n d continental breakfast. These sessions r u n concurrently.
Ann Thorac Surg The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting 1377
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Problem Case Presentations (see pp 1381-2 for program)
Technical SessionsHow I Do It (see p 1382 for program)
Scientific Session
Treatment of AIDS-Related Bronchopleural Fistula by Pleurectomy Bernard K. Crawford, Aubrey C. Galloway, Arthur D. Boyd, and Frank C. Spencer, New York, NY
Video Thoracoscopic Wedge Resesctions of the Lung Daniel L. Miller, Mark S. Allen, Victor F. Trastek, Claude Deschamps, and Peter C. Pairolero, Rochester, MN
Intraaortic Balloon Pump: Patterns of Usage and Outcome in Cardiac Surgical Patients Lawrence L. Creswell, James L. Cox, Thomas B. Ferguson, Sr, Nicholas T. Kouchoukos, Thomas L. Spray, Michael K. Pasque, T. Bruce Ferguson, Jr, Thomas H. Wareing, Charles B. Huddleston, and Michael Rosenbloom, St. Louis, MO
Postcardiotomy Centrifugal Mechanical Ventricular Support Leonard A. R. Golding, Ray Crouch, Robert W. Stewart, Roberto Novoa, Patrick M. McCarthy, Paul C. Taylor, Floyd D. Loop, and Delos M. Cosgrove 111, Cleveland, OH
In Situ Reconstruction for Mycotic Aneurysm of the Thoracic Aorta Miralem Pasic, Andreas Laske, Thieny Carrel, Erwin Bauer, Ludwig von Segesser, and Marko I. Turina, Zurich, Switzerland
Invited Speaker
100 Consecutive Imaged Thoracoscopic Surgical Procedures Ralph J. Lewis, New Brunswick, NJ
Factors Affecting Mitral Valve Replacement in 317 Survivors After Mitral Valve Reconstruction Javier Fernandez, Glenn W. Laub, Mark S. Adkins, William A. Anderson, Chao Chen, Kathryn J. Hirschfeld, Bridget Bailey, and Lynn 8 . McGrath, Browns Mills, NJ
The Herbert Sloan Lecture
The International Cardiothoracic Surgeon Mark V. Braimbridge, London, England
Afternoon
Parallel Scientific Sessions Session I
Transplantation Moderators: Walter H. Merrill, Nashville, TN, and Patrick M. McCarthy, Cleveland, OH
Cardiac Retransplantation: A Viable Option? Shreekanth V. Karwande, Dale G. Renlund, Wayne E. Richenbacher, Donald B. Doty, William A. Gay, Jr, and Utah Cardiac Transplant Program, Salt Lake City, UT
The Clinical Trial of FK 506 Immunosuppression in Adult Cardiac Transplantation John M. Armitage, Robert L. Kormos, John Fung, Thomas E. Starzl, and Bartley P. Griffith, Pittsburgh, PA
Successful Lung Transplantation in the Pediatric Population Michel Noirclerc, Jean Camboulives, Laurent Viard, Marie-Ange Silicani, Monique Badier, Jean Francois Dumon, Bernard Kreitmann, Dominique Metras, David S. Mulder, Christ0 I. Tchervenkov, Jean Francois Morin, Benoit DeVarennes, Robert Levy, and Hani Shennib, Marseille, France, and Montreal, Quebec, Canada
Mediastinitis in Heart Transplantation Shreekanth V. Karwande, Dale G. Renlund, Stephanie L. Olsen, Wayne E. Richenbacher, Roger C. Millar, William A. Gay, Jr, and Utah Cardiac Transplant Program, Salt Lake City, UT
1378 The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting Ann Thorac Surg
33. Incidence a n d Recurrence of Cytomegalovirus Infection of the Upper Gastrointestinal Tract in Cardiac Transplant Patients Francisco A. Arabia, Luis J. Rosado, Casey L. Huston, Gulshan K. Sethi, and Jack G. Copeland 111, Tucson, AZ
3:30-5:00 General Thoracic Moderators: Richard F. Heitmiller, Baltimore, MD, and Mark K. Ferguson, Chicago, IL
Thoracic Surgery Directors Association Resident Research Award Paper Intrathecal Perfusion of a n Oxygenated Perfluorocarbon Emulsion Prevents Paraplegia After Extended Normothermic Aortic Cross-Clamping Robert E. Maughan, Chittur Mohan, Ira M. Nathan, Joseph N. Cunningham, Jr, Enrico Ascer, Peter Damiani, and Corrado P. Marini, Brooklyn, NY
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35. Thoracoscopic Resection of 52 Pulmonary Lesions Rodney J. Landreneau, Stephen R. Hazelrigg, Peter F. Ferson, Joel A. Johnson, Weerchai Nawarawong, Theresa Boley, David B. Herlan, and Robert D. Dowling, Pittsburgh, PA
Clinical Manifestation of Mediastinal Fibrosis a n d Histoplasmosis Douglas J. Mathisen and Hermes C. Grillo, Boston, MA
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37. Primary Bony a n d Cartilaginous Sarcomas of Chest Wall: Results of Therapy Michael E. Burt, Michael Fulton, Susan Dunlop, Martin Karpeh, Manjit S. Bains, Nael Martini, Patricia M. McCormack, Valerie W. Rusch, and Robert J. Ginsberg, New York, NY
38. Long-Term Effect of Total Fundoplication on the Myotomized Esophagus Ph. Topart, C. Deschamps, and Andre Duranceau, Montreal, Quebec, Canada
39. Symptomatic and Functional Assessment of Failed Antireflux Procedures Jean-Marie Collard and Tom R. DeMeester, Los Angeles, CA
1 :30-500 Session 11
1 :30-2:45 Valvular Surgery Moderators: D. Craig Miller, Stanford, CA, and Stephen 8. Colvin, New York, NY
Valvular Disease in the Elderly: Influence on Surgical Results Elizabeth A. Davis, Timothy J. Gardner, A. Marc Gillinov, William A. Baumgartner, Duke E. Cameron, Vincent L. Gott, Levi Watkins, Jr, and Bruce A. Reitz, Baltimore, MD
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41. Stentless Porcine a n d Pericardial Bioprostheses in Aortic Position Riccardo Casabona, Ruggero De Paulis, Giuseppe Zattera, Michele di Summa, Mario Vrandecich, and Mario Morea, Torino, Italy, and Belo Horizonte, Brazil
42. Lunulae Hypertrophy and Aortic Insufficiency Nadiv Shapira, Javier Fernandez, Kathryn J. Hirschfeld, Antonio J. Serra, Kathleen W. McNicholas, and Gerald M. Lemole, Wilmington, DE
Clinical and Hemodynamic Performance of the Hancock I1 Bioprosthesis Tirone E. David, Susan Armstrong, and Zhao Sun, Toronto, Ontario, Canada
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44. Left Atrial Isolation Associated With Mitral Valve Operations Angelo Graffigna, Gaetano Minzioni, Francesco Pagani, and Mario Vigan6, Pavia, Italy
3:30-500 Congenital Surgery Moderators: John W. Hammon, Jr, Winston-Salem, NC, and Marshall L. Jacobs, Philadelphia, PA
Coarctation of the Aorta in Infants: Does the Aortic Arch Grow After Repair? John L. Myers, Brian McConnel, and John A. Waldhausen, Hershey, PA
Optimum Treatment of Discrete Subaortic Stenosis Flavian M. Lupinetti, Ara K. Pridjian, Louise 8. Callow, and Edward L. Bove, Ann Arbor, MI
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Advantages of Repair of Atrioventricular Canal Defect With Two-Patch Technique and Tricuspidization of the Mitral Valve Zahid Amin, Rajesh Sharma, Hashmat Ashraf, and Sambamurthy Subramanian, Miami, FL
Damus-Kaye-Stansel Procedure With Cavopulmonary Connection in Infants With Single Ventricle and Subaortic Obstruction Charles B. Huddleston and Thomas L. Spray, St. Louis, MO
Anomalous Left Coronary Artery From the Pulmonary Artery: Early and Late Results After Isolated Aortic Reimplantation Pascal R. Vouhe, Daniel Tamisier, Daniel Sidi, Francoise Vernant, Philippe Mauriat, Philippe Pouard, and Francine Leca, Paris, France
Cardiopulmonary Failure After Congenital Heart Operation: Results of Treatment With Extracorporeal Membrane Oxygenation Stanley Ziomek, James E. Harrell, Jr, J. W. Fasules, Sherry Faulkner, Carl Chipman, Michele Moss, Elizabeth Frazier, and Stephen VanDevanter, Little Rock, AR
Session I11
Acquired Heart Disease I Moderators: Fred A. Crawford, Jr, Charleston, SC, and Gus J. Vlahakes, Boston, MA
Does a Posterior Aneurysm Increase the Risk of Endocardia1 Resection? Irving L. Kron, Pierre Theodore, Terry L. Flanagan, John A. Kern, David E. Haines, Michael J. Barber, and John P. DiMarco, Charlottesville, VA
Prolonged Open Sternotomy and Delayed Sternal Closure After Cardiac Operations Anthony P. Fumary, James A. Magovern, Kathleen A. Simpson, and George J. Magovern, Sr, Pittsburgh, PA
The Systemic Effects of Normothermic Versus Hypothermic Cardiopulmonary Bypass George T. Christakis, Jean Paul Koch, Kathy Deemar, Bernard S. Goldman, and Erluo Chen, Toronto, Ontario, Canada
Subacute Rupture of the Left Ventricle After Myocardial Infarction: Repair With a Sutureless Technique Alejandro Aris, Jose M. Mesa, Jose M. Padro, Jorge Silvestre, Jose Luis Larrea, Jose M. Caralps, and Francisco Cerron, Barcelona and Madrid, Spain
Subcutaneous Use of Erythropoietin in Heart Operations Yasunori Watanabe, Katsuo Fuse, Yoshihiro Naruse, Toshiya Kobayashi, Shin Yamamoto, and Hiroaki Konishi, Tokyo, Japan
Acquired Heart Disease I1 Moderators: Sidney Levitsky, Boston, MA, and Edward D. Verrier, Seattle, WA
Warm Aerobic Blood Cardioplegia: Superior Protection During Revascularization for Acute Myocardial Ischemia W. Moms Brown, John L. Jay, John P. Gott, Alice H. Huang, Pan-Chih, Lynne M. A. Dorsey, Sara L. Katzmark, William S. Horsley, and Robert A. Guyton, Atlanta, GA
Superior Myocardial Protection by Normothermic Aerobic Arrest Over Ischemic Arrest for High-Risk Patients Gregory Louis Kay, Atsushi Aoki, Pablo Zubiate, Curtis Prejean, Joseph Ruggio, and Jerome Harold Kay, Los Angeles, CA
Normothermic Continuous Retrograde Blood Cardioplegia: Is Aortic Cross-Clamping Still Synonymous With Myocardial Ischemia? Philippe Menasche, Jacqueline Peynet, Bernard Touchot, Mohamed Aziz, Sam Haydar, Ghislaine Perez, Gerard Bloch, and Armand Piwnica, Paris, France
Continuous Warm Blood Retrograde Cardioplegia: Maintenance of Myocardial Homeostasis and Elimination of Myocardial Ischemia in Humans Steven R. Gundry, Nan Wang, David Bannon, Robert E. Vigesaa, Clifford Eke, Simon Pain, and Leonard L. Bailey, Loma Linda, CA
1380 The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting Ann Thorac Surg
60. Competitive Flow From a Fully Patent Coronary Artery Does Not Limit Acute Mammary Artery Graft Flow Paul A. Spence, Robert M. Lust, Richard S. Zen, Stanley R. Jolly, Prabodh M. Mehta, Masaki Otaki, You Su Sun, and W. Randolph Chitwood, Greenville, NC
Cryopreserved Allograft Veins as Alternative Coronary Artery Bypass Conduits-Early Phase Results Glenn W. Laub, S. Muralidharan, Robert Clancy, Jay Eldredge, Chao Chen, Mark S. Adkins, Javier Femandez, William A. Anderson, and Lynn 8. McGrath, Browns Mills, NJ
Reception for Members and Guests
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February 5,1992 (Wednesday) Morning
Breakfast Sessions No advance registration. Attendance by ticket only and limited to 40 per seminar. Tickets can be purchased at registration desk beginning Saturday, February 1, at 1:30 PM. Price of ticket covers attendance at seminar and continental breakfast. These sessions run concurrently.
Clinical Workshops (see p 1382 for program)
Scientific Session
Anterior Mediastinal Tracheostomy With and Without Cervical Exenteration Mark B. Orringer, Ann Arbor, MI
Survival After Resection in Stage I1 Non-Small Cell Lung Cancer Nael Martini, Michael E. Burt, Manjit S. Bains, Patricia M. McCorrnack, Valerie W. Rusch, and Robert 1. Ginsberg, New York, NY
Postpneumonectomy Syndrome: Surgical Management and Results Hermes C. Grillo, Jo-Anne 0. Shepard, and Douglas J. Mathisen, Boston, MA
Repair of Total Anomalous Pulmonary Venous Return in Neonates and Young Infants: Results in the Current Era Adnan Cobanoglu, Portland, OR
Anatomical Correction of Tetralogy of Fallot: Ten or More Years’
Gaetano Azzolina, Massa, Italy
Effect of Coronary Bypass Grafting on Long-Term Survival After Postinfarction Ventricular Septa1 Defect Repair Derek D. Muehrcke, Willard M. Daggett, Jr, Mortimer J. Buckley, Cary W. Akins, Alan D. Hilgenberg, and W. Gerald Austen, Boston, MA
Early and Late Cardiac and Neurologic Results After Combined Carotid and Coronary Revascularization: The Preferred Approach for the Severe Vasculopath Robert J. Rizzo, Anthony D. Whitternore, Gregory S. Couper, Magruder C. Donaldson, Sary F. Aranki, John J. Collins, Jr, John A. Mannick, and Lawrence H. Cohn, Boston, MA
Late Results With Operation in Patients With Ventricular Tachycardia and Poor Left Ventricular Function Lynda Mickleborough, Shunichi Mizuno, Eugene Downar, and Gordon Gray, Toronto, Ontario, Canada
VAD-Supported Myocardial Revascularization: The Benefits of Avoiding Pump Oxygenation and Cardiac Arrest in Operations on Dilapidated Hearts Michael S. Sweeney and 0. Howard Frazier, Houston, TX
Coronary Artery Bypass Without Cardiopulmonary Bypass Albert J. Pfister, Jorge M. Garcia, Luis A. Mispireta, Paul J. Corso, Anjum G. Qazi, Steven W. Boyce, Thomas R. Coughlin, and Patricia Gurny, Washington, DC, and Takoma Park, MD
Follow-Up
Ann Thorac Surg The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting 1381
Eebruary 4,1992 (Tuesday morning)
(5 Simultaneous Sessions) Session Committee: Adnan Cobanoglu, Portland, OR, and John W. Hammon, Jr, Winston-Salem, NC
7:00-8:00 PROBLEM CASE PRESENTATIONS
SEMINAR I PULMONARY Discussion Leader: Thomas W. Rice, Cleveland, OH
1. Chronic Pulmonary Torsion Paul F. Waters, Los Angeles, CA
2. Giant Pleural Fibroma Associated With Congestive Heart Failure Stephen Wallenhaupt and John W. Hammon, Jr, Winston-Salem, NC
3. Uncontrollable Chylothorax Donald D. Thomas, Colin Bailey, and Zwi Steiger, Detroit, MI
SEMINAR I1
THORACIC TRAUMA Discussion Leader: Kenneth L. Mattox, Houston, TX
4. Tracheoesophageal Fistula After Primary Repair of Tracheal Gunshot Wound James N. Heller, Paul J. P. Bolanowski, Robert J. Wilcott, and James S. Donahoo, Newark, NJ
5. Repair of Muscular Ventricular Septa1 Defect Secondary to Extrapericardial Trauma Richard J. Novick, Allan H. Menkis, G. Jablonsky, and F. Neil McKenzie, London, Ontario, Canada
6. Traumatic Main Bronchus Rupture Complicated by Pulmonary Coccidiomycosis Felix D. Battistella, David M. Follette, and Mervin B. ONeil, Sacramento, CA
SEMINAR 111
CONGENITAL Discussion Leader: Richard A. Jonas, Boston, MA
7. Critical Pulmonic Stenosis in a Neonate Duke E. Cameron, Baltimore, MD
8. Acute Occlusion of Left Main Coronary Artery After Arterial Switch Repair
9. Management of Ectopia Cordis of the Thoracoabdominal Type
Robert L. Fortune and Peter Baron, Phoenix, AZ
Joseph J. Amato, Ralph J. Galdieri, David M. Lemonick, Hendrick 8. Barner, and F. Z. Bierman, New Hyde Park, NY
SEMINAR IV
ESOPHAGUS Discussion Leader: Herbert E. Cohn, Philadelphia, PA
10. Achalasia After Chemotherapy and Radiotherapy for Adenocarcinoma of the Esophagus Victor A. Ferraris, William R. Berry, Robert R. Klingman, and John Balint, Albany, NY
11. Anastomotic Stricture After Transhiatal Esophagectomy Samuel Edwin Carroll, London, Ontario, Canada
12. Management of Gastrobronchial Fistula 2 Years After Surgical Correction of Benign Esophagobronchial Fistula Secondary to Hiatal Hernia, Reflux Esophagitis, and Stricture Elliot Senderoff, Ambrish P. Mathur, Kedambady P. Sheka, and David Bryk, Brooklyn, NY
SEMINAR V
ADULT CARDIAC Discussion Leader: Stanley K. Brockman, Philadelphia, PA
13. Intraoperative Aortoventricular Separation After Aortic Valve Replacement
14. Dynamic Left Ventricular Outflow Tract Obstruction After In Situ Mitral Valve Tomas D. Martin, M. W. Connoly, and Joseph M. Craver, Atlanta, GA
Replacement Thomas F. Flavin, Richard E. Kerber, Allyn 8. Mark, and Douglas M. Behrendt, Iowa City, IA
1382 The Society of Thoracic Surgeons: Twenty-eighth Annual Meeting Ann Thorac Surg
15. Repair of Left Ventricular to Right Atrial Fistula After Mitral Valve Re-Replacement Using Right Thoracotomy and Circulatory Arrest Verdi J. DiSesa, Philadelphia, PA
February 4,1992 (Tuesday morning)
TECHNICAL SESSIONSHOW I DO IT
(5 Simultaneous Sessions) Session Committee: Delos M. Cosgrove 111, Cleveland, OH, and Douglas M. Mathisen, Boston, MA
SEMINAR I
THOROCOSCOPIC SURGERY
7:00-8:00
Mark S. Allen, Rochester, MN
SEMINAR I1
LUNG TRANSPLANTATION-HARVESTING, PRESERVATION, IMPLANTATION G. Alexander Patterson, St. Louis, MO
SEMINAR 111
CONGENITAL ARTERIAL SWITCH Jan M. Quaegebeur, New York, NY
SEMINAR IV
PULMONARY THROMBOENDARTERECTOMY Pat 0. Daily, San Diego, CA
SEMINAR V
TECHNICAL ASPECTS OF AORTIC VALVE REPAIR Carlos G. Duran, Riyadh, Saudi Arabia
February 5,1992 (Wednesday morning)
(8 Simultaneous Sessions) Session Committee: Timothy J. Gardner, Baltimore, MD, and Victor F. Trastek, Rochester, MN
7:00-8:00 CLINICAL WORKSHOPS
WORKSHOP I
ACID IMPLANTATION Levi Watkins, Jr, Baltimore, MD
WORKSHOP I1
INTRAOPERATIVE ECHOCARDIOGRAPHY Henry M. Spotnitz, New York, NY
WORKSHOP 111
CARDIOMYOPLASTY James A. Magovern, Pittsburgh, PA
WORKSHOP IV
CHOICE OF ARTERIAL CONDUITS Hendrick B. Barner, New Hyde Park, NY
WORKSHOP V
MODIFICATIONS OF THE FORTAN PROCEDURE Hillel Laks, Los Angeles, CA
BARRETT'S DISEASE OF THE ESOPHAGUS Victor F. Trastek, Rochester, MN
WORKSHOP VI
WORKSHOP VII
NEW APPROACHES TO MANAGEMENT OT BULLOUS EMPHYSEMA Bill Nelems, Vancouver, British Columbia, Canada
WORKSHOP VIII
NEW DEVELOPMENTS IN CODING FOR REIMBURSEMENT Sidney Levitsky, Boston, MA, and Jeanne Fitzgerald, Ann Arbor, MI