Annual Meeting
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2007 Program and Abstracts

Western Thoracic Surgical Association
33rd Annual Meeting
June 27 - June 30, 2007
Hyatt Regency Tamaya Resort & Spa
Santa Ana Pueblo, New Mexico

Preliminary Program

3:00 pm Registration Opens
Speaker Ready Room Open
7:00 pm New Members Reception
Kids Reception
6:00 am Samson Fun Run
7:00 am Registration
Speaker Ready
Continental Breakfast
Family Hospitality
8:00 am Introduction of New Members and Resident Essay Finalists
(10 minutes presentation, 10 minutes discussion)
+1. Impact of Completion Angiogram After Surgical Coronary Revascularisation.
S. Kumar, R. Ahmad, J. Balaguer, J. Greelish, D. Zhao, M. Petracek, J. Byrne.
Vanderbilt Heart Institute, Nashville, TN
+2. A Prospective Controlled Trial of Endobronchial Ultrasound guided Transbronchial Needle Aspiration Compared to Mediastinoscopy for Mediastinal Lymph Node Staging of Lung Cancer
K. Yasufuku1, M. Quadri1, M. dePerrot1, A. Pierre1, T. Waddell1, G. Darling1, M. Johnston1, W. Geddie2, S. Boerner2, T. Fujisawa3, S. Keshavjee1.
1Division of Thoracic Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada
+3. Accumulating Multiple High-Risk Criteria Incrementally Decreases Survival ter Pediatric Heart Transplantation
R. R. Davies1, M. J. Russo2, S. Mital1, T. M. Martens1, R. A. Sorabella1, K. N. Hong1, A. C. Gelijns1, A. J. Moskovitz2, J. M. Quaegebeur1, R. S. Mosca1, J. M. Chen1.
1College of Physicians and Surgeons, Columbia University, New York, NY, 2International Center for Health Outcomes and Innovation Research, Columbia University, New York, NY
Elliot T. Gelfand
In Celebration of our Differences”
10:00 am Coffee Break/Visit Exhibits
10:30 am SCIENTIFIC SESSION (cont.)
(10 minutes presentation, 10 minutes discussion)
+4. Optimal Timing of Coronary Artery Bypass After Acute Myocardial Infarction: A Review of California Discharge Data
E. S. Weiss, D. D. Chang, D. Joyce, L. U. Nwakanma, D. D. Yuh.
Johns Hopkins Hospital, Baltimore, MD
+5 Mitochondrial Membrane Potential is Different Between the Right and Left Ventricle in Humans and Rats
J. Nagendran, V. Gurtu, J. R. Dyck, D. B. Ross*, I. M. Rebeyka*, E. D. Michelakis.
University of Alberta, Edmonton, AB, Canada
+6 Native Lung Volume Reduction Surgery Relieves Functional Graft Compression in Single Lung Transplants for COPD
T. B. Reece, J. D. Mitchell*, M. Zamora, D. A. Fullerton*, J. C. Cleveland*, M. Pomerantz*, D. Lyu, F. L. Grover*, M. J. Weyant.
University of Colorado, Denver, CO
7 Aortic Valve Replacement with Toronto SPV Bioprosthesis: Excellent Patients Survival But Poor Valve Survival
T. E. David, C. M. Feindel, S. Armstrong, J. Bos, J. Ivanov.
Toronto General Hospital, Toronto, ON, Canada
The Solitary Pulmonary Nodule: Excision vs. Ablation – Do you Need to Know?

Moderator: Richard I. White
Pro: Douglas E. Wood
Con: James Luketich
12:30 pm ADJOURN
7:00 pm Route 66 Theme Dinner
FRIDAY, JUNE 29, 2007

Adult Cardiac Session
Percutaneous Valves

Speaker: Jian Ye

General Thoracic Session
The Evolution of Therapy for Achalasia: Surgery is the Treatment of Choice

Speaker: Donald E. Low

Congenital Heart Disease Session
3-D Echo In Valve Repair

Speaker: Ivan Rebeyka & Jeffrey Smallhorn
6:30 am Speaker Ready Room
7:00 am Registration
Continental Breakfast - Exhibit Hall
Family Hospitality
Sponsored by: White Memorial Medical Center and Foundation – Lyman A. Brewer, III Fund

Frontiers in Disease Phenotyping: The Example of Organ Transplantation
Speaker: Philip F. Halloran
(10 minutes presentation, 10 minutes discussion)
8. Thoracoscopic Lobectomy: Introduction of a New Technique into a Thoracic Surgery Training Program
M. F. Reed, M. W. Lucia, S. L. Starnes, W. H. Merrill, J. A. Howington.
University of Cincinnati College of Medicine, Cincinnati, OH
9. Twenty-Year Experience of Mitral Valve Repair with Artificial Chordae in 608 Patients.
L. Salvador, S. Mirone, R. Bianchini, T. Regesta, F. Patelli, G. Minniti, M. Masat, E. Cavarretta, C. Valfrè.
Treviso Ca' Foncello Hospital - Cardiac Surgery, Treviso, Italy
10. Feasibility of the Extracardiac Conduit Fontan Operation in Fontan Candidates with Less Than Ten Kilograms Body Weight
A. Ikai, Y. Fujimoto, K. Hirose, N. Ota, Y. Tosaka, T. Nakata, Y. Ide, K. Sakamoto.
Shizuoka children's Hospital, Shizuoka, Japan
+11. MAP Kinase Inhibition Ameliorates Lung Ischemia-Reperfusion Injury
P. S. Wolf, H. E. Merry, A. S. Farivar, A. S. McCourtie, M. S. Mulligan*.
University of Washington, Seattle, WA
+12. Surgical Outcomes in Non-Smoking Lung Cancer Patients
R. A. Meguid, C. M. Hooker, L. Xu, J. T. Sherwood, M. Sussman, S. C. Yang, M. V. Brock.
Johns Hopkins University School of Medicine, Baltimore, MD
10:30 am Coffee Break/Visit Exhibits
11:00 am SCIENTIFIC SESSION (cont.)
(10 minutes presentation, 10 minutes discussion)
13. Risk Factors Of Death After Thoracic Endovascular Aortic Repair: A Multivariate Analysis.
A. Khoynezhad1, J. Selzle1, C. E. Donayre2, R. A. White2.
1University Of Nebraska Medical Center, Omaha, NE, 2Harbor-UCLA Medical Center, Torrance, CA
14. Secretory Phospholipase A2 is Required to Induce Histologic Changes Associated with Gastroesophageal Reflux in a Murine Model
M. J. Weyant, A. Babu, X. Meng, J. Cleveland*, A. Banerjee, D. Fullerton*.
University of Colorado Health Sciences Center, Denver, CO
+15. Anterior Pericardial Tracheoplasty for Congenital Tracheal Stenosis: Long Term Outcomes
N. H. Fanous1, S. A. Husain2, M. W. Turrentine2, M. D. Rodefeld2, J.W. Brown2.
1Indiana University School of Medicine, Indianapolis, IN, 2University of Florida School of Medicine, Gainesville, FL
12:00 pm ADJOURN
1:00 pm Golf Tournament
Tennis Tournament
6:00 am Speaker Ready Room
7:00 am Registration
Continental Breakfast
Family Hospitality
(5 minutes presentation, 2½ minutes discussion)
BC1. Pulmonary Vein Isolation and Cox-Maze IV Only Partially Denervate the Atria
S. C. Lall, K. V. Foyil, S. Sakamoto, R. K. Voeller, R. B. Schuessler, R. J. Damiano.
Washington University School of Medicine, Saint Louis, MO
BC2. Extracorporeal Membrane Oxygenation Support Improves Survival of Patients with Severe Hantavirus Cardiopulmonary Syndrome
C. A. Dietl*, J. A. Wernly*, M. R. Crowley, S. B. Pett, S. F. Yassin, J. P. Sterling, K. Milligan, R. J. Dragan.
University of New Mexico Health Sciences Center, Albuquerque, NM
BC3. Pre-Transplant LVAD Does Not Adversely Affect One-Year Cardiac Transplant Survival
J. C. Cleveland*, F. L. Grover*, D. A. Fullerton*, D. N. Campbell*, M. B. Mitchell*, J. Lindenfeld, E. E. Wolfel, B. D. Lowes, S. F. Shakar, A. Brieke, A. D. Robertson.
University of Colorado Health Sciences, Denver, CO
BC4. Modified Ultrafiltration Reduces Elaboration of Alveolar Proinflammatory Cytokines in Response to Cardiopulmonary Bypass in Neonatal Piglets
B. Z. Atkins1, C. M. Fitzpatrick2, D. S. Danielson3, P. Dixon4, W. G. Wolfe*1, A. J. Carpenter2.
1Duke University, Durham, NC, 2University of Texas Health Science Center-San Antonio, San Antonio, TX, 3Northwestern University, Chicago, IL, 459th Clinical Research Squadron, San Antonio, TX
BC5. Is Left Ventricular End-Diastolic Pressure a Better Predictor of Long-Term Survival Versus Left Ventricular Ejection Fraction in Patients Undergoing Coronary Artery Bypass Surgery?
J. Nagendran1, A. Oreopoulos1, C. Norris1, M. James1, J. Appoo2, A. Koshal*1, D. B. Ross*1.
1University of Alberta, Edmonton, AB, Canada, 2University of Calgary, Calgary, AB, Canada
BC6. Paraplegia after Extensive Thoracic and Thoracoabdominal Aortic Aneurysm Repair: Does Critical Spinal Cord Ischemia Occur Postoperatively?
C. D. Etz, M. Luehr, E. Griepp, K. A. Plestis, D. Weisz, R. B. Griepp*.
Mount Sinai School of Medicine, New York, NY
BC7. The Aortopathy of Bicuspid Aortic Valve Disease has Distinctive Patterns and Usually Involves the Transverse Aortic Arch
S. Fazel1, H. R. Mallidi2, R. S. Lee2, M. P. Sheehan2, D. Liang2, R. Herfkens2, S. Mitchell*2, C. Miller*2.
1University of Toronto, Toronto, ON, Canada, 2Stanford University, Stanford, CA
BC8. Cardiac Retransplantation is an Efficacious Therapy for Primary Cardiac Allograft Failure
P. Atluri, W. Hiesinger, R. C. Gorman, A. Pochettino, M. Jessup, M. A. Acker, R. J. Morris, Y. J. Woo.
University of Pennsylvania, Philadelphia, PA
  BC9. Deciphering the Dual Nature of Toll-like Receptor 4 in Lung Ischemia Reperfusion Injury
H. E. Merry, P. S. Wolf, A. S. McCourtie, A. S. Farivar, M. S. Mulligan*.
University of Washington, Seattle, WA
BC10. Mesenchymal Stem Cell Differentiation to Lung Alveolar Epithelial Cells: A Potential Mechanism for Repair After Ischemia-Reperfusion Injury
R. Castanos1, Y. Jin1, J. O. Chan1, L. M. Backhus1, R. M. Bremner*2, V. A. Starnes*1, M. A. Smith1.
1University of Southern California, Los Angeles, CA, 2St. Joseph's Hospital and Medical Center, Phoenix, AZ
BC11. Mediastinoscopy May Not Be Necessary in Non-Small Cell Lung Cancer Patients With Mediastinal Lymph Nodes Having a Maximum Standard Uptake Value of Less Than 5.3
B. E. Lee1, C. Foster2, E. Abella3, T. Lown1, D. Lau1, D. Follette*1.
1UC Davis Cancer Center, Sacramento, CA, 2UC Davis Medical Center, Sacramento, CA, 3Northern California PET Imaging Center, Sacramento, CA
BC12. Lung Cancer Screening With Low Dose Computed Tomography: Challenging Aspects For The Clinicians
G. Veronesi, M. Bellomi, G. Pelosi, P. Scanagatta, j. Guarize, G. Petralia, M. Masullo, F. Leo, P. Solli, L. Spaggiari*.
European Institute of Oncology, Milano, Italy
BC13. A Comparison of Transternal, Video Assisted and Robotically Assisted Extended Thymectomy for Myasthenia Gravis
R. K. Freeman1, A. J. Ascioti1, T. C. Wozniak2, J. M. Van Woerkom1, R. J. Robison1.
1St Vincent Hospital, Indianapolis, IN, 2Methodist Hospital, Indianapolis, IN
BC14. Patterns of In Vitro Drug Resistance in Adenocarcinoma and Squamous Cell Carcinoma of the Lung
I. Yu1, E. Mechetner1, R. Parker1, J. P. Fruehauf2, M. Gu1.
1Oncotech, Inc., Tustin, CA, 2University of California at Irvine, Irvine, CA
BC15. Results of an Algorithm to Remove Chest Tubes After Pulmonary Resection with High Output
R. J. Cerfolio, A. S. Bryant.
University of Alabama at Birmingham, Birmingham, AL
BC16. Rigid Bronchoscopy and Surgical Resection for Broncholithiasis and Calcified Mediasitnal Lymph Nodes
R. J. Cerfolio, A. S. Bryant, L. M. Maniscalco.
University of Alabama at Birmingham, Birmingham, AL
Moderators: Max B. Mitchell
Gordon A. Cohen

BC17. Treatment of Right Ventricle to Coronary Artery Connections in Infants wtih Pulmonary Atresia and Intact Ventricular Septum
S. Setty, J. Berry, P. Jain, L. Pyles, J. E. Foker.
University of Minnesota, Minneapolis, MN
BC18. Identification of a Genetic Locus for Atrioventricular Valve Formation
K. Kaneko, X. Li, X. Zhang, J. Lamberti*, S. W. Jamieson*, P. A. Thistlethwaite*.
University of California, San Diego, San Diego, CA
BC19. Hemidiaphragm Plication after Repair of Congenital Heart Defects in Children; Quantitative Return of Diaphragm Function Over Time
C. J. Baker, V. Boulom, B. L. Reemtsen, R. C. Rollins, V. A. Starnes*, W. J. Wells*.
Childrens Hospital Los Angeles, Los Angeles, CA
BC20. Right Ventricular Sinus Myectomy for Pulmonary Atresia with Intact Ventricular Septum: Predictors of Successful Biventricular Repair and Growth of Right-Sided Structures
R. Bryant, E. R. Nowicki, E. H. Blackstone, J. Rajeswaran, B. W. Duncan, G. L. Rosenthal, U. Mohan, M. Mumtaz, R. B. Mee.
Cleveland Clinic, Cleveland, OH
BC21. Mid-Term Follow-Up of the One-and-a-Half Ventricle Repair for Complex Congenital Heart Defects
A. Ahmed, K. Zahka, E. Siwik, F. Erenberg, Y. Al-Khatib, A. Golden, W. Gauvin, M. Karimi, M. Uddin, J. Stork, H. Hennein.
Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, OH
BC22. Novel Technique for Staged Cavopulmonary Connection in Patients with Interrupted Inferior Vena Cava and Azygos Continuation
J. Nagendran, D. H. Freed, S. Aboelnazar, I. M. Rebeyka*.
University of Alberta, Edmonton, AB, Canada
BC23. Coronary Bloodflow Reversal and Other Flow Alterations with Aortopulmonary Shunting in Neonates
F. W. Tsai, H. Munro, D. Felix, J. Bailey, B. Freud, C. Smith, W. DeCampli.
Arnold Palmer Hospital, Orlando, FL
BC24. Mitral Valve Insufficiency Does Not Predict Need for a Mitral Repair or Replacement in Patients with Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery
J. W. Brown, M. Ruzmetov, M. D. Rodefeld*, M. W. Turrentine.
Indiana University School of Medicine, Indianapolis, IN
(10 minutes presentation, 10 minutes discussion)
16. Use of Custom Dacron Branch Grafts for “Hybrid” Aortic Debranching During Endovascular Repair of Thoracic and Thoracoabdominal Aortic Aneurysms.
G. C. Hughes, J. J. Nienaber, E. L. Bush, M. A. Daneshmand, R. L. McCann.
Duke University Medical Center, Durham, NC
17. Lung Function after Transplantation: Two Lungs Are Better than One
D. P. Mason, J. Rajeswaran, S. C. Murthy, A. M. McNeill, M. M. Budev, A. C. Mehta, G. B. Pettersson, E. H. Blackstone.
Cleveland Clinic Foundation, Cleveland, OH
18. Operative Delay for Malperfusion Syndrome in Acute Type A Aortic Dissection: A Long Term Analysis
H. J. Patel, D. M. Williams, G. M. Deeb.
University of Michigan Hospitals, Ann Arbor, MI
19. Survival after En Bloc Esophagectomy is Superior to Transhiatal Resection after Incomplete Response to Neoadjuvant Therapy
C. Rizzetto, C. G. Peyre, S. R. DeMeester, J. C. Lipham, J. A. Hagen, T. R. DeMeester.
Keck School of Medicine, University of Southern California, Los Angeles, CA
9:50 am Coffee Break/Visit Exhibits
10:10 am SCIENTIFIC SESSION (cont.)
(10 minutes presentation, 10 minutes discussion)
20. Cytoreductive Surgery Combined with Post-operative Chemotherapy and Radiotherapy Offers Better Survival Benefit Than Pleuro-pneumonectomy in Diffuse Malignant Pleural Mesothelioma: A 25-year Experience
H. Luckraz, M. Rahman, N. Patel, A. Szafranek, A. R. Gibbs, E. G. Butchart.
University Hospital of Wales, Cardiff, United Kingdom
21. Prognosis of Patients Removed from a Transplant Waiting List for Medical Improvement: Implications for Organ Allocation and Transplantation in Status 2 Patients
K. J. Hoercher, E. H. Blackstone, E. Nowicki, J. Alster, G. Gonzalo-Stawinski, N. G. Smedira.
Cleveland Clinic, Cleveland, OH
+22. Aortic Valve Replacement in Patients Aged 50 to 70 Years: Improved Outcome with Mechanical vs. Biological Prostheses
M. L. Brown, H. V. Schaff, C. J. Mullany, T. M. Sundt, J. A. Dearani, C. G. McGregor, T. A. Orszulak.
Mayo Clinic, Rochester, MN
11:10 am C. Walton Lillehei Point/CounterPoint Session

Technology Has Driven the Maze Procedure

Moderator: Steven W. Guyton
Pro: TBD
Con: TBD
12:00 am ANNUAL BUSINESS MEETING (Members Only)

+Samson Resident Prize Essay
*WTSA Member


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