Case Studies in Structural Heart Disease and Intervention: From Clinical Diagnosis to Percutaneous Intervention and Robotically Assisted Surgery
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Case Studies in Structural Heart Disease and Intervention: From Clinical Diagnosis to Percutaneous Intervention and Robotically Assisted Surgery

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  • 1. Mayo School of Continuous Professional Development 2 N D A N N UA L CA S E S T U D I E S I N STRUCTUR AL HEART DISEASE AND INTERVENTION From Clinical Diagnosis to Percutaneous Intervention and Robotically Assisted Surgery January 24-27, 2013 Trump International on Miami Beach Program Directors: Sunny Isles, FL Charanjit S. Rihal, M.D. http://www.trumpmiami.com/ Maurice E. Sarano, M.D. Charles J. Bruce, M.D. New Location 2013!Case-Based Course on Innovative Approaches to Structural Heart Disease Limited Attendance! REGISTER ONLINE NOW! http://www.mayo.edu/cme/cardiovascular-diseases-2013R055
  • 2. Course Description Intended AudienceThis multidisciplinary, clinically oriented The course would be of interest tocourse will highlight innovations and cardiologists, interventionalists,recent developments in the exciting and cardiovascular surgeons, and internistsemerging field of structural heart disease who see patients with cardiovascularinterventions. The course will review disease.innovative and state-of-the-art treatmentsfor aortic stenosis, mitral regurgitation, Credithypertrophic cardiomyopathy, and PFO/ASD. Other uncommon clinical problems, College of Medicine, Mayo Clinic, issuch as paravalvular regurgitation, left accredited by the Accreditation Council foratrial appendage closure, and adult Continuing Medical Education to providecongenital interventions will also be continuing medical education for physicians.highlighted. Expert faculty from Mayo College of Medicine, Mayo Clinic,Clinic and other academic centers will designates this live activity for a maximumpresent in a case-oriented approach that of 24 AMA PRA Category 1 Credits™.will enable you to counsel patients in your Physicians should claim only the creditpractice on the latest diagnostic, commensurate with the extent of theirinterventional, and surgical techniques. participation in the activity. A certificate of attendance will be providedTeaching Materials to other health care professionals forThe course syllabus will be provided on a requesting credits in accordance with stateflash drive and distributed to attendees at nursing boards, specialty societies, or otherthe course. You are welcome to bring your professional associations.computer for note taking during thecourse. A printed copy of the syllabus Grants and ExhibitsWILL NOT be available. At the time of this printing, a complete listing of commercial supporters (financialCourse Learning Objectives or in-kind) was not available. AppropriateUpon conclusion of this program, acknowledgment will be given to allparticipants should be able to: supporters at the time of the meeting.• Review current strategies for repair or Exhibits will be available for viewing at all replacement of the mitral valve; scheduled breaks.• Assess the need for aortic valve replacement as well as state-of-the-art interventional procedure options for the Date and Location treatment of aortic stenosis; All sessions will be held at Trump• Summarize management of the International, 18001 Collins Avenue, Sunny ascending aorta in aortic valve disease; Isles Beach, FL 33160.• Describe the latest diagnostic and management strategies for patients with General Session: Ocean Ballroom, 3rd Floor pulmonary valve dysfunction;• Identify appropriate hypertrophic Exhibits/Breaks/Breakfast: Bay Room, cardiomyopathy patients for septal 3rd Floor alcohol ablation;• Describe current diagnosis and Reception: Lower Pool Deck treatment of pericardial disease and who to select for surgery; Meeting site telephone: 305-692-5600• Identify strategies for PFO and ASD closure; and Fax: 305-692-5601• Describe techniques to obliterate the left atrial appendage and percutaneously close paravalvular leaks. RegistrationAttendance at this Mayo course does not To register online, visit http://www.mayo.indicate nor guarantee competence or edu/cme/cardiovascular-diseases-proficiency in the performance of any 2013R055. The registration fee includesprocedures which may be discussed or tuition, comprehensive course syllabus,taught in this course. continental breakfasts, break refreshments, and welcome reception. Although it is not
  • 3. Mayo School of Continuous Professional Trump and Dezer Properties, rises as aDevelopment (CPD) policy to limit the striking landmark to luxury amidst thenumber of registrants for a course, conference white sands of Miami Beach. Miami is alsoroom facilities may necessitate closing of America’s fishing and diving capital. Theenrollment; therefore, early registration is concierge will arrange a deep-sea fishingadvised. A letter of confirmation will be charter, jet ski or kayak rental, Intracoastalsent upon receipt of payment and completed Waterway sightseeing cruise, or snorkelingregistration form. Please present the or diving excursion. For a list of additionalconfirmation letter when checking in at the things to do, please visit the below websitemeeting registration desk. and also visit concierge tips on this page for additional information: http://www.For additional information, contact: trumpmiami.com/things-to-do-miami/Mayo Clinic Cardiovascular Diseases attractions/index.cfm200 1st Street SW/GO6-138SWRochester, MN 55905 To secure your room at Trump International, please call 866-628-1197Website: www.mayo.edu/cme/cardiovascular- and state that you will be attending the diseases -2013R055 Mayo Clinic Cases program. The roomE-mail: cvcme@mayo.edu rate is $269 single/double a night.Phone: 800-283-6296 or 507-266-6703Fax: 507-266-7403 The resort fee is waived and includes: entrance to the Spa, utilization of theCancellation Policy fitness center, use of the tennis center, complimentary local calls (up to 20If you cancel your participation in this minutes per call), access fees waived forcourse, your registration fee, less a $75 credit card and 800 calls, 10 pages ofadministrative fee, will be refunded when incoming faxes per day, in-room coffeewritten notification is received by Mayo replenished daily, morning newspaper,School of CPD before Thursday, January beach and pool chairs and umbrellas as10, 2013 (cvcme@mayo.edu or fax#: 507-266- well as pool and beach attendant7403). No refunds will be made on or after gratuities, Planet Kids Club, and scheduledThursday, January 10, 2013. Canceled shuttle service to Aventura Mall, Balregistrations are non-transferable. Harbour Shops and South Beach.Mayo School of CPD reserves the right to The hotel room block is scheduled to becancel or postpone any course due to held until Wednesday, January 2, 2013, butunforeseen circumstances. In the unlikely may be sold out before this date.event Mayo School of CPD must cancel or Therefore, we advise you to register for thepostpone this course, Mayo School of CPD program and reserve your lodging as soonwill refund the registration fee, but is not as possible. All reservations will beresponsible for any related costs, charges, guaranteed to a valid major credit card oror expenses to participants, including fees by cash deposit of one night’s room rateassessed by airline/travel/lodging agencies. and tax. Credit cards will not be charged at the time of reservation. IndividualTravel/Transportation reservations canceled prior to January 2, 2013 will be released at no charge. WhenAirlines: you make your reservation, please be sureMiami International Airport – to ask about any additional fees, earlyApproximately 30 minutes (13 miles) departure fees, or cancellation penalties.Ft. Lauderdale International Airport – Check-in Time: 4:00 p.m.Approximately 25 minutes (11 miles) Check-out Time: 11:00 a.m.(Approximately $25 shuttle/$65 taxi) Lodging arrangements are the sole responsibility of the individual registrant.Lodging Accommodations Mayo School of CPD is not responsible forTrump International Beach Resort is a expenses incurred by an individual who isworld of indulgent pleasures waiting for not confirmed and for whom space is notyou on the shores of beautiful Miami available at the meeting. Costs incurred byBeach. Ideally located in the exclusive the registrant such as airline or hotel feesenclave of Sunny Isles, this Miami Beach or penalties are the responsibility of thehotel masterpiece, created by Donald registrant.
  • 4. Parking Guest FacultyParking overnight at the hotel is $30. Day Ted E. Feldman M.D.parking is $15. Evanston Hospital, Evanston, IL Howard C. Herrmann, M.D.SOCIAL PROGRAM Hospital of the University of Pennsylvania,Welcome Reception Philadelphia, PAThursday, January 24, 2013Attendees and their guest(s) are cordially David Reuter, M.D.invited to join the course faculty for the Seattle Childrens Hospital, Seattle, WAWelcome Reception on Thursday, January24, 2013, from 6:30-7:00 p.m. on the lower Carlos E. Ruiz, M.D., Ph.D.pool deck lawn. This casual reception North Shore Long Island Jewish Healthwelcomes you to Florida, officially opens Systems, New York, NYthe course, and offers you the perfectopportunity to make connections with Gregg W. Stone, M.D.existing and new colleagues. Columbia University Medical Center / New York-Presbyterian Hospital, New York, NYFuture Program DatesNext year’s course will be held Brian K. Whisenant, M.D.January 16-19, 2014 at Harbor Beach Utah Heart Clinic, Riverton, UTMarriott, Fort Lauderdale, FL onMiami Beach. Faculty Disclosure As a provider accredited by ACCME,Faculty College of Medicine, Mayo Clinic (MayoCourse Directors School of Continuous Professional Development) must ensure balance,Charanjit S. Rihal, M.D. independence, objectivity and scientificMaurice E. Sarano, M.D. rigor in its educational activities. CourseCharles J. Bruce, M.D. director(s), planning committee, faculty,Mayo Faculty and all others who are in a position to control the content of this educationalHarold M. Burkhart, M.D. activity are required to disclose all relevantAllison K. Cabalka, M.D. financial relationships with any commercialHari P. Chaliki, M.D. interest related to the subject matter of theJoseph A. Dearani, M.D. educational activity. Safeguards againstWilliam K. Freeman, M.D. commercial bias have been put in place.Kevin L. Greason, M.D. Faculty also will disclose any off-labelDavid J. Holmes, M.D. and/or investigational use ofJoseph F. Maalouf, M.D. pharmaceuticals or instruments discussedJoseph J. Maleszewski, M.D. in their presentation. Disclosure of thisSunil V. Mankad, M.D. information will be published in courseVerghese Mathew, M.D. materials so those participants in theHector I. Michelena, M.D. activity may formulate their ownIssam D. Moussa, M.D. judgments regarding the presentation.Vuyisile T. Nkomo, M.D.Jae K. Oh, M.D.Sorin V. Pislaru, M.D.Guy S. Reeder, M.D.Robert D. Simari, M.D.Paul Sorajja, M.D.Rakesh M. Suri, M.D., D.Phil.John M. Stulak, M.D.Eric E. Williamson, M.D.
  • 5. Thursday, January 24, 20137:00 a.m. Registration and Continental Breakfast7:45 a.m. Welcome and Audience Pre-TestAORTIC VALVE: ANATOMY, IMAGING, AND HEMODYNAMIC ASSESSMENTModerators: Drs. Sarano, Sorajja, and Dearani8:00 a.m. Anatomy of the Aortic Valve and Aortic Root – What the SHD Specialist Needs to Know – Dr. Joseph J. Maleszewski8:20 a.m. Echo in Aortic Stenosis: What Data Should You Look For? – Dr. Vuyisile T. Nkomo8:35 a.m. CT in Aortic Stenosis: Why Is It Critical in the Era of TAVR? – Dr. Eric E. Williamson8:55 a.m. Aortic Stenosis Cases Low Output Low Gradient AS: How to Assess – Dr. Charles J. Bruce Paradoxic Low Flow AS: Is it for Real? – Dr. Sunil V. Mankad Where Is the Level of Obstruction: Above or Below the Valve? – Dr. Sorin V. Pislaru9:25 a.m. Panel Discussion9:35 a.m. Aortic Regurgitation After TAVR: A Conundrum Echo: Do We Really Know How to Assess Severity? – Dr. Jae K. Oh Are Aortography and Hemodynamic Assessment the Answer? – Dr. Guy S. Reeder9:55 a.m. Panel Discussion10:05 a.m. Refreshment BreakAORTIC VALVE INTERVENTIONSModerators: Drs. Bruce, Rihal, and Suri10:30 a.m. TAVR: Current State-of-the-Art and Future Prospects – Dr. David J. Holmes10:55 a.m. TAVR: Rapid Fire Illustrative Cases SAPIEN Transfemoral Technique – Dr. Verghese Mathew Paravalvular Regurgitation – Dr. Charanjit S. Rihal Valve Dislodgement – Dr. Paul Sorajja Core Valve Technique – Dr. Carlos E. Ruiz Transapical Technique – Dr. Kevin L. Greason Core Valve Complication – Dr. Carlos E. Ruiz Vascular Challenges – Dr. Kevin L. Greason Transaortic Approach – Dr. Rakesh M. Suri12:55 p.m. Adjourn for the AfternoonAFTERNOON SESSIONTRANSCATHETER AORTIC VALVE REPLACEMENTModerators: Drs. Bruce, Holmes, and Greason4:00 p.m. Recorded “Live” TAVR Cases – Drs. Rihal, Suri, Greason, and Sorajja4:30 p.m. In the Era of TAVR Is There Still a Place for Mechanical AVR? – Drs. Greason and Dearani4:50 p.m. Can We Regrow an Aortic Valve? – Dr. Robert D. Simari5:05 p.m. Panel Discussion5:15 p.m. Workshops (30 minutes each rotating) 1. How to Set Up a TAVR Practice – Drs. Feldman, Mathew, Nkomo, and Herrmann Location: Ocean Ballroom, Main Ballroom 2. More Recorded “Live” TAVR Cases – Drs. Rihal, Suri, Greason, and Sorajja Location: Grove Room, 4th Floor6:15 p.m. Adjourn
  • 6. 6:30 - Welcome Reception7:30 p.m. Lower Pool Deck, Grass Area Attendees, Faculty, Exhibitors and Their Guests InvitedFriday, January 25, 20137:00 a.m. Continental Breakfast7:55 a.m. WelcomeMITRAL VALVE: ANATOMY, IMAGING, AND HEMODYNAMIC ASSESSMENTModerators: Drs. Sarano, Herrmann, and Suri8:00 a.m. Anatomy of the Mitral Valve and Mitral Apparatus – What the SHD Specialist Needs to Know – Dr. Joseph J. Maleszewski8:15 a.m. Imaging of the Mitral Valve – Dr. Sunil V. Mankad8:30 a.m. Mitral Regurgitation Cases Acute Severe MR – Dr. Sorin V. Pislaru Asymptomatic Severe Degenerative MR – Dr. Vuyisile T. Nkomo Why Are the ERO and Regurgitant Volume Discordant? – Dr. Hector I. Michelena Ischemic MR – Dr. Sunil V. Mankad Multi-Flail Leaflets – Repairable? – Dr. Maurice E. Sarano9:45 a.m. Panel Discussion10:05 a.m. Refreshment BreakMITRAL VALVE INTERVENTIONSModerators: Drs. Feldman, Sorajja, and Suri10:30 a.m. Mitral Regurgitation: Morphologic Assessment Etiology Governs Therapeutic Strategy – Dr. Maurice E. Sarano10:55 a.m. MV Repair: The Standard – Dr. Rakesh M. Suri11:15 a.m. Transcatheter MV Repair: Technology Update and Outcomes – Dr. Ted E. Feldman11:35 a.m. Transcatheter MV Repair Cases Patient Selection eClip – Dr. Howard C. Herrmann Cardiac Dimensions Mitral Annuloplasty – Dr. David Reuter Guiding the eClip – Dr. Howard C. Herrmann Double Clip – Dr. Ted E. Feldman12:35 p.m. Rationale and Design of the COAPT Study – Dr. Gregg W. Stone12:55 p.m. Discussion1:00 p.m. Adjourn for the AfternoonAFTERNOON SESSIONTRANSCATHETER APPROACH TOPARAVALVULAR REGURGITATIONModerators: Drs. Bruce, Rihal, and Suri4:00 p.m. Workshops (30 minutes each rotating) 1. Imaging and Assessment of Paravalvular Regurgitation – Dr. Joseph F. Maalouf Location: Ocean Ballroom, Main Ballroom 2. Antegrade Transseptal Approach and Results –Dr. Paul Sorajja Location: Sunny Isles A Room, 4th Floor 3. Transapical Approach and Results – Dr. Carlos E. Ruiz Location: Sunny Isles B Room, 4th Floor 4. Complications Workshop – Drs. Herrmann and Whisenant Location: Key Biscayne Room, 4th Floor6:00 p.m. Adjourn
  • 7. Saturday, January 26, 20137:00 a.m. Continental Breakfast7:55 a.m. WelcomeHYPERTROPHIC CARDIOMYOPATHY:ANATOMY, IMAGING, AND HEMODYNAMICASSESSMENTModerators: Drs. Freeman and Sorajja8:00 a.m. Anatomy and Hypertrophic Cardiomyopathy – Dr. Joseph J. Maleszewski8:20 a.m. Hypertrophic Cardiomyopathy Cases Echo: Why Morphology Matters – Dr. William K. Freeman MRI: Morphology and More – Dr. Eric E. Williamson8:50 a.m. Hypertrophic Cardiomyopathy and Hemodynamics Cases How Much Obstruction Is There? – Dr. William K. Freeman Is the Obstruction Due to HCM – Dr. Hari P. Chaliki Is the MR All Due to SAM? – Dr. Hector I. Michelena If There Is No Obstruction, Provoke It! – Dr. Vuyisile T. Nkomo When Invasive Testing Is Needed – Dr. Paul Sorajja The Value of Exercise – Dr. Guy S. Reeder9:50 a.m. Panel Discussion10:05 a.m. Refreshment BreakHYPERTROPHIC CARDIOMYOPATHY INTERVENTIONModerators: Drs. Oh, Sorajja, and Stulak10:30 a.m. Interventional and Surgical Cases Alcohol Septal Ablation – Dr. Paul Sorajja Surgical Myectomy – Dr. John M. Stulak Guiding the Procedure: What to Look For – Dr. Joseph F. MaaloufPERICARDIAL DISEASEModerators: Drs. Oh and Stulak11:30 a.m. Multimodality Imaging in Pericardial Disease – Dr. Eric E. Williamson11:50 a.m. Pericardial Disease Cases Pericardial Constriction: How Do You Diagnose It? – Dr. Jae K. Oh Pericardial Constriction: Is Surgery Always the Answer? M. Stulak – Dr. John Cardiac Tamponade in the Interventional Environment: Diagnosis and Treatment V. Pislaru – Dr. Sorin Atypical Presentation of Cardiac Tamponade: Clues to Diagnosis – Dr. Vuyisile T. Nkomo12:50 p.m. Panel Discussion1:00 p.m. Adjourn for the Afternoon
  • 8. AFTERNOON SESSIONTHE AORTA AND LEFT ATRIAL APPENDAGEModerators: Drs. Maalouf, Feldman, and Stulak4:00 p.m. Aortic Root Dilatation: When to Intervene? – Dr. Hector I. Michelena4:20 p.m. Anatomy and Multimodality Imaging of the LAA – Dr. Joseph F. Maalouf4:40 p.m. Will PREVAIL Prevail or SentreHeart Steal Your Heart: An Update on Percutaneous LAA Obliteration – Dr. Ted E. Feldman5:05 p.m. LAA Closure Cases (Watchman, SentreHeart, Aegis) – Drs. Rihal, Feldman, and Bruce 5:50 p.m. Panel Discussion6:00 p.m. AdjournSunday, January 27, 20137:00 a.m. Continental Breakfast7:45 a.m. Post-TestASD’s, PFO’s, and VSD’sModerators: Drs. Reeder, Cabalka,and Burkhart8:00 a.m. Anatomy of the Atrial Septum – Dr. Joseph J. Maleszewski8:15 a.m. Illustrative Cases Cryptogenic Stroke: Should We Close a PFO? – Dr. Issam D. Moussa Migraine: Any Role for PFO Closure? – Dr. Brian K. Whisenant Percutaneous Atrial Septal Defect Closure: Complications – Dr. Guy S. Reeder Robotic ASD Closure – Dr. Harold M. Burkhart Post MI VSD: Approach to Treatment – Dr. Allison K. Cabalka9:30 a.m. Panel Discussion9:45 a.m. Refreshment BreakTHINKING OUTSIDE THE BOX: NOVEL APPROACHES TO STRUCTURALHEART PROBLEMSModerators: Drs. Cabalka, Rihal, and Burkhart10:00 a.m. Severe TR: Is There a Minimally Invasive and Percutaneous Option? – Dr. Harold M. Burkhart10:15 a.m. Percutaneous Melody Valve Implantation for Pulmonary Regurgitation – Dr. Allison K. Cabalka10:30 a.m. Novel Percutaneous Approaches to Cardiac Pseudoaneurysms – Dr. Charanjit S. Rihal10:45 a.m. Coronary Artery Fistulae – Indications and Techniques For Closure – Dr. Allison K. Cabalka11:05 a.m. AR After LVAD Implantation – Dr. Charanjit S. Rihal11:20 a.m. Case of Prosthetic Valve Thrombosis: When to Lyse, When to Operate? – Dr. Sorin V. Pislaru11:35 a.m. Failing Mitral Bioprostheses: Novel Approach to Treatment – Dr. Charanjit S. Rihal11:50 a.m. Panel Discussion12:00 p.m. Adjourn
  • 9. REGISTRATION Register online: http://www.mayo.edu/cme/cardiovascular-diseases-2013R055Registration Fee:Course Registration (MD, PhD, DO, PharmD) $795.00Course Registration(Residents, Physician Assistants, NP, RN) $695.00One Day Registration (no refunds given) $300.00(note, this fee is good for only one day of the program)Mayo Clinic Division of Cardiology has recently implemented an online conferenceregistration system. If this is your first time using the online system, you will need tocreate a profile and login account.Register by entering the url:http://www.mayo.edu/cme/cardiovascular-diseases-2013R055and click on Register Now. The system will guide you through the profile and loginprocess. An e-mail address is required upon registration. A letter of confirmationwill be forwarded to this address upon receipt of payment and submittedregistration. Present this letter of confirmation when checking in at the meetingregistration desk.The registration fee includes tuition, electronic course syllabus, continentalbreakfasts, break refreshments, and reception. Although it is not Mayo School ofContinuous Professional Development (CPD) policy to limit the number of registrantsfor a course, conference room facilities may necessitate closing of enrollment;therefore, early registration is advised. Enrollment for this program is limited. Aletter of confirmation will be e-mailed upon receipt of payment. Please present theconfirmation letter when checking in at the meeting registration desk.For additional information, contact:Cardiovascular Continuing Education200 First Street SW – Gonda 6-472Rochester, MN 55905E-mail: cvcme@mayo.eduPhone: 800-283-6296 or 507-266-6703Website: www.mayo.edu/cme/cardiovascular-diseases-2013R055
  • 10. MAYO CLINIC200 First Street SW/GO6-138SWRochester, MN 559052nd AnnualCase Studies in StructuralHeart Disease and InterventionFrom Clinical Diagnosis to PercutaneousIntervention and Robotically Assisted SurgeryJanuary 24-27, 2013Trump International on Miami BeachSunny Isles, FLProgram Directors:Charanjit S. Rihal, M.D. RegisterMaurice E. Sarano, M.D.Charles J. Bruce, M.D. online today!©2012 Mayo Foundation for Medical Education and Research | MC4111-99rev0612