JOINT ANNUAL MEETING ACTA -SCTS 2012 at The Manchester Central Conference Centre Wednesday 18th - Friday 20th April 2012 Association for Society for Cardiothoracic Cardiothoracic Surgery Anaesthetists in Great Britain and Ireland www.acta.org.uk www.scts.org ACTA & SCTS JOINT ANNUAL MEETING 2012 The Association of Cardiothoracic Anaesthetists and The Society for Cardiothoracic Surgery in Great Britain and Ireland 2012 ANNUAL MEETING & CARDIOTHORACIC FORUM 18-20 April 2012 Manchester Central Conference Centre Dr Donna Greenhalgh (2011-2012), Chairman, ACTA Professor David Taggart (2010-2012), President, SCTS Contents International Guests 3 National Guests 4 Manchester Central Hall Plan 5 Outline Programme 6 Meeting Programme 10 Abstracts 61 The Patrick Magee Medal Competition 275 Authors’ Index 279 Exhibitors List 287 Exhibition Floor Plan 288 Exhibition Catalogue 289 General Information 317 Committees 321 Meeting History 330 1 ACTA-SCTS JOINT MEETING • Manchester Central Conference Centre Association of Cardiothoracic Society for Cardiothoracic Anaesthetists Surgery in Great Britain and Ireland The Royal College of Anaesthetists, The Royal College of Surgeons of England Churchill House, 35 Red Lion Square, 35-43 Lincoln's Inn Fields London WC1R 4SG London WC2A 3PE Tel: +44 (0) 020 7092 1726 Tel: +44 (0) 20 7869 6893 Fax: +44 (0) 20 7092 1730 Fax: +44 (0) 20 7869 6890 Email: [email protected] Email: [email protected] www.acta.org.uk www.scts.org All best endeavours will be made to present the programme as printed. However the Association of Cardiothoracic Anaesthetists and the Society for Cardiothoracic Surgery in Great Britain and Ireland reserve the right to alter or cancel without prior notice any of the arrangements, timetables, plans or other items relating directly or indirectly to the meeting for any cause beyond their reasonable control. The Association of Cardiothoracic Anaesthetists and the Society for Cardiothoracic Surgery in GB & Ireland are not liable for any loss or inconvenience caused as a result of such alteration. In the event of cancellation of the congress all pre-paid fees will be refunded in full. However the Association of Cardiothoracic Anaesthetists and the Society for Cardiothoracic Surgery in GB & Ireland are not liable for any other loss or inconvenience caused as a result of such cancellation and delegates are therefore advised to take out their own travel insurance and extend their policy for personal possessions as the meeting does not cover individuals against cancellations of bookings or theft or damage of belongings. 2 JOINT ANNUAL MEETING 2012 • General International Guests Dr Frank Detterbeck Dr Marco Ranucci Professor of Surgery (Section of Istituto Policlinico S.Donato, Milan, Italy Thoracic Surgery) Dr Andrew Roscoe Chief Thoracic Surgery Associate Professor of Anesthesiology Yale University, USA Toronto General Hospital, Canada Dr Jöerg Ender Dr Manfred Seeberger Direktor Head of Cardiothoracic Anaesthesia Abteilung für Anästhesiologie und Department of Anaesthesia and Intensivmedizin II, Leipzig, Germany Intensive Care Medicine Ms Jill Engel University of Basle, Anesthesia and Director of Advanced Practice for the Intensive Care Medicin, Switzerland Duke Heart Center at Duke University Dr Peter Slinger Hospital, Duke University Hospital, USA Consultant Cardiothoracic Anaesthetist Professor Luciano Gattinoni Toronto General Hospital, Canada Director of the School of Anesthesia and Professor Mark Stafford-Smith MD Intensive Care Department of Anesthesiology University of Milan, Italy Duke University Medical Center Dr Dominic Grunenwald Professor David Sugarbaker Chief of Thoracic Surgery Chief of Thoracic Surgery Hospital Tenon, Paris Brigham & Women's Hospital, Mr Axel Hofmann Department of Thoracic Surgery, Health Economist Massachusetts, USA Medical Society for Blood Management, Professor Thoralf Sundt III Laxenburg, Austria Chief of Cardiac Surgery Dr Jonathan Leff Massachusetts General Hospital, USA Chief, Cardiothoracic Anesthesiology Dr Doris Taylor Director Cardiothoracic Anesthesia Director Regenerative Medicine, Texas Fellowship Heart Institute, USA Assistant Professor of Anesthesiology Professor Andrew Wechsler Montefiore Medical Center, USA Chair Dr Constantive Mavroudis Department of Cardiothoracic Surgery Director Drexel University College of Medicine, Congenital Heart Institute, Philadelphia, USA Walt Disney Pavilion, Florida Hospital for Children, USA Dr Al Perrino Professor of Anesthesiology Yale-New Haven Hospital, USA 3 ACTA-SCTS JOINT MEETING • Manchester Central Conference Centre National Guests Baroness Angela Billingham Dr Susannah Price of Banbury in the County of Oxfordshire. Consultant in Paediatric Cardiology & Life Peer House of Lords, sits on the Intensive Care Labour benches Royal Brompton and Harefileed NHS Foundation Trust Dr Dominic Bell Consultant Anaesthetist Dr Saxon Ridley Leeds General Infirmary Consultant Anaesthetist & Intensive Care Medicine Ms Stevie Caffrey Glan Clywd Hospital Patient University Hospitals of South Mr David Soul Manchester Actor & Musician Patient Ms Janet Davies FRCN Royal Brompton Hospital Director of Nursing & Service Delivery Royal College of Nursing Mr Stephen Dorrell MP Health Minister, UK Mr James Kingsland National Commissioning Network Lead Dept of Health and Senior Partner in General Practice, Chester Mr Shishir Kore Specialist Nurse, Organ Retrieval/Ventricular Assist Devise Coordinator, University Hospital of South Manchester Professor Paul O’Neill Consultant Geriatrician University Hospital of South Manchester Dr Thomas Matthew Consultant Anaesthetist Nottingham City Hospital, UK Mr Tony Nash Olympic Champion, Gold Medal Winner Dame Gill Oliver FRCN RCN Fellow 4 JOINT ANNUAL MEETING 2012 • General Manchester Central Hall Plan 5 ACTA-SCTS JOINT MEETING • Manchester Central Conference Centre Outline Programme WEDNESDAY 18th April 2012 Time Time Session trom to SCTS UNIVERSITY 08:30 09:00 Welcome 09:00 12:00 Lung Oncology: Contemporary Practice and Advances 14:00 17:00 09:00 12:00 Adult Right-Sided Heart Disease 14:00 17:00 09:00 12:00 Complex Mediastinal and Airway Surgery 14:00 17:00 09:00 12:00 Minimising Surgical Invasion: Innovative Techniques 14:00 17:00 09:00 12:00 Coronary Artery Surgery Just Got Interesting: 14:00 17:00 Understanding the Data 09:00 12:00 Intraoperative TOE and Decision making in Cardiac Surgery 14:00 17:00 09:00 12:00 Congenital Heart Surgery: Arrhythmia 14:00 17:00 Surgery and Advanced AV Valve Repair 09:00 12:00 Simulation of Crisis Management in Thoracic Emergencies 14:00 17:00 09:00 12:00 Anticoagulation and Bleeding in Cardiac Surgery 14:00 17:00 09:00 12:00 Transcatheter Valve Surgery 14:00 17:00 Lunch Box Sessions 12:15 13:45 Cerebral Protection in Cardiac Surgery 12:15 13:45 How to do it: Complex Thoracic Surgical Resection 12:15 13:45 Complex Mitral Valve Disease 6 JOINT ANNUAL MEETING 2012 • Outline Programme Time Time Session trom to 12:15 13:45 Complex Airway Disease / Mediastinal Management 12:15 13:45 Allografts in Congenital Heart Surgery 12:15 13:45 ECMO: Clinical Applications and Practical Tips 12:15 13:45 Bicuspid Aortic Valve Disease and Bicuspid Aortopathy 12:15 13:45 State of the Art Aortic Stenting 12:15 13:45 Mediastinitis: Prevention and Cure THURSDAY 19th April 2012 07:30 08:45 Charter 3 SORIN - Aortic Valve 07:30 08:45 Exchange 11 Thoracic - Mets and Malignancy 07:30 08:45 Exchange 10 BIOINTEGRAL Congenital Symposium 07:30 08:45 Exchange 9 Cardiac Scientific 07:30 08:45 Charter 2 Thoracic - Lung Volume Reduction 07:30 08:45 Organisers 1 Education Sub Committee 09:00 10:00 Charter 3 Patients’ Forum Greeting 08:45 10:00 Exchange 6/7 Database Managers : 7th Annual Meeting 08:45 10:00 Exchange CARDIOSOLUTIONS Opening Plenary Auditorium Session - Teamwork and Outcomes 10:00 10:45 Exhibition Hall COFFEE 10:00 10:45 Organisers 3 Thoracic Sub Committee 10:45 12:30 Exchange 10 Congenital Papers 10:45 12:30 Exchange 11 Safe Surgery Workshop 10:45 12:30 Exchange 9 Cardiac - TAVI 10:45 12:30 Exchange 6/7 Database Managers : 7th Annual Meeting 10:45 12:30 Charter 3 ETHICON Cardiothoracic Forum 10:45 12:30 Exchange HEART RESEARCH UK - Organ Protection Auditorium 10:45 12:30 Charter 2 Fischer and Paykel Thoracic - Analgesia 12:30 13:30 Exhibition Hall LUNCH 7 ACTA-SCTS JOINT MEETING • Manchester Central Conference Centre 13:30 15:00 Exchange 11 Leader as Educator 13:30 15:00 Exchange Plenary Session - How do we provide the Auditorium Out of Hours’ Service? 13:30 15:00 Charter 3 Patients’ and Cardiothoracic Forum 13:30 15:00 Exchange 10 Congenital 13:30 17:30 Exchange 6/7 Data Committee Meeting 13:30 15:00 Exchange 9 Organ Failure 13:30 15:00 Charter 2 MEDELA Thoracic Research Collaborative 15:00 15:45 Charter 2 Thoracic Films 15:00 15:45 Exchange 4/5 Cardiac Films - AV Repair and revasc 15:00 15:45 Exhibition Hall TEA 15:45 17:30 Exchange 11 GE Echo Session 15:45 17:30 Exchange 9 Trainees Meeting 15:45 17:30 Exchange 4/5 Cardiac - Revascularisation 15:45 17:30 Exchange 10 Congenital Papers 15:45 17:30 Exchange Current Status of Artificial Organ Support Auditorium 15:45 17:30 Charter 3 ETHICON Cardiothoracic Forum 15:45 17:30 Charter 2 Thoracic - Miscellaneous 17:30 19:00 Charter 3 SCTS - ABM 8 JOINT ANNUAL MEETING 2012 • Outline Programme FRIDAY 20th April 2012 08:00 10:00 Exchange 10 Cardiac - Stopping the Bleeding 08:00 09:00 Exchange 6/7 Thoracic - Oesophageal 09:10 10:00 Exchange 6/7 Part 1 - Pushing the Boundaries 08:00 10:00 Exchange 11 Workshop - Getting the Best from