53RD ANNUAL MEETING George R. Brown Convention Center • Houston, Texas January 21-25, 2017 ABSTRACT BOOK The Society of Thoracic Surgeons gratefully acknowledges the following companies for providing educational grants for the STS 53rd Annual Meeting. This list is accurate as of December 7, 2016. STS Platinum Benefactors Provided $50,000 or above Abbott Medtronic STS Silver Benefactor Provided $10,000-$24,999 Bard Davol PROGRAMGENERAL INFORMATIONPARTICIPANTS MISSION STATEMENT e mission of e Society of oracic Surgeons is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy. OVERALL MEETING OBJECTIVE e overall objective of this meeting is to provide a forum for all cardiothoracic surgeons and their teams to learn the most up-to-date information on research, surgical techniques, patient management, and social, ethical, and political issues in order to maintain the highest level of care for the cardiothoracic patient. STS CONTINUING MEDICAL EDUCATION (CME) MISSION STATEMENT e continuing medical education mission of e Society of oracic Surgeons is to provide a forum for reporting results of scientic research and for updating information in the disciplines of cardiovascular, general thoracic and congenital heart surgery. e principal continuing education programs conducted by the Society include an annual scientic meeting, self-study programs, and other stand-alone meetings. e Annual Meeting is composed of peer-reviewed scientic abstracts, invited overview presentations, small group presentations, presentations on new technologies and video programs. e broad scope of topics related to cardiothoracic surgery is covered during each Annual Meeting. In addition to and separate from the national meeting, topical meetings are held that focus on relevant information needs of cardiothoracic surgeons. ese educational sessions frequently highlight a multidisciplinary approach and include content relevant to cardiothoracic surgeons as well as other physicians and health care providers in related disciplines. STS programs are developed and provided with the intent of conrming existing knowledge base, imparting new knowledge, and promoting competence in the content areas covered for cardiothoracic surgeons, residents, and their allied health care providers. Amended by the STS Board of Directors: January 25, 2009 FUTURE MEETINGS OF THE SOCIETY OF THORACIC SURGEONS ECMO Management Symposium March 10-12, 2017 Tampa, Florida Symposium on Robotic Mitral Valve Repair March 31-April 1, 2017 Chicago, Illinois Advances in Quality & Outcomes October 18-20, 2017 Chicago, Illinois Coding Workshop November 16-18, 2017 Hollywood, California STS 54th Annual Meeting & STS/AATS Tech-Con January 27-31, 2018 Fort Lauderdale, Florida e information in this Abstract Book is accurate as of December 7, 2016. STS 53rd Annual Meeting Abstract Book. © e Society of oracic Surgeons 2017. All rights reserved. 53rd Annual Meeting Abstract Book 1 TABLE OF CONTENTS STS Mission Statement ......................................................... 1 Overall Meeting Objective ....................................................... 1 CME Mission Statement ........................................................ 1 Program at a Glance ............................................................ 4 CME Information..............................................................6 Rules Regarding Oral Presentations and Scientic Posters ..............................9 Commercial Relationships of Program Planning Members, STS Sta, and Abstract Reviewers...12 STS/AATS Tech-Con 2017.....................................................30 Heater-Cooler-Induced Infections: Practices, Protocols, and Mitigation Strategies..........40 Adult Congenital Heart Disease Symposium........................................44 Practice Management Summit ................................................... 46 STS/AATS Critical Care Symposium . 48 STS/SCA: Integrating Perioperative Echocardiography Into Cardiac Surgical Clinical Decision Making......................................................................50 “How To” Video Session: Technical Tricks and Pitfalls to Simplify Cardiac Surgery Procedures...52 Residents Symposium: Transitioning From Residency to a Successful Practice ............. 56 Resuscitation of Patients Who Arrest After Cardiac Surgery ........................... 58 Surgical Symposium: Congenital Cardiac Surgery Mélange ............................60 Surgical Symposium: “How To” Video Session: Tips and Tricks in General oracic Surgery .. 62 Multidisciplinary Response to Emergencies: Strategies for Team Members................64 J. Maxwell Chamberlain Memorial Papers..........................................68 Richard E. Clark Memorial Papers................................................74 Presidential Address: Joseph E. Bavaria ............................................ 79 Adult Cardiac: Arrhythmia ......................................................80 Basic Science Research: Adult Cardiac.............................................84 Basic Science Research: General oracic .......................................... 94 Congenital: Adult Congenital...................................................102 Critical Care ................................................................ 108 Ethics Debate ............................................................... 114 General oracic: New Technology .............................................. 116 Late-Breaking Abstracts I......................................................120 STS Key Contacts: How to Become an Advocate for Cardiothoracic Surgery.............120 STS/CATS/CSCS: Quality Improvement in Cardiothoracic Surgery . 122 ACC @ STS ................................................................ 124 Redening Practice rough Quality and Evidence: What’s New?......................128 Adult Cardiac: Aorta I.........................................................144 Adult Cardiac: Ischemic ....................................................... 154 Congenital: Pediatric Congenital I ............................................... 162 2 The Society of Thoracic Surgeons www.sts.org TABLE OF CONTENTS General oracic: Lung Cancer I ................................................174 General oracic: Lung Transplantation .......................................... 184 International Symposium ...................................................... 192 SVS @ STS: Sharing Common Ground for Cardiovascular Problems...................194 Surgical Motion Picture Matinee: Adult Cardiac....................................196 Surgical Motion Picture Matinee: Congenital ...................................... 204 Surgical Motion Picture Matinee: General oracic ................................. 208 e Annals Academy: Propensity Score Matching ...................................214 STS Social Event: Space Center Houston ......................................... 215 Early Riser Sessions...........................................................218 Early Riser Health Policy Forum ................................................225 Results of the STS TAVR Survey................................................226 omas B. Ferguson Lecture: Ralph W. Muller.....................................226 Award Presentations .......................................................... 226 C. Walton Lillehei Lecture: Samer Nashef.........................................226 Residents Luncheon .......................................................... 226 Adult Cardiac: General . 228 Adult Cardiac: Mitral and Tricuspid Valves ........................................238 Congenital: Pediatric Congenital II .............................................. 246 EACTS @ STS: Management of Distal Type B Aortic Dissection ..................... 258 Electronic Learning and Innovation in Education...................................266 General oracic: Esophageal...................................................268 General oracic: Lung Cancer II ...............................................284 Advanced erapies for End-Stage Heart Disease...................................298 Patient Safety Symposium: Resilience or Burnout—Do We Have a Choice?..............308 Cardiothoracic Surgical Education ...............................................310 Late-Breaking Abstracts II . 317 Adult Cardiac: Aorta II........................................................318 Adult Cardiac: Aortic Valve .................................................... 328 Congenital: Pediatric Congenital III..............................................340 ESTS @ STS: Controversial Issues in General oracic Surgery ....................... 352 General oracic: Mediastinal/Pulmonary.........................................354 STS University...............................................................366 Scientic Poster Abstracts......................................................372 Program Participant Index ..................................................... 518 53rd Annual Meeting Abstract Book 3 PROGRAM AT A GLANCE Friday, January 20 3:00 PM – 6:00 PM Registration Saturday, January 21 7:00 AM – 6:00 PM Registration 7:00 AM – 6:30 PM Tech-Con Exhibits 7:00 AM – 8:00 AM Breakfast 8:00 AM – 9:30 AM Tech-Con Adult Cardiac Track I: Innovations in Mitral Valve Disease and Atrial Fibrillation Management Tech-Con General Thoracic Track I: Precision Thoracic Surgery 9:30 AM – 10:15 AM BREAK—Visit Tech-Con Exhibits 10:15 AM – 12:00 PM Tech-Con