CARDIOLOGY GRAND ROUNDS
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1 Presentation: Speakers: Presentation: Speakers: Presentation: Speakers: CARDIOLOGY GRAND ROUNDS Date: Case Review: Open thoracoabdominal aortic aneurysm repair Timothy M. Sullivan, MD, Minneapolis Heart Institute at Abbott Northwestern Hospital OBJECTIVES At the completion of this activity, the participants should be able to: 1. Identify the indications for aneurysm repair. 2. Identify risk factors for spinal cord ischemia during open repair. 3. Review operative techniques to reduce visceral ischemia during open repair. Case Review: Endovascular repair of thoracoabdominal aortic aneurysm using fenestrated stent graft Jesse M. Manunga, Jr., MD, Minneapolis Heart Institute at Abbott Northwestern Hospital OBJECTIVES At the completion of this activity, the participants should be able to: 1. The indication for repair of thoracoabdominal aneurysm. 2. Available options for repair of thoracoabdominal aneurysm. 3. Limitations of the currently available treatment options. Data Review: Closure device complications following percutaneous femoral arterial catheterization Jason Q. Alexander, MD, Minneapolis Heart Institute at Abbott Northwestern Hospital OBJECTIVES At the completion of this activity, the participants should be able to: 1. Identify the pertinent anatomic landmarks for percutaneous femoral access 2. Identify the characteristics which increase the risk of closure device complications 3. Recognize the long term patient implications of closure device complications. Monday, November 30, 2015, 7:00 8:00 AM Location: ANW Education Building, Watson Room ACCREDITATION Physician: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Allina Health and Minneapolis Heart Institute Foundation. Allina Health is accredited by the ACCME to provide continuing medical education for physicians. Allina Health designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurse: This activity has been designed to meet the Minnesota Board of Nursing continuing education requirements for 1.2 hours of credit. However, the nurse is responsible for determining whether this activity meets the requirements for acceptable continuing education. DISCLOSURE STATEMENTS Speaker: Dr. Manunga declared the following relationship; Consultant: Cook Medical, Inc. Dr. Alexander declared the following relations; Consultant: Lake Region Medical. None of their devices will be discussed nor are germane to the presentation. Dr. Sullivan has declared he does not have any conflicts of interest. Planning Committee: Dr. Michael Miedema, and Jolene Bell Makowesky have declared that they do not have any conflicts of interest associated with the planning of this activity. Dr. Robert Schwartz declared the following relationships stockholder: PLEASE SAVE A COPY OF THIS FLIER AS YOUR CERTIFICATE OF ATTENDANCE
2 Cardiomind, Interface Biologics, Aritech, DSI/Transoma, InstyMeds, Intervalve, Medtronic, Osprey Medical, Stout Medical, Tricardia LLC, CoAptus Inc, Augustine Biomedical; scientific advisory board: Abbott Laboratories, Boston Scientific, MEDRAD Inc, Thomas, McNerney & Partners, Cardiomind, Interface Biologics; options: BackBeat Medical, BioHeart, CHF Solutions; speakers bureau: Vital Images; consultant: Edwards LifeSciences. PLEASE SAVE A COPY OF THIS FLIER AS YOUR CERTIFICATE OF ATTENDANCE
3 MHI: Case Presentation Jesse Manunga, MD Division of Vascular & Endovascular Surgery N o v e m b e r 3 0 t h, Disclosures Consultant for Cook Medical, Inc. 1
4 HPI 71 y.o. female with an enlarging Crawford Extent I thoracoabdominal aortic aneurysm Diagnosed several years back and has been monitored Aneurysm measures 5.1 cm in late 2013 but increased in size to 6.6 cm on a subsequent CTA Was offered an open repair by a local vascular surgeon but refused referred for a second opinion Asymptomatic Cardiovascular Risks/PMHx HTN Hyperlipidemia TAAA CAD Obesity Alcohol dependence Alcoholic Hepatitis Depression Suicidal ideation 2
5 Tubal ligation Surgical History Right ankle repair (fracture) Gastric bypass ASA Wellbutrin Synthroid Gabapentin Simvastatin Metoprolol Medications 3
6 Family Hx/ Social Hx Father, mother, brother and sister died of heart disease No history of aneurysmal disease Married with 2 grown children Physical Exam General: NAD VSS, BMI kg/m2 CV: RRR Abdominal: soft, + bowel sounds, no bruit, + pulsatile abdomen mass Vascular: normal pulse exam at every level checked No carotid bruit Labs WNL 4
7 Images 5
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11 3D Lab interpretation Complex geometric correlations 9
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15 Thank You! 13
CARDIOLOGY GRAND ROUNDS
Presentation: Speakers: Presentation: Speakers: Presentation: Speakers: CARDIOLOGY GRAND ROUNDS Date: Case Review: Open thoracoabdominal aortic aneurysm repair Timothy M. Sullivan, MD, Minneapolis Heart
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Evolution of Thoracic Aortic Surgery A Rapidly Advancing Paradigm October 15 th, 2014 Family Practice Evening Course University of Calgary Jehangir Appoo Division of Cardiac Surgery Libin Cardiovascular