Dear Friends and Colleagues, SECOND THOR ACIC H O S P I TA L D E S A N TA M A RTA C A R D I O T H O R AC I C D E PA RT M E N T TAVI, TEVAR, FET, hybrid, Petti Coat, Freestyle, EVITA, SACP, David, bioBentall, INVUS and neuro-monitoring for spinal cord protection, are procedures and techniques, increasingly used in the complex thoracic aorta disease surgical treatment. In the last decade we witnessed an extraordinary development in the accuracy of diagnosis, surgical and anaesthetic techniques and therapeutic options for these patients. Few years ago, several were inoperable due to potential associated devastating complications. Nowadays we can do it almost in a routine manner with excellent short and long term outcomes. The aim of the Thoracic Aorta Lisbon Symposium 2015 is to divulge what is done in the world and teach us all how to do so in Portugal, better and more reproducible. This year, we invited an exceptional panel of national and foreign experts with extensive experience or even the highest experience, in different fields. The theme is «Interdisciplinary is one of the keys of future cardiovascular medicine» and we want to see, ask, learn and discuss clinical cases and indications. The collaboration between different specialties is enriching and the first to benefit are our patients. The Symposium is designed to fulfil all these purposes. It is a privilege on behalf of the Cardiothoracic Surgery Department of the Hospital de Santa Marta to invite you to attend, at the Hotel Tivoli Lisboa, Friday, December 4th, 2015 the Thoracic Aorta Lisbon Symposium 2015. Álvaro Laranjeira Santos MD José Fragata MD, PhD PROGRAM DECEMBER 4 th 8h00 REGISTRATION 9h00 WELCOME ADRESSES AND INTRODUCTION JOSÉ FRAGATA ÁLVARO LARANJEIRA SANTOS 9h15 1ST SESSION: TAVI UPDATE MODERATORS: JOSÉ FRAGATA Lisbon, Portugal LINO PATRÍCIO Lisbon, Portugal 1. INTERMEDIATE RISK AORTIC STENOSIS: TAVI OR SURGERY JOSÉ CUENCA La Coruña, Spain 2. CHOOSE THE BEST VALVE FOR THE INDIVIDUAL TAVI PATIENT. JEAN-CLAUDE LABORDE London, UK 3. WILL NEW VALVES IN THE NEAR FUTURE CHANGE THE ACCESS APPROACH IN ALL TAVI PATIENTS? PEDRO CANAS DA SILVA Lisbon, Portugal 2015 4. SUTURELESS VALVES. ALTERNATIVE TO TAVI? CARMELO MIGNOSA Catania, Italy PANEL DISCUSSANTS: JOSÉ PEDRO NEVES Carnaxide, Portugal RUI CAMPANTE TELES Carnaxide, Portugal JOSÉ BATISTA Lisbon, Portugal 10h30 COFFE-BREAK 11h00 2ND SESSION: MARFAN AND RELATED DISORDERS MODERATORS: GONZALO PRADAS Vigo, Spain RICHARD SCHULENBURG Kimberley, South Africa 5. WHO HAS MARFAN SYNDROME? SPONTANEOUS MUTATION AND CARDIOVASCULAR DISEASE. KEY DIAGNOSTIC ISSUES. ISABEL MENDES GASPAR Lisbon, Portugal PROGRAM DECEMBER 4 th 6. LOEYS-DIETZ SYNDROME. RESEARCH THAT HAS DEFINED A CLINICAL SYNDROME. BART LOEYS Antwerp, Belgium 7. BICUSPID AORTIC VALVE. EMBRYOLOGY AND HISTOPATHOLOGY ARE IMPORTANT TO UNDERSTAND CLINICAL AND SURGICAL INDICATIONS? ROSA GOUVEIA Lisbon, Portugal 8. INDICATIONS AND SURGICAL OPTIONS IN MARFAN ANEURYSMS AND DISSECTIONS DAVIDE PACINI Bologna, Italy DISCUSSANTS: ANA AGAPITO Lisbon, Portugal JOSÉ CARLOS AREIAS Porto, Portugal ÂNGELO NOBRE Lisbon, Portugal 12h30 CONFERENCE: WHAT CARDIOLOGISTS AND CARDIAC SURGEONS NEED TO KNOW ABOUT MARFAN SYNDROME DUKE CAMERON John Hopkins Hospital, Baltimore, USA CHAIRMEN: JOSÉ FRAGATA Lisbon, Portugal VASCO RIBEIRO Gaia, Portugal 13h00 LUNCH 14h30 3RD SESSION: THORACIC AORTA MODERATORS: DUKE CAMERON John Hopkins Hospital, Baltimore, USA PAULO PINHO Porto, Portugal 9. COULD MAGNETIC RESSONANCE HELP SURGICAL DECISION MAKING IN THORACIC AORTA? NUNO JALLES Lisboa, Portugal 10. PETTI-COAT TECHNIQUE WITH NON-COVERED STENTS IN TYPE B AORTIC DISSECTIONS. INTERMEDIATE AND LONG TERM FALSE LUMEN PATENCY. ANGEL FLORES Toledo, Spain 11. ACUTE TYPE A AORTIC DISSECTION: WHEN FROZEN ELEPHANT TRUNK IS AN OPTION. KONSTANTINOS TSAGAKIS Essen, Germany 12. ARCH AND MEGAORTA SYNDROME (MAS). FROZEN ELEPHANT TRUNK. KAZIMIERZ WIDENKA Rzeszowie, Poland 2015 13. ARCH AND MEGAORTA SYNDROME (MAS). HIBRID VERSUS frozen elephant trunk - SANTA MARTA´s EXPERIENCE ÁLVARO LARANJEIRA SANTOS Lisbon, Portugal DISCUSSANTS: PEDRO MATOS Lisbon, Portugal JOÃO RODRIGUES DA SILVA Funchal, Madeira, Portugal RICHARD SCHULENBURG Kimberley, South Africa 16h45 COFFEE-BREAK 17h00 4TH SESSION: THORACO-ABDOMINAL AORTA MODERATORS: JOÃO ALBUQUERQUE E CASTRO Lisbon, Portugal MARTIN MALINA Malmö, Sweden 14. ENDOVASCULAR (OR HIBRID) APPROACH IN 2015 MARTIN MALINA Malmö, Sweden 15. SURGICAL APPROACH IN 2015 GERMANO MELISSANO Milan, Italy 16. PARAPLEGIA AND SPINAL CORD NEUROPROTECTION AND MONITORING. BAREND MEES Maastricht, The Netherlands DISCUSSANTS: FREDERICO GONÇALVES Lisbon, Portugal JOSÉ ARAGÃO MORAIS Lisbon, Portugal HUGO RODRIGUES Lisbon, Portugal 18h00 6 CLINICAL REPORTS “HOW WE DID IT” 5 MINUTES PRESENTATION + 5 MINUTES DISCUSSION MODERATORS: ÁLVARO LARANJEIRA SANTOS Lisbon, Portugal KAZIMIERZ WIDENKA Rzeszowie, Poland DAVIDE PACINI Bologna, Italy 19h00 FINAL CONSIDERATIONS AND CLOSING REMARKS ÁLVARO LARANJEIRA SANTOS JOSÉ FRAGATA