Early outcome of the Shelhigh Super StentlessR Aortic Valve in [PDF]

CARDIOVASCULAR SCIENCES FORUM CARDIOVASC SCI FORUM Jul. /Set. 2009 Vol. 4 / Number 3 EDITORIAL COORDINATION Alexandre Ciappina Hueb Carlos Henrique Marques Santos Osvaldo Sampaio Netto ASSOCIATED EDITORS Alfredo I. Fiorelli, Elias Kallás José Carlos Dorsa V. Pontes Rafael Diniz Abrantes Danton R. Rocha - Loures, EDITORIAL SECRETARY: Otoni Moreira Gomes

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Cardiovasc Sci Forum Jul. /Set. 2009 Vol. 4 / Number 3

CONTENTS EDITORIAL

Anatomical and Physiological Restriction in the use of Papilary Muscles for Ventricular Remodeling (English) O. M. Gomes

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ORIGINAL ARTICLE / ARTIGOS ORIGINAIS - Early outcome of the Shelhigh Super StentlessR Aortic Valve in Octogenarians. A Single Center Study (English) P.M. Dohmen, O. Dorgham, J. Linneweber, H. Grubitzsch, J.P. Braun, W. Konertz

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Effects of exercise on ventricular remodeling after experimental myocardial infarction in rabbits (English) M. Rodriguez, G.E. González, C. Morales, C. Bertolasi, R.J. Gelpi

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CASE REPORT / RELATO DE CASO

Veterinary Cardiology: Patent ductus arteriosus (PDA) resolution in a six month German Sheperd dog with dilated cardiomiopaty . first succesfull clinical report in Minas Gerais state (Brazil) (English) R.C.Rabelo, S.C.Xavier

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UPCOMING MEETINGS PROGRAMA FORUM CIENTÍFICO XIX / CONGRESSO SBCEC Anúncio Congresso Brasileiro de Cardiologia, Programa DECARDIO.SBCCV, CURSO DE ATUALIZAÇÃO EM CARDIOLOGIA CIRÚRGICA Universidade da Bahia com Fotos

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INSTRUCTIONS TO AUTHORS

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EDITORIAL

Anatomical and Physiological Restriction in the Use of the Papillary Muscles for Ventricular Remodeling Otoni M. Gomes* The studies of Andreas Vesalius and the edition of his landmarking book “De Humanis Corporis Fabrica” in the XVI th

Century also marked the birth of the scientific interest for the cardiac anatomy. From this same period of the Renascense we received from Leonard da Vinci the first drawings of the mitral valve apparatus with its cordae tendinae.

However, the functional importance of the papillary muscles was only accentuated in 1956, after the studies from

Rushmer(1), demonstrating that in the initial phase of the systole the papillary muscles promote the decrease of the long

axis of the ventricles, increasing the diameter in the base, the wall tension and, consequentely, the sistolic ejection fraction.

Lillehei et al.(2), in 1963, based on this conclusions performed the firt mitral valve replacements with papillary

muscle and cordae tendinae preservation, confirming the functional importance of that structures with significant reduction of the operative mortality, but their results were soon refused by Bjork(3) and Rastelli(4) in independent studies.

Improvements in the surgical technique, extracorporeal circulation resources, anesthesia and post-operative control



made possible mitral valve surgeries with lower morbidity and mortality. Lillehei’s proposal was abandoned, becoming routine the valve cusps ressection with removal of the cordae tendinae and papillary muscles.

After studies from Carpentier et al.(5), since 1971, the number of surgeries for mitral valve repair increased depicting lower mortality than observed with the valve replacement surgery, regardless, the same or even delayed extracorporeal circulation and / or myocardium anoxy times. Also David et al.(6), in 1989, presented aditional data showing the advantage of the papillary muscle and their cordae preservation.

Although precociously comproved by hemodynamic studies, the benefits of the papillary muscle and cordae

preservations are not still proved in the later follow-up control. Also, in recent past, mainly with the routine use of the

continuous cardioplegic, perfusion it was observed a marked improvement in the valve replacement surgery showing the same mortality rate as viewed in the repair procedures.

The good standard principle of anatomic structures preservation is natural and basic. Furthermore the preservation

of the posterior cusp of the mitral valve to reinforce the sutures in the weak fibrous annulus at this level is clearly mandatory.

Especial discussion, otherwise, deserves the statement of any contribution from the papillary muscle



preservation during mitral valve replacement in dilated hearts, for in this cases the papillary muscles are implanted higher far from the ventricle apex without any contribution to the systolic ventricular performance. It is very different in the

normal sized ventricular diameters where the papillary muscle basis are imbricated and define the inner layers of the let

ventricle apex. During the first systolic phase the papillary muscle contractions pull the apex reducing the long ventricular axis and

widening its transverse diameter for a more efficient blood ejection(7). In the advanced dilated myocardiopathy the

papillary muscle basis are far from the ventricular apex and cannot contribute for the systolic ejection and may not be usefull in the valve replacement surgery.

This condition allows to wide the myocardium resection in the partial left ventriculectomy - Batista

operation - for a better ventricle remodeling and brings some discussion over the efficacy of the papillary muscle

remodeling with valve replacement for heart failure treatment when the Buffolo et al.(8) and Puig et al.( ) procedures come to be employed.

*Full Professor Cardiovascular Surgery, Minas Gerais Fed. University, FIACS, FASA, FICVS, Membro titular SBCCV,

Membro Remido SBC, Cientific Director, Fundação Cardiovascular São Francisco de Assis Verdade é Jesus Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3



ORIGINAL ARTICLE Early outcome of the Shelhigh Super Stentless Aortic Valve in Octogenarians. A Single Center Study

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P.M. Dohmen1, O. Dorgham1, J. Linneweber1, H. Grubitzsch1, J.P. Braun2, W. Konertz1 Summary Background:The present study was performed to investigate early results by using a stentless aortic valve in octogenerians. Methods: Between February 2001 and January 2005, 80 octogenerians received a Shelhigh Super Stentless bioprosthesis.The mean age at implant was 83.5 ± 3.3 years. Etiology was stenosis in 62 pts (77.5%) and active infective endocarditis in 2 pts (2.5%). Concomitant procedures were performed in 49 pts (61.3%), CABG in 35 pts (43.8%), MVR 9 pts (11.2%) and others 11 pts (13.8%). The logistic EuroSCORE was 25.3 ± 20.8%. Echocardiography was performed preoperatively, at discharge and, at follow up. Results: Operative mortality was 8.8%. The mean valve size was 23.6 ± 1.9 mm. The effectiveness of the device was demonstrated by mean pressure gradients (16.1 ± 7.5 mm Hg for size 21, 12.9 ± 4.4 mm Hg for size 23, 10.2 ± 4.5 mm Hg for size 25, 9.9 ± 4.2 mm Hg for size 27) at discharge. The mean pressure gradient at discharge was 12.2 ± 5.5 mm Hg and at follow up 16.6 ± 8.1 mm Hg. Conclusions: Early results showed favorable performance of aortic valve replacement in octogenarians, with acceptable operative mortality. Keywords Cardiac Surgery, Aortic Valve, Heart Valve Prosthesis. 1Department of Cardiovascular Surgery, 2 

Department of Anesthesiology, Charité Hospital, Medical University Berlin, Berlin, Germany Address reprint requests Pascal.M. Dohmen MD PhD, Department of Cardiovascular Surgery, Charité Hospital, Humboldt University Berlin, Luisenstraße 13, D-10117 Berlin. Telephone +49 30 450 522092 Fax +49 30 450 522921 E-mail : pascal.dohmen@charite. de INTRODUCTION In Western countries life expectation is steadily increasing and therefore the number of patients over the age of 80 years with symptomatic cardiovascular disease also (1,2). Meanwhile several papers have been written about treatment of cardiovascular disease in octogenarians, showing acce table mortality and increase of quality of life (3). The native aortic valves at this age are severely calcified showing relevant hemodynmic impact with serious left ventricular hypertrophy (4,5). Pre- and post-operative morbidity factors need to be evaluated to establish the impact of cardiac surgery on these patient population, however mostly surgery is the only alternative (6). The present study was performed to investigate hemodynamic behavior of octogenarians receiving a stentless aortic valve prosthesis during aortic valve replacement. CARDIOVASCULAR SCIENCES FORUM

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PATIENTS AND METHODS A prospective database collects all data of patient’s receiving a Shelhigh SuperStentlessR bioprosthesis. Data on 80 consecutive patient’s were extracted from our computer database to perform this study. The whole demographic data, pre-operative risk factors, surgical procedures and post-operative complications were reviewed. Follow up visits were performed at our clinic and in cases this was not possible a telephone study was made. OPERATIVE DETAILS Midline sternotomy and normothermic cardiopulmonary bypass were performed in all patients after general anesthesia. After aortic cross-clamping, antegrade blood cardioplegia was administered according to Calafiori. A transversal aortotomy was applied and the diseased aortic valve was excised. When associated coronary artery bypass grafting was required, distal anastomoses were completed first. If mitral valve treatment or atrial ablation was needed, this procedure was performed initially. The aortic valves were implanted using a subcoronary technique with 2-0 pledged suture material for the proximal anastomsis and three pledged sutures to fixate the commissures. After surgery, Aspirin was given to all patients except in those with atrial fibrillation or atrial ablation, who received Warfarin. If a stable sinus rhythm was recorded during a 24 hours electrocardiogram 3 months postoperatively, warfarin was discontinued and aspirin was administered.

pressure gradients were calculated using the Bernoulli equation with correction for ventricular outflow tract velocities. All measurements were performed during normal quiet respiration. Spectral recordings were stored on magneto optical disk. Doppler echocardiography measurements of all hart bats in three complete consecutive respiratory cycles were analyzed. RESULTS Between February 2001 and January 2005, we identified 80 octogenarians who received a Shelhigh SuperStentless bioprosthesis.This is one of the bioprosthesis used in our institution for aortic valve replacement. Follow up was 100% complete. The mean age at implant was 83.5 ± 3.3 years, range (80 to 94 years). Five patients were over the age of 90 years. Patient‘s preoperative clinical characteristics are listed in Table 1. In 77.5% of the patients there was an aortic valve stenosis diagnoses due to degeneration. The average preoperative peak pressure gradient was 75.2  49.5 mm Hg, (range 24 – 157 mm Hg). The average mean pressure gradient at the aortic valve was 30.1  21.5 mm Hg, (range 19 – 109 mm Hg).

ECHOCARDIOGRAPHY Transthoracic echocardiographic examination was performed preoperatively, at discharge and during follow up. A Hewlett Packard Sonos 5500 (Agilent Technologies Ltd., Boeblingen, Germany) with a 2.5 MHz transducer was used to evaluate the aortic valve prosthesis. Aortic valve regurgitation was measured by the length and the width of the jet into the left ventricular outflow tract. Gradation was 0 (none), 1+ (trivial), 2+ (mild), 3+ (moderate) and 4+ (severe). The maximum and mean transaortic flow velocities were measured with continuous wave Doppler. Mean and maximum transvalvular Jul. /Set. Vol.44- NUMBER / Number JAN. / MAR.2009 2009 - VOL. 1 3



Abbreviations Table1: CAD; coronary artery disease, PAD; peripheral artery disease, EF; ejection fraction, Pulm; pulmonary, COPD; chronic obstructive pulmonary disease Abbreviations Table2: conc; concomitant, CABG; coronary artery bypass grafting, MVT; mitral valve treatment The peri-operative data are summarizes in Table 2. As expected, the aortic cross clamp 10

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time was lower in patients with isolated aortic valve replacement (56.5 ± 12.3 minutes; range 42 – 86 minutes) compared with the patients with concomitant procedures replacement (91.6 ± 24.5 minutes; range 46-161minutes). Similar results were seen at the cardiopulmonary bypass time comparing the isolated procedures with the concomitant procedures (75.3 ± 20.5 minutes; range 53 – 148 minutes versus 130.1 ± 34.0 minutes; range 73205minutes). Three patients needed a redo operation. Concomitant procedures were performed in 49 pts (60.5%) as showed in table 2. Mainly coronary bypass surgery was performed and in case the left descending artery was involved the internal mammary artery was used in 100%. In 42.9% (n=15) one vessel was treated, in 42.9% (n=15) two vessels were treated, in 11.3% (n=4) three vessels were treated and in 2.9% (n=1) 4 vessels were bypassed. Mitral valve treatment was performed in 15.8% with 5 patients with mitral valve repair and 4 patients with replacement. Atrial ablation was performed in 14.0% (n=8) if the patient was suffering from chronical atrial fibrillation, increasing during the recent years. Five patients (8.8%) received other concomitant procedures namely, 3 patients partial septal myectomy, 1 atrial septum defect closure and 1 patient with left ventricular aneurysmectomy. The mean implanted valve size was 23.6 ± 1.9 mm. In 66.3% of the patients a 23 or 25mm size bioprosthesis could be implanted. The mean additive EuroSCORE was 10.59  3.59 (min 5 – max 23) and the logistic Euroscore was 25.07 % (min 3.71 % – max 93.6 %). The lowest additive EuroSCORE was 7 points as suggested by Collart et al (7) of octogenarians and therefore the score was further divided into 3 subgroups (low risk 10) as showed in Table 3. Operative mortality was 8.8% (n=7) due to multi-organ failure (n=4), cardiogenic shock (n=2) and ven-

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tricular fibrillation (n=1) (Table 3)



Postoperative complications are summarized in Table 4. The most common complication was atrial fibrillation independent of atrial ablation performance. In 12 of the 21 patients the rhythm could be converted at the and of the hospitalization in our department. A further postoperative complication was the acute psychosyndrome initially after surgery. However, after 3 to 4 days this was normalized in all of the patients. Reeploration was needed in four patients. One patient was an ultimo ratio operation because of endocarditis and died because of heart failure. The second patient after reeploration died because of multi-organ failure. The effectiveness of the device was demonstrated by mean pressure gradients at discharge (Figure 1). The mean pressure gradient at discharge was 12.2 ± 5.5 mm Hg. Figure 1. Mean pressure gradient at discharge for the

different sizes of implanted bioprosthesis.

Mean follow-up was 46.0 ± 12.1 months, range

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(33 to 68 months). Transthoracic echocardiography showed an average mean pressure gradient at the latest follow up of 16.6 ± 8.1 mm Hg. There were no valve related events in any of the patients. None of the patients needed to be reoperated and structural deterioration was not seen in any of the patients. At 4 years of follow up 78.8% of the patients were alive. Late mortality was 13.7% (n=10). Two patient died because of cardiac reason. Four patients died because of none-cardiac reasons (two with sepsis, one with acute abdomen, one which cerebrovascular accident) and four patients of unknown reason. The survival curve was plotted against that of the general population at the same age in figure 2.

Figure 2. Survival curve of octogenarians after aortic valve replacement plotted against the general population at the same age. DISCUSSION Life expectancy continuously increases and the World Health Report 2006 showed that German men expect to become 80 years of age whether women become 82 years of age (8). Assey (9) showed in a study that the prevalence of cardiovascular disease is up to 40 % higher in octogenarians compared with patient of younger age. As the experience in operative treatment of octogenarians increase, the mortality decreased during the last years. Therefore a patient at the age of 80 years shows recently a mortality between 5-9% (10,11). If a concomitant procedure was performed, the range is between 10 and 24% (12,13). The overall mortality of the octogenarians in this 12

study was 8.8%, which is absolutely acceptable as the rate of concomitant procedures is 60%. Collart et al (7) showed in his study that the age is already responsible for a high EuroSCORE as at the age of 80 years there are 5 point, at 85 years 6 points and 90 years 7 points. Additionally 2 more points are given because of other procedure than coronary bypass surgery.

Karthik et al (14) suggested using the logistic EuroSCORE in high-risk patient or patients getting coronary bypass surgery with valve surgery, as the additive euroSCORE significantly under-predicts in this high-risk patient group. The predicted mortality of the patients in this study was 25.01% by the mean logistic EuroSCORE. The observed overall mortality of the octogenarians in this study was 8.8%, which is acceptable as the rate of concomitant procedures was 60%. However a central question needs to be answered. Do we need to operate all of these patients over the age of 80 years and will there quality of life improve or can we make preoperative a selection? There is no doubt about patient with symptomatic aortic valve stenosis needs to be operated. Rosenhek et al (15) evaluated octogenarians with asymptomatic aortic valve stenosis. He found a highly significant difference in event-free survival between patients with no or mild calcification and moderate or severe aortic valve calcification at 5 years of follow up, (respectively CARDIOVASCULAR SCIENCES FORUM

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82  5% and 42  7%, p=0.001). Therefore it seems to be useful to perform aortic valve replacement although these patients are at that time asymptomatic. The average peak pressure gradient at the aortic valve was 75  49 mm Hg in our patient collective. The standard deviation in these patients can be explained by almost 23% of patient suffering from valve regurgitation exclusively. Almost 30% of the patient had a decreased ejection fraction, which will underestimate the pressure gradient at the aortic valve as known. For patients who are asympotomatic it is not yet clear if surgical treatment is useful. Sundt et al (11) was able to show not only an acceptable operative risk but also a quality of life, using the SF-36 questionnaire that was similar to the general population at the same age. The operated patients showed in some parameters to be better compared with the general healthy population are positively influenced like bodily pain, social functioning, role emotional and mental health. The choice of valve prosthesis type for these patients is contra-version, as some cardiac surgeons prefer to implant mechanic valve prostheses in these patients (16). There is however several risk which one needs to be in account in patients of this age during anticoagulation treatment. Holper et al (17) showed that patient without other indication of anticoagulation should receive a biological valve prosthesis. The actuarial freedom from anti-coagulation-related haemorrhage was significantly lower in patients with biological valve prosthesis compared with mechanical heart valves (p=0.015). The incidence of reoperation was in this study 0.50% per patient-year) higher (statistically not significant) in patient with biological prosthesis compared with mechanical heart valves. One should not forget about the improvement of recently used biological valves with improvement of anti-calcification treatment and stentless profile, which improved these heart valves. Furthermore it is well know the improvement of hemodynamic behaviour of biological heart valve compared with mechanical especially with stentless heart valves. Mostly in octogenarians the patients are suffering from aortic valve stenosis. Therefore it is important to have excellent hemodynamic behaviour with left ventricular mass regression as early as possible as life expectancy is short in these patients. Collinson et al (18) showed an early improvement of left ventricular function using stentless Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

bioprostheses, as life expectancy in octogenarians is shorter. Other disadvantages of mechanical heart valves are the potential occurrence of microemboli, which is significantly higher compare with bioprosthesis, resulting in decrease of neurocognitive function. Roach et al (19) reported on a multi-institutional prospective study that neurocognitive deficit is associated with increased mortality (10%), a twofold increase in hospital length of stay, and a sixfold likelihood of discharge to a nursing home. Josa et al (20) descript the high rate of hemolysis in mechanical heart valves, which is another contra-indication to use this valve in octogenarians. Hering et al (21) showed the bleeding incidence of 21.8% per patient-year, showing severe 0.5% per patient-year and fatal 0.3% per patient-year. Taking in considering that these patients have a high risk of bone fractures and visual impairment due to cataract or age-related macular degeneration (22), we prefer to implant bioprosthesis in these patients. Absence of thrombo-embolic events as well as endocarditis during follow-up can be explained by the potential endothelialization of this treated tissue as previously shown (23). Therefore we perform bioprothesis implantation in combination with atrial ablation in octogenarians suffering from chronic atrial fibrillation to avoid anticoagulation treatment. CONCLUSION Early results showed favourable hemodynamic performance of the Shelhigh SuperStentlessR heart valve in octogenarians and acceptable mortality.

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REFERENCES 1.Khan JH, McElhinney DB, Hall TS, Merrick SH. Cardiac valve surgery in octogenarians: Improving quality of life and functional status. Arch Surg 1998;133:887-893. 2.Panagiotakos D, Zeimbekis A, Boutziouka V, et al. Long-term fish intake is associated with better lipid profile, arterial blood pressure, and blood glucose levels in elderly people from Mediterranean islands (MEDIS epidemiological study). Med Sci Monit 2007;13:CR307-12. 3. Diegeler A, Autschach R, Falk V, et al. Open heart surgery in the octogenarians: a study on long-term survival and quality of life. Thorac Cardiovasc Surg 1995;43:265-270. 4. Cheitlin MD. Pathophysiology of valvular aortic stenosis in the elderly. Am J Geriatr Cardiol 2003;12:173-177. 5.Chukwuemeka A, Borger MA, Ivanov J, Amstrong S, Feindel CM, David T. Valve surgery in octogenarians: a safe option with good medium-term results. J Heart Valve Dis 2006;15:191196. 6.Ozatik MA, Gol Mk, Yildiz U, et al. Regression of left ventricular hypertrophy after aortic valve replacement in patients >55 years old with different valve types. Med Sci Monit 2003;9:RA550-62. 7.Collart F, Feier H, Kerbaul F, et al. Valvular surgery in octogenarians: operative risk factors, evaluation of Euroscore and long term results. Eur J Cardio-Thoracic Surg 2005;27:276-280. 8.World health Report (2006) global burden of disease. http://www.who.int/health_topics/global_burden_ of_disease/en/

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9.Assey ME. Heart disease in the elderly. Heart Dis Stroke 1993;2:330-334. 10.Medalion B, Lytle BW, McCarthy PM, Stewart RW, Arheart KL, Arnold JH, Loop FD, Cosgrove DM 3rd. Aortic valve replacement for octogenarians: are small valves bald? Ann Thorac Surg 1998;66:699-706. 11. Sundt TM, Bailey MS, Moon MR et al. Quality of life after aortic valve replacement at the age of > 80 years. Circulation 2000;102:III70-74. 12.Craver Jm, Puskas JD, Weintraub WW, Shen Y, Guyton RA, Gott JP, Jones EL. 601 octogenarians undergoing cardiac surgery: outcome and comparison with younger age groups. Ann Thorac Surg 1999;67:1104-1110. 13.Kohl P, Kerzmann A, Lahaye L, Gerhard P, Limet R. Cardiac surgery in octogenarians: Peri-operative outcome and long-term results. Eur Heart J; 2001;22:1235-1243. 14.Karthik S, Srinivasan AK, Grayson AD, Jackson M, Sharpe DAC, Keenan DJM, Bridgewater B, Fabri BM. Limitations of additive EuroSCORE for measuring risk stratified mortality in combined coronary and valve surgery. Eur J Cardio-Thoracic Surg 2004;26:318-322. 15. Rosenhek R, Binder T, Porenty G, Lang I, Christ G, Schemper M, Mauer G, Baumgartner H. Predictors of outcome in severe, asymptomatic aortic stenosis. N Eng J Med 2000;343:611-617. 16. Nozynski JK, Religa Z, Wszoloek J, Nozynska E, Rozentryt P. Biological heart valve – an alternative to mechanical valve. Med Sci Monit 2001;7:RA550-62.

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17. Holper K, Wottke M, Lewe T, Baumer L, Meisner H, Paek SU, Sebening F. Bioprosthetic and mechanical valves in the elderly: benefits and risks. Ann Thorac Surg 1995;690:S443-446. 18. Collinson J, Henein M, Flather M, Pepper JR, Gibson DG. Valve replacement for aortic stenosis in patients with poor left ventricular function; comparison of early changes with stented and stentless valves. Circulation 1999;100:II1-II5. 19. Roach GM, Kanchuger M, Mangano CM, Newman M, Nussmeier N, Wolman R, Aggarwal A, Marschall K, Graham SH, Ley C. Adverse cerebral outcomes after coronary bypass surgery. Multicenter Study of Perioperative Ischemia Research Group and the Ischemia Research and Education Foundation Investigators. N Eng J Med 1996;335:1857-1863. 20. Josa M, Castellá, Paré C, Bedini JL, Crataná R, Mestres CA, Pomar JL, Mulet J. Hemolysis in mechanical bileaflet prostheses: experience with the bicarbon valve. Ann Thorac Surg 2006;81:1291-1296. 21. Hering D, Piper C, Bergemann R, Hillenbach C, Dahm M, Huth C, Horskotte D. Thromboembolic and bleeding complications following St. Jude mechanical valve replacement: Results of the German experience with low intensity anticoagulation study. Chest 2005;127:53.59. 22. Thiagarajan M, Evans JR, Smeeth L, Wormald RPL, Fletcher AE. Cause-specific visual impairment and mortality: Results from a populationbased study of older people in the United Kingdom. Arch Ophthalmol 2005;123:1397-1403. 23. Dohmen PM, da Costa F, Yoshi S, et al. Can autologous vascular endothelial cell seeding increase the patency rate of small diameter No-React® treated bovine internal mammary arteries: an in vitro and in vivo study. Med Sci Monit 2007;13:BR188-193. Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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EFFECT OF EXERCISE ON VENTRICULAR REMODELING AFTER EXPERIMENTAL MYOCARDIAL INFARCTION IN RABBITS Manuel Rodríguez, Germán E. González, Celina Morales, Carlos Bertolasi, Ricardo J. Gelpi* Laboratory of Cardiovascular Physiopatology, Department of Pathology, Faculty of Medicine, U.BA., Argentine. ABSTRACT The effect of exercise on ventricular remodeling after myocardial infarction (MI) is under discussion. The aim was to evaluate whether moderate exercise initiated at early stages of MI modifies the degree of ventricular dilation. New Zealand rabbits were used, considering 3 groups: “sham group” (G1, n=7); “MI sedentary group” (G2, n=4), rabbits were subjected to the ligature of a prominent branch of the left coronary artery, and, group with MI and moderate exercise (G3, n=6) on motor-driven treadmill, after 18 days of evolution. Rabbits were sacrificed at day 56 post-surgery, and hearts were perfused using Langendorff technique. Left ventricular end diastolic pressure (LVEDP)-volume curves were recorded. The size of MI was determined by morphometric analysis. MI size was (±SEM) G 1: 0±0.00, G 2: 20.55±0.94 and G 3: 19.15±1.47 Conclusion: Moderate exercise initiated at early stages of MI evolution has an unfavourable effect on ventricular remodeling. *: P < 0.05

Postal Address: Dr. Ricardo J. Gelpi Uriburu 950, Piso 2 1114 Buenos Aires, Argentina * Member of the Scientific Career CONICET 16

INTRODUCTION Among ischemic cardiopathies, myocardial infarct (MI) is the most important due to its high morbidity and mortality rates both in its acute phase and in the long term. The appearance of a MI can provoke structural changes in the ventricular walls and cavity, thus causing modifications in the shape and size of the ventricle and – therefore – in ventricular geometry. Such changes are known as ventricular remodeling (1). This process is initiated rapidly postinfarct, allowing to compensate, sharply, for the abrupt loss of myocytes suffered, and may continue even after histopathologic healing is completed, provoking ventricular dilation (1-4). Thus, the evolution of ventricular remodeling can cause left ventricular dysfunctions which can lead to heart failure (1-11). During recent years, comprehension of the physiopathologic mechanisms involved in post myocardial infarction ventricular remodeling has become increasingly important. A key role has been attributed to parietal stress, both in early (5) and late (1) stages. Physical exercise could be capable of modifying the remodeling process, as it acts by altering the load conditions of the left ventricle. The aim of this study was to evaluate ventricular remodeling after myocardial infarction (MI), under resting conditions and in the presence of moderate exercise initiated at the early stages of evolution, considering infarct size and degree of ventricular dilation.

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MATERIAL AND METHODS 1- Experimental model: Female New Zealand rabbits were used. A left lateral thoracotomy was performed under general anesthesia. After performing pericardiectomy, a 6-0 type silk thread was passed around a prominent branch of the left coronary artery (LCA) (equivalent to the anterior descending artery in human beings). In order to induce MI the LCA was ligated. Throughout the observation period, the animals were kept in a quiet and acclimatized environment, and were fed with standard rabbit chow and water ad libitum. 2- Experimental groups: • Sham group, n=7: surgery was performed on this group as described above, but without inducing MI. Rabbits were allowed to follow the natural course of evolution during 56 days. • MI sedentary group, n=4: MI was induced as described above. Rabbits were allowed to follow the natural course of evolution during 56 days. • MI with moderate exercise group, n=6: MI was induced as described above and rabbits were allowed to follow the natural course of evolution during 56 days. Moderate exercise on treadmill was added as from day 18 of evolution after MI. The moderate exercise protocol established 3 sessions per week of 2 minutes per session, at a speed of 17 m/min, avoiding physical adaptation (endurance training). Upon completion of the evolution period both ventricular functions and morphologic characteristics were studied.

3- Ventricular function studies: On completion of the period assigned to each protocol the animals were weighed and sacrificed by means of an overdose of thiopental sodium (35 mg/kg). Chests were quickly opened and the aortas isolated and cannulated. Hearts were immediately excised and placed in a perfusion system by means of the cannulae, and were perfused according to Langendorff ’s modified technique in Krebs – Henseleit solution at a constant temperature of 37 º C and balanced with 95% O - 5% CO2 for oxygenation and to keep pH close to 7.4 A latex balloon tied to a rigid polyethylene tube was placed in the left ventricle and was connected to a Deltram II (Utah Medical System) pressure transducer, thus allowing to record inner pressure of the left ventricle. Also coronary perfusion pressure (CPP) was recorded by means of a pressure transducer connected to the perfusion line at a point immediately anterior to the aortic cannulae. Coronary flow was regulated to obtain a constant CPP close to 80 mm/Hg. Heart rate was kept constant at close to 180 beats per minute by means of two electrodes (Figure 1). Ventricular functions were measured in the preparation thus obtained by recording pressure/volume curves of the left ventricle. Considering the diastolic component (left ventricular end-diastolic pressure, LVEDP) of these curves it was possible to evaluate the degree of ventricular dilation.

Fig.1 : Schematic design of the perfusion system (Langendorff technique Jul. Vol. 44- NUMBER / Number JAN./Set. / MAR.2009 2009 - VOL. 1 3

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4 - Macroscopic and microscopic morphologic studies: Once the data corresponding to ventricular functions were obtained hearts were fixed in formalin 10% and subsequently cut transversally in slices from apex to base, and slices were placed in paraffin and stained with hematoxylin-eosin and Masson’s trichrome. All slices were then processed by means of a digital image analyzer (Image Pro® Plus 3.0) to calculate size of infarct area as a percentage of the compromised myocardial mass. Data were calculated as the mean  S.E.M., assessed by ANOVA and followed by a post-hoc test. RESULTS Table I shows the values corresponding to general parameters: animal weight and percentage of infarct area. There were no significant differences among the considered groups, with the exception of the non-existence of an infarct in the sham group. Figure 2 shows results corresponding to LVEDP at different intraventricular volumes (diastolic component of the pressure/volume curve of the left ventricle) of the three considered groups. It can be observed that the curves corresponding to the groups with MI are situated at the right of the sham group, indicating LV dilation, as a larger volume is required to reach the same pressure. We noticed that this rightwards displacement was higher in the MI with moderate exercise group.

Fig.2: Curves corresponding to LVEDP at different intraventricular volumes (diastolic component of the pressure / volume curve of the left ventricle) of the three considered groups.

Table 1: General data

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DISCUSSION Until about three decades ago, the early treatment of MI included a very prolonged rest period: patients were instructed to sharply reduce their physical activity, and rest in bed during at least two or three months. Among the rational motives for such procedure was the objective of keeping myocardial oxygen consumption at a low level. At present physical activity is initiated during the early stages of convalescence and many patients are encouraged to participate in supervised programs of regular exercise; in certain cases, physical training is indicated. Among its beneficial effects there is an increase of vagal tonicity, restoration of a higher degree of heart rate variability, a favorable effect on peripheral resistance, a decrease of thrombolic phenomena and a feeling of well-being. However, there is a possibility that, within the population with recent MI, there may be some specific subpopulations for which physical training could prove to be harmful (12, 13). Accordingly, it is extremely important to know the impact of exercise on post-MI ventricular remodeling. Notwithstanding, the available data are limited, and frequently contradictory. Studies in patients present several obstacles: certain variables are difficult to control, coexistence of MI with other pathologies or with different risk factors, the presence of concomitant treatments, non-scheduled abandonment, necessity of considering a large number of patients, etc. Many of these drawbacks can be avoided through the use of animal models. On the other hand, although hearts of experimental animal models are different to human hearts, they allow a far more effective and strict control of variables, thus opening new possibilities for the better understanding of ventricular remodeling in MI (14-16). In the last few years, rabbits have been used as suitable experimental models for the study of myocardial ischemia and for studies of exercise physiology. It has been pointed out (17) that this Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

species could mimic myocardial ischemia of the human heart without previous episodes of angina, being a highly suitable experimental animal for the study of MI resulting from an acute occlusion of an artery without previous significant stenosis and with a viable myocardium. In our study we have resorted to an experimental model of isolated rabbit heart which, upon standardization of LV load conditions, allows to perform a detailed analysis of ventricular functions under the strict control of certain variables. We have used a protocol of moderate exercise (avoiding the generation of physiologic hypertrophy or “endurance training”), and such physical activity was incorporated at the early stages of the MI histopathologic evolution, when cicatrization of infarct was still not consolidated. In this study, the changes observed in the group with sedentary MI coincide with previous studies: the installation of a MI generates ventricular dilation when the size of the infarcted area exceeds a certain limit. Such dilation can be evidenced through the shifting of the diastolic component of the pressure-volume curves (9) towards the right. In this study, hearts of the group with sedentary MI show a degree of dilation that coincides with previous reports (6-10). Interestingly, the group of MI with moderate exercise shows a trend towards greater dilation than the group with sedentary MI. In view of this trend towards greater dilation, and therefore greater parietal stress, such modifications in ventricular geometry represent an unfavorable effect with important functional and prognostic implications. Thus, exercise initiated at the early stages of MI could present some unfavorable aspects. On one hand, exercise could aggravate infarct expansion. On the other hand, ventricular dilation can evolve slowly and progressively during months and even years, provoking hemodynamic impairment, and furthermore, it is linked to a decrease in the lifespan, in both cases proportionately to infarct size (111). In another direction, the periodical increase in the consumption of systemic oxygen can increase the cardiac workload, thus favoring the appearance of 19

ischemia in areas with a decreased coronary reserve, unleashing manifest episodes of heart failure or serious arrhythmia. We have studied the degree of ventricular dilation reached as consequence of MI, under resting conditions and also in the presence of moderate exercise on treadmill initiated at the early stages of evolution. The data obtained indicate that ventricular dilation occurred in the MI sedentary group, and that moderate exercise initiated at the early stages of MI evolution has an unfavorable effect on ventricular remodeling.

myocardial infarction. Circulation, 76 (1): 44-51, 1987.

REFERENCES 1) Pfeffer M.A., Braunwald E. Ventricular remodeling after myocardial infarction. Experimental observations and clinical implications. Circulation, 81: 1161-1172, 1990.

11) Gaudron P., Eilles C., Kugler I., Ertl G. Progressive left ventricular dysfunction and remodeling after myocardial infarction. Potential mechanisms and early predictors. Circulation, 87: 755-763, 1993.

9) Fletcher P.J., Pfeffer J.M., Pfeffer M.A., Braunwald E. Left ventricular diastolic pressure-volume relations in rats with healed myocardial infarction. Effects on systolic function. Circ. Res.; 49: 618-626, 1981. 10) Pfeffer M. A., Pfeffer J.M., Fishbein M.C., Fletcher P.J., Spadaro J., Kloner R.A., Braunwald E. Myocardial infarct size and ventricular function in rats. Circ. Res.; 44: 503-512, 1979.

2) Roberts C.S., Maclean D., Maroko P., Kloner R.A. Early and 12) Giannuzzi P., Tavazzi L., Temporelli P. L., Corrá U., late remodeling of the left ventricle after myocardial infarction. Imparato A., Gattone M., Giordano A., Sala L., Schweiger C., Am. J. Cardiol.; 54: 407-410, 1984. Malinverni C., Long-term physical training and left ventricular remodeling after anterior myocardial infarction: results of 3) Gaudron P., Eilles C., Ertl G., Kochsiek K. Adaptation to exercise in anterior myocardial infarction (EAMI) trial. J. Am. cardiac dysfunction after myocardial infarction. Circulation, 87 Coll. Cardiol; 22: 1821-1829, 1993 (Suppl. IV): IV-83 – IV-89, 1993. 13) Giannuzzi P., Temporelli P. L., Corrá U., Gattone M., 4) Gaudron P., Eilles C., Ertl G., Kochsiek K. Compensatory Giordano A., Tavazzi L., for the ELVD Study Group. and noncompensatory left ventricular dilatation after myocardial Attenuation of unfavorable remodeling by exercise training infarction: Time course and hemodynamic consequences at rest in postinfarction patients with left ventricular dysfunction. and during exercise. Am. Heart J.; 123: 377-385, 1992. Circulation; 96: 1790-1797, 1997. 14) Musch T.I., Moore R. L., Leathers D., Bruno A., Zelis R. 5) Weisman H., Bush D., Mannisi J., Healy Bulkley B. Global Endurance training in rats with chronic heart failure induced cardiac remodeling after acute myocardial infarction: A study in by myocardial infarction. Circulation; 74 (2): 431-441, 1986. the rat model. J. Am. Coll. Cardiol.; 5: 1355-1362, 1985. 15) Gaudron P., Hu K., Schamberger R., Budin M., Walter B., 6) Pfeffer J.M., Pfeffer M.A., Fletcher P.J., Braunwald E. Ertl G. Effect of endurance training early or late after coronary Progressive ventricular remodeling in rat with myocardial artery occlusion on left ventricular remodeling, hemodynamics, infarction. Am. J. Physiol., 260: H1406-H1414, 1991. and survival in rats with chronic trasnsmural myocardial infarction. Circulation; 89: 402-412, 1994. 7) Lamas G.A., Pfeffer M.A. Increased left ventricular volume following myocardial infarction in man. Am. Heart J., 111: 30- 16) Orenstein T.L., Parker T.G., Butany J.W., Goodman J.M., 35, 1986. Dawood F., Wen W.H., Wee L., Martino T., McLaughlin P.R., Liu P.P. Favorable left ventricular remodeling following large 8) White H.D., Norris R.M., Brown M.A., Brandt P.W.T., myocardial infarction by exercise training. J. Clin. Invest.; 96: Whitlock R.M.L., Wild C.J. Left ventricular end-systolic 858-866, 1995. volume as the major determinant of survival after recovery from 20

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17) Verdouw P., van den Doel M., Zeeuw S., Duncker D. Animal models in the study of myocardial ischaemia and ischaemic syndromes. Cardiovasc. Res.; 39: 121-135, 1998.

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CASE REPORTE PATENT DUCTUS ARTERIOUS (PDA) RESOLUTION IN A SIX MONTH GERMAN SHEPHERD DOG WITH DILATED CARDIOMIOPATY – FIRST SUCCESFULL CLINICAL REPORT IN MINAS GERAIS STATE (BRAZIL) Rabelo, R.C.1,2 ; Xavier. S.C.1 1.DVM, Clínica Veterinária Buritis – Senior Staff 2.Small Animal Clinics Professor – PUC Betim Veterinary School Adress: Av. Prof. Mário Werneck, 2060 – Buritis – Belo Horizonte/MG – 30.455.650 [email protected] INTRODUCTION It is of extremely importance that any cardiovascular congenital disease can be diagnosed as soon as possible,in order to establish the best surgical option, and if possible, an accurate prognosis. The heart is the first organ to be created in vertebrates, and its congenital disorders are responsible for the higher congenital disorders rates in humans, and are responsible for 0,5 to 1% of all diseases in dogs 5,17. Patent ductus arterious (PDA) is one of the four most common congenital heart disorders found in dogs, can happen simultaneously with other congenital diseases and consists in an anormal fetal structure, been presented in the adult patient. This alteration is almost always fatal if not treated, and surgical repair needs to be done as soon as possible. The arterious ductus is a small arteriovenous fistulla that works, in fetal circulation, as a secondary circuit in the pulmonary vasculature, where blood coming from right ventricule and pulmonary artery goes to the aortic trunk or to sistemic 22

circulation. Ductus occlusion should happen just in some hours after birth, by smooth muscle contraction 1,2,3,5,6,7,17 . Briefly, PDA is the non occlusion of the ductus, that causes blood to go from aorta directly to pulmonary artery. Fortunately, left to right shuntings can be repaired in almost 95% of cases and is easier to find in the beginning of the process since aortic pressure is higher than the pulmonary one. The correction is most of times surgically done but, many papers show succesfull results with embolization using a special catheter. In some animals and in more advanced cases, pulmonary hypertension can happen and reverse the shunt, turning it right to left 2,5, 7,11,15,16. Just left to right shunts have surgical indication. Poodles, Collies, Shetland Sheepdogs, Pomeranian and German Shepherd dogs are the most susceptible breeds to develop the disease, and female patients are more affected than males 5. CARDIOVASCULAR SCIENCES FORUM

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This paper presents the first succesfull surgical repair, of a left to right PDA, reported in Minas Gerais State (Brazil), after clinical and ecocardiographic diagnosis. CASE REPORT A six month old, male, German Shepherd dog, 21,3 kg was presented to our Cardiology Department, because an exercise intolerance and difficult to growth. Patient was taquicardic (160 bpm), rectal temperature was 38,5 Co, mucous membranes colour was normal, capillar refill time was less than 2 seconds, non invasive arterial blood pressure was 140 x 70 mmHg, the animal was dispneic and very excited at physical exam. Thoracic auscultation revealed a continous, very loud and like machinery heart murmur at the aortic site, left side, right between the third and fifth intercostal spaces. On palpation, an intensive thrill was noted. Because all physical findings, the patient was taked to a colour flow echodopplercardiography. The exam showed an excentric left ventricule hypertrophy and a systolic mitral insufficiency, confirming a dilated cardiomiopaty. A turbulent pulmonary flow was noted too, with a small dilatation in the pulmonary trunk. An arterial fistulla was noted between the pulmonary artery and the aorta, with an estimated diameter of 0,276 cm. Continuous doppler flow revealed a positive flow towards the pulmonary trunk, with a maximum velocity of 105 cm/s. After the confirmative diagnosis, patient was conducted for preoperatory tests and surgical repair. The electrocardiogram (EKG) revealed a tachycardia (160 bpm), left axis deflection and a left heart increase pattern; x-Ray showed a higher pulmonary density, suggesting an inciting pulmonary edema. All blood tests were normal (CBC, coagulation tests, liver and renal function).

MÉTHODOLOGY Surgical repair of PDA can be a critical maneuver, nevertheless extremely necessary. Many techniques have been described in literature and in this case we optioned by the ductus ligation conventional technique 2,5,11,15,16. THE ANESTHESIA The dog had his cephalic vein canulated for fluids and drugs. Ultrasonic Doppler was positioned for measuring non invasive arterial blood pressure. Right before surgery, furosemide (2 mg/kg/im) was given for preventing pulmonary edema during the procedure (what is common right after the ductus occlusion, when the aortic pressure becomes higher), and ceftriaxone (20/mg/im) was given one hour before the surgery as the olny antibiotic. Some anesthetic protocols are indicated for cardiovascular surgery in literature 2,12,13,14. In this case, the dog received intravenous fentanil and diazepan as premedication and isofluorane by mask, and right after, by endotracheal entubation. Isofluorane was the choice for maintanence, with fentanil, in lower dosages, in order to decrease the vasodilator and negative inotrope effects, that are dose dependents. Since muscle relaxation was not good with this drugs and the dog needed mechanical ventilation, it was utilizied a neuromuscular block with succinilcoline (0,07 mg/kg/iv). After the block, the dog was put in a Narcomist Ventilator, with a tidal volume of 15 ml/kg and an inspiratory pressure of 20 cm of H20. Every forty minutes, during the procedure, a Positive End Expiratore Pressure (PEEP) maneuver was done for dissolving all areas with atelectasis tha could be formed. The patient had some ventricular premature contractions during cardiac manipulation, and did not need to receive any drug for controlling that. The dog was monitored by a cardioscope, a pulse oximeter and a ultrasonic doppler for non invasive arterial blood pressure;

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besides temperature, urine output and respiratory rate and effort on mechanical ventilation. Graphic 1 shows how the patient did during the anesthesia.

Graphic 1: HR (Heart Rate); RR (Respiratory Rate); RT (Rectal Temperature); SAP (Systolic Arterial Pressure); CRT (Capilar Refill Time); SPO2 (Pulse Oximeter) THE SURGERY The patient was surgically prepared for a thoracotomy. The access was achieved by the left side of the thorax, in the fourth intercostal space 8. After entering the cavity, the left cranial lung lobe was caudally deviated, with a wet gauze, and the right ventricule tract, pulmonary trunk and the aorta were localizied. Aproximately 2 cm dorsally to the pulmonay trunk, an incision was made in the mediastinum, and right upon the trunk another incision was made in the pericardium for isolating the vagal and frenic nerves, by a umbilical tape. After opening the pericardium, it was possible to localize the area where the aorta crossed the pulmonary artery ventro-caudally. A blunt and carefully dissection was initiated for isolating the arterious ductus. It was easy to see how dilated the pulmonary vasculature was, and the blood flow coming from the aorta, towards the right side of the heart, causing a visible thrill. 24

The exactly place of the ductus was determined by anatomic localization and by auscultation of the thorax after compressing the structure, that revelead no murmur anymore. Right after complete dissection, the ductus was ligated with umbilical tape (Figure 1).

Figure 1: Ductus Arterious being ligated

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Graphic 2 shows pressure behavior during the procedure, and during the ductus ligation (120 minutes), the decrease in systolic blood pressure:

The literature shows us that diastolic pressure increases and systolic pressure often remains the same, resulting in a decrease in pulse pressure.2,4 In our case the systolic pressure had a small decrease and we think that a temporary vagal stimulation could do that. After the ligation, the pericardium was closed with a 5-0 prolene suture. The thoracic cavity was closed, and a thoracic tube was left in for 12 hours, while drainage was done every two hours 8.

days every 24 hours, was ceftriaxone (20 mg/kg/im). On second day, the patient was discharged, and went home for resting during 3 weeks, and came back for taking sutures out in 10 days. Echodopplercardiographic revaluation, 2 days after surgery, showed no flow in the area priorly identified as the ductus. On physical exam there was no murmur and the dog was doing well .

During recovery, the dog was mantained in an Intensive Care Unite (ICU), where many parameters were measured 24 hours, as follows: EKG, Pulse oximetry, Non Invasive Arterial Blood Pressure, Urine Output, Temperature and all clinical parameters, every 30 minutes. Nutrition care was started 12 hours after surgery, by enteral way, using Hill’s canine a/d; nursing care was carefully done, changing positioning, cleaning the patient and surgical wound, and thoracic tube drainage, every 2 hours. Pain control was achieved by bolus infusion of butorphanol, every 4 hours. The antibiotic used for 10 Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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RESULTS AND DISCUSSION The ductus diameter initially seen on the echo was 0,276 cm and after complete dissetion it was verified that the real diameter was 0,7 cm, aproximately. Clinically, the patient did well imediatelly after the ligation of the ductus, and just need to have a carefully postoperative period for 24 hours. Surgical repair of PDA with left to right shunts is very mentioned in literature and its necessity is incontrolvertible for the patient to have a complete recovery of it’s cardiovascular healthy. CONCLUSION Patent Ductus Arterious repair is of extremely importance, since patients can develop right heart enlargement and pulmonary hypertension, wich can lead to a shunt revertion, and dilated cardiomiopaty in some cases. This was the first clinical report of success in a PDA repair in dog, in Minas Geraisn State, Brazil

ACKNOWLEDGMENTS: Our sincerely acknowledgements to Dr. Rosiléa and Dr. Vanessa (from Nova Lima), to Dr. Viviana Barbosa (Clínica Buritis) and to our interns (Bruno, Débora, Sheila and Fernanda) for all your support; without you we could never have success.

SUGGESTED READING

1. BELLENGER, C.R.; HUNT, G.B.; GOLDSMID, S.E.; PEARSON, M.R.B. (1996) Outcomes of thoracic surgery in dogs and cats, Australian Veterinary Journal, 74, 1: 25-30 2. FOX, P.R.; SISSON, D.; MÖISE, N.S. (1998) Basic Cardiovascular Surgery and Procedures, in Textbook of Canine and Feline Cardiology, 1st. ed. ,W.B. Saunders, Philadelphia, Pennsylvania, pp 866881 3. GAVAGHAN, B.J.; LAPOINT, J.M.; THOMAS, W.P. (1998) Acute onset of pulmonary necrotising arteritis in a dog with a left-to-right patent ductus arteriosus, Australian Veterinary Journal, 76, 12: 786-791 4. KIENLE, R.D. (1998) Pulmonic stenosis, in Small Animal Cardiovascular Medicine, 1st ed. Eds MD Kittleson, RD Kienle, Mosby, St Louis pp 248259 5. LARSSON, M.H.M.A.; MATERA, J.M.; CROCHICK, S.S.; OLIVEIRA, OLIVEIRA, S.M.; PRETEROTE, M.; CHAMAS, P.P.C. (1992) Condutas clínica e terapêutica da Persistência de Ducto Arterioso em cadela Poodle Miniatura: Relato de Caso, Ars Veterinaria, 8 (2): 125-130 6. LÖHR, C.V.; TEIFKE, J.P.; TRUNK, A.; KÜMPER, H. (1997) Thromboarteritis of a patent ductus arteriosus and pulmonary artery in a fouryear-old cow, Veterinary Record, 141, 151-152 7. McENTEE, K. (1998) Clinical Vignette, Journal Veterinary Internal Medicine, 12: 53-55 8. ORTON, E.C.; McCRAKEN, T.O. (1994) Small Animal Thoracic Surgery. 1st ed. Williams & Wilkins, Philadelphia. Pp 55-64

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9. PEETERS, D.; McENTEE, K.; CLERCX, C.; DESMECHT, D.; SAUNDERS, J.; HENROTEAUX, M. (1997) Endocardite bactérienne et bloc auriculo-ventriculaire du troisième degree associés à une persistence du canal artériel chez un jeune chien, Ann. Méd. Vét., 141, 225-230.

15. SNAPS, F.R.; McENTEE, K.; SAUNDERS, J.H.; DONDELINGER, R.F. (1995) Treatment of patent ductus arteriosus by placement of intravascular coils in a pup, Journal of American Veterinary Medical Association, 207, 6: 724-725

10. RABELO, R.C.; et al (2001) Nutrição microenteral em pacientes críticos. Anais do XXII Congresso Brasileiro da Anclivepa, Fortaleza, 19 a 23 de agosto de 2001

16. STOKHOF, A.A.; SREERAM, N.; WOLVEKAMP, W.Th.C. (2000) Transcatheter closure of patent dusctus arteriosus using occluding spring coils, Journal Veterinary Internal Medicine, 14: 452-455

11. SAUNDERS, J.H.; SNAPS, F.R.; PEETERS,D.; TROTTEUR, G.; DONDELINGER, R.F. (1999) Use of balloon occlusion catheter to facilitate transarterial coil embolisation of a patent ductus arteriosus in two dogs, Veterinary Record, 145, 544-546

17. TIDHOLM, A. (1997) Retrospective study of congenital heart defects in 151 dogs, Journal of Small Animal Practice, 38, 94-98

12. SKARDA, R.T.; BEDNARSKI, R.M.; MUIR, W.W.; HUBEL, J.A.E.; MASON, D.E. (1995) Sedation und Narkose bei Hund und Katz emit Herzkreislaufkrankheit, I Teil: Narkoseplanung nach Risikobeurteillung, hämodynamicsche Wirkunder Pharmaka, Monitoring, Schweizer Archiv für Tierheikunde, 137, 312-321 13. SKARDA, R.T.; BEDNARSKI, R.M.; MUIR, W.W.; HUBEL, J.A.E.; MASON, D.E. (1995) Sedation und Narkose bei Hund und Katz mit Herzkreislaufkrankheit, II Teil: Narkoseplanung an Hand der Pathophysiologie, Herzarrhythmien, Schweizer Archiv für Tierheikunde, 137, 543-551 14. SKARDA, R.T.; BEDNARSKI, R.M.; MUIR, W.W.; HUBEL, J.A.E.; MASON, D.E. (1995) Sedation und Narkose bei Hund und Katz emit Herzkreislaufkrankheit, III Teil: Ventilation, Überwachung der Atmung, postoperative Schmerzbehandlung, Schweizer Archiv für Tierheikunde, 138, 312-318.

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FORUM CIENTÍFICO XIX / SCIENTIFIC FORUM XIX CONGRESSO INTERNACIONAL DE CIÊNCIAS CARDIOVASCULARES INTERNATIONAL CONGRESS OF CARDIOVASCULAR SCIENCES RIO DE JANEIRO, 29 - 31 DE OUTUBRO DE 2009 Rio de Janeiro, October 29-31, 2009 CENTRO DE CONVENÇÕES MARIO HENRIQUE SIMONSEN MARIO HENRIQUE SIMONSEN CONVENTION CENTER Av. das Américas 3.434, Barra da Tijuca - Rio de Janeiro

Promoção / Sponsorship INTERNATIONAL COLLEGE OF CARDIOVASCULAR SCIENCES Fundação Cardiovascular São Francisco de Assis - Verdade é Jesus São Francisco de Assis Cardiovascular Foundation - Truth is Jesus XXVII CONGRESSO BRASILEIRO DE CIRCULAÇÃO EXTRACORPÓREA XXVII BRAZILIAN CONGRESS OF EXTRACORPOREAL CIRCULATION Promoção / Sponsorship Sociedade Brasileira de Circulação Extracorpórea Brazilian Society of Extracorporeal Circulation SESSÕES ESPECIAIS / SPECIAL SESSIONS: XV SIMPÓSIO SUL-AMERICANO DA ACADEMIA INTERNACIONAL DE CIÊNCIAS CARDIOVASCULARES 15th SOUTH-AMERICAN SYMPOSIUM INTERNATIONAL ACADEMY OF CARDIOVASCULAR SCIENCES FORUM ECUMÊNICO XI / ECUMENIC FORUM XI V ENCONTRO BRASILEIRO DE CARDIOLOGIA DA FAMÍLIA V BRAZILIAN MEETING ON CARDIOLOGY FOR THE FAMILLY III ENCONTRO DO CAPÍTULO SUL-AMERICANO DO CLUBE MITRAL DO HOSPITAL EUROPEU GEORGES POMPIDOU III MEEETING SOUTH AMERICAN CHAPTER OF LE CLUB MITRAL AT HOPITAL EUROPEEN GEORGES POMPIDOU V SIMPÓSIO DO CAPÍTULO BRASILEIRO DA SOCIEDADE AMERICANA DE ANGIOLOGIA V SYMPOSIUM AMERICAN SOCIETY OF ANGIOLOGY BRAZILIAN CHAPTER Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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XXV ENCONTRO DOS DISCÍPULOS DO PROF. DR. E.J. ZERBINI XXV MEETING OF PROF. DR. E. J. ZERBINI DISCIPLES V ENCONTRO CIENTÍFICO DOS AMIGOS DO PROF. DR. DOMINGO M. BRAILE V SCIENTIFIC MEETING OF PROF. DOMINGO M. BRAILE FRIENDS XIII SIMPÓSIO PROF. DR. TOMAS A. SALERNO XIII SYMPOSIUM PROF. DR. TOMAS A. SALERNO IX SIMPÓSIO PROF.DR. TOFY MUSSIVAND IX SYMPOSIUM PROF.DR. TOFY MUSSIVAND VIII SIMPÓSIO PROF. DR. DOMINGOS JUNQUEIRA DE MORAES VIII SYMPOSIUM PROF. DR. DOMINGOS JUNQUEIRA DE MORAES VII SIMPÓSIO PROF. DR. PAWAN K. SINGAL VII SYMPOSIUM PROF. DR. PAWAN K. SINGAL

IV SIMPÓSIO PROF. DR. BORUT GERSAK IV SYMPOSIUM PROF. DR. BORUT GERSAK IV SIMPÓSIO PROF. DR. DOMINGOS SÁVIO SOUZA IV SYMPOSIUM PROF. DR. DOMINGOS SÁVIO SOUZA X FORUM INTERNACIONAL DE FISIOLOGIA CARDIOVASCULAR APLICADA Xth INTERNATIONAL FORUM ON APPLIED CARDIOVASCULAR PHYSIOLOGY VI CONGRESSO BRASILEIRO DE LIGAS ACADÊMICAS DE CIÊNCIAS CARDIOVACULARES VI STUDENT’S BRAZILIAN CONGRESS OF CARDIOVASCULAR SCIENCES LEAGUES

PROMOÇÃO / SPONSORSHIP FUNDAÇÃO CARDIOVASCULAR SÃO FRANCISCO DE ASSIS / ServCor Verdade é Jesus - S. João 14. 6 INTERNATIONAL COLLEGE OF CARDIOVASCULAR SCIENCES SOCIEDADE BRASILEIRA DE CIRCULAÇÃO EXTRACORPÓREA BRAZILIAN SOCIETY OF EXTRACORPOREAL CIRCULATION

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APOIO CIENTÍFICO NACIONAL NATIONAL SCIENTIFIC CO-SPONSORSHIP SBC- Sociedade Brasileira de Cardiologia SBCCV - Sociedade Brasileira de Ciruirgia Cardiovascular ACCERJ - Associação dos Cirurgiões Cardiovasculares do Estado do Rio de Janeiro FM.UFMG - Departamento de Cirurgia FUNDAÇÃO RENÓ & KALLÁS MG INCOR-HC; FMUSP TRANSPLANTES ANGIOLIGA - Liga de Angiologia e Cirurgia Vascular da UNIFENAS -MG LICOR – Liga do Coração - EMESCAM / UNIVIX - ES LAT – Liga Acadêmica do Trauma UFMG - ECMMG. SMCCV - Sociedade Mineira de Cirurgia Cardiovascular SBC - Departamento de Cirurgia Cardíaca SBCCV - Departamento de Circulação Extracorpórea e Circulação Assistida Mecânica.DECAM SBCCV - Departamento de Pesquisas Experimentais. DEPEX SBCCV - Departamento de Cardiologia Clínica. DECARDIO ABCI - Associação Brasileira de Cardiologia Intensiva ABCF - Academia Brasileira de Cardiologia da Família PROJETO PLANETA PLUG de Saúde Cardiovascular Infanto-juvenil APOIO CIENTÍFICO INTERNACIONAL INTERNATIONAL SCIENTIFIC CO-SPONSORSHIP IACS - International Academy of Cardiovascular Sciences South American Session AMSOCANG - Am. Soc. Angiology Brazilian. Chapter Fundación Federico Benetti - Argentina University of Lyubliana, Slovenia - Department of Cardiovascular Surgery University of Manitoba , Canada - Institute of Cardiovascular Sciences University of Miami , USA - Department of Cardiothoracic Surgery University of Ottawa , Canada - Chair of Bioengeenering Devices University of Paris, France - Department of Cardiac Surgery Corpo Docente Internacional International Faculty Prof. Dr. Anders Holmgren – Sweden Prof. Dr. Bojan Biočina - Croacia Prof. Dr. Borut Gersak - Slovenia Prof. Dr. Calogerino Diego Borzellino Cusumano – Venezuela Profª Drª Carina Blomström Lundqvist - Upsala, Sweden Prof. Dr. Domingos Sávio R. Souza - Sweden Prof. Dr. Federico Benneti - Argentina Prof. Dr. Fikru Maru - Sweden / Etiópia Prof. Dr. Michael Dashwood - United Kingdon Prof. Dr. Mircea Dobre – Sweden Jul. //Set. Vol.4 4 / Number JAN. MAR. 2009 2009 - VOL. - NUMBER 1 3

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Prof. Dr. Naranjan S. Dhalla - Canada Prof. Dr. Per Blomström - Sweden Prof. Dr. Pawan K. Singal - Canada Prof. Dr. Pierluca Lombardi - USA Prof. Dr. Rafael Astudillo - Sweden Prof. Dr. Ricardo Gelpi - Argentina Prof. Dr. Staffan Bjessmo - Sweden Prof. Dr. Sylvain Chauvaud - France Prof. Dr. Tofy Mussivand - Canada Prof. Dr. Tomas A. Salerno - USA Prof. Dr. Ulf W. Kjellman - Sweden Perf. Leif Pierre - Sweden Perf. Mats Allers - Sweden Perf. Staffan Svenmarker - Sweden Prof. Ivan Berkowitz , Canadá Heart Health Scholar -Director Development Int.Acad.Cardiovasc.Sciences Comissão Científica Nacional National Scientific Board Prof. Dr. Alexandre Ciappina Hueb - SP Prof. Dr. Alfredo I. Fiorelli -SP Prof. Dr. Bruno Botelho Pinheiro - GO Prof. Dr. Carlos Henrique Marques Santos - MS Prof. Dr. Eduardo Sérgio Bastos - RJ Prof. Dr. Eduardo Keller Saadi - RS Prof. Dr. Elias Kallás - MG Dr. Eros Silva Gomes - MG Prof. Dr. Evandro César Vidal Osterne - DF Prof. Dr. João Bosco Dupin - MG Prof. Dr. José Carlos Dorsa V. Pontes - MS Prof. Dr. Marcílio Faraj - MG Dr. Melchior Luiz Lima - ES Prof. Dr. Osvaldo Sampaio Netto - DF Prof. Dr. Otoni M. Gomes - MG Dr. Rafael Diniz Abrantes - MG Prof. Dr. Walter Labanca Arantes - RJ

DIRETORIA - SBCEC / DIRECTORY Presidente / President: Dr. Biom. Perf. Jeffchandler Belém de Oliveira - GO Vice-Presidente / Vice President: Biol. Perf. Márcio Roberto do Carmo - SP 1° Tesoureiro / 1st Treasurer: Enfº Perf. Nilson Antunes - SP 2° Tesoureiro / 2nd Treasurer: Enfº Perf. João Alberto Bertuccez - SP 32

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1º Secretário / 1st Secretary: Perf. Sintya Tertuliano Chalegre - PE 2° Secretário / 2nd Secretary: Perf. Hélio Sandro Melo - PB Conselho Científico / Scientific Council Enfª Perf. Flávia Cristina Gomes Alves - SP Perf. Edna Rodrigues Bezerra - PI Enfª. Patrícia Freire Cavalcante - GO Fisio. Perf. Walkiria Aparecida Sales - SP SBCEC - RJ Presidente / President: Perf. Tony Figueiredo - RJ Vice-Presidente / Vice-President: Perf. Carlos R. C. Corrêa - RJ Secretária / Secretary: Perf. Maria Adelina Rodrigues - RJ Tesoureira / Treasurer: Perf. Yara Amarillis R. de Campos - RJ Conselho Científico / Scientific Council: Prof. Dr. Sérgio Luiz Silva - RJ Dr. Ari Peixoto - RJ Perf. José Hamilton Torres - RJ

CONGRESSO DAS LIGAS ACADÊMICAS DE CIÊNCIAS CARDIOVASCULARES CONGRESS STUDENTS’ LEAGUES OF CARDIOVASCULAR SCIENCES Coordenação Acadêmica / Student’s Coordination Ac. Luiz Alberto Bomjardim Porto - MG Ac. Pedro Henrique Lima Prata – MG Ac. Renata Coelho Gomes – RJ Ac. Tiago Araújo Gomes Maciel - RJ ADMINISTRAÇÃO / ADMINISTRATION Sr. Elton S. Gomes - MG Dra. Elaine Maria G. Albuquerque (OAB) - MG Secretária: Sra. Maristela de Cássia S. Xavier - MG

27.10.2009 - TERÇA-FEIRA / TUESDAY OCTOBER 27, 2009 08:30 - MISSA DE AÇÃO DE GRAÇAS / THANKSGIVING MASS Paróquia de Santa Mônica – BH- MG St. Monique Perish, Belo Horizonte-MG Revmo. Padre Lucas Domingos da Silva Revdo. Padre Antônio Francisco da Silva

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29.10.2009 - QUINTA-FEIRA / THURSDAY , OCTOBER 29, 2009 SALA / ROOM PROF. DR. E. J. ZERBINI

CURSO DE BASES ANATÔMICAS, FISIOLÓGICAS E PATOLÓGICAS DAS DOENÇAS CARDIOVASCULARES (Certificado p/ Frequência =/> 75%)

COURSE OF ANATOMY, PHYSIOLOGY AND PATHOLOGY BASIS OF CARDIOVASCULAR DISEASES (Certificates for Attendance =/> 75%) CURSO P/ PROVA DE ESPECIALISTA EM PERFUSÃO DA SBCEC COURSE FOR SBCEC PROFESSIONAL PERFUSIONIST UPGRADING APPLICATION

08:00 08:05

- RECEPÇÃO / WELLCOME - MÓDULO / MODULE I - SBCEC - A Evolução do Universo da Circulação e do Homem / The Universe, Circulation and Man Evolutions Prof.Dr. Otoni M. Gomes - MG

08:20 - SEMINÁRIO DE ANATOMIA CARDIOVASCULAR – I / SEMINAR ON CARDIOVASCULAR ANATOMY - I Coordenação / Coordination: Prof. Dr. João Bosco Dupin - MG Consultor / Chairperson: Prof. Dr. Sérgio Nunes Pereira - RS Secretária / Secretary: Ac. Luiza Bragança Lima de Rezende - FCMMG Relatores / Speakers: (5 min.) 08:20 - Coração e Vasos da Base: Morfologia Geral / Heart and Great Vessels: General Morphology Ac. Nayara Belo Pereira Santos Peixoto - FCMMG - Anatomia Aplicada da Circulação Coronária / Applied Anatomy of the Coronary Circulation Ac. Thayane Ribeiro Valadares - UFMG - Anatomia Aplicada da Aorta / Aorta Applied Anatomy Ac. Wagner Dias Castro - FAMEVAÇO - Anatomia Aplicada do Mediastino / Applied Anatomy of the Mediastinum Ac. Letícia Sauma Ferreira - UFMG - Anatomia Aplicada da Circulação Pulmonar / Applied Anatomy of the Lung Circulation Ac. Servílho Jerônimo Marangoni Dias - FMU-SP

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- Anatomia Aplicada do Complexo Estimulante do Coração / Applied Anatomy of the Heart Stimulating Complex Ac. Helaine Pabliane Silva Oliveira - FCMMG 09:00 - SEMINÁRIO DE ANATOMIA CARDIOVASCULAR - II / SEMINAR ON CARDIOVASCULAR ANATOMY - II Coordenação / Coordination: Prof. Dr. Sérgio Nunes Pereira - RS Dr. José Oscar Reis Brito - RJ Consultor / Chairperson: Prof. Dr. Alexandre Barbosa Andrade - MG Secretário / Secretary: Ac. Tiago Gomes Araújo Maciel – RJ Relatores / Speakers: 09:00 - Morfologia Aplicada da Circulação Arterial Cerebral / Applied Morphology of the Cerebral arterial Circulation Ac. Jeanine Soraia Bethônico Vasconcelos - UNI-BH - Morfologia Aplicada da Circulação Mesentérica / Aplled Morphology of theMesenteric Circulation Ac. Pedro Henrique Lima Prata - FMUFMG - Morfologia Aplicada da Circulação Renal / Applied Morphology of the Renal Circulation Ac. Monique Coelho Dalapicola - UFES - Anatomia Aplicada da Circulação Arterial Periférica / Applied Anatomy of the Peripheral Arterial Circulation Ac. Isabella Peixoto Barbosa – FCMMG - Anatomia Aplicada da Circulação Venosa Periférica / Applied Anatomy of the Peripheral Venous Circulation Ac. Ana Carolina Bueno e Silva - ECMMG - Anatomia Aplicada da Circulação Venosa Pulmonar / Applied Anatomy of Lung Venous Circulation Perf. Enf. Maria Aparecida NLM Salgado – RJ 09:30 - Visão Geral / Overview: Prof. Dr. Sérgio Nunes Pereira - RS 09:40 - MÓDULO II / MODULE II - SBCEC FISIOLOGIA CARDIOVASCULAR / CARDIOVASCULAR PHISIOLOGY Coordenação / Coordination: Prof. Dr. Osvaldo Sampaio Netto - UCB-DF Enfª Perf. Maria Aparecida N.L.M. Salgado - RJ Consultor / Chairperson: Prof. Dr. José Carlos Dorsa V. Pontes - MS Secretária / Secretary: Ac. Renata Coelho Gomes- UniFOA - RJ Relatores / Speakers ( 7 min.) 09:40 - Potenciais de ação das Células Cardíacas / The Action Potential of the Cardiac Cells Ac. Luiz Claudio Bastos Sasaki - UCB-DF - Propriedades Mecânicas Intrínsecas do Coração / Heart Intrinsical Mechanical Resources Ac. Cássia Maria Melo Souza - UCB - DF Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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Fisiologia Aplicada da Frequência Cardíaca / Apllied Phisiology of the Heart Rate Ac.Luiz Alberto Bomjardim Porto - FM.UFMG - Fisiologia Aplicada da Pressão Arterial / Applied Phisiology of the Arterial Pressure Ac. Patrícia Amaral Bicalho - UCB-DF - Fisiologia Aplicada do Pulso Arterial / Applied Phisiology of the Arterial Pulse Ac. Juliana Helmann - FASEH - Fisiologia Aplicada da Circulação Pulmonar / Applied Phisiology of the Lung Circulation Ac. Caroline Ivone Fontana Formigari - UCB - DF 10:30 - Esporte e Fisiologia do Coração / Sport and Heart Physiology Ac. Tiago Gomes Araujo Maciel – RJ - Visão Geral / Overview: Prof. Dr. Osvaldo Sampaio Netto - UCB-DF 10:45 - Intervalo / Interval 11:00 - MÓDULO III - SBCEC / SBCEC MODULE III SEMINÁRIO DE ANATOMIA PATOLÓGICA CARDIOVASCULAR SEMINAR ON CARDIOVASCULAR ANATOMOPATHOLOGY Coordenação / Coordination: Prof. Dr. José Carlos Dorsa V. Pontes - MS Perf. Enfª Eliana Lopes Nadais - RJ Consultores / Chairpersons: Prof. Dr. João Bosco Dupin - MG Prof. Dr. Alexandre Barbosa Andrade – MG Secretário / Secretary: Ac. Leandro Gustavo de Oliveira - FAMEVAÇO - MG Relatores / Speakers : ( 5 min.) - Doenças do Pericárdio / Pericardium Diseases Ac. Lucas Ferreira Santana - FM.UFMG - Doenças do Miocárdio /Myocardium Diseases Ac. Amanda Neves Ferreira - FCM-MG Ac. Igor Generoso Magalhães Barroso – FCM-MG - Doenças do Endocárdio / Endocardium Diseases Ac. Sônia Regina de Souza - FMU-SP Ac. Sérgio Langanke Mariano - FMU-SP - Doenças Valvares Cardíacas Congênitas e Adquiridas / Congenital and Acquired Heart Valve Diseases Ac. Ludiana Gonçalves Rodrigues - FM-ITAUNA Ac. Michelle Arlete Gonçalves - FM-ITAUNA 36

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- Doenças da Aorta / Diseases of the Aorta Ac. Camila Abdo Camargo - UNIVIX - ES - Doenças do Complexo Estimulante Cardíaco / Diseases of the Cardiac Stimulating complex Ac. César Figueiredo Nogueira - FASEH - Doenças da Circulação Coronária / Coronary Circulation Diseases Ac. Larissa Novaes Paganini - EMESCAM-ES - Anatomia do PCA, Janela Ao-AP, e CIV / PAD, Ao-PA Window and VSD Dr. Anderson Terrazas - MA - Anatomia da Coarctação Aórtica e Estenose Pulmonar / Aortic Coarctation and Pulmonary Stenosis Anatomy Ac. Anízio de Almeida Cadête Filho - FCMMG - Anatomia da DAVP, Canal A-V e Ventrículo Único / ADPV. AV Channel and Common Ventricle Anatomy Ac. Vitor Michelstaedter Brochado - FCMMG - Anatomia da Atresia de Valva Tricúspide e Doença de Ebstein / Tricuspid Valve Atresy and Ebstein Disease Anatomy Ac. Walter Ferraz Flávio Júnior- FM-UFMG - Anatomia da TGVB e Tronco Arterial Comum / TGVB and Arterial Truncus Anatomy Ac. Patrick Pertel Capatto - UFES -ES - Anatomia da Doença de Fallot / Fallot Disease Anatomy Ac. Guilherme Viotto Rodrigues da Silva - FMUFMS - Arterites / Arteritis Ac. Renata Coelho Gomes - UniFOA - RJ 12:20 - Visão Geral / Overview:Prof. Dr. José Carlos Dorsa V. Pontes - MS 12:40 - Intervalo / Interval 13:45 - MÓDULO IV - SBCEC / SBCEC MODULE IV MESA REDONDA: MONITORIZAÇÃO HEMODINÂMICA ROUND TABLE: HAEMODYNAMIC MONITORING Coordenação /Coordination: Prof. Dr. Sérgio Nunes Pereira – RS Perf. Maria Adelina F. Rodrigues - RJ Consultor / Chairperson: Prof. Dr. Eduardo Sérgio Bastos - RJ Secretário / Secretary: Ac. Rafael Sartori Tartaglia - UFES

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13:45 - Pressões Invasivas : Fundamentos / Invasive Pressures : Backgrounds Prof. Dr. Otoni M. Gomes -MG 14:00 - Monitorização na CEC / ECC Monitoring Enf. Perf. Maria Aparecida MLM Salgado - RJ 14:15 - Monitorização Cerebral / Cerebral Monitoring Dr. Rafael Diniz Abrantes - MG 14:25 - PIA e Débito Cardíaco / Mean Arterial Pressure and Cardiac Debt Prof. Dr. Otoni M. Gomes – MG 14:45

- Discussão / Discussion

15:00

- Intervalo / Interval

15:15 - MÓDULO V - SBCEC / SBCEC MODULE V IX SIMPÓSIO / IX SYMPOSIUM PROF. DR. TOFY MUSSIVAND Coordenação / Coordination: Prof. Dr. Alfredo I. Fiorelli - SP Prof. Dr. Mario Ricardo Amar – RJ Consultor / Chairperson: Prof. Dr. Walter Labanca Arantes - RJ Secretário / Secretary: Ac. Luiz Alberto Bomjardim Porto - MG Relatores / Lecturers: 15:15 - Avanços Tecnológicos e Novas Fronteiras em Suporte Cardiopulmonar Technology Advances and New Frontiers in Cardiopulmonary Assistence Prof. Dr. Adalberto Camim, Engº - SP 15:30 - Indicações e Tipos de Suporte Circulatório Artificial / Indications and Types of Artificial Circulatory Assistence Prof. Dr. Alfredo I. Fiorelli - SP 15:45 - Circuitos para Suporte Circulatório / Extracorporeal Assistence Circuits Perf. Élida Carvalho Rezende - SP 16:00 - Dispositivos Artificiais para Cirurgias Valvares Cardíacas / Artificial Devices for Heart Valve Surgery Dr. Melchior Luiz Lima - ES 16:15 - Técnicas e Sistemas Artificiais de Suporte Renal Funciona / Techniques and Systems for Artificial Renal assistence Enfº Perf. Nilson Antunes - SP 16:30 - Estudo Comparativo de Soluções de Proteção Miocárdica/Myocardium Protection Solutions Comparative Study 38

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Enfº Perf. Wander Ribeiro Santos - MG 16:45 - Técnicas de Implante de Coração Artificial / Techniques for Artificial Heart Implantation Prof. Dr. Juan Alberto C. Mejia - CE 17:00 - Oxigenador de Membranas de Superficie Varável para CEC Cibernértica Variable Surface Membrana Oxygenator for Cybernetic ECC. Prof. Dr. Otoni .M. Gomes - MG 17:05 - Coração Artificial Alain Carpentier - Inovações e Perspectivas The Alain Carpentier Artificial Heart - Innovations and Perspectives Prof. Dr. Walter Labanca Arantes - RJ 17:10 - Como Conseguir Recursos Econômicos Para Campanhas de Saúde Cardiovascular How to Raise Funds for Community Cardiovascular Health Improvement Prof. Ivan Berkowitz MBA - Heart Health Scholar - Canadá 17:30-17:40 - Discussão / Discussion 18:00 - RECEPÇÃO / WELCOME Dra. Elaine Maria Gomes Freitas (OAB- MG) Sr. Elton Silva Gomes - MG Fundação Cardiovascular São Francisco de Assis Verdade é Jesus - ServCor São Francisco de Assis Truth is Jesus Cardiovascular Foundation - ServCor 18:10 - CONFERÊNCIAS / LECTURES Coordenação / Coordination: Prof. Dr. Elias Kallás -MG Emº Perf. Perf. Nilson Antunes - SP Perf. Tony Figueiredo - RJ (Presidente SBCEC-RJ) 18:10 - Conceitos Fundamentais da Proteção Jurídica em atividades de Saúde de Alto Risco Backgrounds of the Law Protection on High Risk Health Activities Prof. Dr. Elias Kallás Filho (OAB) - MG 18:30 - Evolução, Estado Atual e Perspectivas do Uso Mundial dos Métodos de CEC Evolution, Updating and Perspectives for the ECC World Application Biom. Perf. Jeffchandler Belém de Oliveira - GO 18:50 - Intervalo / Interval 19:00 - FORUM ECUMÊNICO XI / ECUMENIC FORUM XI - Junto com todos os que em todo lugar louvam ao Senhor Jesus, Senhor deles e Senhor Nosso São Paulo, 1 Coríntios 2 / JAN. /Set. / MAR.2009 2009 - VOL. 1 3 Jul. Vol. 44- NUMBER / Number

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With all those who call upon the Name of Our Lord Jesus Christ in everyplace Who is theirs and ours - (St. Paul, 1 Corinthians 2) - Um só Senhor, uma só fé, um só batismo, um só Deus e Pai de Todos, o qual é sobre todos, e por intermédio de todos, e em todos. São Paulo, Efésios 4, 5-6. / One Lord, one faith, one baptism; one God and Father of all, who is over all and through all and in all. (St Paul, Ephesians 4,5-6) - Cessemos de nos julgarmos uns aos outros.e procuremos o que convém à Paz e a Edificação Mútua . São Paulo em Romanos 14.13 Let us judge one another no longer...and let us pursue the things of peace and the things for building up one another (St. Paul, Romans 14, 13-19) Coordenação / Coordination: Revdo. Padre Geraldo Guilherme da Silva - MG Secretário / Secretary: Prof. Dr. Otoni M. Gomes - MG Consultores / Chairpersons:Revdo Padre José Antônio da Silva - RJ (Exmo. DD. Reitor da Universidade Severino Sombra) Revdo Pastor João Batista da Silva Sobrinho - RJ Revdo Pastor Ailton Gomes -RJ 19:00 - INTRODUÇÃO / WELCOME: Revdo. Padre Geraldo Guilherme da Silva - MG 19:10 - Atendimento ao Próximo e Amor: Disse Maria, Mãe de Jesus: Fazei tudo o que Êle vos disser (S.João 2. 6) And Mary Lord Jesus Mother said: Whatever he tells you, do it.” (S.John 2. 6) Sra. Maria Aparecida Silva Gomes - MG 19:15 - O Nome do Pai também é Jesus / The Name of the Father is also Jesus Prof. Dr. Otoni Moreira Gomes - MG 19:20 - A Oração é a Chave da Vitória / The Pray is the Kay of the Victory Dr. Melchior Luiz Lima – ES 19:25 - Ainda que eu entregue todos os meus bens aos pobres, Ainda que eu entregue meu corpo para ser queimado, Se não tiver amor de nada me adiantará (S. Paulo 1Cor. 13, 4- 13) / If I give away everything I own, and if I give over my body in order to boast, 1 but do not have love, I receive no benefit. (S. Paul 1Corinthians 13, 4) Prof. Dr. Bruno Botelho Pinheiro - GO 19:30 - Ama ao Teu Próximo como a Ti Mesmo / Love your Neigbour as Yourself (St. Luke 10. 27) Prof. Dr. Evandro César Vidal Osterne - DF 19:35

- A Parábola do Bom Samaritano / The Good Samaritan Parable Prof. Dr. Elias Kallás - MG

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19:40 10.32)

19:45

- Todo o Que der Testemunho de Mim Eu Testemunharei Diante do Pai Que Está no Céu (S. Mateus 10.32) Whoever, then, acknowledges me before people, I will acknowledge before my Father in heaven. (S. Mateus Ac. Tiago Gomes Araujo Maciel – RJ - Combati o Bom combate, Completei a Corrida e Guardei a Fé (S. Paulo 2 Timóteo 4,7) I have competed well; I have finished the race; I have kept the faith! ( S. Thimothy 2. 4,7) Perf. Wander Ribeiro dos Santos - MG

19:50 - Porque Onde dois ou três Estão Reunidos em Meu Nome, aí estou Eu no Meio Deles. (São Mateus 18,20) For Wherever two or three Are Gathered in My Name, there Am I, In Their Midst (St Matthew 18.20) Sr. Roldão Moreira Gomes - RJ 20:00 - A Importância da Família / The Importance of the Family Revdo Pastor Ailton Gomes - RJ 20:15 - O Bem de Amar / How Good is to Love Exmo. Revdo Padre José Antônio da Silva – RJ 20:30 - ATO DE GRAÇAS / THANKSGIVING Revdo Pastor Ailton Gomes -RJ Exmo. Revdo. Padre José Antônio da Silva - RJ Revdo. Pe. Geraldo Guilherme da Silva – MG 20:45 - CONFRATERNIZAÇÃO / HAPPY HOUR 30.10.2009 - SEXTA-FEIRA / FRIDAY OCTOBER 30, 2009 SALA / ROOM PROF. DR. EURYCLIDES DE JESUS ZERBINI 08:00 - SIMPÓSIO / SIMPOSIUM PROF. DR. DOMINGOS SÁVIO SOUZA Coordenação / Coordination: Prof. Dr. Domingos S. Souza - Sweden Prof. Dr. Pierluca Lombardi - USA Consultores / Chairpersons: Prof. Dr. Eduardo Sérgio Bastos - RJ Prof. Dr. Bruno Botelho Pinheiro - GO Secretarios / Secretary:Dr. Pedro Rocha Paniágua - DF Ac. Fernando do Carmo Rondon – FM.UFMS Relatores / Lecturers 08:00 - Revascularização Miocárdica por Toracotomia sem CEC : 5 anos de Experiência Off-pump CABG by Thoracotomy: 5 Years Experience Prof. Dr. Calogerino Diego Borzellino Cusumano - Venezuela 08:10 - Cirurgia de Coronárias com Enxerto Composto / CABG with Composed Graft Dr. Eduardo da Costa Rodrigues - RJ

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08:20 - Escore de Risco dos Pacientes Submetidos à Cirurgia de Revascularização do Miocárdio no Hospital Regional de Mato Grosso do Sul / Risk Score of CABG Treated Patients in the Mato Grosso do Sul State Hospital Prof. Dr. José Carlos Dorsa Vieira Pontes - MS 08:30 - Mediastinite: Nova Abordagem Cirúrgica por Toracoplastia com Músculos Peitorais Maiores Bilaterais Mediastnitis; New surgical approach by Thoracoplasty with both side Great Pectoral Muscles Prof. Dr. João de Deus Brito - RJ 08:40 - Abordagem Cirúrgica em Pseudoaneurisma de Aorta / Aortic Pseudoaneurism Surgical Approach Prof. Dr. Bruno Botelho Pinheiro - GO 08:50 - Abscesso de Raiz Aórtica: Cirurgia e seguimento ecocardiográfico Aortic Root Abscess Surgical Technique and Echocardiographic Follow-up Prof. Dr. Rafael Astudillo - Sweden 09:05 - Tecido Perivascular e Desempenho do Enxerto Venoso / PerivascularTissue and Vein Graft Performance Prof. Dr. Michael Dashwood - United Kingdon 09:20 - Tratamento da Complicação Hemorrágica em Cirurgia Complexa da Raiz Aórtica Treatment of the Bleeding Complication During Complex Aortic Rooth Surgery Prof. Dr. Domingos S. Souza – Sweden 09:35 - Discussão / Discussion 09:45 - Intervalo / Interval 10:00 - SIMPÓSIO / SYMPOSIUM PROF. DR. DOMINGOS E. JUNQUEIRA DE MORAES Presidente / President: Prof. Dr. Domingos Edgardo Junqueira de Moraes - RJ Moderador / Moderator: Prof. Dr. Mario Coli Junqueira de Moraes - RJ Secretários / Secretary: Dr. Paulo Samuel Santos Filho - RJ Dr. Pedro Lobato Junqueira de Moraes - RJ Consultores / Chairpersons: Prof. Dr. Alexandre V. Brick - DF Prof. Dr. João de Deus Brito – RJ Relatores / Lecturers 10:00 - Tratamento Perioperatório da Disfunção de VD no Transplante Cardíaco Perioperative Management of the RV Disfunction in Heart Transplantation Prof. Dr. Juan Alberto C. Mejia - CE 10:10 - Cirurgias Alternativas na Substituição da Valva Aórtica / Alternative Surgery in Aortic Valve Replacement Prof. Dr. Antônio de Pádua Jazbik - RJ

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10:20 -

Videoendoscopia em Cirurgia Cardíaca: da dissecção venosa aos procedimentos endocavitários Endoscopic visualization in cardiac surgery: from vein harvesting to endocardial procedures Prof. Dr. Pierluca Lombardi - USA

10:35

- Doença Vascular do Enxerto no Transplante/Vascular Disease in Transplantation Grafts Dr. Ronaldo Honorato Barros Santos - SP

10:45

- Abordagem Cirúrgica em Fibrilação Atrial / Surgical Approach in the Atrial Fibrilation Prof. Dr. Marcelo M. Cascudo - RN

10:55 - Opção Técnica e Mortalidade na Cirurgia da Fibrilação Atrial / Technical Optione and Mortality in Atrial Fibrilation Surgery Prof. Dr. Flávio Donizete Gonçalves - MG 11:05 - Estratégia e Resultados em Cirurgia de Crossa da Aorta / Strategy and Results in Aortic Cross Surgery Prof. Dr. Marcelo Sávio Martins - RJ 11:15 - Estratégias Avançadas em Cirurgia da Aorta / Aortic Surgery Advanced Strategy Prof. Dr. Nelson Barg - RJ 11:25 - Ablação Completa da Fibrilação atrial por Video-toracospia / Total Transthoracic Endoscopic Surgery of AF Ablation Prof. Dr. Per Blomström - Sweden 11:40 - Discussão / Discussion 11:50 - FORUM PROFISSIONAL / PROFESSIONAL FORUM Coordenação / Coordination: Prof. Dr. Gilberto Venossi Barbosa - RS Prof. Dr. Marcelo Matos Cascudo – RN Consultor / Chairperson: Prof. Dr. Alexandre V. Brick - DF Secretários / Secretary: Prof. Dr. Mario Coli J. Moraes - RJ Ac. Flávio Arreguy Viana - UFES 11:50 - Avanços Profissionais da Cirurgia Cardíaca no Estado do Rio de Janeiro Professional Upgrading of the Cardiovascular Surgery in the Rio de Janeiro State Prof. Dr. Ronald Souza Peixoto - RJ 12:05 - Avanços Profissionais da Cirurgia Cardíaca no Estado do Espírito Santo Professional Upgrading of the Cardiovascular Surgery in the Espírito Santo State Dr. Melchior Luiz Lima - ES 12:20

- Discussão / Discussion

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13:45 - V ENCONTRO CIENTÍFICO DOS AMIGOS DO PROF. DR. DOMINGO M. BRAILE V SCIENTIFIC MEETING OF PROF. DR. DOMINGO M. BRAILE FRIENDS - MÓDULO I - CICLO DE CONFERÊNCIAS / LECTURE CYCLE Coordenação / Coordination: Prof. Dr. Eduardo Keller Saadi - RS Consultor / Chairperson:Prof. Dr. Ênio Buffolo - SP Secretários / Seretary: Dr. Melchior Luiz Lima - ES Ac. José Roberto Pereira da Fonseca - UFES 13:45 - Experiência inicial no Implante Transapical de Valva Aórtica / Initial Experience with Transapical Aortic Valve Implantation Dr. Diego Gaia - SP 14:00 - Comentários / Comments: Dr. Osanan Amorim Leite Filho - SP 14:06 - CRM em Multiarteriais e TCE:Interpretação dos resultados do estudo SYNTAX CABG in left main and Multivessel disease: Interpretation of the SYNTAX study results Prof. Dr. Eduardo Keller Saadi - RS 14:21 - Comentários / Comment: Prof. Dr. Fabio B. Jatene - SP Prof. Dr. Fernando A. Lucchese - RS 14:27 - Revascularização do Miocárdio Minimamente Invasiva / Minimmaly Invasive CABG Prof. Dr Rodrigo Mussi Milani - PR. 14:42 - Comentário / Comment: Prof. Dr. Ricardo de Carvalho Lima – PE 14:45 - Terapia Celular 2009-2010 Pérolas e Limitações / Cell Therapy 2009-2010: Pearls and Pitfals 5 Prof. Dr. Danton R.Rocha Loures - PR Prof. Dr. Ivo A. Nesralla - RS Prof. Dr. Antônio Manoel Oliveira Neto - RJ 15:30 - Revascularização em Síndromes Coronárias Agudas / Surgical Revascularization in Acute Coronary Syndromes Prof. Dr. Staffan Bjessmo - Sweden 15:45 - Discussão / Discussion 15:55 - Intervalo / Brake 16:15 - MÓDULO II - CICLO DE CONFERÊNCIAS / LECTURE CYCLE Coordenação / Coordination: Prof. Dr. Domingo M. Braile - SP Consultores / Chairpersons: Prof. Dr. Ivo A. Nesralla - RS 44

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Prof. Dr. Fabio B. Jatene - SP Secretários / Secretary: Dr. Rafael Diniz Abrantes - MG Ac. Leandro Cetto Spadette - UFES 16:15

- Cirurgia Mininvasiva Valvar Híbrida / Hibrid Mininvasive Valve Surgery Prof. Dr. Fernando A. Lucchese - RS

16:30 - Sítios de Canulação Arterial: Vantagens e Desvantagens./ Sites for Arterial Cannulation: Advantages and Challenges Prof. Dr. João Carlos Ferreira Leal - SP 16:45 - Evidências Científicas em CRM / Sientific Evidences in CABG Prof. Dr. Walter José Gomes- SP 17:00 - Treinamento em Cirurgia Cardiovascular / Cardiovascular Surgery Training Prof. Dr. Rui M. S. Almeida - PR 17:15 - Novas Perspectivas de Atuação do Cirurgião Cardiovascular: Evolução ou Involução? New Perspectives for the Cardiovascular Surgeon Work: Evolution or Involution? Prof. Dr. Ênio Buffolo - SP 17:30

- Visão da SBCCV, frente ao Futuro da Especialidade / The SBCCV Vision Regarding Speciality Future Prof. Dr. Gilberto Venossi Barbosa - RS (Presidente SBCCV / President BSCVS)

17:50 - Comentários / Comments: Prof. Dr. Schariff Moyses - ES Prof. Dr. Ivo A. Nesralla - RS Prof. Dr. Alexandre V. Brick - DF 18:05 - Visão Geral / Overview Prof. Dr. Domingo M. Braile - SP 18:30 - Intervalo / Interval 19:00 - V SIMPÓSIO DO CAPÍTULO BRASILEIRO DA SOCIEDADE AMERICANA DE ANGIOLOGIA V SYMPOSIUM OF THE AMERICAN SOCIETY OF ANGIOLOGY BRAZILIAN CHAPTER 19:00 - Coordenação / Coordination: Prof. Dr. Elias Kallás – MG Prof. Dr. João Bosco Dupin - MG 19:10 - Perspectivas de Tratamento da Doença Valvar Venosa Ilíaca por Cirurgia Percutânea Perspective for Iliac Venous Valve Disease Treatment by Percutaneous Valve Implantation Prof. Dr. Otoni M. Gomes - MG 19:20 - Reconstrução Arterial com Sistema Venoso Profundo / Arterial Repair with Deep Vein System Prof. Dr. João Batista Vieira de Carvalho - MG Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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19:35 - Pré e Póscondicionamento na Isquemia Mesentérica; Fundamentos e Evidencias Pré and Postonditionin in Mesenteric Ischemia: Backgrounds and Evidences Prof. Dr. Carlos Henrique Marques Santos - MS 19:50 tura

- Mielopatia Isquêmica Pós-Traumática da Artéria de Adamkiewicz: Relato de Caso e Revisão da Litera-

Ischemic Myelopathy Post Adamkiewicz Artery Thrauma: Case Report and Literature Review Prof. Dr. Raul Starling Barros, Rodrigo Moreira Faleiro, Breno Barbosa Martins, Helton Gonçalves Martins de Paula, Luiza Bragança Lana de Rezende, Ana Carolina Bueno e Silva – FCM.MG 20:00

- COLÓQUIO: ESTRATÉGIAS CIRÚRGICAS PESSOAIS EM ANEURISMAS ARTERIAIS COLLOQUY: PERSONAL SURGICAL STRATEGIES IN ARTERIAL ANEURYSMS Coordenação / Coordination: Prof. Dr. Rui M.S. Almeida - RS Prof. Dr. Carlos Henrique Marques Santos – MS Comentador / Chairpersos: Prof. Dr. Eduardo Sérgio Bastos - RJ Secretário / Secretary: Dr. Pedro Rocha Paniágua - DF Ac. Pedro Henrique de Lima Prata - FM.UFMG Relatores / Lecturers: 20:00 - Estratégia Pessoal para Abordagens Direta e Percutânea em Aneurisma Periféricos Personal Strategy for Direct and Percutaneous Approach in Peripheral Arterial Aneurysm Prof. Dr. Cláudio Pitanga Marques Silva - RJ 20:15

- Aneurismas Aórticos - Estratégias Pessoais de Abordagens Cirúrgicas Direta e Percutânea Aortic Aneurysms - Personal Strategies for Direct and Percutaneous Surgical Approach Prof. Dr. Rui M.S. Almeida - RS, Prof. Dr. Gladyston Luiz Lima Souto - RJ, Prof. Dr. José Carlos Dorsa V. Pontes - MS, Prof. Dr. João de Deus Brito - RJ, Prof. Marcelo Sávio Martins - RJ 20:45 - TEMAS LIVRES EM PAINÉIS INTERATIVOS DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPERS INTERATIVE POSTERS OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES 20:45 - Atualização em Doença Arterial Periférica / Perpheral Arterial Disease Updating Patrícia Santos Loredo ,Tatiana Vaz Leite Pinto, .Larissa Alves de Oliveira Terenzi, Letícia Alves Gomes de Oliveira, Joao Bosco Dupin - FASEH, FCMMG, FAMEVAÇO 20:55 - Comentário / Comment : Prof. Dr. João Batista Vieira Carvalho - MG 20:58 - Réplica / Reply

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21:00 - Portador de Trombofilia Apresentando Trombose Venosa Profunda Ileo Femoral Bilateral Patient with Thrombophilia Presenting Bilateral Iiiofemoral Deep Venous Thrombosis Daniela Ettori Cardoso, Luciana Maria Noronha Ribeiro, Lívia Braga Vasconcelos , Caroline Spósito Brito , Ricardo Estefano Germano , João Batista Vieira Carvalho – Univ. José Rosário Vellano - UNIFENAS -MG 21:10 - Comentário / Comment : Prof. Dr. Cláudio Pitanga Marques Silva - RJ 21:13 - Réplica / Reply 21:15 - Discussão / Discussion 21:25 - CONFRATERNIZAÇÂO / HAPPY HOUR 30.10.09 - SEXTA-FEIRA / FRIDAY, OCTOBER 30, 2009 SALA / ROOM PROF. DR. ARNALDO ANTÔNIO ELIAN V ENCONTRO BRASILEIRO DE CARDIOLOGIA DA FAMÍLIA V BRAZILIAN MEETING OF CARDIOLOGY FOR THE FAMILY VI CONGRESSO BRASILEIRO DE LIGAS ACADÊMICAS DE CIÊNCIAS CARDIOVASCULARES VI BRAZILIAN MEETING OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES Coordenação / Coordination: Prof. Dr. Elias Kallás - MG, Prof. Dr. Alfredo I. Fiorelli - SP, Prof. Dr. Alexandre Barbosa Andrade - MG, Prof. Dr. Osvaldo Sampaio Netto - UCB-DF, Dr. Melchior Luiz Lima - ES, Dr. Rafael Diniz Abrantes - MG, Ac. Luiz Alberto Bomjardim Porto - UFMG, Ac. Pedro Henrique de Lima Prata - UFMG, Ac. Renata Coelho Gomes - RJ, Ac. Tiago Gomes Araújo Maciel - RJ 08:00 - TEMAS LIVRES EM PAINÉIS INTERATIVOS DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPERS INTERATIVE POSTERS OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES Coordenação / Coordination: Prof. Dr. Carlos Henrique Marques Santos - FM.UFMS Ac. Luiz Alberto Bomjardim Porto - FM.UFMG 08:00 - Particularidades da Anatomia Arterial Mesentérica do Coelho Particularities of the Rabbit Mesenteric Arterial Anatomy Pedro Henrique de Lima Prata, Walter Ferraz Flávio Júnior, Lucas Ferreira Santana, André Santiago Silva, Luiz Alberto Bomjardim Porto, Luciano Dantes de Paula, Otoni M. Gomes - FMUFMG 08:10 - Comentário / Comment : Prof. Dr. Elias Kallás - MG

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08:13 - Réplica / Reply 08:15 - Histopatologia do Estresse Oxidativo durante Isquemia-Reperfusão Mesentérica em Coelhos Histopathology of the Oxidative Stress during Mesenteric Ischemia-Reperfusion in Rabbits Luiz Alberto Bonjardim Porto, Pedro Henrique de Lima Prata, Walter Ferraz Flávio Júnior, Lucas Ferreira Santana, André Santiago Silva, Geraldo Brasileiro Filho, Rafael Matos Paixão, Otoni M. Gomes - FMUFMG 08:25 - Comentário / Comment: Prof. Dr. Carlos Henrique Marques Santos - MS 08:28 - Réplica / Reply 08:30 - SEMINÁRIO / SEMINAR - INSUFICIÊNCIA CORONÁRIA / CORONARY INSUFICIENCY Coordenação / Coordination: Prof. Dr. Evandro César Vidal Osterne - DF Consultor / Chairperson: Prof. Dr. Roberto Hugo Costa Lins - RJ Secretários / Secretary: Dr. Agostinho Carlos Monteiro Matos - RJ Ac. Lucas Ferreira Santana - FM.UFMG 08:30 - O Que é Insuficiência Coronária / Coronary Insuficiency What is it? Ac. Patrícia Amaral Bicalho – UCB-DF 08:45 - Etiopatogenia / Etiopathogeny Ac. Guilherme Gomes Freitas - UFMG 08:50 - Fisiopatologia / Fisiopathology Ac. Júnia Maria Drumond Cajazeiro - UFMG 08:55 - Tratamento Clínico / Clinical Treatment Prof. Dr. Alexandre Barbosa Andrade - MG 09:10 - Até onde o Cardiologista Intervencionista pode ir? / How far may go the Interventionist Cardiologist? Dr. Vicente de Paulo da Motta - DF 09:25 - Síndromes Coronarianas Agudas e Severidade da Estenose Coronária Acute Coronary Syndromes and Severity of Coronary Stenosis. Prof. Dr. Luis Carlos Vieira Matos - DF 09:40 - Estado Atual dos Stents Revestidos / Present Status of the Covered Stent Grafts Prof. Dr. Evandro César Vidal Osterne - DF 09:55 - Resistência aos antiplaquetários. O que significa e o que fazer. Antiplatelet Drug Resistence: Significance and Treatment Dr. Gustavo de Almeida Alexim – DF 10:10 - Tratamento Percutâneo e Farmacológico do IAM. Estado da Arte. 48

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MAI Percutaneous and Pharmacologic Treatment. Update Prof. Dr. Paulo Antonio Marra Motta - DF 10:25 - Discussão / Discussion 10:35 - TEMAS LIVRES EM PAINÉIS INTERATIVOS DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPERS INTERATIVE POSTERS OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES 10:25 - Avaliação do Protocolo para Controle e Tratamento do IAM no Hospital Universitário do Oeste do Paraná Protocol Evaluation for Control and Treatment of AMI in the West Paraná State Unversitary Hospital Cristina Cordeiro Cardoso, Carlos Eduardo Castilho Leal, Rui M,S. Ameida – UNIOESTE-PR 10:35 - Comentário / Comment : Prof. Dr. Alexandre Barbosa Andrade – MG 10:38 - Réplica / Reply 10:40 - VISITA AOS EXPOSITORES / EXHIBITION HALL VISIT 11:10 - CURSO DE FUNDAMENTOS DA MEDICINA BASEADA EM EVIDÊNCIAS COURSE ON BACKGROUNDS OF THE MEDICINE EVIDENCE BASED Coordenação / Coordination: Prof. Dr. Osvaldo Sampaio Netto - UCB-DF Secretária / Secretary: Ac. Patrícia Amaral Bicalho - UCB-DF 12:10

- INTERVALO / INTERVAL

13:30 - TEMAS LIVRES EM PAINÉIS INTERATIVOS DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPERS INTERATIVE POSTERS OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES Coordenação / Coordination: Prof. Dr. Alexandre Barbosa Andrade - MG Ac. Renata Coelho Gomes - UniFOA-RJ 13:30 - Avaliação de Pacientes com mais de 50 anos, submetidos a Cirurgia de Revascularização do Miocárdio no Instituto de Cirurgias Cardiovasculares do Oeste do Paraná (ICOOP) Evaluation of Patients with more than 50 y.o submitted to CABG in the Oeste do Parana Cardiovascular Surgery Institute (ICOOP) Carlos Eduardo Castilho Leal, Cristina Cordeiro Cardoso. Rui M.S. Almeida - UNIOESTE-PR 13:40 - Comentário / Comment: Prof. Dr. Elias Kallás - MG 13:43 - Réplica / Reply 13:45 - Hipertensão Arterial na Infância e Adolescência / Arterial Hypertension in Infancy and Childhood Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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César Figueiredo Nogueira, Juliana Heimann, João Bosco Dupin - FASEH /FAMEVAÇO-MG

13:55 - Comentário / Comment : Prof. Dr. Antônio Alves Coelho - DF 13:48 - Réplica / Reply 13:50 - Utilização do Peptídio Natriurético Tipo-B (BNP) em Atendimentos Cardiológicos em Brasilia - DF Type B Natriuretic Peptyd Use During Cardiology Assistence in Brasilia - DF Luiz Claudio Bastos Sasaki, Caroline Ivone Fontana Formigari,Patrícia Amaral Bicalho, Cassia Maria Melo Souza, Luciano Delgado de Olival, Prof. Osvaldo Sampaio Netto - PUC Brasília 14:00 - Comentário / Comment : Prof. Dr. Alexandre Barbosa Andrade - MG 14:03-14:05 - Réplica / Reply 14:05 - Interval / Interval 14:20 - SIMPÓSIO / SYMPOSIUM PROF. DR. PAWAN K. SINGAL Coordenação / Coordination: Prof. Dr. Pawan K. Singal - Canada Prof. Dr. Antônio Manoel Oliveira Neto - RJ Consultres / Chairpersons: Prof. Dra. Tânia Maria Andrade Rodrigues - SE Prof. Dr. Alexandre Barbosa Andrade - MG Secretários / Secretary: Dra. Carla Septimio Margalho - DF Ac. Layon Silveira Campagnaro - UFES Relatores / Lecturer: 14:20 - Papel do Cálcio no Remodelamento Mitral inflamatório / Calcium Role in the Mitral Valve Inflammatory Remodeling Profª Dra. Tânia Maria Andrade Rodrigues – SE 14:30 - Alterações Cardiovasculares em Animais Normotensos e Hipertensos na Sepse Induzida por Perfuração do Ceco. Helaine Pabliane Silva Oliveira, Anizio de Almeida Cadete Filho, Vitor Michelstaedter Brochado, Alexandre Barbosa Andrade FCM.MG 14:40 - Viabilidade Miocárdica Residual Pós-infarto do Miocárdio: Busca e Resgate pelo Eco-Stress e a Adenossinergia Myocardium Viability Post infarction: Search and Rescue by Stress Echo and Adenosinergy Prof. Dr. Marco Antônio R. Torres – RS 14:55 - Efeito Tecidual Adverso dos Recursos de Imagem Para estudo da Aorta 50

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Adverse Tissue Impact of Available Resources for Aorta Image Study Prof. Dr. Osvaldo Sampaio Netto - DF 15:05 - Vantagens e Resultados com Terapia Celular Retrógrada pelo Seio Coronário Advantages and Results with Retrograde Cell Therapy Trough Cororanary Sinus Vein Prof. Dr. Antônio Manoel Oliveira Neto – RJ 15:15 - Efeito de Hipotensores na Contratilidade Miocárdica / Myocardium Contractility Effects of Hypotensive Drugs Prof. Dr. João Bosco Dupin - MG 15:25 - Alterações da Citocina e Insuficiência Cardíaca / Cytokine Imbalance and Heart Failure Prof. Dr. Pawan K. Singal - Canada 15:40 - Discussão /Discussion 15:50 - TEMAS LIVRES EM PAINÉIS INTERATIVOS DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPERS INTERATIVE POSTERS OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES Coordenação / Coordination: Prof. Dr. Sérgio Nunes Pereira – RS Ac. Ana Paula Bernardes de Faria FCM.MG 16:15 - VISITA AOS EXPOSITORES / EXHIBITION HALL VISIT 16:40 - COLÓQUIO DE ATUALIZAÇÃO EM HIPERTENSÃO ARTERIAL NA CARDIOLOGIA DA FAMÍLIA COLLOQUY FOR UPDATING ON ARTERIAL HYPERTENSION IN THE CARDIOLOGY FOR THE FAMILY Coordenação / Coordination: Prof. Dr Roberto Hugo Costa Lins - RJ Prof. Dr. Osvaldo Sampaio Neto – DF Secretários / Secretary: Dr. Eduardo Born - RJ Ac. Patrícia Santos Loredo - FASEH 16:40 - Novas Drogas Hipotensoras – Evidências / New Hypotensor Drugs- Evidences Prof. Dr. Alexandre Barbosa Andrade - MG 16:55

- Aspectos Atuais da Hipertensão Arterial no Idoso / Hyperension Approach in the Elderly - Update Dr. César Brenol Renk - DF

17:10 - Cardiomiopatia hipertrófica: Ênfase no Diagnóstico. / Hypertrophic Cardiomiopaty: Emphasis on Diagnosis Prof. Dr Marco Antônio R. Torres – RS

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17:25 - Dislipidemia e Hipertensão Arterial / Dislipidemy and Arterial Hypertension Prof. Dr. Antônio Alves Coelho - DF 17:40

- Prescrição de Hipotensores na Gestante / Hypotensor drugs Prescription for the Pregnant Dr. Gerson Pimenta - MG

17:55 - Discussão/ Discussion 18:10 - Intervalo / Interval 19:00 - CURSO OBJETIVO DE INFORMÁTICA: PESQUISA EM BASE DE DADOS NA INTERNET PARA PÓS GRADUAÇÃO E INICIAÇÃO CIENTÍFICA / OBJECTIVE COURSE ON COMPUTER SCIENCE: RESEARCH IN THE INTERNET DATABASE FOR POSTGRADUATION AND SCIENTIFIC INITIATION. 19:00 - Internet: Conceitos Básicos / InterNet: Backgrounds Prof. Dr. Osvaldo Sampaio Netto – UCB-DF Ac. Caroline Ivone Fontana Formigari – UCB-DF 19:15 - MODULO 1 / MODULE 1 Pesquisa em indexadores de busca: Google / Research in Search-index: Google Exemplo de Pesquisa / Example of Research Dra. Larissa de Oliveira Lima Coutinho – UCB-DF Ac. Cássia Maria Melo Souza – UCB-DF 19:45 - MODULO 2 / MODULE 2 Biblioteca Virtual em Saúde - Pesquisa em bases de dados: Medline, Lilacs, Scielo / Virtual library in Health - Research in databases: Medline, Lilacs, Scielo Exemplo de Pesquisa / Example of research Dra. Larissa de Oliveira Lima Coutinho - UCB-DF Ac. Luiz Claudio Bastos Sasaki – UCB-DF 20:30 - MODULO 3 / MODULE 3 Biblioteca Cochrane / Cochrane Library Prof. Dr. Osvaldo Sampaio Netto – UCB-DF Ac. Patrícia Amaral Bicalho – UCB-DF 21:00 - MODULO 4 / MODULE 4 Pubmed / Pubmed Exemplo de pesquisa no Pubmed / Exemple os Research in Pubmed Prof. Dr. Alfredo I. Fiorelli - INCOR.FMUSP-SP 21:30 - Revisão Interativa / Interactive Review 52

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22: 00 - Encerramento / Certificados > 75% Participação Adjournment / Certificates for attendance > 75% 31.10.09

SÁBADO / SATURDAY OCTOBER 31, 2009 SALA / ROOM PROF. DR. EURYCLIDES DE JESUS ZERBINI

III ENCONTRO DO CAPÍTULO SUL-AMERICANO DO CLUBE MITRAL DO HOSPITAL EUROPEU GEORGES POMPIDOU III MEEETING SOUTH AMERICAN CHAPTER OF LE CLUB MITRAL AT HOPITAL EUROPEEN GEORGES POMPIDOU 08:00 - ENCONTRO DE ENTENDIDOS / EXPERTS MEETING ABORDAGEM PESSOAL EM CIRURGIA VALVAR NA ICC: TÉCNICAS E CONTROVÉRSIAS VALVE SURGERY PERSONAL APPROACH IN CHF - TECHNIQUES AND CONTROVERSY Coordenação/ Chairpersons: Prof. Dr. Sylvain Chauvaud - France Prof. Dr. Otoni M. Gomes - Brazil Prof. Dr. Walter Labanca Arantes – Brazil Secretários / Secretary: Prof. Dr. Flávio Donizete Gonçalves MG Ac. Letícia Sauma Ferreira - UFMG - UFMG - Relatores / Speakers: Prof. Dr. Alfredo I. Fiorelli - SP Dr. Antônio Augusto Ramalho Motta - MG Prof. Dr. Arlindo de Almeida Riso - SP Prof. Dr. Eduardo Sérgio Bastos - RJ Dr. Fernando Antibas Atik - DF Prof. Dr. Geraldo Paulino Santana Filho - GO Prof. Dr. José Carlos Dorsa V. Pontes - MS Dr. Melchior Luiz Lima - ES Dr. Osanan Amorim Leite Filho - SP Dr. Wanewman Lins Guedes de Andrade - BA 09:25 - Plastia Valvar Mitral com Superfície de Coaptação Artificial / Artificial Coaptation Surface in Mitral Valve Repair Prof. Dr. Bojan Biočina - Croacia 09:40 - Insuficiência Tricúspide Funcional :Quando e Como Tratar? / Functional Tricuspid Insufficiency: What to do and when?” Prof. Dr.Sylvain Chauvaud - France 09:55

- Discussão / Discussion

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10:05 - VISITA AOS EXPOSITORES / EXHIBITION HALL VISIT 10:20 - SIMPOSIO / SYMPOSIUM PROF. DR. BORUT GERSAK Coordenação / Coordination: Prof. Dr. Eduardo Sérgio Bastos – RJ Consultores / Chairpersons: Prof. Dr. Federico Benetti - Argentina Prof. Dr. Mario Coli Junqueira de Morais - RJ Secretaria / Secretary: Dr. Rafael Haddad - GO Ac. Blenda Nunes Endlich - UFES Ac. Eliseu Felix Pereira Barros - FCMMG Relatores / Lecturers 10:20 - Cirurgia Cardíaca Associada com Transplante Pulmonar: Estratégias e Perspectivas Heart Surgery Associated with Lung Transplantation: Strategy and Perspectives Prof. Dr. Fábio B. Jatene - SP 10:35 - Últimos Avanços e Resultados na Ablação da Fibrilação Atrial Latest Developments and Results in AF Ablation Profª Drª Carina Blomström Lundqvist - Upsala, Sweden 10:50 - Cirurgia Cox-Maze por Toracotomia Direita / Cox-Maze Surgery Trough Right Thoracotomy Prof. Dr. Calogerino Diego Borzellino Cusumano – Venezuela 11:05 - Tratamento Cirúrgico da Fibrilação Atrial: O que Sabemos e o que Devemos Fazer / The Surgical Treatment of Atrial Fibrillation; What We Know and What We Should do. Prof. Dr. Mircea Dobre - Lund, Sweden 11:20 - Aneurismas de Aorta Torácica: Nova Abordagem e Resultados / Thoracic Aorta Aneurysms; New Approach and Results Dr. Valdo José Carreira - RJ 11:35 - Cirurgias na Insuficiência Cardíaca: Opções Pessoais e Controvérsias Surgery for Heart Failure: Personal Options and Controversy Prof. Dr. Mario Ricardo Amar - RJ 11:50 - Avaliação Experimental da Doença Vascular do Enxerto - Pesquisa experimental Dr. Domingos Dias Lourenço Filho - SP 12:00 - Fatores de Risco nos Candidatos em Lista de Espera para Transplantes Dr. José de Lima de Oliveira Jr. - SP 12:10 - Discussão / Discussion 12:20 - Intervalo / Interval

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VI CONGRESSO BRASILEIRO DE LIGAS ACADÊMICAS DE CIÊNCIAS CARDIOVASCULARES VI BRAZILIAN MEETING OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES 13:30 - TEMAS LIVRES EM MURAL DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPERS POSTER EXHIBITION OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES Comentadores / Commenters: Prof. Dr. Elias Kallás - MG, Prof. Dr. Sérgio Nunes Pereira-– RS, Prof. Dr. Alfredo I. Fiorelli - SP, Prof. Dr. José Carlos Dorsa V. Pontes- MS, Prof. Dr. Carlos Henrique Marques Santos- MS POSTERS (1) Angiossarcoma Hepático: Relato de caso - Alfenas-MG / Hepatic Angiossarcoma: Case report - Alfenas. MG Angelina Guedes Andrade Alvarenga, Ricardo Estefano Germano, Luciana Maria N. Ribeiro1, Daniela Ettori Cardoso,Lívia Braga Vasconcelos, João Batista Vieira Carvalho- Univ. José do Rosário Vellano-UNIFENAS. MG (2) Pseudo Aneurisma de Artéria Radial Consequente a Fistulo Artério Venosa para Hemodiálise Gabrielle Leão Pereira, Maíra Duarte Ferreira, Priscilla Abdalla Cruz, Marcos Bomfim da Costa Silva, Cynthia Abdalla Cruz João Batista Vieira de Cavalho, - Univ. José do Rosário Vellano – UNIFENAS.MG. (3) Angioplastia ou Cirurgia de Revascularização Coronariana, após Definição da Doença Arterial Coronariana, por Cineangiocoronariografia? Carla Andressa Dal Ponte, Joana Muller Affi, Rui M. S. Almeida - Faculdade Assis Gurgacz - Cascavel - Paraná (4) Acidente Embólico Causado por Injeção de Cocaína e Uísque Intra-Arterial Luciana Maria Noronha Ribeiro, Lívia Braga Vasconcelos, Caroline Spósito Brito, Daniela Ettori Cardoso, Paula Velloso Feitosa, João Batista Vieira Carvalho – Univ. José do Rosário Vellano-UNIFENAS-MG (5) Efeito do Peptídio Phkv Purificadodo Veneno da Aranha Armadeira (Phoneutria Nigriventer) em Modelo de Fibrilação Atrial em Átrios Isolados De Ratos Vitor Michelstaedter Brochado, Anizio A Cadête Filho, Helaine Pabliane S. Oliveira, Alexandre B. Andrade –FCM.MG (6) Valvuloplastia Mitral Percutânea em Paciente Portadora de Estenose Mitral Lívia Braga Vasconcelos, Caroline Spósito Brito, Luciana Maria Noronha Ribeiro, Daniela Ettori Cardoso, Marília Garcia Froio, João Batista Vieira Carvalho – Univ. José do Rosário Vellano .UNIFENAS - MG (7) Aneurisma de Artéria Poplítea Trombosado Duplo em Membro Inferior Daniela Ettori Cardoso, Luciana Maria Noronha Ribeiro, Lívia Braga Vasconcelos, Caroline Spósito Brito, Flávia Oliveira Magro, João Batista Vieira Carvalho – Univ. José do Rosário Vellano – UNIFENAS.MG (8) Adesivos Biológicos: Tipos e Biocompatibilidade Luiz Alberto Bomjardim Porto, Rodrigo Lolli Almeida Salles, Rafaela Ervilha Linhares,Michele Campos Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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Barreto, Natalia Augusta Brito Madureira, Otoni Moreira Gomes – FM.UFMG / FCSFA.ServCor – MG (9) Criança Portadora de Esferocitose Hereditária Associada a Acidente Vascular Cerebral Isquêmico Priscilla Abdalla Cruz , Marcos Bomfim da Costa Silva, Gisele Yuri Pereira Fugikawa, Natassya Couto Otoni , Eduardo Lima Junqueira Garcia, Dr. Carlos Eduardo Engel Velano – Univ. José do Rosário Vellano,Hospital Univ. Alzira Velano-MG. (10) Síndrome Compartimental em Membro Inferior Esquerdo Decorrente de Ferimento por Arma de Fogo Luciana Maria Noronha Ribeiro, Lívia Braga Vasconcelos Caroline Spósito Brito, Daniela Ettori Cardoso, Paula Velloso Feitosa, João Batista Vieira Carvalho – Univ. José do Rosário Vellano-UNIFENAS –MG (11) Pericardite e Tamponamento Cardíaco Marianne Abdalla Cruz, Maíra Duarte Ferreira, Priscilla Abdalla Cruz, Marcos Bomfim da Costa Silva, João Batista V. Cavalho, Cynthia A. Cruz,- Univ. José do Rosário Vellano, CCV-Cardiologia-UNIFENASMG (12) Análise da Função Ventricular Esquerda de Pacientes com Insuficiência Cardíaca durante Otimização do Tratamento Clínico Ricardo Adala Benfatti, Amaury Edgardo Mont`Serrat Ávila Souza Dias, Guilherme Viotto Rodrigues Da Silva, Aezio Magalhaes Júnior , Angela Miyuki Shimabukuro, Jose Carlos Dorsa Vieira Pontes - Universidade Federal de Mato Grosso do Sul. (13) Desenvolvimento de Protocolo para Fechamento Endovascular de Forame Oval Patente - Resultados Iniciais Joana Muller Affi , Rui M. S. Almeida - Faculdade Assis Gurgacz - PR (14) Oclusão Aguda de Aorta Terminal por Embolo em Sela Priscilla Abdalla Cruz, Maíra Duarte Ferreira, Marianne Abdalla Cruz, Marcos Bomfim da Costa Silva, João Batista V. Cavalho, Cynthia Abdalla Cruz, - Univ. José do Rosário Vellano , CCV e Cardiologia, UNIFENAS.MG (15) Situs Inversus Totalis em Lactente Associado à Doença do Refluxo Gastroesofágico (DRGE) Priscilla Abdalla Cruz, Maíra Duarte Ferreira, Leandra de Souza Pereira, Gabrielle Leão Pereira, ,João Batista V. Cavalho, Cynthia Abdalla Cruz – Univ. José do Rosário Vellano, CCV e Cardiologia, UNIFENAS.MG (16) Efeitos Antiarrítmicos Do Peptídeo (PHKV) Purificado Do Veneno Da Aranha Phoneutria Nigriventer. nizio de Almeida Cadête Filho, Vitor Michelstaedter Brochado, Helaine Pabliane Silva Oliveira, Alexandre Barbosa Andrade. FCM.MG

31.10.09SÁBADO / SATURDAY OCTOBER 31, 2009 SALA / ROOM PROF. DR. EURYCLIDES DE JESUS ZERBINI 56

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13:15 - SIMPÓSIO AVANÇOS E PERSPECTIVAS EM CARDIOPATIAS CONGÊNITAS SYMPOSIUM ADVANCES AND NEW FRONTIERS IN CONGENITAL CARDIOPATY Coordenação / Chairpersons:Prof. Dr. Ivo A. Nesralla - RS Prof. Dr. Milton Ary Meier - RJ Secretários / Secretary: Dr. Rafael Diniz Abrantes - MG Ac. Paula Pinto Coelho Assis - FCMMG Relatores / Lecturers 13:15 - Atresia Tricúspide / Tricuspid Atresia Prof. Dr. Andrey José Oliveira Monteiro - RJ 13:30 - Operação de Ross: Otimização de Técnica e Resultados / Ross Operation Technique Optimization and Results Prof. Dr. Francisco Diniz Affonso Costa – PR 13:45 - Estratégias para Correção Cirúrgica da Interrupção do Arco Aórtico com Anomalias Associadas / Strategias for Surgical Correction of the Interrupted Aortic Arch with Associated Anomalies Prof. Dr. Miguel Barbero-Marcial - SP 14:00 - Drenagem Anômala de Veias Pulmonares: Critérios, Técnicas e Resultados Pulmonary Annomalous Vein Drainage: Strategy,Tecniques and Results Prof. Dr. Ulisses Alexandre Crotti – SP 14:15 - Remodelamento Ventricular Direito na Correção de Cardiopatias Congênitas, utilizando Prótese Pulmonar Porcina / Right Ventricle Remodeling Surgery of the Congenital Heart Disease, Using Porcine Pulmonary Prosthesis Prof. Dr. Miguel Angel Maluf – SP 14:30 - Cirurgia na Doença de Ebstein: O que Há de Novo, O que é Melhor? Ebstein Disease Surgery: What is New, What is Better Prof. Dr. Sylvain Chauvaud - France 14:45 - Mixoma de Átrio Esquerdo – Casos Especiais / Left Atrium Mixoma – Special Cases Dr. Antônio Augusto Ramalho Motta – MG Prof. Dr José Carlos Dorsa V. Pontes - MS. 15:00 - Abordagem na Doença da Valva Aórtica Calcificada / Calcified Aortic Valve Disease Approach Dr. Anders Holmgren – Sweden 15:15 - Propostas de Novas Técnicas Cirúrgicas para Correção da Coarctação da Aorta Torácica, de Interrupção do Arco Aórtico e Sindrome de Hipoplasia de Coração Esquerdo / Proposal of New Surgical Techniques to Correct Thoracic Jul. /Set. Vol.44- NUMBER / Number JAN. / MAR.2009 2009 - VOL. 1 3

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Aorta Coarctation Interrupted Aortic Arch And Hypoplastic Syndrome left Heart Syndrome Prof. Dr. Paulo Rodrigues da Silva -RJ 15:30 - Cirurgia Percutânea em Cardiopatias Congênitas :Opções e Evidências Percutaneous Surgery in Congenital Cardiopaty: Options and Evidences Prof. Dr. Edmo Atique Gabriel - SP 15:45 - Discussão / Discussion 16:00 - VISITA AOS EXPOSITORES / EXHIBIT HALL VISIT 16:25 - SIMPÓSIO / SYMPOSIUM PROF. DR . TOMAS A. SALERNO Coordenação / Coordination: Prof. Dr. Edmo Atique Gabriel - SP Prof. Dr. Mario Ricardo Amar– RJ Consultores / Chairpersons: Prof. Dr. Schariff Moyses - ES Prof. Dr. Antônio Manoel Oliveira Neto - RJ Secretários / Secretary: Prof. Dr. Ricardo Adala Benfatti – MS Ac. Eduardo Maurício Guimarães de Oliveira - UNIVIX-ES Relatores / Lecturers: 16:25 - Transplantes cardiacos em pacientes com Doença de Chagas: Resultados no HC.FM UFMG - Herat transplantation in patients with Chagas Disease: Results in the HC.FM UFMG Prof. Dr. Cláudio Gelape - MG 16:40 - Cirurgia Valvar Aórtica Percutânea em Paciente de 90 anos – Técnica e Resultado Inicial /Percutaneous Aortic Valve Surgery in 90 yo. Patient –Technique and Initial Result Prof. Dr. Rogério Tasca – RJ 16:55 - Estado Atual e Perspectivas da Cirurgia pelo Ápice de Ventrículo Esquerdo / Lef Ventricle Surgery Trough Apex Approach: Update and Perspectives. Dr. Osanan Amorim Leite Filho – SP 17:10 - Cirurgia de Revascularização em Pacientes com Miocardiopatia Isquêmica/ Revascularization Surgery in Patients with Ischemic Miocardiopaty Prof. Dr. João Alberto Roso – RS 17:25 - Resultados com Remodelamento Atrial Esquerdo na Fibrilação Atrial Results with Left Atrium Remodeling in Atrial Fibrilation Dr. Pedro Rocha Paniágua - DF 18:00

- Cirurgia Cardíaca Percutânea – Visão Crítica / Percutaneous Cardiac Surgery - Critical View Prof. Dr. Edmo Atique Gabriel - SP

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18:15

- Discussão / Discussion

18:25

- Intervalo / Interval

31.10.09 - SÁBADO/ SATURDAY, OCTOBER 31, 2009 SALA / ROOM PROF. DR. ARNALDO ANTÔNIO ELIAN 08:00 - SIMPÓSIO DE PESQUISAS EXPERIMENTAIS / EXPERIMENTAL RESEARCHES SYMPOSIUM Coordenação / Coordination: Prof. Dr. Carlos Henrique Marques Santos - MS Consultor / Chairpersons: Prof. Dr. Elias Kallás - MG Secreários / Secretary: Dr. Gerson Pimenta - MG Ac. Walter Ferraz Flávio Júnior- FM-UFMG Relatores / Lecturers: 08:00 - TEMAS LIVRES EM PAINEL INTERATIVO DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPER INTERATIVE POSTER OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES 08:00 - Estudo por Análise Microscópica das Fibras Musculares da Crossa e da Parte Distal da Veia Safena Magna, para Determinar Maior Resistência e Eficácia na Confecção de uma Anastomose Gabrielle Leão Pereira, Maíra Duarte Ferreira, Priscilla Abdalla Cruz ,Marcos Bomfim da Costa Silva , Cynthia Abdalla Cruz ,João Batista Vieira de Cavalho - Universidade José do Rosário Vellano, 08:10 - Comentário / Comment : Prof. Dr. Elias Kallás – MG 08:13 - Réplica / Reply 08:15 - Efeito da Ciclosporina na Reperfusão do Miocárdio Transplantado Cyclosporin Effect on Tranplanted Myocardium Reperfusion Marianne Abdalla Cruz, Maíra Duarte Ferreira, Priscilla Abdalla Cruz, Marcos Bomfim da Costa Silva, Cynthia Abdalla Cruz, Prof. Dr.João Batista Vieira de Cavalho Universidade José do Rosário Vellano 08:25 - Comentário / Comment : Dr. Melchior Luiz Lima - ES 08:28 - Réplica / Reply 08:30 - CONFERÊNCIAS / lLECTURES 08:30 - Técnica e Resultados com Transplante Cardíaco Experimental Thecnics and Results with Experimental Heart Transplantation Prof. Dr. João Batista Vieira Carvalho -MG 08:45 - Técnica e Resultados com Transplante de Traquéia / Technics and results with Trachea Transplantation Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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Prof. Dr. Roberto Salvador de Souza Guimarães - MG

09:00 - Indução Experimental da Coagulação Intravascular Disseminada Experimental Induction of Disseminated Intravascular Coagulation Prof. Dr. Alexandre Barbosa Andrade – MG 09:15 - Estudo Comparativo das Lesões Endocárdicas e Miocárdicas Induzidas por Cateteres de Ablação Comparative Study of Endocardium and Myocardium Lesions Induced by Ablation Catheters Prof. Dr. Henrique Cesar Almeida Maia - DF 09:30 - Discussão / Discussion 09:40 - VISITA AOS EXPOSITORES / EXHIBITION HALL VISIT 10:00 - SIMPÓSIO / SYMPOSIUM SOUTH AMERICAN CHAPTER INTERNATIONAL ACADEMY OF CARDIOVASCULAR SCIENCES Presidente / President: Prof. Dr. Naranjan S. Dhalla - Canadá Coordenação / Coordination: Prof. Dr. Ricardo Gelpi – Argentina Secretários / Secretary: Prof. Dr. David P. Brasil - MG Ac. Luiz Alberto Bomjardim Porto - FMUFMG Temas / Themes: 10:00 - Estresse Oxidativo como Estímulo Subcelular de Remodelamento Cardíaco na Isquemia-Reperfusão Oxidative Stress as a Stimulus for Subcellular Remodeling in the Ischemic-Reperfused Heart Prof. Dr. Naranjan S. Dhalla - Canada 10:20 - Desenvolvimento de Tecnologia e Equipamentos: Desafios e Oportunidades para o Brasil Medical Devices and Technology Development: Challenges and Opportunities for Brazil Prof. Dr. Tofy Mussivand - Canadá 10:35 - Mecanismos da Hipertrofia Miocárdica na Insuficiência Cardíaca Mechanisms of the Myocardium Hypertrophy in Herat Failure Prof. Dr. Ricardo Gelpi – Argentina 10:50 - Perfil da Endotelina 3 em Portadores de Troca Valvar por Estenose Mitral Grave Endothelin 3 Profile in Patients Submitted to Mitral Valve Replacement Profª Dra. Tânia Maria de Andrade Rodrigues - SE 11:05 - Lacunas na Pesquisa Clínica Vascular: Identificando Perspectivas Gaps in Vascular Clínical Research: Identifying Perspectives Prof. Dr. David P. Brasil - MG 11:20 - Doença Cardiovascular no 3° Mundo . Foco Especial na Etiópia Cardiovascular Diseases in the 3rd World Special Focus on Ethiopia” 60

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Prof. Dr. Fikru Maru - Sweden / Etiópia 11:35 - Evidencias e Novas Fronteiras do Pré e Pós-condicionamento na Proteção de Órgãos do Sistema Digestório / Evidences and New Frontiers of Digestive System Pré and Postcondictioning Protection Prof. Dr. Carlos Henrique Marques Santos - MS 11:50 - Efeito de Um Inibidor de Receptores At1 da Angiotensina - Losartan na Fragilidade Osmótica do Eritrócito de Ratos Wistar Effect of At1 Angiotensin - Losartan Inhibitor Blockage in the Osmotic Fragility of Wistar Rats’ Erytrocites Prof. Solange Campos Vicentini, Dr. Sebastião D. Santos-Filho, Prof.Dr. Giuseppe A. Presta 12:05 - Discussão / Discussion 12:15 - INTERVALO / INTERVAL 13:30 - V ENCONTRO BRASILEIRO DE CARDIOLOGIA DA FAMÍLIA V BRAZILIAN MEETING OF CARDIOLOGY FOR THE FAMILY VI CONGRESSO BRASILEIRO DE LIGAS ACADÊMICAS DE CIÊNCIAS CARDIOVASCULARES VI BRAZILIAN MEETING OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES 13:30 - TEMAS LIVRES EM PAINEL INTERATIVO DAS LIGAS DE CIÊNCIAS CARDIOVASCULARES FREE PAPER INTERATIVE POSTER OF STUDENT´S LIGAES OF CARDIOVASCULAR SCIENCES Coordenação / Coordination: Prof. Dr. Carlos Henrique Marques Santos – MS 13:30 - Arterite de Takayasu - Relato De Caso / Takayasu Arteritis – Case Report Angelina Guedes Andrade Alvarenga, Ricardo Estefano Germano, Luciana Maria Noronha Ribeiro, Daniela Ettori Cardoso, Lívia Braga Vasconcelos, João Batista Vieira Carvalho – Univ. José do Rosário Vellano-UNIFENAS – MG 13:40 - Comentário / Comment : Prof. Dr. Elias Kallás – MG 13:43 - Réplica / Reply 13:45 - Fibrilação Atrial Secundária a Tireotoxicose- Relato de Caso / Atrial Fibrillation Secondary to Thyreotoxicosis - Case Report Victor Ferreira Lopes da Silva, Alan Fernando Panarello, Alaor Negroir Jubé Barbosa , André Luiz Carneiro Martins Chaves,Otaviano Otonni Netto, Patrick Seabra Guimarães, Glaydson Jerônimo da Silva FM. Univ. Católica de Goiás;, Santa Casa de Misericórdia de Goiás Jul. /Set. Vol.44- NUMBER / Number JAN. / MAR.2009 2009 - VOL. 1 3

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13:55 - Comentário / Comment : Prof. Dr. Henrique César Almeida Maia - DF 13:58 - Repica / Replay 14:00 - MESA REDONDA DE FIBRILAÇÃO ATRIAL / ROUND TABLE ON ATRIAL FIBRILATION Coordenação / Coordination: Prof. Dr. Alexandre Barbosa Andrade - MG Secretarios / Secretary: Dr. João Guilherme Saraiva Pinto -SP Ac. Mariana Brandão Azevedo - UNI-BH Relatores / Lecturers 14:00 - Tratamento Clínico / Clincal treatment Dra. Carla Septímio Margalho - DF 14:15 - Ablação Percutânea / Percutaneous Ablation Prof. Dr. Henrique Cesar Almeida Maia - DF 14:30 - Ablação Cirúrgica / Surgical Ablation Dr. Romeu de Melo Neto – DF 14:45

- Resultados com Remodelamento Atrial Esquerdo / Results with Left trium Remodeling Dr. Pedro Rocha Paniágua - DF

15:00 - Análise da Função Ventricular Esquerda de Pacientes com Insuficiência Cardíaca Avançada Submetidos à Ressincronização Cardíaca / Left Ventricle Function Analysis in Patients with Advanced Heart Failure Submitted Cardiac Resincronization Prof. Dr. Ricardo Adala Benfatti - MS 15:15 - Discussão / Discussion 15:25

- VISITA AOS EXPOSITORES / EXHIBITION HALL

15:55 - COLÓQUIO DE ATUALIZAÇÃO EM INSUFICIÊNCIA CARDÍACA NA CARDIOLOGIA DA FAMÍLIA COLLOQUY UPDATING ON HEART FAILURE IN THE CARDIOLOGY FOR THE FAMILY Coordenação / Coordination: Prof. Dr. Alexandre Barbosa Andrade - MG Dr.Gerson Pimenta - MG Secretários / Secretary: Dr. Eduardo Born - RJ Ac. Sâmara Miranda Nacur Nagem - UNI-BH Relatores / Speakers: 15:55 - Morfologia do Coração Insuficiente / The Failing Heart Morphology Ac. Renata Valle Motta – MG

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16:05 - Drogas Inotrópicas: Tipos, Vantagens e Riscos / Inotropic Drugs; Types, Advantages and Risks Prof. Dr. Roberto Hugo Costa Lins – RJ 16: 30

- Desnutrição e Insuficiência Cardíaca no Idoso / Malnutrition and Heart Failure in the Elderly Dra. Cláudia Correa Zanata – DF

16:45 - Abordagem Cirúrgica na ICC – Heart Failure Surgical Approach Dr. Rafael Diniz Abrantes - MG 17:00 - Influência do Tipo de Prótese Valvar na Abordagem do Tromboembolismo em Pacientes com ICC Valve Prosthesis Type Influence in the Thromboembolism Approach in Heart Failure Patients Prof. Dr. Paulo de Lara Lavítola - SP 17:15 - Tratamento Clínico Otimizado em Pacientes com Insuficiência Cardíaca / Optimized Clinic Treatment in Patients with Heart Failure Prof. Dr. Ricardo Adala Benfatti - MS 17:30 - Diagnóstico e Prognóstico Ecodoplercollorcardiográfico na ICC Echodoplercollorcardiography Diagnosis and Prognosis in Heart Failure Dr. Sérgio Luiz Barrote – MG 17:50 - Discussão / Discussion 18:00 - CERTIFICAÇÃO DOS MELHORES TEMAS LIVRES ORAIS INTERATIVOS E MURAIS APRESENTADOS / CERTIFICATION OF BEST ORAL AND POSTER FREE PAPERS REPORTS 18:30 - ADIAMENTO / ADJOURNEMENT 30.10.2009 - SEXTA-FEIRA / FRIDAY OCTOBER 30, 2009 SALA / ROOM PROF. DR. DAGOBERTO S. CONCEIÇÃO

XXVII CONGRESSO BRASILEIRO DE CIRCULAÇÃO EXTRACORPÓREA XXVII BRAZILIAN CONGRESS OF EXTRACORPOREAL CIRCULATION 08:00 - MÓDULO VI - PERFUSATO / PERFUSATE Coordenação/ Coordination: Prof. Dr. Marcelo Sávio Martins - RJ Dra. Biom. Perf. Sirte Regina Venturoli Ferreira - SP Secretários / Secretary: Perf. Edmar Tadeu dos Santos - GO Ac. Guilherme Viotto Rodrigues da Silva - FM.UFMS Relatores / Lecturers:

08:00 - Conceitos de Volemia e Fisiologia Hidro-Eletrolítica / Blood Volume and Hydroelectroliitic Backgrounds Jul. /Set. Vol.44- NUMBER / Number JAN. / MAR.2009 2009 - VOL. 1 3

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Perf. Rozeli Brandão da Silva - ES

08:15 - Heparina / Heparin Perf. Rosemeire Lourenço Silva,- SP 08:30 - Gelafundin e seu efeito não esperado na CEC / Gelafundin and its surprising effect in ECC Perf. Osvaldo Nogueira Sanches - SP 08:45 - Drenagem Venosa a Vácuo em CEC / ECC Venous Vacuum Drainage Enfª Perf. Rosemary Toffano – SP 09:00

- Priming Autólogo Retrógrado – Evidências / Autologos Retrograde Priming - Evidences Dr. Biom. Perf. Jeffchandler Belém de Oliveira -

09:15 - Considerações Sobre o Perfil de Caçapa e Métodos de Ajuste de Bombas de Roletes Usadas em Circulação Extracorpórea/ Considerations Regarding ECC Arterial Pump Adjustment Prof. Dr. Francisco Ubaldo Vieira Júnior, Engº - SP 09:30

- Discussão / Discussion

09:40 - APRESENTAÇÃO DE TEMAS LIVRES / FREE PAPERS REPORT Coordenação / Coordination: Perf. Wander Ribeiro Santos - MG Secretário / Secretary: Biol. Perf. Márcio Roberto do Carmo –SP 10:45

- TEMAS PROFISSIONAIS / PROFESSIONAL THEMES Coordenação / Coordination: Dr. Biom. Perf. Jeffchandler Belém de Oliveira – GO Enfº Perf. Prof. Dr. Nilson Antunes – SP Consultor / Chairperson: Enf. Perf Wander Ribeiro dos Santos – MG Secretários / Secretary: Dra. Perf. Sintya Tertuliano Chalegre - PE Perf. Maria Adelina Rodrigues - RJ Relatores / Speakers: 10:45 - Identidade Profissional - Cursos de Formação de Perfusionista Professional Identity – Perfusionist Upgrading Course Enfª Perf. Flávia Cristina Gomes Alves - SP Dr. Otávio Müeller de Paula - PR Enf. Perf. Walkíria Aparecida de Sales – SP Prof. Dr. Otoni M. Gomes - MG 11:20 - Perfusão como área de atuação do Biomédico / Perfusion as Biomedic professional area CRBM 1 (Delegado do CRBM 1 RJ ) 11:35 - Ética Profissional / Professional Ethics Dr. Melchior Luiz Lima - ES

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11:50 - Discussão / Discussion 12:00 - Intervalo / Interval 13:00 - ASSEMBLÉIA DA SBCEC / SBCEC ASSEMBLY Confirmação de Identidade – Temas Gerais / Identity Confirmation - Overview Coordenação / Coordination: Dr. Biom. Perf. Jeffchandler Belém de Oliveira - GO (Presidente da SBCEC ) Biol. Perf. Márcio Roberto do Carmo - SP (Vice-Presidente da SBCEC) 14:30 - MÓDULO VII - PROCEDIMENTOS ESPECIAIS EM CEC / MODULE VII – ECC SPECIAL PROCEDURES Coordenação / Coordination: Prof. Dr. Walter José Gomes - SP Dr. Biom. Perf. Raphael Fagnani Sanchez Molina –SP 14:30 - CEC em Gestantes / ECC for Pregnants Dr. Biom. Perf. Jeffchandler Belém de Oliveira - GO 14:45 - Drenagem Venosa a Vácuo / Vacuum Venous Drainage Dra. Perf. Sintya Tertuliano Chalegre - PE 15:00 - Mini-Circuitos e Robótica em CEC / Minicircuits and Robotics for ECC Prof. Dr. Leonardo Esteves Lima – DF 15:15 - Perfusão de Membro Isolado / Isolated Limb Perfusion Perf. João Alberto S. Bertuccez – SP 15:25

- Circulação Assistida para Transplante Cardíaco / Standby Assisted Circulation for Heart Transplantation Biom. Perf. Diego Faria M. Ferreira - SP Prof. Dr. Juan Alberto C. Mejia - CE

15:45 - Discussão / Discussion 15:55 - VISITA AOS EXPOSITORES / EXHIBITION HALL VISIT 16:15 - SIMPÓSIO INTERNACIONAL NOVAS FRONTEIRAS EM CIRCULAÇÃO EXTRACORPÓREA INTERNATIONAL SYMPOSIUM NEW FRONTIERS IN EXTRACORPOREAL CIRCULATION Coordenação / Coordination:Prof. Dr. Otoni M. Gomes - MG Prof. Dr. Biom. Perf.Jeffchandler Belém de Oliveira - GO (Presidente da SBCEC ) Consultores / Chairpersons: Prof. Dr. Alfredo I. Fiorelli – SP Biol. Perf. Márcio Roberto do Carmo - SP (Vice-Presidente da SBCEC) Prof Dr Enf. Perf.. Nilson Antunes - SP Secretária / Secretary: Perf. Rozeli Brandão da Silva - ES Relatores / Lecturers 16:15 - História e Evidências da CEC na Venezuela / Landmarks and Evidences of ECC in Venezuela Prof. Dr. Calogerino Diego B Cusumano - Venezuela 16:30 - Esfriamento Cerebral Seletivo pelas Cavidades Nasais / Selective Brain Cooling via Nasal Cavities Jul. /Set. Vol.44- NUMBER / Number JAN. / MAR.2009 2009 - VOL. 1 3

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Perf. Mats Allers - Sweden 16:45 - Proteção Miocárdica e Cerebral em Neonatos / Myocardial and Cerebral Protection in Neonates Enfª Geani de Faria - SP 17:00 - Transplante Pulmonar de Pulmões Inicialmente Rejeitados - Segmento de 02 anos Lung Transplantation of Initially Rejected Lungs- 2 Year Follow-Up Perf. Leif Pierre - Sweden 17:15 - Redução de Erros durante a CEC / Reduction of mistakes during ECC Perf. Ana Cristina Reinehr Ferreira - RS 17:30 - Controle de fluxo estático ou dinâmico em CEC: Existe diferença? / Static or Dynamic Blood Flow Control during Cardiopulmonary Bypass: is there a Difference? Perf. Staffan Svenmarker - Sweden 17:45 -Drenagem Venosa Assistida por Vácuo: do conceito à prática / Vacuum Assited Venous Drainage; From Backgrouns to the Practice Perf. Zenicio Pires - SP 18:00

- Suporte Circulatòrio Mecânico em Centro de Transplante Cardíaco e Pulmonar. Experiência do Hospital Universitário Sahlgrenska, Gotemburg, Sweden/ Mechanical Assist Support Experience at Sahlgrenska Univeristy Hospital, Gothenburg, Sweden. Prof. Dr. Ulf Kjellman - Sweden 18:15

- Atualidades no Suporte Pulmonar e Assistência Circulatória Prolongada Pulmonary and Circulatory Assisted Support - Updating Prof (MSc).Perf. Raphael Fagnani Sanchez Molina - SP.

18:30 - Proteção Pulmonar em Cirurgia Cardíaca / Lung Protection During Heart Surgery Prof. Dr. Edmo Atique Gabriel - SP 18:30 - Discussão / Discussion 18:40 - Adiamento / Adjournment 31.10.09 - SÁBADO / SATURDAY OCTOBER 31, 2009 SALA / ROOM PROF. DR. DAGOBERTO S. CONCEIÇÃO

XXVII CONGRESSO BRASILEIRO DE CIRCULAÇÃO EXTRACORPÓREA XXVII BRAZILIAN CONGRESS OF EXTRACORPOREAL CIRCULATION

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08:00 - MÓDULO IX - COMPLICAÇÕES NA CEC / MODULE IX COMPLCATIONS IN ECC Coordenação/ Coordination:Dr. Ari Peixoto – RJ Enfª. Patrícia Freire Cavalcante - GO Secretárias / Secretary: Enf. Perf. Enfª Perf. Maria Aparecida N.L.M. Salgado - RJ Ac. Renata Valle Motta - FCMS/JF Relatores Lecturers 08:00 - Complicações da Canulação para CEC / Complications in cannulation for ECC Dr. Antônio Augusto Ramalho Motta - MG 08:15 - Síndrome Vasoplégica / Vasoplegy Sindrom Enfª Camila Ramos – SP 08:30 - Qualidade e Segurança na CEC / Safety and Quality in ECC Enfª Rosemeire Assis Divino - SP 08:45 - Resposta Inflamatória da CEC / Inflamatory Response in ECC Adults - Dr. Biom. Perf. Raphael Fagnani Sanchez Molina - SP Children - Perf. Ana Paula Noronha - SP 09:00

- Discussão / Discussion

09:15 - SESSÃO DE TEMA LIVRE / FRE PAPERS REPORT SESSION Prêmio Award “Antonio Gilberto Martins” Coordenação / Coordination: Prof. Enf. Perf. Nilson Antunes - SP Biol. Perf. Márcio Roberto Carmo - SP Dra. Perf. Sintya Tertuliano Chalegre - PE Dr. Biom. Perf. Jeffchandler Belém de Oliveira - GO 11:00 - CONFERÊNCIAS / LECTURES Coordenação / Coordination: Prof. Dr. Carlos Henrique Marques Santos - MS Prof. Enf° Perf. Nilson Antunes – SP Secretario / Secretary: Enfª Perf. Maria Aparecida N.L.M. Salgado - RJ Perf. José Hamilton Torres-RJ 11:00 - Como Redigir Artigos Científicos / How to write Scientific Articles Prof. Dr. Walter José Gomes – SP 11:20 - Apresentação de Trabalho Científico / Scientific Paper Report Prof. Dr. Alfredo I. Fiorelli - SP 11:40 - Discussão / Discussion 11:50 - Intervalo / Interval 13:45 - CIRCULAÇÃO EXTRACORPÓREA EM CRIANÇAS E NEONATOS Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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EXTRACORPOREAL CIRCULATION FOR CHILDREN AND NEONATES Coordenação / Coordination: Prof. Dr. Mario Coli Junqueira de Moraes - RJ Perf. Paulo Landerico Viana Meneses - RN Secretária / Secretary: Ac. Jordânia Rodrigues de Barros - UNI-BH Relatores / Lecturers 13:45 - Evolução e Estratégias com Oxigenação Artificial em Neonatos Evolution and Strategy of Artificial Oxygenation in Neonates Prof. Dr. Arlindo Almeida Riso -SP 14:00

- Reação Inflamatória durante a CEC de Crianças e Neonatos e sua Prevenção Inflammatory Reaction and Prevention During ECC in Chrildren and Neonates Prof. Dr. Pedro Rafael Salerno - PE

14:15 - Curso de Especialização em Perfusão UNIFESP / Course of Specialization in Perfusão UNIFESP Perf. Walkíria Aparecida de Sales - SP 14:30 - Miniaturização do Circuito – Redução do Priming / Circuit Miniature and Priming Reduction Prof. Dr. Mauro Arruda Filho - PE 14:45 - Protocolo de CEC para Cardiopatias Complexas em Crianças de Baixo Peso ECC Protocol for Complex Cardiopaties in Low Weight Children Biom. Perf. Cibele Cristina Sperone – SP 15:00 - Monitorização na CEC / ECC Monitoring Dra. Biom. Perf. Ana Elisa Nóbrega - MG . 15:15 - ECMO em Crianças e Neonatos / ECMO in Children and Neonates Perf. Karina da Costa Moreira – SP. 15:30 - Fundamentos de Hemostasia em CEC / Haemostasy Backgrounds Perf. Enfª Eliana Lopes Nadais – RJ 15:45 - Discussão / Discussion 16:00 - VISITA AOS EXPOSITORES / EXHIBITION HALL VISIT 16:30 - FUNDAMENTOS, TÉCNICAS E CUIDADOS NO USO DO BALÃO INTRA-AÓRTICO TCHNICAL BACKGROUNDS AND CARE DURING SUPPORT WITH INTRA-AOTIC BALOON Coordenação /Coordination: :Prof. Dr. Alfredo I. Fiorelli - SP Biom. Perf. Luciane Bastos Fabergé - SP Secretário / Secretary: Dr. Rafael Diniz Abrantes - MG

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16:30 -Técnicas e Indicações de Suporte Artificial Cardio-Respiratório em Crianças e Neonatos Techniques and Indications of Artificial Cardio-Respiratory Support in Children and Neonates Prof. Dr. Miguel Angel Maluf - SP 16:45 - Preditores de Débito Cardíaco / Cardiac Output Predictors Enfª Perf. Maria Aparecida N.L.M. Salgado - RJ 17:00

- Como transformar a CEC em ECMO em 5 minutos / How to go from ECC to ECMO in 5 minutes Perf. Osvaldo Nogueira Sanches - SP

17:15 - Uso do Balão Intra-aórtico: Modelos, Técnicas, Controles e Complicações Intra-aortic Balloon Use; Models, Techniques,Ccontrol and Complications Prof. Dr. Alfredo I. Fiorelli - SP 17:45 - ENTREGA DO PRÊMIO “ANTONIO GILBERTO MARTINS” “ANTONIO GILBERTO MARTINS” PRIZE REWARDING 29.10.2009 - QUINTA-FEIRA / THURSDAY , OCTOBER 29, 2009 SALA / ROOM PROF. DR. E. J. ZERBINI

CURSO DE BASES ANATÔMICAS, FISIOLÓGICAS E PATOLÓGICAS DAS DOENÇAS CARDIOVASCULARES (Certificado p/ Frequência =/> 75%) COURSE OF ANATOMY, PHYSIOLOGY AND PATHOLOGY BASIS OF CARDIOVASCULAR DISEASES (Certificates for Attendance =/> 75%) CURSO P/ PROVA DE ESPECIALISTA EM PERFUSÃO DA SBCEC COURSE FOR SBCEC PROFESSIONAL PERFUSIONIST UPGRADING APPLICATION 08:00 08:05

- RECEPÇÃO / WELLCOME - MÓDULO / MODULE I - SBCEC - A Evolução do Universo da Circulação e do Homem / The Universe, Circulation and Man Evolutions Prof.Dr. Otoni M. Gomes - MG

08:20 - SEMINÁRIO DE ANATOMIA CARDIOVASCULAR – I / SEMINAR ON CARDIOVASCULAR ANATOMY - I Coordenação / Coordination: Prof. Dr. João Bosco Dupin - MG Consultor / Chairperson: Prof. Dr. Sérgio Nunes Pereira - RS Secretária / Secretary: Ac. Luiza Bragança Lima de Rezende - FCMMG Relatores / Speakers: (5 min.) Jul. Vol. 44- NUMBER / Number JAN. /Set. / MAR.2009 2009 - VOL. 1 3

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CARDIOVASCULAR S C I E N C E S F O R U M

INSTRUCTION FOR AUTHORS 1- Objectives: The Cardiovascular Sciences Forum aims to serve all the Cardiovascular Sciences fields of investigation to hold together multiprofessional experience to optimize the generation of new ideas, improving mankind resources in the prevention and treatment of cardiovascular diseases. 2 - Advertising: Cardiovascular Sciences Forum does not hold itself responsible for statements made by any authors. Statements or opinions expressed in Cardiovascular Sciences Forum of the authors(s) and do not represent official policy of the Sponsor Institutions unless so especified. No responsability is assumed by the Cardiovascular Sciences Forum Sponsor Institutions any neither by it’s Publising Enterprises, for any injury and/or damage to persons or propertty as a matter of products liability, negligence or from any use or operation of any methods, products, instructions or ideas contained in the material herein. No suggest test or procedure should be carried out unless, in the reader’s judgment, its risk is justified. Because of rapid advances in the medical sciences we recommend that the independent verification of diagnosis and drug dosages should be made. Discussions, views and recommendations as to medical procedure, choice of drugs and drug dosages are the responsability of the authors. Although all advertising material published in Cardiovascular Sciences Forum is expected to conform to ethical (medical) standards, inclusion in this publication does not constitute a guarantee or endorsement by it’s Sponsor Institutions or the Publisher of the quality or value of such product or of the claim made by its manufacture. 3 - Papers sent for publication in Cardiovascular Sciences Forum (Editorials, original articles, conferences, case reports, actualizations brief communications) should be related to cardiovascular sciences and unpublished. 4 - Although the stem language of the Archives, happens to be English, articles may also be published in spanish or portuguese. When published in spanish or portuguese for original reports an abstract version in english must be included. 5 - They should be typed in double spacing on foolscap paper, with 3 cm margins all around and in 3.5” diskettes, Word 6.0 or superior. Illustrations do not need to be printed in diskettes. 6 - Manuscripts should be arranged as follow: a) title page consisting of concise and informative title, full name of authors, b) The Service or Institution name should be displayed in the bottom of the first page. Folowing that, the name of the corresponding author, together with the address, phone, fax and e-mail. c) abstract not exceeding 250 words and three key words that can be called in www.decsbvs.br and/or www.nlmnih.gov/mesh, d) Introduction, e) material and methods, f ) results, g) comments, h) conclusions, i) bibliographic references, j) name of the Service or Institution where the study was performed, k) address for correspondence.

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1- Objectives: The Cardiovascular Sciences Forum aims to serve all the Cardiovascular Sciences fields of investigation to hold together multiprofessional experience to optimize the generation of new ideas, improving mankind resources in the prevention and treatment of cardiovascular diseases. 2 - Advertising: Cardiovascular Sciences Forum does not hold itself responsible for statements made by any authors. Statements or opinions expressed in Cardiovascular Sciences Forum of the authors(s) and do not represent official policy of the Sponsor Institutions unless so especified. No responsability is assumed by the Cardiovascular Sciences Forum Sponsor Institutions any neither by it’s Publising Enterprises, for any injury and/or damage to persons or propertty as a matter of products liability, negligence or from any use or operation of any methods, products, instructions or ideas contained in the material herein. No suggest test or procedure should be carried out unless, in the reader’s judgment, its risk is justified. Because of rapid advances in the medical sciences we recommend that the independent verification of diagnosis and drug dosages should be made. Discussions, views and recommendations as to medical procedure, choice of drugs and drug dosages are the responsability of the authors. Although all advertising material published in Cardiovascular Sciences Forum is expected to conform to ethical (medical) standards, inclusion in this publication does not constitute a guarantee or endorsement by it’s Sponsor Institutions or the Publisher of the quality or value of such product or of the claim made by its manufacture. 3 - Papers sent for publication in Cardiovascular Sciences Forum (Editorials, original articles, conferences, case reports, actualizations brief communications) should be related to cardiovascular sciences and unpublished. 4 - Although the stem language of the Archives, happens to be English, articles may also be published in spanish or portuguese. When published in spanish or portuguese for original reports an abstract version in english must be included. 5 - They should be typed in double spacing on foolscap paper, with 3 cm margins all around and in 3.5” diskettes, Word 6.0 or superior. Illustrations do not need to be printed in diskettes. 6 - Manuscripts should be arranged as follow: a) title page consisting of concise and informative title, full name of authors, b) The Service or Institution name should be displayed in the bottom of the first page. Folowing that, the name of the corresponding author, together with the address, phone, fax and e-mail. c) abstract not exceeding 250 words and three key words that can be called in www.decsbvs.br and/or www.nlmnih.gov/mesh, d) Introduction, e) material and methods, f ) results, g) comments, h) conclusions, i) bibliographic references, j) name of the Service or Institution where the study was performed, k) address for correspondence. 7 - All articles should be sent together with a Submission Letter, mentioning the Section in wich the article is to be part of (see list above), statement from the author and co-authors to the fact that all are in agreement with the contents mentioned in the material, making it clear presence or not of conflict of interest and the absence of ethical problem related. That letter must by all means be sent by fax (55 - 31.3452.6514) or by mail. 8 - Illustrations and Tables should be printed in separated pages, with their numbers and legends. 9 - The Cardiovascular Sciences Forum adopt the Vancouver Norms (www.icmje.org).

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10.1 - Bibliographic references: listed in the order in which they are first mentioned in the text. Identify references in text in arabic numerals within parenthesis marks. Titles of journals are abbreviated according to the Index Medicus / Medline. References should be numbered sequentially, as per appearance in the text, References cannot have indented paragraphs, but lined up on the left. Personal communications and data that have not been published, should not be included in the list of references, but just mentioned in the text and in the footnotes on the page where mentioned. 10.1.1 - Journals: Author (s) name (s) based on rule explained in item 10.1) - Article title. Journal title (see item 10.1). year; Volume: first page - last page. 10.1.2 - Books: Authors (s) name (s) - Title. Edition (if not the first). City: Publisher, Year: Number of pages (or that specific for reference). 10.1.3 - Chapter in a book: Author (s) name (s) of the chapter. Title of the chapter. In: Author (s) name (s) of the book, eds. Title of the book. Edition (if not the first). City: Publisher, Year: first and last pages of the referred chapter. 10.1.4 - Thesis: Autor’s Name, Title (Thesis degree), City, University, Year. 10.1.5 - Annals of Congress: Name of the author (s) - Title of the paper published. In: Annals of the ... name of the Congress. City: Promoter Society of Institution, Year: page. 11 - “Unpublished observations” and “personnal communications” should not be used as references. They are included in the text, within parenthesis marks, or, if extensive, appear as footnotes. Include among references: papers accepted but not yet published, designating the journal and adding “In press” (within parenthesis marks).

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