Programme for 2019
This year’s TALS will happen Friday, 22nd November 2019.

Interdisciplinary approach, patient tailored planning and a dedicated team concept are the keys for better outcomes in complex thoracic aorta challenges.

8H00
REGISTRATION
9H00
WELCOME
ADELINO LEITE MOREIRA
President of the Portuguese Society of Cardiothoracic and Vascular Surgery
9H05
1ST SESSION
SHORT PRESENTATION HIGHLIGHTS
AORTIC ROOT. UNCONTROLLED INFECTIVE ENDOCARDITIS. ABSCESS, FALSE ANEURYSM, FISTULA, AORTIC-VENTRICULAR DISRUPTION AND OTHER COMPLICATIONS
5 MIN FOR EACH CASE REPORT
12 MIN FOR EACH PRESENTATION
20 MIN FOR DISCUSSION
TOPICS IN DISCUSSION
– Imaging Diagnosis
– TET and CT Scan
– Indications for an Emergent Operation
– Surgical Principles and Options
– Homografts and Root Xenografts
– TAVI Endocarditis
MODERATORS
LUISA BRANCO | Cardiology, Lisboa, Portugal
KLAUS KALLENBACH | Cardiac Surgery, Luxemburg
CLINICAL CASES
A. JORGE PINHEIRO SANTOS | Cardiac Surgery, Lisboa, Portugal

B. SARA RANCHORDAS | Cardiac Surgery, Lisboa, Portugal

1.1. UNCONTROLLED COMPLICATED INFECTIVE ENDOCARDITIS. ECHOCARDIOGRAPHY
LUISA BRANCO | Cardiology, Lisboa, Portugal
1.2. WHEN INFECTION EXTENDED THROUGH THE RING. SURGICAL PRINCIPLES, TIMING FOR SURGERY AND WHAT IS THE IDEAL REPLACEMENT
DAVIDE PACINI | Cardiac Surgery, Bologna, Italy
1.3. THE AORTIC ROOT XENOGRAFT FREESTYLE®. IS IT A SURGICAL RELIABLE OPTION?
ÁLVARO LARANJEIRA SANTOS | Cardiac Surgery, Lisboa, Portugal
1.4. UNCONTROLLED INFECTIVE ENDOCARDITIS. ADVANTAGES WITH THE AORTIC ROOT XENOGRAFT FREESTYLE®
MAREK JASINSKI | Cardiac Surgery, Wroclaw, Poland
1.5. TAVI ENDOCARDITIS. SHOULD WE BE WORRIED?
CARMELO MIGNOSA | Cardiac Surgery, Palermo, Italy
PANEL OF EXPERTS
MARIO JORGE AMORIM | Cardiac Surgery, Porto, Portugal
LUZ PITTA | Cardiology, Santarém, Portugal
ANA OLIVEIRA SOARES | Cardiology, Lisboa, Portugal
10H30
FIRST CONFERENCE (20 minutes)
EVOLUTION IN THE TREATMENT OF THORACIC AORTA ANEURYSMS
BARTOSZ RYLSKI | Cardiac Surgery, Freiburg, Germany
CHAIRMAN
PAULO PINHO | Cardiac Surgery, Porto, Portugal
10H50
SECOND CONFERENCE (20 minutes)
EVOLUTION IN THE TREATMENT OF TYPE A ACUTE DISSECTION
HEINZ JACOB | Cardiac Surgery, Essen, Germany
CHAIRMAN
LUÍS VOUGA | Cardiac Surgery, Gaia, Portugal
11H10
COFFEE-BREAK
11H30
2ND SESSION
SHORT PRESENTATION HIGHLIGHTS
ACUTE AORTIC SYNDROME
5 MIN FOR EACH CASE REPORT
7 MIN FOR EACH PRESENTATION
30 MIN FOR DISCUSSION
TOPICS IN DISCUSSION
– The ideal treatment for ACS could be catastrophic for AAS
– Understanding PAU and IMH, when to worry and when to treat?
– Proximal repair, hemiarch or FET. Specific indications for the same disease or different diseases. Outcomes.
– Entry tear in the arch and persistence of visceral malperfusion syndromes.
– New entry tears iatrogenic induced on the distal anastomosis.
– Aortic regurgitation and valve preservation
– The fate of the FL. FL thrombosis promotes aortic positive remodelling.
– Elective hybrid procedures in ATAD. Is it possible to achieve a complete remodelling?
– The aortic team. A feasible concept?
– Dedicated aortic surgeons, do they exist?
MODERATORS
ÁLVARO LARANJEIRA SANTOS | Cardiac Surgery, Lisboa, Portugal
JOSÉ FERNANDO TEIXEIRA | Vascular Surgery, Porto, Portugal
CLINICAL CASES
C. DANIELA AFONSO | Cardiac Surgery, Lisboa, Portugal

D. DANIEL MARTINS | Cardiac Surgery, Gaia, Portugal

2.1. ACUTE AORTIC SYNDROME AND ACUTE CORONARY SYNDROME. HOW TO DISTINGUISH AND WHAT TO DO IN THE EMERGENCY ROOM OF A GENERAL HOSPITAL
PEDRO BICO | Cardiology, Vila Franca de Xira, Portugal
2.2. UPA AND IMH. WHEN TO TREAT?
OLIVER BERNECKER | Cardiac Surgery, St. Poelten, Austria
2.3. THE FROZEN ELEPHANT TRUNK IN ACUTE TYPE A AORTIC DISSECTIONS. WHY IS IT AN OPTION IN SELECTED CASES AND WHEN IT IS ASSOCIATED WITH BETTER OUTCOMES
JOHN KOKOTSAKIS | Cardiac Surgery, Athens, Greece
2.4. STATIC AND DYNAMIC MALPERFUSION. HOW TO RECOGNIZE AND OPTIONS TO TREAT
KONSTANTINOS TSAGAKIS | Cardiac Surgery, Essen, Germany
2.5. HOW TO DEAL WITH THE ROOT
CARMELO MIGNOSA | Cardiac Surgery, Palermo, Italy
2.6. ELECTIVE HYBRID PROCEDURES IN AORTA TYPE A ACUTE DISSECTION. ANOTHER OPTION TO INDUCE FL THROMBOSIS, POSITIVE REMODELLING AND TO IMPROVE LATE OUTCOMES
ÁLVARO LARANJEIRA SANTOS | Cardiac Surgery, Lisboa, Portugal
2.7. HYBRID PROCEDURES IN AORTA TYPE A ACUTE DISSECTION. A STRATEGY TO REDUCE THE SURGICAL RISK
JEAN PHILIPPE VERHOYE | Cardiac Surgery, Rennes, France
2.8. PATIENT TAILORED PLAN, HYBRID ROOM AND AORTIC DEDICATED TEAM. IS IT THE WAY TO GO? THE BOLOGNA EXPERIENCE
DAVIDE PACINI | Cardiac Surgery, Bologna, Italy
PANEL OF EXPERTS
SASKO JOVEV | Cardiac Surgery, Skopje, Macedonia
MIGUEL ABECASSIS | Cardiac Surgery, Lisboa, Portugal
13H00
LUNCH
13H00
LUNCH SYMPOSIUM
Branched Aortic Arch Grafting (Terumo Aortic®)
Overview of the Arch Aneurism
MANUEL ALONSO PEREZ | Vascular Surgery, Oviedo, Spain
Double Branch Terumo Aortic
LUÍS MENDES PEDRO | Vascular Surgery, Lisboa, Portugal
Double Branch Worldwide Results
PEDRO AMORIM | Vascular Surgery, Lisboa, Portugal
14H30
THIRD CONFERENCE (20 minutes)
A LIFE DEDICATED TO COMPLEX AORTIC SURGERY. LESSONS TO THE NEW GENERATIONS
CARLOS MESTRES | Cardiac Surgery, Zurich, Switzerland
CHAIRMAN
JOSÉ PEDRO NEVES | Cardiac Surgery, Lisboa, Portugal
14H50
3RD SESSION: ADVANCES IN COMPLEX AORTIC SURGERY AND INTERVENTION
10 MIN FOR EACH PRESENTATION
15 MIN FOR DISCUSSION
TOPICS IN DISCUSSION
– Paraplegia the most feared complication.
– Safe landing zones, debranching and rerouting. An approach high risk patients.
– Total endovascular arch. Advances and anatomic constraints.
– When FET and AtBCD is the best option?
– Fenestrated and branched stents in the arch.
– New improvements in open arch surgery.
MODERATORS
KONSTANTINOS TSAGAKIS | Cardiac Surgery, Essen, Germany
FREDERICO GONÇALVES | Vascular Surgery, Lisboa, Portugal
3.1. PARAPLEGIA AFTER FET IN TYPE A CHRONIC RESIDUAL DISSECTION
ANTÓNIO CRUZ TOMÁS | Cardiac Surgery, Lisboa, Portugal
3.2. TBA
ANGELO NOBRE | Cardiac Surgery, Lisboa, Portugal
3.3. TEVAR AS 2ND STAGE AFTER FET FOR AORTIC DISSECTIONS
THEODOROS KRATIMENOS | Interventional Radiology, Athens, Greece
3.4. THE STABILISE TECHNIQUE: A NEW HOPE FOR TYPE B AORTIC DISSECTION?
LUÍS MENDES PEDRO | Vascular Surgery, Lisboa, Portugal
3.5. AORTIC TEAM: A VALID CONCEPT OR A MYTH?
FREDERICO GONÇALVES | Vascular Surgery, Lisboa, Portugal
DISCUSSANTS
KLAUS KALLENBACH | Cardiac Surgery, Luxemburg
JOHN KOKOTSAKIS | Cardiac Surgery, Athens, Greece
RICARDO ARRUDA PEREIRA | Cardiac Surgery, Lisbon, Portugal
16H00
4TH SESSION: HOT TOPICS IN VERY COMPLEX AORTIC PATHOLOGY
10 MIN FOR EACH PRESENTATION
20 MIN FOR DISCUSSION
TOPICS IN DISCUSSION
– New solutions for total endovascular arch.
– Long lasting multisegmental aorta disease. Until when is advisable to repair?
– Mega aorta syndrome is a nightmare! Are staged operations the possible solutions?
– Marfan surgical mandatory rules.
– Marfan Syndrome. How extensive is prophylaxis.
– Arch replacement in the 1st root prophylactic surgery.
MODERATORS
ÂNGELO NOBRE | Cardiac Surgery, Lisboa, Portugal
CARMELO MIGNOSA | Cardiac Surgery, Palermo, Italy
4.1. TOTAL ENDOVASCULAR ARCH: PARALLEL GRAFTS & PHYSICIAN MODIFIED FENESTRATIONS
JOSÉ FERNANDO TEIXEIRA | Vascular Surgery, Porto, Portugal
4.2. RESIDUAL TYPE A CHRONIC DISSECTION AND ARCH ENLARGEMENT. WHAT TO DO?
OLIVER BERNECKER | Cardiac Surgery, Sankt Pölten, Austria
4.3. MEGA AORTA SYNDROME
JACQUES TOMASI | Cardiac Surgery, Rennes, France
4.4. MARFAN. WHAT SHOULD BE THE EXTENSION OF THE 1ST SURGERY. PROXIMAL REPAIR OR ARCH REPAIR AS WELL?
KLAUS KALLENBACH | Cardiac Surgery, Luxemburg
DISCUSSANTS
ANA CAMACHO | Cardiology, Faro, Portugal
MANUEL ALMEIDA | Cardiology, Lisboa, Portugal
JORGE ALMEIDA | Cardiology, Porto, Portugal
ANTÓNIO TOMÁS | Cardiac Surgery, Lisboa, Portugal
17H00
FINAL CONSIDERATIONS AND CLOSURE
ÁLVARO LARANJEIRA SANTOS
ADELINO LEITE MOREIRA
* Please note that the Programme might still suffer minor changes.