Sts Meeting Bulletin

IN THIS ISSUE PATIENT SAFETY SYMPOSIUM PAGE 4 DISTINGUISHED SERVICE AWARD PAGE 5 PRIMER ON INTERNET, SOCIAL MEDIA PAGE 6 STS MEETING BULLETIN

THE SOCIETY OF THORACIC SURGEONS 52ND ANNUAL MEETING | PHOENIX, ARIZONA | sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016

DAILY SCHEDULE Allen Urges Colleagues to Innovate TUESDAY ark S. Allen, MD is passionate 6:30 a.m.–4:30 p.m. Registration: STS Annual Meeting about innovation, and he shared Lower Level Foyer that passion during his Monday morning Presidential Address, 9:00 a.m.–3:30 p.m. Exhibit Hall “Innovation for Life.” His clarion Exhibit Halls 4-5 Mcall illustrated how cardiothoracic surgeons can open their hearts and minds to innovation 9:00 a.m.–5:00 p.m. Scientific Posters and ultimately make the specialty better. Room 120 Foyer Balancing seriousness and humor, he described innovators inside and outside 7:30 a.m.–8:30 a.m. Early Riser Sessions of medicine and their five common Locations vary; see Program Guide characteristics: associating, questioning, Early Riser Health Policy Forum: MIPS: The observing, networking, and experimenting. New Medicare Fee-for-Service and What It Means to You The first skill, associating, requires Room 226A mindfulness. “We usually don’t make associations 9:00 a.m.–10:00 a.m. Thomas B. Ferguson Lecture: during a busy day or a hectic OR schedule. We Scott Parazynski need some down time to let these ideas come Exhibit Halls 2-3 together,” said Dr. Allen, pointing to William 10:45 a.m.–11:00 a.m. Hunter, MD, who asked how to build a better Award Presentations stent and went on to be the co-inventor of the In his Presidential Address, Mark S. Allen, MD outlined five characteristics shared by innovators inside and outside of medicine. Exhibit Halls 2-3 TAXUS® drug-eluting coronary stent. 11:00 a.m.–12:00 p.m. The second skill innovators use frequently said. “By questioning, we find areas that need should actively watch patients to see what they C. Walton Lillehei Lecture: Gary Taubes is questioning. improvement, and the questions may spark an are trying to get from the medical system.” Exhibit Halls 2-3 “Innovators are consummate questioners idea for innovation.” One such observer in the medical field is 12:00 p.m.–1:00 p.m. who show a passion for inquiry. We should ask Innovators are better than non-innovators if Gary Crocker, who was a salesman for medical Ethics Debate: An Advance Directive Limits questions about every aspect of what we do. they possess the third skill, observing. catheters and tubing for cardiac surgery. He Postoperative Care—Should Surgeons We should ask our patients about what is not “Innovators are intense observers,” Dr. observed that there weren’t good “plumbing Accept Limits on Care? Room 229AB going well for them. We should ask them what Allen said. “They carefully watch the world tools” for cardiac surgery and went on to start they are most unhappy about today,” Dr. Allen around them. To improve at this skill, you see PRESIDENTIAL ADDRESS, page 18 Residents Luncheon Room 231ABC

1:00 p.m.–3:00 p.m. Adult Cardiac Session: General Room 131ABC Joseph Bavaria Elected STS President

Adult Cardiac Session: Mitral Valve nternationally recognized cardiothoracic University in New Orleans, where he later before completing additional residencies in Room 120D surgeon Joseph E. Bavaria, MD was elected earned his medical degree and participated in thoracic and cardiovascular surgery at the Congenital Session: Pediatric Congenital II by the STS membership yesterday evening the Honors Chemical Engineering Exchange Hospital of the University of Pennsylvania and Room 122ABC as the Society’s 2016-2017 President. Program at the Children’s Hospital of Philadelphia. “I am honored to follow in the footsteps University of Edinburgh An STS member since 1996, Dr. Bavaria EACTS @ STS: Aortic Valve Repair and Iof some of the greatest cardiothoracic in Scotland. most recently served as the organization’s First Aortic Root Reconstruction for Insufficient Tricuspid and Bicuspid Pathology surgeons who have led our specialty and look “Having spent a Vice President. He also participated on the Room 126ABC forward to my tenure as STS President,” said portion of my life Operating Board of the Society’s Council on General Thoracic Session: Esophageal Dr. Bavaria, the Brooke Roberts-William abroad has helped me Health Policy and Relationships. Previously, he Room 125AB Measey Professor in Surgery and Director of keep a more global served as Chair of the STS Workforce on New the Thoracic Aortic Surgery Program at the focus,” said Dr. Bavaria. Technology. General Thoracic Session: Lung Cancer II— Treatment University of Pennsylvania. “I hope to spend “Because of this, one “STS is a broad-based membership society Room 120A my year as President focusing on expanding of my goals during Joseph E. Bavaria, open to all cardiothoracic surgeons, and we the STS National Database to include more my presidency is to MD welcome anyone who wants to join us in Patient Safety Symposium: When Bad Things Happen to Good CT Surgeons— cardiothoracic surgery procedures; I also plan increase STS presence helping shape the future of our specialty,” said Human Error and the Impact on You, the to execute educational opportunities globally.” internationally and increase our cooperation Dr. Bavaria. “I want to encourage all of my “Second Victim” Raised in Cincinnati, Ohio, Dr. Bavaria with other organizations like the American colleagues to get involved with the Society Room 127ABC spent many of his adolescent years living College of Cardiology, American College of and become an advocate for our specialty at all 1:00 p.m.–3:30 p.m. abroad, moving across Europe with his family. Surgeons, and the European Association for levels.” JCTSE: Accountable Surgical Education— He started high school at the American School Cardio-Thoracic Surgery.” Dr. Bavaria lives with his wife, Kim, in How Can Cardiothoracic Surgery Move Forward? in Paris, France, before returning to the United Dr. Bavaria completed his surgical Philadelphia. The couple has two children, Room 123 States to complete his high school education. internship and residency at the Hospital of the Edward and Melanie. Dr. Bavaria enjoys Dr. Bavaria received a Bachelor of Science University of Pennsylvania in Philadelphia. He playing golf and is an avid Philadelphia sports see SCHEDULE, page 8 degree in chemical engineering from Tulane served for a year as Chief Resident of Surgery fan.

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Symposium Examines Impact of Human Error on Cardiothoracic Surgeons

ealth care providers involved in a 3:00 p.m. Tuesday in Room 127ABC. from a combination during the early stages of emotional stress, medical error or adverse event are “We do not know the proportion of health of individual and facilitate recovery from the events, and often considered “second victims.” care professionals who are affected by the work system factors. enhance career satisfaction,” Dr. Fann said. They perceive themselves as being second victim phenomenon, the long-term Thus, it’s important The first presenter, James Jaggers, MD, personally responsible for the impact on their careers, or how these events for clinicians who Aurora, Colo., will discuss the impact of an Hunexpected outcomes and having failed their contribute to work-related stress,” said are second victims adverse event on the provider. patients, causing them to further question their moderator James I. Fann, MD, Professor of to understand the “As much as we’d like to think that this is medical knowledge and clinical abilities. Cardiothoracic Surgery at Stanford University need and develop an all a team effort, the reality is that surgeons This year’s Patient Safety Symposium will in Palo Alto, Calif. James I. Fann, MD infrastructure for a have a substantial amount of burden placed delve into When Bad Things Happen to Good For Dr. Fann, a human factors approach support program. upon them,” Dr. Fann said. CT Surgeons—Human Error and the Impact within the framework of patient safety “For instance, some have advocated for a Co-author of “When Bad Things Happen to on You, the “Second Victim” from 1:00 p.m. to acknowledges that medical errors can result dedicated team that would support providers Good Surgeons: Reactions to Adverse Events,” published in the February 2012 issue of Surgical Clinics of North America, Carol-Anne Moulton, MD, PhD, Toronto, will describe the various stages a provider goes through, including stresses that may lead to burnout and how to overcome the trauma of an adverse IndICatIons The Medtronic CoreValve Evolut R system is indicated for use in end of the radiopaque paddle attachment (point of no recapture), retrieval of the event. patients with symptomatic heart disease due to either severe native calcific aortic bioprosthesis from the patient is not recommended. Retrieval after the point of stenosis or failure (stenosed, insufficient, or combined) of a surgical bioprosthetic no recapture may cause mechanical failure of the delivery catheter system, aortic Anesthesiologist and attorney Timothy aortic valve who are judged by a heart team, including a cardiac surgeon, to be at high root damage, coronary artery damage, myocardial damage, vascular complications, or greater risk for open surgical therapy (i.e., Society of Thoracic Surgeons predicted prosthetic valve dysfunction (including device malposition), embolization, stroke, McDonald, MD, JD, Chicago, will help risk of operative mortality score ≥8% or at a ≥15% risk of mortality at 30 days). and/or emergent surgery. During deployment, the bioprosthesis can be advanced or withdrawn as long as annular contact has not been made. Once annular contact is attendees understand the importance of ContraIndICatIons The CoreValve Evolut R system is contraindicated for made, the bioprosthesis cannot be advanced in the retrograde direction; recapture disclosure and legal issues after an adverse patients presenting with any of the following conditions: known hypersensitivity until the bioprosthesis is free from annular contact, and then reposition in the or contraindication to aspirin, heparin (HIT/HITTS) and bivalirudin, ticlopidine, retrograde direction. If necessary, and the radiopaque capsule marker band has not event, including the perspective of hospitals clopidogrel, Nitinol (Titanium or Nickel), or sensitivity to contrast media, which yet reached the distal end of the radiopaque paddle attachment, the bioprosthesis cannot be adequately premedicated; ongoing sepsis, including active endocarditis; can be withdrawn (repositioned) in the antegrade direction. However, use caution and clinicians. preexisting mechanical heart valve in aortic position. when moving the bioprosthesis in the antegrade direction. While the catheter is in the WarnInGs General Implantation of the Medtronic CoreValve Evolut R system should patient, ensure the guidewire is extending from the tip. Do not remove the guidewire The afternoon will conclude with a panel be performed only by physicians who have received Medtronic CoreValve Evolut R from the catheter while the catheter is inserted in the patient. Use the handle of the training.This procedure should only be performed where emergency aortic valve delivery system to reposition the bioprosthesis. Do not use the outer catheter sheath. discussion. surgery can be performed promptly. Mechanical failure of the delivery catheter system Once deployment is complete, repositioning of the bioprosthesis is not recommended. and/or accessories may result in patient complications. Transcatheter Aortic Valve Repositioning of a deployed valve may cause aortic root damage, coronary artery (Bioprosthesis) Accelerated deterioration of the bioprosthesis may occur in patients damage, myocardial damage, vascular complications, prosthetic valve dysfunction presenting with an altered calcium metabolism. (including device malposition), embolization, stroke, and/or emergent surgery. Do not attempt to retrieve or to recapture a bioprosthesis if any one of the outflow PATIENT SAFETY SYMPOSIUM: PreCautIons General The safety and effectiveness of the Medtronic CoreValve struts is protruding from the capsule. If any one of the outflow struts has deployed Evolut R system have not been evaluated in the pediatric population. The safety from the capsule, the bioprosthesis must be released from the catheter before the WHEN BAD THINGS HAPPEN TO and effectiveness of the bioprosthesis for aortic valve replacement have not been catheter can be withdrawn. Ensure the capsule is closed before catheter removal. GOOD CT SURGEONS—HUMAN evaluated in the following patient populations: patients who do not meet the When using a separate introducer sheath, if increased resistance is encountered when criteria for symptomatic sever native aortic stenosis as defined: (1) symptomatic removing the catheter through the introducer sheath, do not force passage. Increased ERROR AND THE IMPACT ON severe high gradient aortic stenosis – aortic valve area ≤1.0cm2 or aortic valve area resistance may indicate a problem and forced passage may result in damage to the index ≤0.6 cm2/m2, a mean aortic valve gradient ≥40 mmHg; or a peak aortic-jet device and/or harm to the patient. If the cause of resistance cannot be determined YOU, THE “SECOND VICTIM” velocity ≥4.0 m/s, (2) symptomatic severe low-flow/low-gradient aortic stenosis or corrected, remove the catheter and introducer sheath as a single unit over the – aortic valve area ≤1.0cm2 or aortic valve area index ≤0.6 cm2/m2, a mean aortic guidewire, and inspect the catheter and confirm that it is complete. Clinical long- Tuesday valve gradient <40 mmHg; and a peak aortic-jet velocity <4.0 m/s; who are at term durability has not been established for the bioprosthesis. Evaluate bioprosthesis moderate or low surgical risk (predicted perioperative mortality risk of <15%); with performance as needed during patient follow-up. Postprocedure, administer untreated, clinically significant coronary artery disease requiring revascularization; appropriate antibiotic prophylaxis as needed for patients at risk for prosthetic 1:00 p.m.–3:00 p.m. with a preexisting prosthetic heart valve with a rigid support structure in either the valve infection and endocarditis. Postprocedure, administer anticoagulation and/or mitral or pulmonic position if either the preexisting prosthetic heart valve could antiplatelet therapy per physician/clinical judgment. Excessive contrast media may Room 127ABC affect the implantation or function of the bioprosthesis or the implantation ofthe cause renal failure. Preprocedure, measure the patient’s creatinine level. During the bioprosthesis could affect the function of the preexisting prosthetic heart valve; procedure, monitor contrast media usage. Conduct the procedure under fluoroscopy. with cardiogenic shock manifested by low cardiac output, vasopressor dependence, The safety and efficacy of a CoreValve Evolut R bioprosthesis implanted within the or mechanical hemodynamic support. The safety and effectiveness of a CoreValve initial transcatheter bioprosthesis have not been demonstrated. However, in the Evolut R bioprosthesis implanted within a failed preexisting transcatheter prosthesis event that a CoreValve Evolut R bioprosthesis must be implanted within the initial have not been demonstrated. Implanting a CoreValve Evolut R bioprosthesis in a transcatheter bioprosthesis to improve valve function, valve size and patient anatomy degenerated surgical bioprosthesis [transcatheter aortic valve in surgical aortic valve must be considered before implantation of the CoreValve Evolut R bioprosthesis to (TAV in SAV)] should be avoided in the following conditions. The degenerated surgical ensure patient safety (for example, to avoid coronary obstruction). In the event that bioprosthesis presents with a: significant concomitant perivalvular leak (between the valve function or sealing is impaired due to excessive calcification or incomplete Acclaimed Science prosthesis and the native annulus), is not securely fixed in the native annulus, or is not expansion, a postimplant balloon dilatation of the bioprosthesis may improve valve structurally intact (eg, wireform frame fracture); partially detached leaflet that in the function and sealing. To ensure patient safety, valve size and patient anatomy must be aortic position may obstruct a coronary ostium; stent frame with a manufacturer’s considered when selecting the size of the balloon used for dilatation. The balloon size labeled inner diameter <17 mm. The safety and effectiveness of the bioprosthesis for chosen for dilatation should not exceed the diameter of the native aortic annulus or, Journalist to Give aortic valve replacement have not been evaluated in patient populations presenting for surgical bioprosthetic valves, the manufacturer’s labeled inner diameter. Refer to 3 with the following: blood dyscrasias as defined: leukopenia (WBC <1000 cells/mm ), the specific balloon catheter manufacture’s labeling for proper instruction on the use 3 thrombocytopenia (platelet count <50,000 cells/mm ), history of bleeding diathesis of balloon catheter devices. Note: Bench testing has only been conducted to confirm or coagulopathy, or hypercoagulable states; congenital bicuspid or unicuspid valve; compatibility with NuMED Z-MED IITM Balloon Aortic Valvuloplasty catheters where Lillehei Lecture mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant CoreValve Evolut R bioprosthesis device performance was maintained after dilation. aortic regurgitation [3-4+]); moderate to severe (3-4+) or severe (4+) mitral or severe Data on File. (4+) tricuspid regurgitation; hypertrophic obstructive cardiomyopathy; new or untreated echocardiographic evidence of intracardiac mass, thrombus, or vegetation; PotentIal adVerse eVents Potential risks associated with the implantation of native aortic annulus size <18 mm or >26 mm per the baseline diagnostic imaging or the Medtronic CoreValve Evolut R transcatheter aortic valve may include, but are not he 2016 C. Walton Lillehei lecturer surgical bioprosthetic aortic annulus size <17 mm or >26 mm; transarterial access not limited to, the following: • death • myocardial infarction, cardiac arrest, cardiogenic will be Gary Taubes, an award- able to accommodate an 18-Fr sheath or the 14-Fr equivalent EnVeo R InLine sheath; shock, cardiac tamponade • coronary occlusion, obstruction, or vessel spasm (including sinus of valsalva anatomy that would prevent adequate coronary perfusion; moderate acute coronary closure) • cardiovascular injury (including rupture, perforation, tissue winning science journalist who to severe mitral stenosis; severe ventricular dysfunction with left ventricular ejection erosion, or dissection of vessels, ascending aorta trauma, ventricle, myocardium, or fraction (LVEF) <20%; symptomatic carotid or vertebral artery disease; severe basal valvular structures that may require intervention) • emergent surgical or transcatheter has shaken up the status quo and septal hypertrophy with an outflow gradient. intervention (for example, coronary artery bypass, heart valve replacement, valve explant, percutaneous coronary intervention [PCI], balloon valvuloplasty) • prosthetic challenged Prior to Use Exposure to glutaraldehyde may cause irritation of the skin, eyes, nose, valve dysfunction (regurgitation or stenosis) due to fracture; bending (out-of-round and throat. Avoid prolonged or repeated exposure to the vapors. Damage may result configuration) of the valve frame; underexpansion of the valve frame; calcification; Tconventional wisdom from forceful handling of the catheter. Prevent kinking of the catheter when removing pannus; leaflet wear, tear, prolapse, or retraction; poor valve coaptation; suture it from the packaging. This device was designed for single patient use only. Do not breaks or disruption; leaks; mal-sizing (prosthesis-patient mismatch); malposition regarding diet, weight reuse, reprocess, or resterilize this product. Reuse, reprocessing, or resterilization may (either too high or too low)/malplacement • prosthetic valve migration/embolization compromise the structural integrity of the device and/or create a risk of contamination • prosthetic valve endocarditis • prosthetic valve thrombosis • delivery catheter gain, and heart disease of the device, which could result in patient injury, illness, or death. The bioprosthesis system malfunction resulting in the need for additional re-crossing of the aortic valve with his New York size must be appropriate to fit the patient’s anatomy. Proper sizing of the device is the and prolonged procedural time • delivery catheter system component migration/ responsibility of the physician. Refer to Instructions for Use for available sizes. Failure embolization • stroke (ischemic or hemorrhagic), transient ischemic attack (TIA), or Times-bestselling books to implant a device within the sizing matrix could lead to adverse effects such as those other neurological deficits • individual organ (for example, cardiac, respiratory, renal listed below. Patients must present with access vessel diameters of ≥5 mm or an [including acute kidney failure]) or multi-organ insufficiency or failure • major or minor Good Calories, Bad ascending aortic (direct aortic) access site ≥60 mm from the basal plane. Implantation bleeding that may require transfusion or intervention (including life-threatening or of the bioprosthesis should be avoided in patients with aortic root angulation (angle disabling bleeding) • vascular access-related complications (for example, dissection, Calories and Why We between plane of aortic valve annulus and horizontal plane/vertebrae) of >30° for perforation, pain, bleeding, hematoma, pseudoaneurysm, irreversible nerve injury, right subclavian/axillary access or >70° for femoral and left subclavian/axillary access. compartment syndrome, arteriovenous fistula, stenosis) • mitral valve regurgitation Get Fat. Use caution when using the subclavian/axillary approach in patients with a patent or injury • conduction system disturbances (for example, atrioventricular node block, Gary Taubes LIMA graft or patent RIMA graft. For direct aortic access, ensure the access site and left-bundle branch block, asystole), which may require a permanent pacemaker In his lecture, Why trajectory are free of patent RIMA or a preexisting patent RIMA graft. • infection (including septicemia) • hypotension or hypertension • hemolysis We Get Fat, Taubes During Use For direct aortic and subclavian access procedures, care must be exercised • peripheral ischemia • bowel ischemia • abnormal lab values (including electrolyte when using the tip-retrieval mechanism to ensure adequate clearance to avoid imbalance) • allergic reaction to antiplatelet agents, contrast medium, or anesthesia will discuss his hypothesis that the “low fat advancement of the catheter tip through the bioprosthesis leaflets during device • exposure to radiation through fluoroscopy and angiography • permanent disability. closure. For direct aortic access procedures, use a separate introducer sheath; do equals good health” dogma is not supported by not use the EnVeo R InLine sheath. Adequate rinsing of the bioprosthesis with sterile Please reference the CoreValve Evolut R Instructions for Use for more saline, as described in the Instructions for Use, is mandatory before implantation. information regarding indications, warnings, precautions and potential scientific research and that high-carbohydrate During rinsing, do not touch the leaflets or squeeze the bioprosthesis. If a misload adverse events. is detected, unsheath the bioprosthesis and examine the bioprosthesis for damage diets contribute to cardiovascular disease and (for example, permanent frame deformation, frayed sutures, or valve damage). obesity. Do not attempt to reload a damaged bioprosthesis. Do not load the bioprosthesis CAUTION Federal law (USA) restricts this device to sale by or on onto the catheter more than 2 times or after it has been inserted into a patient. Use the order of a physician. The Lillehei lecture will take place at the deployment knob to deploy and recapture the bioprosthesis. Do not use the trigger for deploying or recapturing because it could cause inaccurate placement 11:00 a.m. on Tuesday in Exhibit Halls 2-3. of the bioprosthesis. Once the radiopaque capsule marker band reaches the distal For more information on this speaker, please visit www.prhspeakers.com. TUESDAY-WEDNESDAY | JAN. 26-27, 2016 sts.org STS MEETING BULLETIN 5

Ferguson Lecture Robert A. Guyton Honored for Leadership, to Feature Former NASA Astronaut Service to Cardiothoracic Surgery obert A. Guyton, MD is the Washington, DC. This was at a time when Throughout the years, Dr. Guyton has cott Parazynski’s career has taken recipient of the STS 2016 the medical profession was faced with been involved in the creation and refinement him from the emergency room, to Distinguished Service Award, sky-high professional liability insurance of several cardiothoracic surgery techniques, the summit of Mount Everest, and presented Monday evening at the premiums while including transcatheter aortic valve even to outer space. Tuesday, he Annual Membership (Business) simultaneously replacement. His commitment to patient will share the lessons he’s learned RMeeting. threatened with care has led to strong collaborations with Swith Annual Meeting attendees as the 2016 “This award recognizes Dr. Guyton’s a substantial other physicians, especially cardiologists. Thomas B. Ferguson lecturer. His talk is tremendous contributions not only to cut in Medicare He currently serves as ACC Treasurer and titled The Requisite Innovator’s Mindset: STS but also to the entire specialty of reimbursement. Dr. previously served a term as a member of the Open-Mindedness and the Relentless Hunt for cardiothoracic surgery,” said 2015-2016 Guyton championed ACC Board of Trustees. Problems in Need of Fixing. STS President Mark S. Allen, MD. the Society’s “Other STS members should learn how Dr. Parazynski “Through his work with the American Robert A. Guyton, participation in Dr. Guyton has been able to accomplish was 22 months into an College of Cardiology (ACC), he has earned MD Doctors for Medical many goals with our cardiology colleagues emergency medicine tremendous respect among our cardiology Liability Reform, a with tactful and appropriate interactions. residency in Denver colleagues and has influenced all aspects of coalition formed to raise awareness about the They should also seek to learn his methods when he was selected cardiac care.” need to reform the medical liability system. of developing and implementing a plan with for the NASA astronaut An STS member since 1986, Dr. Guyton He also initiated a series of STS activities harmony and cooperation,” noted Dr. Allen. corps. He flew a total has served the organization in many aimed at elevating the level of expert witness Dr. Guyton was recognized for his of five space shuttle capacities, including 2003-2004 President testimony in medical malpractice litigation. commitment to resident education and missions and conducted and 1997-2002 Treasurer. He participated Dr. Guyton graduated from the mentorship through a 2009 Socrates Award Scott Parazynski, MD seven spacewalks, on the Operating Boards of the Council on University of Mississippi and Harvard from the Thoracic Surgery Residents logging more than Health Policy and Relationships and the Medical School; he then completed an Association. He also was a member of the 1,381 hours (over 8 weeks) in space. He’s Council on Education and Member Services. internship, residencies in general surgery Board of Directors for the Thoracic Surgery also summited Mount Everest and invented Dr. Guyton also chaired the Information and cardiothoracic surgery, and a clinical Foundation for Research and Education. a number of medical devices and other Technology and Information Technology fellowship in surgery at Massachusetts A son of an internationally renowned technologies for life in extreme environments. Liaison Committees, the Workforce on General Hospital in Boston. physician and medical textbook author “Scott is a Professor of Practice and Media Relations and Communications, and He joined Emory University in and brother to nine siblings, all of them University Explorer at Arizona State the Nominating Committee. Atlanta in 1980, where he currently is the physicians, Dr. Guyton currently resides in University, “Dr. Guyton always maintains the highest Distinguished Charles Ross Hatcher Jr. Atlanta with his wife, Beth. and I think standards of professional excellence and is a Professor of Surgery, Chief of the Division The Distinguished Service Award, you’ll find his THOMAS B. strong, dynamic leader,” said Dr. Allen. of Cardiothoracic Surgery, and Director established in 1969, recognizes individuals outlook on life FERGUSON During his time as STS President, of the Emory Cardiothoracic Surgery who have made significant and far-reaching and his idea of LECTURE: SCOTT the Society opened a dedicated office in Residency Training Program. contributions to STS and the specialty. leadership and PARAZYNSKI creativity very Tuesday interesting,” 9:00 a.m.–10:00 a.m. said STS President Mark Exhibit Halls 2-3 Ethics Debate Tackles the Case of a Postoperative Advance Directive S. Allen, MD. “He has quite hen patients or their involves. Everything can be tough, a vision for how space will be developed over caretakers want to painful, and almost cruel and unusual the next several years, which should make for a limit the use of life- punishment. We have to help patients fascinating talk.” sustaining technologies and their families clarify what their after major operations, wishes are,” said Dr. Gaca, Associate Wthose limitations may present a Professor of Surgery at Duke challenge for surgeons. University in Durham, N.C. “Some surgeons feel it’s up to He added that a period of time STS MEETING BULLETIN the patient to decide how much Robert M. Sade, Constantine Jeffrey G. Gaca, after the surgery, he would talk with MD Mavroudis, MD MD THE OFFICIAL NEWSPAPER OF THE STS 52ND ANNUAL MEETING technology they are willing to the wife about discontinuing care accept, while others feel it’s their if needed. “I don’t think we should STS STAFF professional responsibility to do what’s best “I would do the operation and respect place limits on this person’s care before going Robert A. Wynbrandt for the patient, so they are unwilling to accept the patient’s autonomy and the advanced into the operation, but at some point, there is Executive Director & General Counsel limitations in advance,” said Robert M. Sade, directives. The possibility of a successful always a limit on care,” Dr. Gaca said. Natalie Boden, MBA MD, Distinguished University Professor and surgery may be low, but it is still real. The Ethics Debate requires a ticket to Director of Marketing & Communications Professor of Surgery at the Medical University However, during the postoperative period, I attend. If you haven’t yet purchased a ticket, of South Carolina in Charleston. would try to persuade the wife using ethically you may do so at Registration on the lower Heather Watkins Dr. Sade is the facilitator of this year’s acceptable means to change her posture and level of the convention center. Communications Manager Ethics Debate: An Advance Directive Limits accept further care,” said Dr. Mavroudis, PUBLISHING PARTNER Postoperative Care—Should Surgeons Accept Professor of Surgery at Johns Hopkins Ascend Integrated Media LLC Limits on Care? from 12:00 p.m. to 1:00 p.m. University School of Medicine and Site ETHICS DEBATE: AN ADVANCE 6710 W. 121st St., Suite 100 Tuesday in Room 229AB. Constantine Director of Johns Hopkins Children’s Heart DIRECTIVE LIMITS Overland Park, KS 66209 Mavroudis, MD and Jeffrey G. Gaca, MD will Surgery at the Florida Hospital for Children in POSTOPERATIVE CARE— 913-469-1110 debate the case of an 80-year-old man with an Orlando. SHOULD SURGEONS ACCEPT aortic dissection and associated risk factors. He Agreeing with Dr. Mavroudis that the LIMITS ON CARE? © Copyright 2016, The Society of Thoracic Surgeons, needs an urgent operation, and it’s likely he will patient coming off extubation within a week 633 N. Saint Clair St., Floor 23, Chicago, IL 60611-3658. Tuesday The STS Meeting Bulletin is published and distributed for require long-term support with a ventilator and was slim, Dr. Gaca added that this life- 12:00 p.m.–1:00 p.m. STS by Ascend Integrated Media. All rights reserved. The kidney dialysis. His wife is his health care agent, threatening situation dictated urgent surgery, opinions expressed in this publication are those of the presenters and authors and do not necessarily reflect the and she has imposed a limit of no more than 1 and 1 week was a strict time limit. Room 229AB views of the Society. week of life support after the operation, and then “Patients who want ‘everything done’ Ticket required all supportive measures must be discontinued. oftentimes are not aware of what everything 6 STS MEETING BULLETIN sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016

STS/CATS/CSCS Offers Primer on Internet, Social Media, 3D Printing resenters at the STS/CATS/CSCS Thoracic Surgeons, and the Canadian Society the urge to overly self-promote and rather Mackenzie Quantz, MD has embraced the session on Monday took attendees of Cardiac Surgeons. provide useful information, including avenues world of 3D printing, producing a number of beyond their comfort zones, giving The rapid increase of individuals looking for connecting with their offices. models, including an aortic root and mitral them a glimpse of how they can to the internet for their health care needs Mara B. Antonoff, MD shared her insights valve, on his 3D printer, which is about the size improve their internet presence, has subsequently altered the doctor-patient about the advantages social media can bring of two paper shredders. Pbenefit from the use of social media, and use relationship, said Christopher W. Seder, to cardiothoracic surgeons, describing Twitter “The use of 3D surgical simulators 3D printing applications in cardiothoracic MD, Assistant Professor of Surgery in the as a fruitful environment for her professional helps train residents to be more proficient surgery. The program was a collaboration Department of Cardiovascular and Thoracic networking, which she said gives her endless outside of the operating room in a stress-free among STS, the Canadian Association of Surgery at Rush University Medical Center potential interactions with patients, caregivers, environment, at their own pace, and under in Chicago, who discussed how to build a advocacy groups, and societal organizations. mentorship, which enhances the learning winning website. “I use Twitter to communicate with others experience,” said Dr. Quantz, Associate Beyond his presence on the Rush website, about my primary academic interests, including Professor of Surgery and a Consultant in he and his colleagues worked with an outside lung cancer and medical education. I have Cardiac Surgery at the University of Western company to create a website for their practice, formed collaborations, learned an inordinate Ontario in London, Canada. www.midwestesophagus.com. amount, participated in important dialog with “You can make your own simulators, “It’s important to optimize your internet others, and shared my own resources with a fine-tune them, and create special one-offs presence. To do that, you need to do four wide audience,” said Dr. Antonoff, Assistant for any type of situation, and you can do it things: get people to your website, emotionally Professor in the Department of Thoracic and very quickly for a low cost,” Dr. Quantz said. connect with them, logically justify that Cardiovascular Surgery at The University of “I control the entire process, which makes it connection in their mind, and convert that to an Texas MD Anderson Cancer Center in Houston. extremely user friendly and flexible.” office visit,” Dr. Seder said. Dr. Antonoff also discussed the preliminary The co-moderators of the STS/CATS/CSCS He provided several tips for achieving 6-month experience of the Thoracic Surgery program were Sean C. Grondin, MD, MPH, search engine optimization, including the use Social Media Network (TSSMN), an Clinical Professor of Surgery in the Section of of high-quality, original content, high-quality organization that she helped create. TSSMN Thoracic Surgery at the University of Calgary, back links for users to link to your website, participants are charged with promoting Alberta, Canada, and Colin Schieman, MD, and social media to increase those back links. Twitter discussions relevant to the content Assistant Professor of Surgery and Director of Monday’s STS/CATS/CSCS session gave attendees a new perspective on how the Because the duration of website visits are short of The Annals of Thoracic Surgery and the the Thoracic Residency Program at McMaster internet, social media, and 3D technology can lived, he said it’s vital that websites are inviting Journal of Thoracic and Cardiovascular University, St. Joseph’s Healthcare in impact cardiothoracic surgical practice. and well designed, but surgeons should resist Surgery, using the hashtag #TSSMN. Hamilton, Ontario, Canada. SCA @ STS Addresses Evaluation, Management of Circulatory Shock n the heels of last year’s successful MD, Durham, N.C., are management and mechanical support for shock. “I think Dr. Levy will give a good review SCA @ STS session, planners co-moderators of the When patients present with acute and also discuss the areas that challenge us, from the Society of Cardiovascular session, which will be circulatory failure, their surgeons are left with such as patient management of individuals Anesthesiologists and STS have from 3:30 p.m. to several questions: “When should we make the with left ventricular assist devices, mechanical created a compelling new program 5:30 p.m. Tuesday in decision that we need mechanical support?, support, and low ejection fraction,” said Dr. Ocentering on perioperative evaluation and Room 126ABC. Which is the right support?, Are there any Shake, Associate Professor, Director of the management of circulatory shock. Leaders in their cost considerations?, and Do we have data Cardiovascular Intensive Care Unit, Director of “Anesthesiologists and surgeons work fields will discuss to support some of this?,” Dr. Shake posed. Adult Extracorporeal Membrane Oxygenation, together in the operating room, so both groups Jay G. Shake, MD how to identify “Sometimes, it isn’t crystal clear. I think these and Co-Director of the Wallace Conerly experience shock perioperatively,” said Jay G. shock in challenging talks will make for a stimulating discussion.” Critical Care Hospital at the University of Shake, MD, Jackson, Miss. Dr. Shake, Aaron postoperative cardiac patients, perioperative Dr. Levy will look at shock in difficult Mississippi Medical Center in Jackson. M. Cheng, MD, Seattle, and Jerrold H. Levy, hemodynamic monitoring, and pharmacologic patients. With new technologies for perioperative SCA @ STS: hemodynamic PERIOPERATIVE monitoring EVALUATION AND STS PAST PRESIDENTS MANAGEMENT ixteen STS Past now available, Robert Sladen, OF CIRCULATORY Presidents, SHOCK S including 2015- MD, New York, 2016 President Mark will compare Tuesday S. Allen, MD (bottom, options for center) gathered at 3:30 p.m.–5:30 p.m. surgeons, such a dinner Saturday Room 126ABC evening honoring the as noninvasive rich history of Society cardiac output leadership. devices, as well as conventional options. “Everyone is trying to come at this from different angles,” said Dr. Shake, “but what are our choices, and are there data to support one technology over another?” In his talk on proven strategies for pharmacologic management of shock, Peter von Homeyer, MD, Seattle, will dig into recent prospective trials and share evidence for choosing pharmacological agents to treat circulatory failure. The last speaker, Ashish Shah, MD, Nashville, Tenn., will identify indications, options, and outcomes for using mechanical circulatory support devices in these patients. 1 Strong when you need it. †2 Gone within 30 days. Postoperative hemostasis protection in a resorbable surgical sealant.†2,3

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COSEAL Surgical Sealant Indication: COSEAL is indicated for use in vascular reconstructions to achieve adjunctive hemostasis by mechanically sealing areas of leakage. Important Risk Information for COSEAL: COSEAL is not to be used in place of sutures, staples, or mechanical closure. COSEAL swells up to four times its volume within 24 hours of application and additional swelling occurs as the gel resorbs. Therefore, surgeons should consider the maximum swell volume and its possible effect on surrounding anatomic structures potentially sensitive to compression. Apply only as a thin layer. Use caution when applying with pressurized gas. Do not place devices or other objects on top of tissue where COSEAL has been applied, until the material is fully polymerized (non-tacky). Do not apply COSEAL over any devices or objects that will need to be removed. COSEAL must not be used as a mechanism of adherence, even temporarily, for any object. Do not inject COSEAL into vessels. In vivo testing demonstrated a mild skin sensitization response in an animal model. Similar testing in humans has not been conducted. Rx Only. For safe and proper use of these devices, refer to the appropriate full device Instructions for Use. 1. Wallace DG, Cruise GM, Rhee WM, et al. A tissue sealant based on reactive multifunctional polyetheylene glycol. J Biomed. 2001;58:545-555. 2. Hill A, Estridge TD, Maroney M, et al. Treatment of suture line bleeding with a novel synthetic surgical sealant in a canine iliac PTFE graft model. J Biomed. 2001;58:308-312. 3. COSEAL Surgical Sealant Instructions for Use, Hayward, CA: Baxter Healthcare Corporation. March 2009.

COSL-14242 STS Ad-Daily Bulletin R11.indd 12/18/15 4/0 — 11 10.375" x 14.5" 10.875" x 15" +.125"

8 STS MEETING BULLETIN sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016

STS 2016: A Day in Photos 2 Andreas Durko, MD and Karoly Szabo, MD 1 from the University of Debrecen in Hungary won the 2016 Jeopardy championship, organized by Joint Council on Thoracic Surgery Education leaders, including Nahush A. Mokadam, MD (left). Dudley Hudspeth, MD (left) poses with 2 STS Director of Government Relations Courtney Yohe. Dr. Hudspeth was awarded the STS 2015 Key Contact of the Year Award for his commitment to advocacy. Meeting attendees had numerous 3 opportunities on Monday to learn about new products and services in the STS Exhibit Hall. Speakers at Monday's 30th Anniversary 4 Celebration of Women in Thoracic Surgery highlighted significant contributions from 1 members of WTS and STS.

Surgeon Shares Tips for Treatment of Thoracic Outlet Syndrome SCHEDULE continued from page 1 ardiothoracic and vascular surgeons have held collaborative programs at each He finds patients with venous thoracic outlet came together to share their insights other’s annual meetings for the last 4 years. to be extraordinarily challenging because they 1:00 p.m.–5:30 p.m. on several of their overlapping The collaborations bring state-of-the-art, tend to be young athletes who are pitchers, Advanced Therapies for End-Stage Heart Disease swimmers, and tennis players intent on interests during the Monday evidence-based practice together from two Room 128AB afternoon SVS @ STS session. different worlds,” said co-moderator A. continuing their athletic careers. C“STS and the Society for Vascular Surgery Michael Borkon, MD, Co-Director of the “Sometimes this diagnosis can be missed, 3:30 p.m.–5:30 p.m. Adult Cardiac Session: Aorta II Mid-America Heart Institute and Chair of the but it should not be; if it is, the results can Room 120D Department of Cardiovascular Surgery at Saint be devastating,” he said. “The treatment Adult Cardiac Session: Aortic Valve Luke’s Health System in Kansas City, Mo. for venous thoracic outlet is really quite Room 131ABC Presenters from both societies shared their straightforward. Cardiothoracic Surgical Education perspectives on three areas: conservative “I lyse the clot and operate sooner Room 127ABC management and stent grafting of acute type B rather than later. In order to decompress Congenital Session: Pediatric Congenital III dissections, open treatment and endovascular and reconstruct the vein, an infraclavicular Room 122ABC repair of thoracic aortic aneurysms, and incision is best. This allows you to remove ESTS @ STS: Controversial Issues in cardiothoracic and vascular surgery approaches the subclavius muscle and costoclavicular General Thoracic Surgery—Perspectives to arterial/venous thoracic outlet syndrome. ligament, as well as the medial aspect of the From Europe and North America Room 125AB John A. Kern, MD said that treating first rib, and totally mobilize the subclavian thoracic outlet syndrome is so rewarding that vein. You need to free up the entire vein as it General Thoracic Session: Mediastinal/ Pulmonary he has continued caring for these challenging goes under the clavicle, under the manubrium, Room 120A patients for nearly 20 years. and into the mediastinum. Sometimes these SCA @ STS: Perioperative Evaluation and “The more experience you gain, the better patients may need extensive reconstruction, Management of Circulatory Shock you get at figuring out who is going to benefit necessitating a partial upper sternotomy. There Room 126ABC from surgery and who is not,” said Dr. Kern, are a lot of different ways to reconstruct the WEDNESDAY Professor of Surgery, Chief of the Division of vein after it’s decompressed. These details 6:30 a.m.–9:30 a.m. Cardiothoracic Surgery, and Surgical Director learned along the way help enhance the Registration: STS University of the Cardiac Transplant and Circulatory chances of a good outcome.” Lower Level Foyer Device Program at the University of Virginia Intended to be thought provoking and 7:00 a.m.–9:00 a.m. Health System in Charlottesville. give attendees the opportunity to learn from STS University For Dr. Kern, the days of seeing patients members of both specialties, the session also Exhibit Hall 6 living with arterial thoracic outlet resulting featured Julie A. Freischlag, MD, Sacramento, In the SVS @ STS session, Michael P. 9:30 a.m.–11:30 a.m. Fischbein, MD, PhD, Stanford, Calif., spoke in subclavian artery aneurysms and distal Calif., who shared her approach as a vascular STS University (courses repeated) about conservative management of acute type embolization are for the most part gone, as surgeon to arterial/venous thoracic outlet Exhibit Hall 6 B dissections. these patients are now being referred earlier. syndrome. INNOVATING FOR THE FUTURE OF SURGERY

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ESTS, STS to Examine Controversial Management Approaches f last year’s standing-room-only crowd for Head of the Department of Thoracic Surgery the management of early lung cancer tumors ESTS @ STS is any indication, then STS and Oncology at the National Cancer Institute, with stereotactic body radiation therapy versus ESTS @ STS: CONTROVERSIAL 2016 Annual Meeting attendees are certain Pascale Foundation, in Naples, Italy, identified surgery. ISSUES IN GENERAL THORACIC to flock to this year’s program. four areas in thoracic surgery for speakers to “There are some interesting discussions SURGERY—PERSPECTIVES FROM “What’s unique discuss. about the appropriate work-up and treatment EUROPE AND NORTH AMERICA Iabout this 2-hour The speakers will share their perspectives options for high-risk patients diagnosed with Tuesday session is that it allows on high-risk patients diagnosed with early lung cancer, and Dr. Darling will share her 3:30 p.m.–5:30 p.m. us to bring together stage lung cancer, management of solitary expert perspective on the role for radiation North American and pulmonary nodules/ground glass opacities, therapy as it pertains to early stage lung cancer Room 125AB European perspectives management of patients diagnosed with therapy,” Dr. Grondin said. on interesting topics achalasia, and management of paraesophageal The next two talks will focus on indications in general thoracic hernias (PEH). for sublobar resection and lobectomy, “We wanted to explore some of the surgery,” said Sean C. Sean C. Grondin, “Dr. Rocco and I have selected topics presented by Raja M. Flores, MD, New York, management controversies and challenges in Grondin, MD, MPH, MD, MPH that are commonly seen in clinical practice and Gonzalo Varela, MD, PhD, Salamanca, treating patients with achalasia,” Dr. Grondin Clinical Professor of by general thoracic surgeons,” Dr. Grondin Spain, respectively. With the advent of said. “Whenever different approaches and Surgery in the Section of Thoracic Surgery at said. “Our presenters will share their expert computed tomography screening of individuals evolving techniques exist, it’s always beneficial at high risk for lung cancer, surgeons are faced to revisit how these techniques are performing with how best to treat patients who present in the clinical setting.” By bringing together European and North American experts in one with small lung nodules. Donald Low, MD, Seattle, and Xavier Benoit room, attendees will be exposed to broad perspectives of what “Historically, surgeons have resected D’Journo, MD, PhD, Marseille, France, will larger portions of lung tissue, but perhaps we conclude the program with their views on open experts are doing to manage these important clinical scenarios. should be removing smaller volumes of lung versus minimally invasive PEH repair and mesh parenchyma for small peripheral lung tumors. versus no-mesh repair of PEH, respectively. SEAN C. GRONDIN, MD, MPH World-class experts Drs. Flores and Varela will “The big question in PEH surgery is how undoubtedly express interesting opinions on can we lower the risk of recurrence?” Dr. the University of Calgary, Alberta, Canada. opinions on different approaches to these these issues,” Dr. Grondin said. Grondin said. “Some surgeons advocate for During this year’s session, which will be clinical problems in lung and esophageal Two presenters will examine Heller mesh reinforcement to minimize the risk of from 3:30 p.m. to 5:30 p.m. Tuesday in Room disease, leaving lots of time for discussion with myotomy. Shanda H. Blackmon, MD, MPH, recurrence, whereas some advocate for a 125AB, presenters representing STS and the attendees.” Rochester, Minn., will look at indications for particular operative approach. European Society of Thoracic Surgeons will After a presentation by Alessandro Brunelli, peroral endoscopic myotomy versus Heller “By bringing together European and North explore important topics in general thoracic MD, Leeds, United Kingdom, on the optimal myotomy versus balloon dilation, whereas American experts in one room, attendees will surgery. In planning the program, Dr. Grondin workup and limits of surgery for high-risk Philippe Nafteux, MD, Leuven, Belgium, be exposed to broad perspectives of what and his co-moderator, Gaetano Rocco, MD, patients with early stage lung cancer, Gail E. will discuss Heller myotomy with or without experts are doing to manage these important Chief of the Division of Thoracic Surgery and Darling, MD, Toronto, Canada, will compare fundoplication. clinical scenarios.”

Question of the Day Get Free Tech Support at the Tech Bar What did you learn today that will n exciting amenity at the 2016 ■■ Wearables in the Medical World Annual Meeting is the Tech You’ve seen the gadgets—Google Glass, Bar, which is located at Booth smart watches, and many other devices inspire you professionally? #639 in the Exhibit Hall. Stop that help track lifestyle improvements. by for answers to all of your Come hear how these technologies are “I heard several “Innovate, or you’re technicalA questions—experts can help you changing the way health is monitored. intriguing things that left in the dust.” with personal and professional tasks, such ■■ 5 Productivity Apps How many days inspired me to rethink Clifton Reade, MD as downloading and using the STS Annual are you out of the office, yet you still my strategy at home. Private practice Meeting Mobile App, troubleshooting need to function as if you are there? With Fontan operations, Chattanooga, Tenn. issues with your smartphone or tablet, and Learn about apps that will help you with it’s usual to do the oper- more. A complimentary charging station everything from productivity to travel. ation at age 2–3 years. also is available, and you can attend these What I heard is there is free demos on various technology topics of TUESDAY a subgroup that will benefit to do it later on.” interest: 10:00 a.m.–10:45 a.m. Paul Schoof, MD “The talks about the ■■ Note Taking and Capturing Data: Note Taking and Capturing Data: Let’s Go University Medical Center abdominal aorta and Let’s Go Paperless! Are you still taking Paperless! Utrecht, Netherlands the challenging tech- notes by hand with pen and paper? The 12:00 p.m.–1:00 p.m. niques in endovascular Tech Bar experts will share options for Wearables in the Medical World “I just came out of a replacement.” note taking on your mobile devices with 3:00 p.m.–3:30 p.m. session about lung Mutaz Fakhry Al-Khateeb, speech and handwriting recognition 5 Productivity Apps transplantation, and MD, PhD features. they not only talked a Seton Hall University lot about the ethics of Wayne, N.J. retransplantation and how you think about “The importance of Review STS University Lecture Material Online ethics, but also the sur- striving to use all arte- n order to maximize the hands-on the entrance to the Exhibit Hall and gical science behind it. rial conduit when doing learning time during STS University, near Registration on the Lower Level Having those kinds of discussions is important bypass surgery and attendees are strongly encouraged of the Convention Center. You also can in terms of mapping out the way you make your what that means for to access the corresponding online access them from your own computer decisions in your career.” patient outcomes.” video lectures prior to Wednesday or handheld device by visiting www.sts. Lily Saadat Jessica Baldwin, PA-C Imorning. You can access the lectures org/annualmeeting or by using the STS Medical Student The University of Kansas at the computer stations located near Annual Meeting Mobile App. Northwestern University Hospital Chicago Kansas City 15ADM042_CardioCel_STS_AD_Today_PROD_120715_Rv0.indd 1 12/8/15 4:18 PM SOLO SMART Aortic Pericardial Heart Valve

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LivaNova SoloSmart STS Ad 121615.indd 1 12/17/15 10:21 AM 14 STS MEETING BULLETIN sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016 New STS Members for 2016

ACTIVE MEMBERS Saila T. Pillai Indianapolis, IN Roman A. Gottardi Salzburg, Austria Feng Shao Nanjing, China Deyanira J. Prastein West Columbia, SC Timothy R. Graham Birmingham, United Kingdom Tomoki Shimokawa Tokyo, Japan Kelechi Abanobi Los Angeles, CA Amy L. Rahm Sacramento, CA Yuning Han Yinchuan, China Shinichiro Shimura Isehara, Japan Kumari Adams Ypsilanti, MI Siva Raja Cleveland, OH Liang Hongliang Xi’an, China Jiang Shulin Harbin, China Muhammad Aftab Shaker Heights, OH Manu S. Sancheti Atlanta, GA Saeid Hosseini Tehran, Iran Sivakumar Sivalingam Kuala Lumpur, Malaysia Wassim Aghnatios Abi Jaoude Wyomissing, PA Christopher Sciortino Baltimore, MD Osama O. Ibrahim Nassyria, Iraq Sebastian-Patrick Sommer Mohammed M. Al Aklabi Edmonton, Canada Boris Sepesi Houston, TX Yoshihiro Ishikawa Yokohama, Japan Bad Segeberg, Germany Mara B. Antonoff Houston, TX Salil G. Shah Philadelphia, PA Isham Jaafar Brunei, Brunei Darussalam Jerome Soquet Parkville, Australia Ahmad S. Ashrafi Surrey, Canada Mark Shapiro Paramus, NJ Sanghoon Jheon Seungnam, Republic of Korea George P. Stavropoulos Kifisia, Greece Rony Atoui Sudbury, Canada Shona E. Smith Sudbury, Canada Takayuki Kadohama Akita, Japan Koichi Sughimoto Chiba-city, Japan Dimitrios V. Avgerinos New York, NY David R. Stern Chicago, IL Masato Kanzaki Tokyo, Japan Bing-Sheng Sun Tianjin, China Ashok N. Babu Aurora, CO Mark F. Sullivan Boonsboro, MD Gavriel Kaoutzanis Nicosia, Cyprus Li-Zhong Sun Beijing, China Gabor Bagameri Richmond, VA Jennifer L. Sullivan Memphis, TN Jayakumar Karunakaran Trivandrum, India Stamenko Susak Novi Sad, Serbia Charles T. Bakhos Albany, NY Nicole R. Sydow Tucson, AZ Alpha M. Kavunkal Vellore, India Kazutoshi Tachibana Sapporo, Japan Juan G. Bastidas Riverside, CA Dimitrios Topalidis Andover, KS Shunsuke Kawamoto Sendai, Japan Giuseppe Tavilla Leiden, Netherlands Lance Bezzina Dubuque, IA Jose E. Torres Jr. Prescott, AZ Bhagawan Koirala Kathmandu, Nepal Hideki Tsubota Toronto, Canada Munir Boodhwani Ottawa, Canada Christopher W. Towe Cleveland, OH Yukio Kuniyoshi Nishihara-cho, Japan Jose F. Valderrama Marcos Malaga, Spain Jamil F. Borgi Detroit, MI Benjamin Wei Birmingham, AL Tunc Lacin Istanbul, Turkey Bhaskar B. Venkatakrishnaiah Bangalore, India John P. Breard Point Lookout, NY Grayson H. Wheatley III Philadelphia, PA Nadia Lahlaidi Sierra Geneva, Switzerland Filiberto Villanueva-Rustrian Puebla, Mexico Lisa M. Brown Sacramento, CA Jason A. Williams Vacaville, CA David Lai Singapore, Singapore Zhi-Ping Wang Guangdong Province, China Jeffrey S. Cane New York, NY Jennifer M. Worth Lancaster, PA Seogjae Lee Jeju, Republic of Korea Naruhito Watanabe Sacramento, CA Sergio A. Carrillo Las Vegas, NV Curtis J. Wozniak Tiburon, CA Jang-Ming Lee Taipei, Taiwan Daniel Wendt Essen, Germany Gonzalo J. Carrizo Punta Gorda, FL Godfred K. Yankey Pittsford, NY Bo Lian Beijing, China Atsushi Yamaguchi Saitama, Japan Anthony D. Cassano Richmond, VA Kazuhiro Yasufuku Toronto, Canada Baisong Lin Changchun, China Noboyuki Yamamoto Kawasaki, Japan Anton L. Cherney Rogers, AR Zhifeng Lin Shanghai, China Keming Yang Beijing, China Joshua S. Chung Los Angeles, CA INTERNATIONAL MEMBERS Yunpeng Ling Beijing, China Hitoshi Yokoyama Fukushima, Japan George M. Comas Fort Myers, FL Zhengcheng Liu Nanjing, China Guiping Yu Jiangyin, China Eugene N. Costantini Fort Lauderdale, FL Umar Abubakar Sakoto, Nigeria Zixiong Liu Shanghai, China Dmitry Yurchenko St. Petersburg, Russia Kim I. De La Cruz Bellaire, TX Ramil Aliyev Baku, Azerbaijan Dan Loberman Boston, MA Carlo Zebele Bristol, United Kingdom Michael J. Eppinger San Antonio, TX Amr A. Arafat Tanta, Egypt Victor M. Lozano Mexico City, Mexico Hui Zhang Beijing, China John A. Federico New Haven, CT Hiromasa Arai Yokohama, Japan Qiang Lu Xi’an, China Jian Zhuang Guangzhou, China Renata B. Ford San Antonio, TX Jose Mauricio Arce-Quesada Wei-Guo Ma New Haven, CT Puja Gaur Houston, TX San Jose, Costa Rica Ehab Massad Amman, Jordan Richard M. Gillespie Raleigh, NC Mario Arguello Rosario, Argentina Giulio Maurizi Rome, Italy Members Who Joined in 2015 Eric R. Griffiths Salt Lake City, UT Vedat Bakuy Istanbul, Turkey Bart Meuris Leuven, Belgium Kendra J. Grubb Louisville, KY Luis Ruben Barragan Garate Kim Mikhail Astana, Kazakhstan ASSOCIATE MEMBERS Sandeep Gupta Stony Brook, NY San Andres Cholula, Mexico Teruaki Mizobuchi Tokyo, Japan Robert A. Hanfland Houston, TX Victor Bautista-Hernandez A Coruña, Spain John S. Murala Ann Arbor, MI James H. Abernathy Charleston, SC Katherine B. Harrington Dallas, TX Juan F. Biguria Churriana Malaga, Spain Takashi Murashita Pittsburgh, PA Renae L. Akins Cecilia, KY Bernard S. Harrison St. Louis Park, MN Redhouane Boukerroucha Constantine, Algeria Michael O. Murphy London, United Kingdom Brett Romeo Anderson New York, NY Joshua L. Hermsen Seattle, WA Michel S. M. Buche Lustin, Belgium Jun Nakajima Tokyo, Japan Megan E. Atashroo Menlo Park, CA Aaron L. Hoffman Huntsville, AL Daniel Bujnoch Burgthann, Germany Pradeep Narayan Kolkata, India Ahmed S. Awad Cherry Hill, NJ Michal Hubka Seattle, WA Waldemiro Carvalho Jr. Fortaleza, Brazil Umesh Nareppa Bangalore, India Brian D. Benneyworth Indianapolis, IN Frédéric Jacques Quebec City, Canada Luis Eduardo Casillas Covarrubias Daniel E. Nento San Antonio, TX Mary Sheridan Bilbao Menlo Park, CA Timothy W. James Elgin, IL Merida, Mexico Phan V. Nguyen Ho Chi Minh, Vietnam Amy L. Bishop Aurora, CO Jeffery C. Johnson Norfolk, VA Eduard Charchyan Moscow, Russia Vinicius J. S. Nina São Luís, Brazil Sinclair E. Blake Seattle, WA Tsuyoshi Kaneko Boston, MA Xiao-Zhong Chen Shanghai, China Kelechi Okonta Port Harcourt, Nigeria Teresa Bloodworth Jacksonville, FL Mario W. Katigbak Hartford, CT Hector David Contreras Garza Guadelupe, Mexico Andrea C. Oliveira Freitas São Paulo, Brazil Simon S. Boulattouf Baltimore, MD Zain I. Khalpey Tucson, AZ Francisco D. A. Costa Curitiba, Brazil Alaa M. Omar Cairo, Egypt Heather O. Brobst Peoria, IL Reza Khodaverdian Salinas, CA Roberto S. Cristobal Quezon City, Philippines Atsushi Omura Himeji, Japan Josephine R. Carter Raymond, MS Karen M. Kim Ann Arbor, MI Yong Cui Hangzhou, China Marlo D. Paul Ortiz Vazquez Zapopan, Mexico Jessica J. Ciaramella Kalamazoo, MI Jacob A. Klapper Charleston, SC Ivo G. M. Deblier Antwerp, Belgium Stiru Ovidiu Bucharest, Romania Jeffrey Floyd Clarke Greenwood Village, CO Fatuma Kromah North Providence, RI Udgeath Dhir Gurgaon, India Xiangbin Pan Beijing, China Barbara A. Clarke Madison, WI Christopher Lau New York, NY Michele Di Mauro Lanciano, Italy Giuseppe Pelella Liverpool, United Kingdom Carolyn Clary-Macy San Francisco, CA Jeremy E. Leidenfrost Chesterfield, MO Vijay Dikshit Sr. Hyderabad, India Dante Picarelli Montevideo, Uruguay Curtis A. Clausen Jacksonville, FL Brian Lima Dallas, TX Vincent Doisy Villeurbanne, France Dimitrios Pousios Eastleigh, United Kingdom Maureen T. Clemens Philadelphia, PA David P. Lloyd Fort Wayne, IN Anil Dronamraju Hyderabad, India Dmitry Puzenko Moscow, Russia Stephanie S. Clifton Coppell, TX Douglas Lowell Tucson, AZ Ted W. Elenbaas Maastricht, Netherlands Carlos Fredy Quispe Vizcarra Lima, Peru Charles E. Cline Goleta, CA Timothy P. Martens Los Angeles, CA Ahmed B. El-Kerdany Sr. Cairo, Egypt Giuseppe M. Raffa Palermo, Italy Graham A. Colditz St. Louis, MO Gregory J. Matter Paris, TX Hussein Elkhayat Assiut, Egypt Budi Rahmat Jakarta, Indonesia Angela L. Cradic Johnson City, TN Christine M. McCarty West Reading, PA Magdy M. El-Sayed Ahmed Tampa, FL Tharumenthiran (Indran) Ramanathan Paola De Rango Perugia, Italy Erick L. Montero Laguna Niguel, CA Fabiano Farto Viana Hove, Australia Remuera, New Zealand Christopher M. DeBano Grand Rapids, MI Troy Moritz Enola, PA Hosam F. A. Fawzy Tanta, Egypt Aleksandar Redzek Sremska Kamenica, Serbia Amy Rebecca Durako Springfield, IL Fuad Moussa Toronto, Canada Giuseppe Ferro London, United Kingdom Mohammad Reza Rezaei Richmond Hill, Canada Michael P. Eaton Rochester, NY Brian T. Nam Wilmington, DE Takuya Fujikawa Kawasaki, Japan Elena Rosello-Diez Barcelona, Spain Teresa K. Fisher Warren, OH James F. Norcross Arlington, TX Shinya Fukui Suita, Japan Alireza Rostami Tehran, Iran David C. Fitzgerald Bristow, VA Muhammad A. K. Nuri Ruston, WA James O. Fulton Pietermaritzburg, South Africa Tomohito Saito Osaka, Japan Jocelyn Furr Portland, OR Kathryn L. O’Keefe Cincinnati, OH Arul D. Furtado Mangalore, India Pankaj Saxena Townsville, Australia Erin A. Gottlieb Houston, TX Shuab Omer Bellaire, TX Sean D. Galvin Dunedin, New Zealand Alfonso Sciangula Porto Empedocle, Italy Kathryn Gray DeAngelis Philadelphia, PA Anthony J. Palazzo Jonesborough, TN J. Saravana Ganesh Chennai, India Omer Senbaklavaci Ponteland, United Kingdom Nathaniel H. Greene Cary, NC Manish K. Patel Houston, TX Mattia Glauber Milan, Italy Vladislav Severgin Odessa, Ukraine Kristina M. Handley Kansas City, MO Roman V. Petrov Marietta, OH Mukesh Goel New Delhi, India Mohammad B. Shadmehr Tehran, Iran Kellan S. Harris Billings, MT

16 STS MEETING BULLETIN sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016

George M. Hoffman Milwaukee, WI Pamela F. Stanger Jacksonville, FL Christopher L. Clancy Westchester, IL Seth B. Krantz Evanston, IL Taylor Elizabeth Hughes Kennebunk, ME Bonnie L. Stiles Port Huron, MI John D. Cleveland Los Angeles, CA Eric M. Krause Baltimore, MD Onita Scherell Hurst Fort Smith, AR Rima G. Styra Toronto, Canada Charles Randall Cole Cincinnati, OH Kiran H. Lagisetty Ann Arbor, MI Sara Hussain Milton, Canada Liza Szelkowski Alexandria, VA Melissa Helena Coleman Cambridge, MA Nathaniel B. Langer New York, NY Diane R. Ison Fullerton, CA James B. Taswell Rochester, MN Sarah J. Counts Branford, CT Antonio Lassaletta Somerville, MA Ann Marie Karnyski Rochester, MN Mirna Thomas Burlington, MA Paul J. Devlin Chicago, IL Richard Lee Mt. Pleasant, SC Gideon Allan Ladd Mequon, WI Jaimin Trivedi Louisville, KY Brendan Patrick Dewan Denver, CO Anson Michael Lee St. Louis, MO Jason P. Laird Rancho Cucamonga, CA Kendra E. Velonis Cinnaminson, NJ Andrew P. Dhanasopon New Haven, CT Melissa M. Levack Cleveland Heights, OH Patrick Joseph Maguire Foster City, CA Maria Joy Vinluan-Felix Bakersfield, CA Jennifer L. Dixon Portland, OR John C. Lin Fresno, CA Gloria R. Martin Mount Crawford, VA Clarke H. Woods Harrisburg, PA Eric N. Feins Boston, MA Xiaoying Lou Chicago, IL Christopher W. Mastropietro Carmel, IN Angelia D. Yabrow Marietta, GA Lloyd M. Felmly Charleston, SC Scott G. Louis Kansas City, KS Joseph P. Mathew Durham, NC Tamar Yehoshua Brookline, MA Evaristo Fernandez Sada San Antonio, TX Jesse L. Madden Charlottesville, VA Kasey A. McClelland Lufkin, TX Rebecca A. Zuch Chesapeake, VA Ronald H. Figura Boiling Springs, SC Mahim Malik Columbus, OH Pamela L. McCulloch San Antonio, TX William J. Fischer III Coralville, IA Daniel Maoz-Metzl Houston, TX Miles L. Meador Carbondale, IL CANDIDATE MEMBERS Galal Rafik Ghaly New York, NY David C. Mauchley Denver, CO Gary D. Meredith Opelika, AL Denis M. Gilmore Nashville, TN Constantine D. Mavroudis Philadelphia, PA Muhammad Muntazar Moorestown, NJ Mastaneh Ahmadi-Kashani Stanford, CA Joshua B. Goldberg Cambridge, MA William Walter McAlexander Birmingham, AL Nader Najafi Ypsilanti, MI Mohamad Alaeddine Pittsburgh, PA Christopher E. Greenleaf Pearl, MI Daniel P. McCarthy Seattle, WA Mehdi M. Oloomi New York, NY Parth B. Amin Kalamazoo, MI Jinny S. Ha Baltimore, MD Jeremy R. McGarvey Haverford, PA Kevin G. Paganelli Arlington, TX Farshad Anvari Decatur, GA Dustin Hang Wauwatosa, WI Amber L. Melvin Rochester, NY Lisa Kay Page Carbondale, IL Evgeny Arshava Iowa City, IA Leanne Harling London, United Kingdom Eriberto Michel Chicago, IL Walter Lane Parker Fullerton, CA Manickavelu Balasubramanian Iowa City, IA Meredith A. Harrison Philadelphia, PA Jordan D. Miller Brookline, MA Craig M. Petterson Shawnee, KS Marshall T. Bell Aurora, CO Rian Melissa Hasson Columbus, OH Brian A. Mitzman Chicago, IL Maureen Pomerleau Sarnia, Canada Jared P. Beller Charlottesville, VA Meghana Ram Kunkala Helder Rochester, MN Makoto Mori New Haven, CT Matt D. Price Houston, TX Ismail Bouhout Laval, QC Fuyuki Hirashima Bronxville, NY Sudhan Nagarajan Germantown, TN Krystle E. Ramon Austin, TX Donnell K. Bowen Winston-Salem, NC Jordan R. Hoffman Atlanta, GA Alykhan S. Nagji Kansas City, MO Pamela T. Raney Apison, TN Christian Braun Berlin, Germany Mohamed Kamel Kamel Hussein New York, NY Hao Pan San Antonio, TX John M. Russell Rockford, IL Alexander A. Brescia Ann Arbor, MI Jeffrey Javidfar Durham, NC Shamini Parameswaran New Haven, CT Nancy Schulhoff Staten Island, NY Dharmraj A. Chauhan Morristown, NJ Eric I. Jeng Gainesville, FL Nishant D. Patel Baltimore, MD Joseph L. Simmons San Jose, CA Josue Chery Ann Arbor, MI Jalal Jolou Onex, Switzerland Hetal D. Patel Lexington, KY Jamie W. Sinton Houston, TX Giye Choe Portland, OR Fawad Jahangir Khan Morgantown, WV Byron D. Patton Pittsburgh, PA Heather Smith Media, PA Chun W. Choi Los Angeles, CA Katherine Khvilivitzky Los Angeles, CA David L. Penner Sacramento, CA Matt Spicer Annapolis, MD Lin-Chiang Philip Chou Bronx, NY Arman Kilic Philadelphia, PA Adam N. Protos Louisville, KY

You now have a trustworthy resource to share with your patients.

ctsurgerypatients.org – new! The Patient Guide to Heart, Lung, and Esophageal Surgery A Website Presented by Cardiothoracic Surgeons Committed to Improving Patient Care

Available in both English and Spanish, this website is easily viewable on computers, tablets, and smartphones.

All information has been reviewed by STS members and is divided into the following sections:

• Adult Heart Disease • Pediatric and Congenital Heart Disease • Lung, Esophageal, and Other Chest Diseases • Heart and Lung Transplantation • Before, During, and After Surgery

Visit www.sts.org/patient-information to download a printable PDF for referring your patients to this website. TUESDAY-WEDNESDAY | JAN. 26-27, 2016 sts.org STS MEETING BULLETIN 17

Janani S. Reisenauer Rochester, MN Benjamin S. Van Boxtel New York, NY Dale S. Deas Jr. Birmingham, AL Michael Osnard Pittsburgh, PA Robert D. Rice Houston, TX Patrick R. Vargo Bay Village, OH Jun U. Elegino Greensburg, PA Sanjeet G. Patel Los Angeles, CA Jose Mauricio Rodriguez Luna Luis D. Velazco Davila Richmond, VA Paul L. Feingold Washington, DC Sylvester A. Paulasir Ann Arbor, MI San Salvador, El Salvador Ashok Venkataraman Chicago, IL Ramiro Fernandez Chicago, IL Jonathan W. Pike Rushville, IN Jessica Y. Rove St. Louis, MO Mary Carolyn Clements Vinson Neal M. Foley Houston, TX Nicolas Pope Charlottesville, VA Areo Saffarzadeh New Haven, CT St. Petersburg, FL Andrew J. Godwin Oyster Bay, NY Brittany A. Potz Providence, RI Kashif Saleem Indianapolis, IN Brecon Wademan Wellington, New Zealand Landon P. Guntman San Diego, CA Salomon Isaac Puyana Pittsburgh, PA Denny M. Schoch Miami Beach, FL Hanjay Wang Palo Alto, CA Kellie A. Helin Charleston, WV William S. Ragalie Milwaukee, WI Christopher Dean Scott Durham, NC Emilie C. Wasserman Rochester, NY Wan Chin Hsieh Prague, Czech Republic Syed Shahzad Razi Flushing, NY Rajesh B. Sekar New Haven, CT John K. Waters Dallas, TX Samantha D. Hudrlik Canton, MI James Regan Springfield, IL Sharma Salt Lake City, UT William B. Weir Superior Township, MI Jessica L. Hudson St. Louis, MO Kyle W. Riggs Columbia, MO David D. Shersher Chicago, IL Luke M. Wiggins Los Angeles, CA Mallory Lynn Irons Philadelphia, PA Kortney A. Robinson Brookline, MA Terry Shih Ann Arbor, MI Aleksandar D. Yankulov Plovdiv, Bulgaria Mickey S. Ising Louisville, KY Matthew M. Rochefort Los Angeles, CA Smarika Shrestha Hummelstown, PA Kenan W. Yount Charlottesville, VA Michael J. Jarrett Broomfield, CO Austin L. Rogers Savannah, GA Raina Sinha Los Angeles, CA Brittany A. Zwischenberger Durham, NC Adam P. Johnson Philadelphia, PA Carlo Maria Rosati Indianapolis, IN Dwight J. Slater Cincinnati, OH Sagar Kadakia Philadelphia, PA Evan P. Rotar Perrysburg, OH William Benjamin Smith PRE-CANDIDATE MEMBERS Andrew S. Kaufman Bethesda, MD Siavash Saadat Yardley, PA Keesler Air Force Base, MS Hasanali Z. Khashwji North Las Vegas, NV Alexandra J. Sanowski-Bell Chicago, IL Philip J. Spencer Boston, MA Oluwatobi A. Afolayan Loma Linda, CA Raffi Kotoyan Las Vegas, NV Shane P. Smith Omaha, NE Bryan Payne Stanifer Chicago, IL Eduardo C. Alcantar Jr. Phoenix, AZ Charles D. Lawrence Las Vegas, NV Kimberly J. Song Bloomfield, NJ Thomas A. Stark Portland, OR Miguel Alexis Tappan, NY Madonna E. Lee North Brunswick, NJ John J. Squiers Dallas, TX David R. Stern Chicago, IL Hossein Amirjamshidi Mundelein, IL Tori Christine Lennox Portland, OR Lindsay Olivia Stepp St. Louis, MO John R. Stringham Charlottesville, VA Awais Ashfaq Phoenix, AZ Erik E. Lewis New York, NY Raymond J. Strobel Ann Arbor, MI Monisha Sudarshan Montreal, Canada Roland Assi New Haven, CT Patrick D. Loftus Salt Lake City, UT Brandon Tanner Columbia, MO Huan Huan (Joanne) Sun New York, NY Curtis S. Bergquist Portland, OR Kevin J. Lopez Chicago, IL Tim Tirrell San Diego, CA Julia C. Swanson Charlottesville, VA Joshua A. Boys Los Angeles, CA Brendan P. Lovasik Atlanta, GA David I. Vanderhoff Sammamish, WA Corinne W. Tan Houston, TX John J. Brady Philadelphia, PA Robert C. Lyons Virginia Beach, VA Zeah N. Venitelli New York, NY Nicholas R. Teman Charlottesville, VA James D. Brockett Akron, OH Maria Lucia Madariaga Boston, MA Hongphuc Vo Lockport, IL Thomas P. Templin II Madison, WI Jennifer M. Burg Portland, OR Katy A. Marino Memphis, TN Simeng Wang Pittsburgh, PA Michael J. Thomas Madison, WI Matthew R. Byler Lubbock, TX Nicholas A. McKenzie Columbus, OH Jaye Alex Weston Galveston, TX Harma K. Turbendian Pittsburgh, PA Iryna V. Chesnokova Iowa City, IA Steven G. Miller Cincinnati, OH Joshua Wong Rochester, NY Trevor C. Upham Del Mar, CA Chase G. Corvin Arlington, VA Justin G. Miller North Bethesda, MD Emily R. Wright Cincinnati, OH Miguel Urencio Ridgeland, MS Alex M. D’Angelo Pittsburgh, PA Thomas F. X. O’Donnell Boston, MA Kanhua Yin Shanghai, China

Adult Cardiac Session: Mitral Valve ® Abstract Book Updates Debate: The Future of Mitral Valve The ORIGINAL: COSGROVE , McCARTHY The following speakers have changed from Regurgitation Treatment—Open Surgery ™ the STS 52nd Annual Meeting Abstract Book Michael A. Borger, New York, NY and GILLINOV Heart Retractors and/or their disclosures were not available at COMMERCIAL RELATIONSHIPS M. A. Borger: Consultant/Advisory Board, Edwards EXCLUSIVE DESIGN & MANUFACTURING BY KAPP SURGICAL the time of publication: Lifesciences Corporation; Consultant/ Advisory Board, LivaNova; Speakers ® ™ TUESDAY Bureau/Honoraria, St. Jude Medical; The Original Cosgrove Gillinov Heart Retractor Early Riser Session 10: Tough Calls in Nonremunerative Position of Influence, Mitral Valve Retractor Gillinov™/Maze Self Retaining Mitral Valve Disease Medtronic, Inc Retractor on Chest Spreader Gorav Ailawadi, Charlottesville, VA, and Cat.# KS-7000 Richard Lee, St. Louis, MO SCA @ STS: Perioperative Evaluation and COMMERCIAL RELATIONSHIPS G. Ailawadi: Management of Circulatory Shock Consultant/Advisory Board, Moderator: Jerrold H. Levy, Durham, NC Edwards Lifesciences Corporation, Abbott Vascular; Nonremunerative Position of WEDNESDAY Influence, AtriCure, Inc; Speakers Bureau/ STS University Course 9: Chest Wall Honoraria, St. Jude Medical Resection and Adult Pectus Surgery Course Director: Dawn E. Jaroszewski, Phoenix, AZ

Gillinov™/Maze PRODUCT SHOWCASE Self Retaining THANK YOU! • Exceptional Exposure for Right & Left Atrium Retractor Blades Cat.# KS-7211 Set • Mitral Valve Repair or Replacement Surgery The Society of Thoracic Surgeons gratefully acknowledges the following McCarthy Mini-Sternotomy Retractor with Universal Lift companies for providing educational grants for the STS 52nd Annual PATENTED Universal Lift Cat.# KS-7600 Meeting. • Provides greater surgical exposure • Easy attachment to sternal retractor arm on patient’s left side • Lifts left side of patient’s sternum 1” to 2” STS Platinum Benefactors View cephalad to the sternum Provided $50,000 or above Retractor Abbott Vascular Medtronic • 5” modified chest spreader Please come visit us at • Made from surgical stainless steal Universal Lift Cat# KS-7650 STS Silver Benefactors Booth 1032! • Unique malleable blades allow better Provided $10,000–$24,999 retraction and surgical exposure Ethicon • For proximal or distal mini-sternotomy procedures Visit Us At: HeartWare Booth #616 Olympus America Inc. STS Annual Meeting St. Jude Medical 18 STS MEETING BULLETIN sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016

PRESIDENTIAL ADDRESS Researcher Examines Impact of Valve continued from page 1 his own company, develop some of the tools used today, and later sold his startup for a hefty Type on Mortality in Women amount. The fourth skill that innovators embody urgeons often have friends who friends and also female patients who were and 30 years for all valves was 8%, 43%, and is networking, but this is not about meeting ask for medical advice. When two approaching the time when they needed to have 56%. people at various social events or scientific female friends asked Joy Hughes, their valves replaced,” Dr. Hughes said. “When “We weren’t sure what we were going meetings. MD about whether they should women are in their 30s and looking to have to find, but the results were reassuring,” Dr. “I mean idea networking. This involves replace their bioprosthetic valves children, it is a complicated issue. A tissue Hughes said. “For a woman, this can be about spending time working with others in a variety Swith the same valve type or a mechanical valve pretty much guarantees reoperation, and what she is comfortable with, rather than of fields to build bridges into different areas valve, she went well beyond sharing her a mechanical valve requires anticoagulation whether she has to accept a mortality risk on of knowledge,” said Dr. Allen, adding that opinion. therapy. top of other issues in choosing one valve over methods to improve networking for ideas The fourth-year resident in general surgery “Although there have been many successful the other.” include attending conferences that present and critical care fellow at the Mayo Clinic in and uneventful pregnancies for women Probability of reoperation increased in ideas, such as TED talks or the Aspen Ideas Rochester, on anticoagulation, pregnant women with younger patients, valve Festival. Minn., and ADULT CARDIAC mechanical valves have an increased risk of replacement after her colleagues SESSION: MITRAL hemorrhage, complications in childbirth, and year 2000, and with conducted a VALVE potentially could be teratogenic. Those are bioprosthetic valves. Just because an operation retrospective issues we cannot change, but we can reassure There were 65 patients analysis and Tuesday patients.” who initially underwent or a process has been found that 1:00 p.m.–3:00 p.m. The researchers concluded that initial valve replacement around for a long time and may valve type did selection of a bioprosthesis did not increase with bioprosthesis Room 120D not influence late mortality, and survival of patients with and subsequently had seem ‘normal,’ an innovative idea survival. The bioprosthetic valves replaced with mechanical Joy Hughes, MD mechanical valves can change it all. researchers looked at 606 women aged 13–45 valves was excellent. implanted during years (mean = 33 years) who underwent Ninety-five patients had complex reoperation (82%), and their survival was 94%, MARK S. ALLEN, MD cardiac valve replacement between January congenital heart disease; nine patients had 91%, 76%, and 68% at 5, 10, 15, and 20 years, 1967 and December 2012. prior valve replacements at other institutions. respectively. Dr. Hughes will present her research Of the 318 patients who underwent aortic “This confirms that young patients who on long-term survival and valve durability valve replacement, 97 were bioprosthetic and choose a tissue valve are going to need The fifth and final skill innovators excel at after bioprosthetic and mechanical valve 221 were mechanical. Of the 261 patients a reoperation,” Dr. Hughes said. “The is experimenting. replacement in young women at 2:15 p.m. who underwent mitral valve replacement, 55 procedures have advanced to the point that “They are good at trying out new ideas. Tuesday during the Adult Cardiac Session: were bioprosthetic and 206 were mechanical. mortality risk doesn’t necessarily increase, This does not mean going into a lab and Mitral Valve in Room 120D from 1:00 p.m. to Follow-up averaged 15 years. Survival for all which is a great credit to cardiac surgeons and designing an experiment. They do the 3:00 p.m. patients at 10, 20, and 30 years was 81%, 66%, health care teams who have worked to improve experimentation on a day-to-day basis. They “I had several conversations with these and 41%, respectively. Reoperation at 10, 20, cardiac surgery outcomes.” take apart processes and try new ones to see if they are better. This is how they can answer the ‘why’ questions that come up,” Dr. Allen said. “To see how a complex system behaves after Session Preps Surgeons on Advanced it changes, experiment with it and record the outcome.” Calling on the audience to lead the way in innovation, Dr. Allen said, “Just because Therapies for End-Stage Heart Disease an operation or a process has been around for a long time and may seem ‘normal,’ an he field of treating advanced-stage a co-principal investigator, compared the rational approach to treatment of shock with innovative idea can change it all. Be open to heart failure is rapidly evolving, HeartWare HVAD against the HeartMate II extracorporeal mechanical circulatory support this change, look for this type of innovative and several expert speakers will LVAD. and extracorporeal membrane oxygenation. change, embrace it, and see if you can use it to introduce the latest recommendations “Although both the HeartMate II and Nicholas G. Smedira, MD, Cleveland, will do things better for your patients. in mechanical circulatory support, HeartWare HVAD are efficacious in terms of describe high-risk alternative strategies in the “Now is the time for you to practice and Theart transplantation, and alternative treatment keeping patients alive without a heart failure, era of STS National Database reporting. Jay develop these innovation skills so that you strategies during a half-day of education they have different adverse event profiles. D. Pal, MD, Seattle, will talk about non- can develop new processes, operations, and Tuesday. It’s important for surgeons to sternotomy approaches to VAD implantation. procedures that will help our patients. It is hard Francis D. Pagani, MD, ADVANCED understand those differences,” After a panel discussion and two abstract work, but it is worth the effort because it just co-moderator of the 1:00 p.m. THERAPIES FOR said Dr. Pagani, the Otto Gago, presentations, four speakers will tackle might make a difference not only in your life, to 5:30 p.m. session in Room END-STAGE MD Professor of Cardiac important topics. Gonzalo V. Gonzalez- but the lives of others.” 128AB, said with the advent of HEART DISEASE Surgery, Surgical Director of Stawinski, MD, Dallas, will discuss solutions ENDURANCE, ROADMAP, Adult Heart Transplantation, for the unique challenges of LVAD therapy and other left ventricular Tuesday and Director of the Center or transplant for adult congenital heart FIVE CHARACTERISTICS assist device (LVAD) clinical 1:00 p.m.–5:30 p.m. for Circulatory Support at the disease. Eric J. Velazquez, MD, Durham, OF INNOVATORS trial results, along with newer Room 128AB University of Michigan in Ann N.C., will update attendees on the STICH devices planned for clinical Arbor. trial, including whether the approach to evaluation, it is important to Daniel J. Goldstein, MD, ischemic heart disease should be altered Associating update surgeons about the Bronx, N.Y., will discuss because of trial results. Stephanie L. Mick, implications for patient outcomes. new LVAD trials and technology, including MD, Cleveland, will look at percutaneous Questioning Michael A. Acker, MD, Philadelphia, whether these new LVADs have been options for structural heart disease in the Observing will discuss whether ENDURANCE and associated with better patient outcomes. setting of severe left ventricle dysfunction, ROADMAP have changed the practice In particular, he will discuss the recently as these patients are not optimal surgical Networking of LVAD therapy in the United States. In completed HeartMate 3 trial in Europe. candidates. The last speaker, Donald D. Experimenting ROADMAP, trial investigators evaluated Three speakers will help surgeons Glower, MD, Durham, N.C., will give a talk the effects of treatment with the HeartMate understand where the field is at in terms on the evolution of surgical management of II LVAD to standard medical therapy. of new devices. Carmelo A. Milano, MD, functional mitral insufficiency, including ENDURANCE, for which Dr. Pagani is Durham, N.C., will present on developing a recent trial results. TUESDAY-WEDNESDAY | JAN. 26-27, 2016 sts.org STS MEETING BULLETIN 19

2016 ANNUAL MEETING EXHIBITORS NEW EXHIBITORS MEETING BULLETIN ADVERTISERS

The information listed here is accurate as of January 25, 2016. Baxter Healthcare 210 Extracorporeal Circulatory Support System, offers messaging, and brand identity. Research studies The information for these products and services was provided Deerfield, IL versatile mechanical circulatory support treat- are initiated before, during, and after any US/ by the manufacturers, and inclusion in this publication should ment options. While the company is best known international conference. not be construed as a product endorsement by STS. As a global, diversified health care company, Baxter International Inc applies a unique combina- for its left ventricular support platform, it recent- tion of expertise in medical devices, pharmaceu- ly launched a line of arterial cannulae and the Domain Surgical 350 A&E Medical Corporation 211 PROTEK Duo™ veno-venous dual lumen cannula. Salt Lake City, UT Durham, NC ticals, and biotechnology to create products that advance patient care worldwide. Stop by the booth to learn more. Domain Surgical’s FMX Ferromagnetic Surgical A&E Medical’s products include MYO/Wire® tem- System is an advanced thermal energy surgical porary pacing wires, MYO/Wire II sternum wires, Cardica Inc 630 platform that uses ferromagnetic technology to MYO/Punch rotating surgical punch, MYO/Lead Baylis Medical 551 Mississauga, Canada Redwood City, CA cut, coagulate, and seal tissue. A variety of surgi- disposable patient cable, and DoubleWire high- cal tools have been designed to bring the unique strength sternal closure system. Baylor Scott & White 100 Christus Health 1040 clinical benefits of this technology to a broad array Irving, TX of surgical subspecialties. Abbott Vascular 231 Temple, AZ Santa Clara, CA BD (formerly CareFusion) 1035 Cook Medical 130 Eastern Maine Medical Center 106 Abbott (NYSE: ABT) is a global health care Bloomington, IN Bangor, ME company devoted to improving life through the San Diego, CA BD is a global corporation helping clinicians and Founded in 1963, Cook Medical pioneered many development of products and technologies that of the medical devices now commonly used to EBM 131 span the breadth of health care. With a portfolio hospitals measurably improve patient care. The PleurX® Catheter System allows patients to man- perform minimally invasive medical procedures Tokyo, Japan of leading, science-based offerings in diagnostics, throughout the body. Today, the company inte- EMB, a biomedical spin-out venture company medical devices, nutritionals, and branded generic age symptoms associated with recurrent pleural effusions and malignant ascites at home, reducing grates medical devices, drugs, and biologic grafts from Japan, provides the original beating heart pharmaceuticals, Abbott serves people in more to enhance patient safety and improve clinical simulator and quantitative assessment system than 150 countries and employs approximately length of stay and cost of care while improving quality of life. Visit BD at Booth 1035 to learn more. outcomes. Since its inception, Cook has operated for off-pump coronary artery bypass grafting and 70,000 people. as a family-held private corporation. vascular anastomosis worldwide. Skill assessment is based on rapid CFD technology and validated Abiomed Inc. 844 Berlin Heart Inc 1039 The Woodlands, TX CorMatrix 539 silicone vascular model. Danvers, MA Roswell, GA Berlin Heart is the only company worldwide that develops, manufactures, and distributes ventric- CorMatrix® Cardiovascular markets its ECM® Edwards Lifesciences 503 Acelity (KCI, LifeCell, Systagenix) 646 Bioscaffold devices for vascular repair, pericardial Irvine, CA San Antonio, TX ular assist devices for patients of every age and body size. EXCOR® Pediatric provides medium- repair and reconstruction, cardiac tissue repair, Edwards Lifesciences is the global leader in the to long-term circulatory support specifically for and CanGaroo ECM Envelope and is currently science of heart valves and hemodynamic mon- ACUTE Innovations 1023 conducting preclinical studies to evaluate future itoring. Driven by a passion to help patients, the Hillsboro, OR infants and children awaiting heart transplants. EXCOR Pediatric is approved for use in the United applications in other cardiac and vascular appli- company partners with clinicians to develop inno- Furthering its reputation as a leader in the thoracic cations. vative technologies in the areas of structural heart industry, ACUTE Innovations® continues to make States under Humanitarian Device Exemption reg- ulations by the Food and Drug Administration. disease and critical care monitoring, enabling them advancements in chest wall stabilization technol- CryoLife 321 to save and enhance lives. Additional company ogy. Stop by Booth 1023 to learn about ACUTE’s Kennesaw, GA information can be found at www.edwards.com. cutting-edge products: RibLoc® U Plus Chest Wall BFW Inc 438 Louisville, KY CryoLife® is a leader in the development and im- Plating System and AcuTie® II Sternum Closure plementation of advanced technologies associated Elsevier 938 System. BFW is known as a worldwide technological leader in surgical illumination and headlight video imag- with allograft processing and cryopreservation. Philadelphia, PA CryoLife also pioneers research in the develop- Elsevier is the proud publisher of The Annals of Admedus 320 ing. Visit Booth 438 to experience the foremost innovations in portable LED headlights offering ment of implantable biological devices, surgical Thoracic Surgery and a world-leading provider of Minneapolis, MN adhesives, hemostatic agents, and biomaterials for information solutions that enhance the perfor- Admedus, a global health care group, is work- intense, clean, bright white light and the new Hatteras™ LED light source—unmatched intense cardiac, vascular, and general surgery. mance of science, health, and technology profes- ing with renowned medical leaders to bring new sionals. Elsevier empowers better decision making medical technologies to market. CardioCel®, a fiberoptic illumination for headlights and instrumentation. CT Assist 341 and the delivery of better care. www.elsevier.com cardiovascular scaffold, is the first of its ADAPT® Philippi, WV tissue-engineered bioimplants and is being used CT Assist is a managed service provider of EndoEvolution, LLC 124 by surgeons to repair simple and complex cardiac Biodesix, Inc. 650 Boulder, CO cost-effective cardiothoracic surgery advanced Raynham, MA defects. practitioners that deliver quality care. CT Assist EndoEvolution, LLC is the leading innovator in Bolton Medical 1032 provides workforce management solutions from advanced automated suturing device technology. Advanced Cardiothoracic long-term to locum tenens and vacation cover- The Endo360 MIS suturing device is the only re- Consultants, LLC 932 Sunrise, FL Bolton Medical is a subsidiary of the WerfenLife age. The company is a physician assistant-owned usable automated device with wristed articulation, Indianapolis, IN nationwide employer of talented and experienced using a curved needle that precisely replicates the Utilizing over 40 years of clinical expertise Company, a global company that manufactures and distributes medical diagnostic solutions and cardiothoracic physician assistants and nurse traditional method of suturing used by surgeons to in cardiothoracic, thoracic transplant/organ practitioners. place stitches and tie intracorporeal knots. replacement, and advanced heart failure, ACTC medical devices worldwide. Bolton’s vision is to can evaluate financial and clinical aspects for become the leading provider of endovascular solutions for aortic disease. Bolton develops, man- CTSNet 531 Enova Illumination 125 programs to increase efficiencies. Whether a new Chicago, IL St. Paul, MN or well-established program, hospital, or insurer, ufactures, and distributes innovative, high-quality products solely focused on the aorta. CTSNet (www.ctsnet.org), headquartered in NEW from Enova Illumination: Cyclops XLT-225 let ACTC assist in maintaining financial viability Chicago, is the leading international source of LED surgical headlight system. The world’s and sustaining growth in today’s challenging health online resources related to cardiothoracic surgery, brightest LED surgical headlight designed for deep care market. Bovie Medical Corporation 540 Clearwater, FL as well as the major hub of the international online cavity surgery HD Camera system with edit-free Bovie® Medical will be featuring J-Plasma®—the community of cardiothoracic surgeons and allied operation, cloud storage, and instant sharing. Aesculap 314 health care professionals. Center Valley, PA helium-based gas plasma technology that is transforming the way surgeries are performed. Essential Pharmaceuticals 206 Aesculap Inc, a member of the B. Braun family Davol Inc, a BARD Company 831 Ewing, NJ of health care companies, is the world’s largest J-Plasma works with precision and versatility across open and laparoscopic procedures. Bovie Warwick, RI Supporting the preservation and growth of hu- manufacturer of surgical instrumentation. For more BARD is the market leader in comprehensive soft man systems. From the cell to the entire organ, than 138 years, Aesculap has provided customers also will exhibit its complete line of electrosurgical products. tissue reconstruction. In addition to this exten- Essential Pharmaceuticals looks to advance with surgical instrumentation for ENT, plastic and sive suite of products, its BioSurgery franchise medical treatments and the research that creates reconstructive, thoracic, microvascular, cardiovas- is delivering a growing line of enhanced sealants new medical treatments. Originally developed for cular, and laparoscopic surgery. C Change Surgical 450 Winston-Salem, NC and hemostatic products to complement surgical cardiac surgery, Custodiol®HTK offers superior The SurgiSLUSH™ System creates sterile slush techniques across thoracic, cardiovascular, and convenience, water-like viscosity, and no need American Association for Thoracic other surgical specialties. for additives or filters, which makes it a preferred Surgery 1121 inside secure, reusable, sterile containers with no exposure to costly, vulnerable slush drapes that solution for many transplant centers. Beverly, MA De Soutter Medical 1101 Founded in 1917, the American Association for can tear or perforate, unintentionally contaminating your sterile slush. Users eliminate long exposure to Mooresville, NC ETHICON/ DePuy Synthes CMF 401 Thoracic Surgery is dedicated to excellence in Cincinnati, OH research, education, and innovation in cardiotho- open basins and the ambient, non-sterile environment prior to use. Designs for Vision 1001 Ethicon US LLC, a Johnson & Johnson company, racic surgery and has become an international Ronkonkoma, NY commercializes a broad range of innovative sur- professional organization of more than 1,325 of the Just See It™ with Designs for Vision’s lightweight gical products, solutions, and technologies used world’s foremost cardiothoracic surgeons. www. Cancer Treatment Centers of America 443 custom-made surgical telescopes—now available to treat some of today’s most prevalent medical aats.org ® Goodyear, AZ with Nike frames. See It Even Better™ with the issues, such as colorectal and thoracic conditions, L.E.D. Daylite® or Twin Beam®, providing the bright- women’s health conditions, hernias, cancer, and AtriCure Inc 915 Cancer Treatment Centers of America®, Inc (CTCA) is a national network of five hospitals fo- est and safest untethered illumination. Introducing obesity. Learn more at www.ethicon.com, or follow West Chester, OH the L.E.D. Daylite® Nano Cam HD—document the Ethicon on Twitter @Ethicon. AtriCure is intent on reducing the global Afib cusing on the treatment of complex and advanced stage cancer. CTCA offers a comprehensive, procedure with HD video from your prospective. epidemic and healing the lives of those affected European Association for Cardio- through clinical science, education, and innova- fully integrative approach to cancer treatment and serves patients from all 50 states at facilities DGMR/Global Intercepts 1102 Thoracic Surgery (EACTS) 830 tion. The company is a leading Afib solutions part- Dumont, NJ Windsor, United Kingdom ner with the only FDA-approved surgical treatment located in Atlanta, Chicago, Philadelphia, Phoenix, and Tulsa. Utilizing relationships with health care providers all EACTS is the largest European association devot- for Afib and the most widely implanted occlusion over the world, DGMR/Global Intercepts provides ed to the practice of cardiothoracic surgery. The device for left atrial appendage management. CardiacAssist, Inc 449 insights on markets, technologies, and devices. main objective of the association is to advance ed- Pittsburgh, PA The company is uniquely qualified to evaluate mar- ucation in the field of cardiothoracic surgery and to CardiacAssist, inventor of the TandemHeart® keting strategies and test product development promote, for the public benefit, research into car- directions, device concepts, product positioning, ANNUAL MEETING EXHIBITORS continued on next page 20 STS MEETING BULLETIN sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016

2016 ANNUAL MEETING EXHIBITORS cont. NEW EXHIBITORS MEETING BULLETIN ADVERTISERS diovascular and thoracic physiology and therapy General Cardiac Tech/Heart Hugger 1019 HeartWare 331 Inion Inc. 941 and to correlate and disseminate the useful results San Jose, CA Framingham, MA Weston, FL thereof. Visit Booth 830 for more information. The Heart Hugger sternum support harness is a HeartWare is dedicated to delivering safe, patient-operated support harness applied postop- high-performing, and transformative therapies that Intermountain Healthcare 248 European Society of eratively to splint surgical wounds. Benefits include enable patients with heart failure to get back to life. Salt Lake City, UT Thoracic Surgeons 834 improved patient compliance, faster return to pre- The HVAD® Pump is designed to be implanted in The Cardiovascular and Thoracic Surgery Core Exeter, United Kingdom morbid respiratory levels, fewer wound complica- the pericardial space, avoiding the more invasive Curriculum Review is a series of intensive lectures ESTS is the largest international general thoracic tions, and better postoperative mobility. It is useful surgical procedures required with older LVAD in cardiovascular and thoracic surgery. This surgery organization with more than1,500 members for open heart surgery, thoracotomy, fractured rib, technologies. The HVAD Pump is commercially course is intended for surgeons preparing for the from all continents. The society’s mission is to improve and other chest trauma patients. available around the world. American Board of Thoracic Surgery certification quality in our specialty: from clinical and surgical examination. Please visit corereview.org for more management of patients to education, training, and Genesee BioMedical 214 Heart Hospital Baylor Plano, The 647 information. credentialing of thoracic surgeons worldwide. The 24th Denver, CO Plano, TX European Conference on General Thoracic Surgery will Design Beyond Standard. Genesee BioMedical, International Biophysics Corp 1038 be held on 29 May–1 June 2016, in Istanbul, Turkey. Inc provides unique devices for cardiothoracic sur- Heart Valve Society, The (HVS) 843 Austin, TX gery, including a bovine pericardium tissue patch, Beverly, MA SternaSafe is an active, adjustable-stability Fehling Surgical 610 sternal/thoracic valve retractors, instruments for The HVS held its inaugural meeting in May 2015 sternum support brace that gives patients hands- Acworth, GA minimally invasive aortic, transcatheter aortic valve at the Grimaldi Forum in Monte Carlo, Monaco, free mobility, enhancing patient recovery after Fehling Surgical features the CERAMOâ instrument implantation, and robotic surgeries, coronary graft with more than 430 medical professionals and 80 sternotomy, coronary artery bypass graft surgery, line, SUPERPLAST probes, and new innovative markers, suture guards, retraction clips, and myo- industry partners in attendance. Whether you are a thoracotomy, lung operations, and rib fractures. retractor systems for minimally invasive cardiac cardial needles. www.geneseebiomedical.com cardiologist, surgeon, researcher, or another mem- SternaSafe provides sternotomy support while surgery. The CERAMO surface means high effi- ber of the crucial valve disease treatment team, the coughing, standing/sitting, and straining by sup- ciency through enhanced performance, increased Gore & Associates 631 HVS welcomes you to become a part of something porting the chest and sternum. endurance, and minimal maintenance. BREAKING Flagstaff, AZ very unique. Membership is available online. NEWS: See the Reusable Papillary Muscle Expo- The Gore Medical Products Division has provided International Society for Minimally sure Device and Atrial Lift System! creative solutions to medical problems for three Hospital Corporation of America 107 decades. More than 35 million Gore medical Ft Lauderdale, FL Invasive Cardiothoracic Surgery FUJIFILM Medical Systems devices have been implanted worldwide. Products HCA-affiliated facilities are a part of a quality (ISMICS) 832 U.S.A., Inc. 1042 include vascular grafts, endovascular and interven- health care network in East Florida and the Trea- Beverly, MA Wayne, NJ tional devices, surgical materials, and sutures for sure Coast with 14 affiliated hospitals, 12 surgery ISMICS: Innovation, technologies, and techniques The Endoscopy Division of FUJIFILM Medical use in vascular, cardiac, and general surgery. For centers, one integrated regional lab, and one in cardiothoracic and cardiovascular/vascular Systems U.S.A., Inc. supplies high-quality, techno- more information, visit www.goremedical.com. consolidated service center. Together, the network surgery. 2016 ISMICS Annual Scientific Meeting, logically advanced FUJIFILM brand endoscopes to employs more than 12,500 individuals and has 15-18 June 2016, Fairmont The Queen Elizabeth, the medical market. For more information, please Grifols 943 close to 6,000 physicians on staff. Montreal, Canada. www.ismics.org. visit www.fujifilmendoscopy.com Tustin, CA INFINITE TRADING INC. 447 Intuitive Surgical 311 G+N Medical Inc. 550 Las Vegas, NV Sunnyvale, CA Middletown, NJ Intuitive Surgical, Inc. designs, manufactures, and

2016 EXHIBITOR MAP

251 350 STS Exhibit LEARNING LAB SMALL THEATER Hall Hours 348 247 346 The STS Exhibit Hall is located in Exhibit Halls 4–5. Tuesday

9:00 a.m.–3:30 p.m. THE ANNALS OF THORACIC SURGERY TECH BAR

LEARNING LAB TSFRE LARGE THEATER

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2016 ANNUAL MEETING EXHIBITORS cont. NEW EXHIBITORS MEETING BULLETIN ADVERTISERS Presenters Meet distributes the da Vinci® Surgical System, technol- LivaNova (formerly Sorin Group) 201 and its newly designed surgical loupes offer up to ogy designed to allow surgeons to perform many Arvada, CO 130 mm field of view and up to 11x magnification. the Media in STS complex procedures minimally invasively. LivaNova is a world leader in the treatment of cardiovascular disease. Its innovative product port- Myriad Genetic Laboratories, Inc. 239 IsoRay Medical 934 folio includes aortic and mitral valve replacement Salt Lake City, UT Press Conferences Richland, WA and repair, perfusion equipment, cannula, and Myriad Genetics is a leading molecular diagnostic IsoRay Medical manufactures and distributes company dedicated to making a difference in pa- minimally invasive cardiac surgery instruments. For he Society will host three radiation therapy sources for direct implantation more information, visit www.livanova.com. tients’ lives through the discovery and commercial- into cancer or surgical margins following resec- ization of transformative tests to assess a person’s press conferences on Tuesday tion of cancer. IsoRay markets cesium-131 based LoupeCam 643 risk of developing disease, guide treatment highlighting some of the exciting brachytherapy meshes and strands for resection decisions, and assess risk of disease progression Scottsdale, AZ research being presented at the line treatment following surgery for high-risk lung LoupeCam® is the market leader in head-mounted and recurrence. cancers, resulting in highly conformal adjuvant radi- HD surgical cameras and is the ONLY company STS 52nd Annual Meeting. The ation therapy that spares critical thoracic structures. offering cross platform (Mac, Windows, and soon Nadia International 614 Tpress conferences will take place in Room Austin, TX Android compatibility). The company offers five 223 at 10:00 a.m. JACE Medical 121 different magnification lenses to match all surgical Educational/surgical bronze sculptures specifically Winona Lake, IN points of view, along with a Bluetooth foot pedal for the thoracic surgeon. These museum-quality JACE Medical pioneered the world’s first rigid that allows for hands-free control of the camera. limited editions are created by the world famous Race Is Associated With Reduced Overall sternal closure system applied presternotomy: sculptor Ronadró. More than 7,500 surgeons in 77 Survival Following Esophagectomy for the Grand Pre®. JACE Medical is a company and countries collect his fine works of art. His works are LSI Solutions 101 Esophageal Cancer Only Among Patients culture committed to creating innovative, transfor- on display at the Smithsonian Institute and many Victor, NY From Lower Socioeconomic Backgrounds mational technologies that facilitate optimal patient COR-KNOT® delivers superior titanium suture fas- medical universities throughout the world. Introduc- treatment, recovery, and future wellness. Visit Booth tening technology worldwide. COR-KNOT reduces ing MIRACLE OF LIFE II at the 2016 meeting. Speaker: Loretta Erhunmwunsee, MD, City 121 and see how the company thinks outside the cardiopulmonary bypass time and cross clamp of Hope, Duarte, Calif. paradox. Get more information at JACEMED.com. time, reducing overall OR time. Find out how COR- nContact 217 KNOT can benefit your OR by visiting Booth 101. Morrisville, NC Cost Analysis of a Physician Assistant Just Co, Ltd 742 nContact is a leader in the development of disease Home Visit Program to Reduce Readmis- Torrance, CA MAQUET 901 management programs with the goal of opening sions Following Cardiac Surgery Only a dedicated plating company can provide unmet markets, minimizing rehospitalizations, and Wayne, NJ Speaker: John P. Nabagiez, MD, Staten “the strongest diamond plating” technology. The MAQUET Medical Systems is a market leader improving health care savings. nContact’s mission Island University Hospital, North Shore-LIJ company can designate the plated layer, which focused on improving patient care and quality of is to transform the underserved arrhythmia market anchors the diamond base on purpose. Its tech- life. The company offers a comprehensive portfolio and benefit the entire cardiovascular service line. Health System, N.Y. nology is very unique and popular to those in the of innovative products designed to meet the needs Operative Risk for Major Lung Resection medical field in need of microsurgery instruments of clinical professionals in the areas of advanced NeoChord, Inc. 1104 and endoscope tips. hemodynamic monitoring, cardiothoracic and vas- Eden Prairie, MN Increases at Extremes of Body Mass cular surgery, thoracic drainage, cardiac interven- NeoChord, a U.S.A. medical device company, in- Index: Analysis of the STS General Kadlec Regional Medical Center 104 tion, perfusion, anesthesia, and ventilation. tends to transform mitral valve repair by providing Thoracic Surgery Database Richland, WA minimally invasive technology that enables beating heart, sternal sparing implantation of artificial Speaker: Trevor Williams, MD, The University Mayo Clinic 108 & 440 of Chicago, Ill. Kapp Surgical 616 Rochester, MN chord tendinae. Cleveland, OH Mayo Clinic surgeons are on the leading edge of Kapp Surgical is a custom design shop that de- treating cardiovascular and thoracic conditions Neu Wave Medical 446 signs surgical instruments and implants, manufac- using the latest innovations and techniques. They Madison, WI tures them, and sells them, as well as distributes are part of an integrated, multidisciplinary team of Neu Wave Medical Inc. has the first and only Intel- domestically and internationally. Kapp’s exclusive doctors and health care professionals who provide ligent Ablation System for microwave ablation of Join the Conversation products include the Cosgrove Heart Retractor, individualized care for each patient. soft tissue lesions with a total solution for ablating Strip T’s surgical organizer, and countless surgical lesions of all shapes and sizes for consistency devices, all FDA-approved with several pending Med Alliance Solutions 611 and control. The computer-controlled platform Like the STS Facebook page at www.facebook. approval. St. Charles, IL with Ablation Confirmation software, an integrated com/societyofthoracicsurgeons and follow ISO 13485-certified medical device distributor in-procedure confirmation, assists physicians with STS on Twitter at @STS_CTSurgery for Karl Storz 546 proper probe placement and confirms success of committed to providing high-quality specialty information about Phoenix and the Annual El Segundo, CA devices for cardiothoracic surgery worldwide. procedures. Karl Storz, a leader in endoscopic equipment and Exclusive US distributor of French instruments Meeting. If you tweet about the Annual instruments, offers solutions for video-assisted manufacturer Delacroix-Chevalier and operational Northeast Provider Solutions 112 Meeting, be sure to use the hashtag #STS2016. thoracic surgery. Its EndoCAMeleon® Laparo- Valhalla, NY partner to Michigan-based Surge Cardiovascular After the Annual Meeting is over, the STS scope enables surgeons to adjust the viewing for open heart surgical products. direction from 0° to 120° throughout procedures. Northwestern Medicine 102 Facebook and Twitter pages will continue to And its Video Mediastinoscope with DCI®-D1 Medela 923 Winfield, IL deliver news on future STS events and CME Camera allows video recording while working un- McHenry, IL credit opportunities. der direct vision for documentation and teaching. Medela, the market leader in breastfeeding ed- Olympus America Inc 1130 ucation and research, provides medical vacuum Center Valley, PA Kinamed Inc. 549 solutions featuring Swiss technology in over 90 Olympus is a precision technology leader in de- Camarillo, CA countries. Medela Healthcare optimizes patient signing and delivering imaging solutions in health care through pioneering and intelligent, mobile, care, life science, and photography. Through its Hear from Experts at KLS Martin 739 digital chest drainage therapy and advanced health care solutions, Olympus aims to improve Jacksonville, FL wound management with negative pressure wound procedural techniques and outcomes and enhance Industry-Sponsored KLS Martin, a responsive company, is focused therapy. the quality of life for patients. on the development of innovative products for Satellite Activities oral, plastic, and craniomaxillofacial surgery. New Medistim 909 On-X Life Technologies, Inc. 617 product developments in the company’s titani- Plymouth, MN Austin, TX atellite activities are programs um osteosynthesis plating systems allow these On-X Life Technologies is proud to announce Medistim is the standard of care in the operating offered by industry and held in products to be used for rapid sternal fixation and room. With the unique combination of transit time FDA approval to reduce INR to 1.5–2.0 for On-X® reconstruction. flow measurement and high-frequency ultrasound Aortic Heart Valve patients starting 3 months after conjunction with the STS 52nd imaging guidance to help reduce and minimize surgery. Chord-X® ePTFE suture for mitral repair Annual Meeting. They are not Koros USA, Inc. 243 is now available in an innovative Pre-Measured the risk of negative postoperative outcomes, developed or sponsored by STS. Moorpark, CA Medistim’s quality assessment technology offers Loops system. For the past 30 years Koros USA, Inc. has been S surgeons quantifiable validation and guidance designing and distributing state-of-the-art surgical during cardiovascular, vascular, transplantation, Ornim 343 TUESDAY instruments, like the Cervical Black Belt, Lumbar and neurosurgery. Foxboro, MA Super Slide, and ALIF Polaris Lateral Retractors, Ornim specializes in research, development, and Medtronic along with the Rotating Osteo Punch, Ejector Medtronic 713 distribution of noninvasive patient monitors spe- Electromagnetic Navigation Bronchoscopy: Punch Rongeurs, and many more fine hand Minneapolis, MN cializing in the field of tissue and cerebral blood Expanding Options in Thoracic Oncology instruments. flow. Its bedside product, c-FLOW™, is based As a global leader in medical technology, services, 6:00 p.m.–8:00 p.m. and solutions, Medtronic improves the lives on the patented UTLight™ technology designed Lexion Medical 247 and health of millions of people each year. The to provide physicians with unique monitoring Paradise Valley, Sheraton Grand Phoenix, Macon, GA solutions that are imperative to individualized and company uses its deep clinical, therapeutic, and 340 N. Third Street economic expertise to address the complex chal- personalized patient care. LifeNet Health 1031 lenges faced by health care systems today. Let’s Virginia Beach, VA take health care Further, Together. Learn more at OSF HealthCare System 110 Medtronic LifeNet Health helps save lives, restore health, Medtronic.com. Peoria, IL Complex Endovascular Aortic Repair: and give hope to thousands of patients each year. It is the world’s most trusted provider of trans- Microsurgery Instruments, Inc. 122 Oxford University Press 213 The Role of the CT Surgeon Today and plant solutions, from organ procurement to new Bellaire, TX New York, NY Tomorrow innovations in bioimplant technologies and cellular Microsurgery Instruments is one of the leading Visit the Oxford University Press stand to browse 6:00 p.m.–9:00 p.m. therapies—a leader in the field of regenerative suppliers of surgical instruments and loupes. The the company’s prestigious surgery books and North Mountain, Sheraton Grand Phoenix, medicine, while always honoring the donors and company’s instruments include titanium scis- journals, including the publications of the Euro- health care professionals who allow the healing sors, needle holders, and DeBakey forceps. Its pean Association for Cardio-Thoracic Surgery. 340 N. Third Street process. Super-Cut scissors are the sharpest in the market, ANNUAL MEETING EXHIBITORS continued on next page 22 STS MEETING BULLETIN sts.org TUESDAY-WEDNESDAY | JAN. 26-27, 2016

2016 ANNUAL MEETING EXHIBITORS cont. NEW EXHIBITORS MEETING BULLETIN ADVERTISERS

Collect your free sample copies of the European and trauma surgical procedures. Cardiothoracic STS/CTSNet Career Fair 100 Aisle suffering from advanced heart failure. Thoratec’s Journal of Cardio-Thoracic Surgery and Interac- implants offer increased stability and flexibility for Make sure to stop by the STS/CTSNet Career Fair, products include the HeartMate LVAS, Thoratec tive CardioVascular and Thoracic Surgery, and anterior chest wall fixation for all types of closures. which will give you the chance to meet face-to-face VAD, CentriMag, and PediMag/PediVAS. discover procedures from the Multimedia Manual with top employers. Recruiters will be available to of Cardio-Thoracic Surgery. Rultract/Pemco Inc. 839 talk with you about career opportunities. The Career Transonic 745 Cleveland, OH Fair will be open during all Exhibit Hall hours. Ithaca, NY Pinnacle Biologics 648 Pemco has designed and manufactured precision You’ve carefully constructed several challenging Bannockburn, IL surgical instruments for the cardiovascular field. The Surgical PA Consultants 339 anastomoses, and they all look good... but are Pinnacle Biologics, Inc. specializes in revitalizing company has documented that perfusion cannula, Lynchburg, VA they? Before you close your patient, take a few healthcare therapies by promoting, developing, and coronary ostial cannula, and cardiac suckers offer Since 1991, Surgical PA Consultants has provided seconds and get precise blood measurements on managing innovative approaches to the commer- cost savings over disposables. Additional products professional recruiting and advertising services each graft. Know if there is a problem now, before cialization of products with a focus on oncology and include reusable subclavian and femoral cannula, for cardiac surgical programs seeking physician the patient lets you know later. Visit Transonic orphan diseases. PDT with Photofrin® is an effective anesthesia screens, and the Rultract retractor. assistants at a reasonable fee. The company has and see how its meters and flowprobes can help therapy for select thoracic malignancies. been clinically active in cardiac surgery and related improve your outcomes. Scanlan International 511 PA professional societies for 40 years, developing Providence Health & Services 347 St. Paul, MN the resources that result in successfully finding University of Pittsburgh Medical Portland, OR Highest quality surgical products designed and qualified PA candidates for cardiothoracic surgical Center (UPMC) 348 Providence Health & Services is affiliated with manufactured by the Scanlan family since 1921. practices. Pittsburgh, PA Swedish Health Services, Pacific Medical Centers, More than 3,000 surgical instruments in titanium and Kadlec. Together, its organizations include and stainless steel, including D’Amico Medias- SurgiPrice 123 VasoPrep 132 more than 5,000 employed providers, 35 medical tinoscopy Biopsy Forceps, new shorter VATS Rockville, MD Morristown, NJ centers, and more than 600 clinics in Alaska, instruments, uniportal VATS instruments, MEMORY California, Montana, Oregon, and Washington. Dilators/Vessel Probes, LEGACY Needle Holders SurgiTel/General Scientific Corp 1030 Veran Medical Technologies 1100 The company is currently recruiting providers in and Forceps, and single-use products. Ann Arbor, MI St. Louis, MO nearly all medical specialties throughout the West. SurgiTel is the manufacturer of premium loupes providence.org/providerjobs SheerVision 242 and headlights sold around the world. Holding a Virtual Pediatric Systems, LLC 246 Rolling Hills Estates, CA variety of patents, SurgiTel is always on the fore- Los Angeles, CA QED Medical 342 SheerVision designs, develops, and manufactures front of vision and ergonomics. With more than 100,000 ICU cases, VPS Cardiac Lexington, KY loupe and headlight systems that enhance vision bridges the critical care continuum by providing QED Medical introduces the new XL 10-watt OR- through exceptional visual acuity and powerful SynCardia Systems, Inc. 1003 data collection, analysis, and interpretation to ready Portable LED Headlight System featuring illumination. SheerVision also is the exclusive pro- Tucson, AZ improve critical care. Benchmarking takes place untethered mobility, maximum intensity, and a vider of Under Armour Performance Eyewear. Also The SynCardia temporary Total Artificial Heart among cardiac, pediatric, and mixed units and in- lightweight design with intensity and spot size on display is the new loupe-mounted, hands-free (TAH-t) is the world’s only FDA, Health Cana- cludes the Pediatric Index of Cardiac Surgical Inten- controls. Since 1971, QED Medical has developed HD video camera allowing you to “Shoot. Store. da, and CE-approved Total Artificial Heart. It is sive Care Mortality (PICSIM), a novel risk-adjusted a comprehensive line of American-made headlight Share.” with state-of-the-art technology. approved as a bridge to transplant for patients score for the pediatric cardiac surgical population. illumination and video headlight systems for appli- dying from end-stage biventricular failure. Visit the Please visit VPS at Booth 246 to learn more about cations from examination to surgery. Society of Thoracic Surgeons, The 523 SynCardia booth for updates on the Freedom® the impact the company is making. Chicago, IL portable driver, 50 cc TAH-t, and destination Quest Medical Inc. 931 The Society of Thoracic Surgeons represents more therapy. VitaHEAT Medical 215 Allen, TX than 7,100 surgeons, researchers, and allied health Rolling Meadows, IL Quest Medical Inc. is a medical device manufac- care professionals worldwide who are dedicated to Tech Bar 639 Visit VitaHEAT Medical (Booth 215) to see the turer and worldwide distributor specializing in pro- ensuring the best possible outcomes for surgeries Get free technical assistance from the Tech Bar, next generation in patient warming: an underbody tecting the heart during cardiac surgery with the of the heart, lung, and esophagus, as well as other which is similar to Apple’s Genius Bar and will pro- mattress that is safe, effective, easy to use, and Quest MPS 2® and Microplegia. Quest also offers surgical procedures within the chest. The Society vide assistance from three subject matter experts, cost efficient. It is battery operated for portability a unique variety of aortic punches, safety valves, offers a wide variety of member benefits, including live demos on technology topics of interest, and a with an AC power option. Finally, one versatile vascular loops, and an anesthesia line designed reduced participation fees in the renowned STS charging station. You can get help with personal system that meets all your patient warming for optimum cardiovascular surgery. National Database™, a complimentary subscrip- and professional issues related to your tablets, needs. tion to The Annals of Thoracic Surgery, dynamic mobile devices, apps, e-mail, and more—through- Regional Data Managers: educational offerings, online patient information out the entire exhibition. Vitalcor, Inc./Applied Fiberoptics 533 STS National Database 735 resources, and much more. The Society also sup- Westmont, IL Ann Arbor, MI ports cutting-edge research via the STS Research Terumo 801 Vitalcor, Inc. is a supplier of medical devices used The Regional Data Managers booth provides Center and advocates in Washington, DC, on Ann Arbor, MI primarily in cardiothoracic surgery. Since 1975, opportunities for surgeons to interact with data behalf of cardiothoracic surgery professionals and Vascutek, a Terumo company, will display an Vitalcor has provided products that take input managers from around the country who are active- their patients. Stop by Booth 523 or visit www.sts. extensive range of sealed woven and knitted from teaching and practicing surgeons to make ly involved with regional STS National Database org to learn more. polyester grafts for peripheral, abdominal, and their practice easier. The company prides itself on efforts and collaborative STS groups. Come learn cardiothoracic surgery. Terumo will display the offering quality products and providing excep- about regional activities and initiatives! Sontec Instruments 310 VirtuoSaph® Plus Endoscopic Vessel Harvesting tional customer service. Centennial, CO System, Beating Heart, and Surgical Stabilization rEVO Biologics 747 Sontec offers headlights, loupes, and the most products, and Terumo® Perfusion Products. Vitalitec Geister 431 Framingham, MA comprehensive selection of exceptional handheld Plymouth, MA rEVO Biologics, Inc. is a commercial-stage surgical instruments available to the discriminating Thompson Surgical 441 Vitalitec Geister will be displaying all its products, biopharmaceutical company focused on the surgeon. There is no substitute for quality, exper- Traverse City, MI highlighting the Peters CV Suture, Enclose II Anas- development and commercialization of specialty tise, and individualized service. Sontec’s vast array Thompson Surgical has been a leader in expo- tomosis Assist Device, Cygnet Flexible Clamps, therapeutics to address unmet medical needs in awaits your consideration at Booth 310. sure for over 50 years. Cardiovascular surgeons Intrack Atraumatic Temporary Clamps and Inserts, patients with rare, life-threatening conditions. The will benefit from the Thompson Surgical Bolling and Geister ValveGate and ValveGate PRO line. company’s lead product, ATryn, is the first and only Spectranetics 349 Retractor, which provides low profile, stable, plasma-free antithrombin concentrate. Colorado Springs, CO uncompromised exposure of the heart structures. Wexler Surgical, Inc. 1009 SPNC develops, manufactures, markets, and The company provides innovative, high-quality Houston, TX Rose Micro Solutions 930 distributes single-use medical devices used in systems that deliver safe, versatile retraction. Wexler Surgical designs and manufactures a West Seneca, NY minimally invasive procedures within the cardio- variety of titanium and stainless steel specialty Rose Micro Solutions sells high-quality optical vascular system. The Lead Management (LM) Thoracic Surgery Foundation for surgical instruments and products for cardiac, loupes and LED lights for less! The company’s product line includes excimer laser sheaths, dilator Research and Education (TSFRE) 731 vascular, thoracic, and microsurgery. Come see loupes start at $279. Rose Micro Solutions is a sheaths, mechanical sheaths, and accessories for Chicago, IL their VATS/MICS instruments and ask about the family business consisting of four brothers who the removal of pacemaker and defibrillator cardiac TSFRE is the charitable arm of The Society of Optimus Series. Visit www.wexlersurgical.com for named the company after their mother Rose. Stop leads. Thoracic Surgeons. The mission of TSFRE is to more information about products and services, or by Booth 930, visit www.rosemicrosolutions.com, foster the development of surgeon scientists in e-mail [email protected]. or call (716) 608-0009. Spiration, Inc. 632 cardiothoracic surgery, increasing knowledge Redmond, WA and innovation to benefit patient care. The Wolters Kluwer 939 RTI Surgical 849 The Spiration® Valve System has a humanitarian foundation represents thoracic surgery in the Phoenix, AZ Alachua, FL device approval in the United States to control United States, and its research and educational RTI Surgical™ is a leading global surgical implant specific postoperative air leaks of the lung and has initiatives support the broad spectrum of thorac- Z Health Publishing, LLC 547 company providing surgeons with safe biolog- CE mark approval for the treatment of diseased ic surgery. Brentwood, TN ic, metal, and synthetic implants. RTI provides lung in emphysematous patients and for damaged surgeons with metal, cable, and plating systems, lung resulting in air leaks by limiting air flow to Thoramet Surgical 935 Zimmer Biomet Thoracic (formerly as well as biologic options for cardiothoracic selected areas. Rutherford, NJ Biomet Microfixation) 136 Thoramet Surgical Products sells the most com- Jacksonville, FL St. Jude Medical 701 plete line of VATS instruments available. Produced Founded in 1927 and headquartered in Jackson- St. Paul, MN in the USA in the company’s own facilities, they ville, Florida, Zimmer Biomet is a global leader St. Jude Medical is a global medical device man- are the surgeon’s choice. Come to Booth 935 to in musculoskeletal health care. The company See You Next Year! ufacturer dedicated to transforming the treatment see their unique versatility. Thoramet has the feel designs, manufactures, and markets a compre- of some of the world’s most expensive, epidemic you want, the actuation you need, and the patterns hensive portfolio of innovative thoracic prod- STS 53rd Annual Meeting diseases by creating cost-effective medical tech- you demand. ucts and treatment solutions for surgeons and nologies that save and improve lives of patients patients, including the RibFix™ Blu Thoracic January 21–25, 2017 globally. Clinical focus areas include cardiac Thoratec Corporation 730 Fixation System and the SternaLock® Blu Primary rhythm management, atrial fibrillation, cardiovas- Pleasanton, CA Closure System. Houston, Texas cular, and neuromodulation. Visit sjm.com. Thoratec is the world leader in mechanical circulatory support with the broadest product portfolio Zipper Belt 346 to treat the full range of clinical needs for patients Dallas, TX

Day 3 STS 2016 Dailies ClearFlow Ad_hi-res.pdf 1 12/11/15 9:40 AM

Retained Blood Syndrome (RBS)

may slow your patients’ recovery and can often lead to unnecessary re-operations or interventions to remove blood, blood clot, bloody ﬂuid or air from the pericardial or pleural spaces. According to recent data about 1 in 5 cardiothoracic surgery patients require such interventions and these interventions cost an average of $28,814 per patient to treat.1

Recently reported clinical results1 show that patients who were treated with the PleuraFlow® Active Clearance Technology® System had a statistically signiﬁcant decrease in both the rate of reintervention for Retained Blood Syndrome (42% reduction) and the rate of postoperative atrial ﬁbrillation (30% reduction).2

Exclusively distributed in the US by

www.ClearFlow.com www.MaquetUSA.com

1 Based on over 313,000 US adult heart surgery patients. Data extracted using ICD-9 codes from the 2010 Nationwide Inpatient Sample (NIS), from the DHHS Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP). 2 Data presented at Cardiovascular-Thoracic (CVT) Critical Care Conference, 2014.

ML090-A At STS 2016, visit Maquet Booth #901 MCV00031527 REVA