Congenital Heart Surgeons' Society
2019 Preliminary Program
Sunday, October 27, 2019
10:30 am-8:00 pm
REGISTRATION
9:00 am-12:00 pm
CHSS EXECUTIVE COUNCIL MEETING
1:00 pm-1:10 pm
Welcome
Joseph A. Dearani, President
Mayo Clinic, Rochester, MN

Luca A. Vricella, Program Chair
Advocate Children's Hospital/University of Chicago, Chicago, IL
1:10 pm-2:40 pm
SESSION I: BASIC SCIENCE/TRANSLATIONAL RESEARCH
Moderators: Tain-Yen Hsia
John L. Myers
1:10 pm
A1. Efficacy of Nitric Oxide Administration in Attenuating Ischemia Reperfusion Injury during Neonatal Cardiopulmonary Bypass
Chawki Elzein, Cynthia Urbas, Bonnie Hughes, Yi Li, Cheryl Lefaiver, Michel Ilbawi, Luca Vricella
Advocate Children's Hospital, Oak Lawn, IL
1:25 pm
A2. Pulsatile Perfusion of Cardiovascular Progenitor Cells Drives Vascular Smooth Muscle Differentiation and A Contractile Phenotype
Timothy P. Martens, Cole J. Knox, MS, Sean Wilson, Mary Kearns-Jonker, Anees J. Razzouk
Loma Linda University, Loma Linda, CA
1:40 pm
A3. Comprehensive Hemodynamic Monitoring of Stage 1 Shunted Single Ventricle Circulation
Pranava Sinha1, Nina Deutsch1, Murfad S. Peer1, Lok M. Sinha1, Manan Desai1, Syed Bukhari1, Mark Nuszkowski1, Erin Montague1, Richard Jonas1,Dimitri Starostin2, Nikolai Krivitski3
1Children's National Medical Center, Washington, DC, 2Research and Development, Transonic Systems Inc., Ithaca, NY, 3Research and Development, Transonic Systems Inc, Ithaca, NY
1:55 pm
A4. Impact of Intra-arterial Mesenchymal Stromal Cell Delivery During Pediatric Cardiac Surgery on Systemic and Brain-specific Inflammation In a Juvenile Porcine Model
Takuya Maeda, Kamil Sarkislali, Fahad A. Somaa, Camille Leonetti, Gary R. Stinnett, Zaenab Dhari, Karuna Panchapakesan, Robert Ulrey, Patrick J. Hanley, Richard A. Jonas, Nobuyuki Ishibashi
Children's National Medical Center, Washington, DC
2:10 pm
A5. Graft-Infiltrating Regulatory T Cells Are Associated With Long Term Cardiac Xenograft Survival
Kristopher B. Deatrick, Avneesh Singh, Sunjay Kaushal, Bartley Griffith, Muhammad Mohiuddin
University of Maryland, Baltimore, MD
2:25 pm
A6. Attitudes And Acceptance Of Xenotransplantation Among Pediatric Congenital Heart Surgeons And Pediatric Transplant Cardiologists
Luz Padilla, Wayne Paris, Robert Dabal, David Mauchley, Waldemar A. Carlo, David Cooper, David Cleveland
University of Alabama at Birmingham, Birmingham, AL

Discussant: Carl L. Backer
2:40 pm-3:10 pm
COFFEE BREAK - VISIT EXHIBITS
3:10 pm-4:25 pm
SESSION II
Moderators: Katsuhide Maeda
Luca A. Vricella
3:10 pm
A7. Reduction In Stroke And Pump Thrombosis For Pediatric Ventricular Assist Devices: Impact Of Action (a Collaborative Learning Network)
David Sutcliffe1, Angela Lorts2, Jenna Murray3, Beth Hawkins4, Mary Mehegan5, Farhan Zafar2, Christina VanderPluym4, David Rosenthal3, David L. S. Morales2
1UT Southwestern, Dallas, TX, USA, 2CCHMC, Cincinnati, OH, USA, 3Lucile Packard Children's Hospital, Palo Alto, CA, USA, 4Boston Children's Hospital, Boston, MA, USA, 5St. Louis Children's Hospital, St. Louis, MO

Discussant: Ryan R. Davies
3:25 pm
A8. Bicaval And Biatrial Techniques Have Equivalent Long Term Outcomes In Children Transplanted In the First Year of Life
Timothy P. Martens, Zachary Tran, Peter Chau, Matthew J. Bock, Richard E. Chinnock, Anees J. Razzouk
Loma Linda University, Loma Linda, CA
3:40 pm
A9. Coronary Artery Lesions Are Associated With Adverse Cardiac Events In Children Undergoing Supravalvular Aortic Stenosis Repair*
Shuhua Luo, Christoph Haller, Lynne Nield, Rachel Parker, Luc Mertens, Mimi Xiaoming Deng, Jayme Varenbut, Chunbo steve Fan, Maruti Haranal, Glen S. Van Arsdell, Osami Honjo
Hospital for Sick Children, Toronto, ON, Canada

Discussant: Max B. Mitchell
3:55 pm
A10. Assessing Surgeon Performance During The Hands-on Surgical Training Course Using Objective Assessment Methods*
Nabil Hussein1, Osami Honjo1, Christoph Haller1, Glen Van Arsdell2, Shi-Joon Yoo1
1The Hospital for Sick Children (Sickkids), Toronto, ON, Canada, 2UCLA Mattel Children's Hospital, Los Angeles, CA

Discussant: Emile A. Bacha
4:10 pm
A11. ABO Incompatible Transplantation: Great For Some But Not All
Kyle W. Riggs, Farhan Zafar, Clifford Chin, Chet R. Villa, David L. S. Morales
Cincinnati Children's Hospital, Cincinnati, OH

Discussant: James K. Kirklin
4:25 pm-4:40 pm
Update on the National Pediatric Cardiology Quality Improvement Collaborative
James M. Hammel
Children's Hospital & Medical Center, Omaha, NE
4:40 pm-5:10 pm
COFFEE BREAK – VISIT EXHIBITS
5:10 pm-6:25 pm
SESSION III: VIDEOS
Moderators: John W. Brown
Daniel A. Velez
5:10 pm
V1. How I Do It: Ventricular Switch For Two-ventricle Univentricular Physiology -using The Left Ventricle As The Sub-pulmonary Ventricle
Hani K. Najm, Tara Karamlou, Munir Ahmad, Bob Stewart, Malek Yaman, Saad Hassan, Gosta Pettersson
Cleveland Clinic, Cleveland, OH
5:25 pm
V2. Repair Of Unicuspid Aortic Valves In Children Using Geometric Ring Annuloplasty
Nicholas D. Andersen1, Andrew J. Lodge1, J. Scott Rankin2, Joseph W. Turek1
1Duke University Medical Center, Durham, NC, 2West Virginia University, Morgantown, WV
5:40 pm
V3. Transatrial-transmitral Septal Myectomy In Children: How I Do It?
Sertac Cicek1, Ahmet H. Arslan2, Sibel AY3, Fatma Bahceci4, Resmiye Besikci4
1Mayo Clinic, Rochester, MN, 2Anadolu Medical Center, Istanbul, Turkey, 3Anadolu Medical Center, Istanbul, Turkey, 4Anadolu Medical Center, Istanbul, Turkey
5:55 pm
V4. Rehearse, Rehearse, Rehearse And Then Perform: Using Hands-on Surgical Training To Prepare A Surgeon For Their First Arterial Switch Operation*
Nabil Hussein, Shuhua Luo, Osami Honjo, Christoph Haller, Shi-Joon Yoo
The Hospital for Sick Children (Sickkids), Toronto, ON, Canada
6:25 pm-8:00 pm
PIZZA DINNER & POSTER SESSION
MODERATED POSTERS
Moderators: Erle H. Austin, III
Carl L. Backer
MP1.
Perioperative Cardiac Xenograft Dysfunction After Orthotopic Transplantation
Kristopher B. Deatrick, Sunjay Kaushal PhD, Muhammad Mohiuddin, Bartley Griffith
University of Maryland, Baltimore, MD
MP2.
A Comparison Of The Ross Procedure And Prosthetic Aortic Valve Replacement In Children And Young Adults With Congenital Aortic Valve Disease In The Current Era
Anna Olds, David Blitzer, Eliana Al Haddad, Brigitte Kazzi, Julie Vincent, Matthew A. Crystal, Alejandro Torres, Damien LaPar, Paul Chai, Emile Bacha, David Kalfa
Columbia University Medical Center, New York, NY
MP3.
The Intraoperative Use Of Recombinant Activated Factor VII In Arterial Switch Operations
Ziyad Binsalamah, Jessica Zink, Christopher Ibarra, Zachary Spigel, Iki Adachi, Michiaki Imamura, Jeffrey Heinle
Baylor College of Medicine, Houston, TX
MP4.
Transepicardial Biopsy For An Intracardiac Tumor In An Infant- Surgical Technique
Syed M. Bukhari, Manan Desai, Lok Sinha, Mia Maamari, Yue-Hin Loke, Bhupender Yadav, Ranjith Vellody, Richard Jonas, Pranava Sinha, Karthik Ramakrishnan
Childrens Natinal Medical Center, Washington DC, Washington, DC
MP5.
GDF-15 Is Necessary In Preserving MSC-mediated Right Ventricle Function In Porcine Pressure-overload Model: Implications For The MSC Clinical Trial In HLHS
David Morales, Gregory Bittle, Rachana Mishra, Nicholas Pietris, Nathaniel Parchment, Gregory Boyajian, Sudhish Sharma, Progyaparamita Saha, Muthukumar Gunasekaran, Deqiang Li, Sunjay Kaushal
University of Maryland, Baltimore, MD
MP6.
The Impact Of 3D Printing And 3D Interactive Visualization On The Ability To Repair Previously Palliated Complex Congenital Heart Disease
Marcus P. Haw, Giedrius Baliulis, Neal D. Hillman, Jordan M. Gosnell, Bennett P. Samuel, John L. Byl, Joseph J. Vettukattil
Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, MI
MP7.
30 Day Survival Of Orthotopic Cardiac Xenotransplant Of Gtko.htbm.hcd46 Porcine Heart To Nonhuman Primate
Kristopher B. Deatrick, Sunjay Kaushal PhD, Laura DiChiacchio, Bartley Griffith, Muhammad Mohiuddin
University of Maryland, Baltimore, MD
MP8.
Evolution To Modified Unroofing By A Neo-ostium Creation For Anomalous Aortic Origin Of The Coronary Artery
Frank G. Scholl, Mark Ruzmetov, Immanuel I. Turner, Steven Bibevski
Joe DiMaggio Children's Hospital, Hollywood, FL
MP9.
Patient Factors Associated With Failure To Receive Heart Transplant In Pediatric Population: An Analysis Of Unos Data
Dhaval Chauhan1, YoungMee Choi2, Giles Peek3, Micahel Parides1
1Montefiore Medical Center, Bronx, NY, 2New Jersey Medical School, Newark, NJ, 3University of Florida, Gainesville, FL
MP10.
Evolution And Current Results Of A Unified Strategy For Sinus Venosus Surgery
Elizabeth H. Stephens, Michael C. Monge, Osama M. Eltayeb, Angira Patel, Gregory Webster, Cynthia K. Rigsby, Carl L. Backer
Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL
MP11.
Impact Of Calpain-9 On Intimal Hyperplasia In Human Pulmonary Vein Stenosis
Takahiro Inoue1,2, Hiroshi Matsushita1,2, Enoch Yeung1, James Beckett1, John Coulson1, Harry Dietz1, Narutoshi Hibino1,2,3
1Johns Hopkins Medicine, Baltimore, MD, 2The University of Chicago,Chicago, IL. 3Advocate Children's Hospital, Chicago, IL

DISPLAY POSTERS
P1.
Human Mesenchymal Stem Cells Attenuates Hypertrophy In Induced Pluripotent Stem Cells Derived Cardiomyocytes From Hypoplastic Left Heart Syndrome Patients
Yasir A. Mir, Xuebin Fu, Kristopher Deatrick, Sunjay Kaushal
University of Maryland, Baltimore, Baltimore
P2.
23 Year Results Of Non-fenestrated Extracardiac Fontans
Elizabeth H. Stephens1, Abhinav Talwar2, Osama M. Eltayeb1, Michael C. Monge1, Joseph M. Forbess1, Carl L. Backer1
1Ann & Robert H. Lurie Children's Hosp. of Chicago, Chicago, IL, 2Northwestern University Feinberg School of Medicine, Chicago, IL
P3.
Children Deserve The Best: A Theoretical Model For Optimal Delivery Of Congenital Heart Surgery In The United States
Karl Welke1, Sara Pasquali2, Paul Lin3, Carl Backer4, David Overman5, Jennifer Romano6, Tara Karamlou7
1Levine Children's Hospital, Charlotte, NC, 2University of Michigan C.S. Mott Children's Hospital, Ann Arbor, MI, 3Institute for Healthcare Policy and Innovation, University of Michigan Medical School, Ann Arbor, MI, 4Ann and Rober H. Lurie Children's Hospital of Chicago, Chicago, IL, 5Children's Hospital and Clinics of Minnesota, Minneapolis, MN, 6University of Michigan C. S. Mott Children's Hospital, Ann Arbor, MI, 7The Cleveland Clinic, Cleveland, OH
P4.
Implantation Of A Heartmate 3 Ventricular Assist Device In A 21 Kg Pediatric Patient With Fontan Failure
David Ranney, Alyssa Habermann, James Meza, Joseph Turek, Andrew Lodge, Travis Vesel, Jacob Schroder, Nicholas Andersen
Duke University, Durham, NC
P5.
Pathologic Characteristics Of 117 Hypoplastic Left Heart Syndrome Specimens
Elizabeth H. Stephens1, Diane Spicer2, Dipankar Gupta2, Mark Bleiweis2, Carl L. Backer3, Robert H. Anderson4
1Ann & Robert H. Lurie Children's Hosp. of Chicago, Chicago, Illinois and Gainesville, Florida, IL, 2University of Florida, Gainesville, Gainesville, FL, 3Ann & Robert H. Lurie Children's Hosp. of Chicago, Chicago, IL, 4Newcastle University, Newcastle upon Tyne, United Kingdom
P6.
Antibiotic Prophylaxis In Children Undergoing Delayed Sternal Closure: Foundations For Standardization Of Practice
John T. Kennedy III1, Olivia DiLeonardo2, Jennifer S. Nelson2
1University of Central Florida College of Medicine, Orlando, FL, 2Nemours Children's Hospital, Orlando, FL
P7.
Fast Track Approach In Perioperative Care Following Heart Surgery In Infancy: Outcome And Cost Analysis
Raquel Esquivel1, Emma Geister1, Danielle Crethers2, Anastasios C. Polimenakos3
1Augusta University, Augusta, GA, 2Medical College of Georgia, Augusta, GA, 3Children's Hospital of Georgia, Augusta, GA
P8.
Decreased Incidence Of Postoperative Arrhythmia Following Sinus Venosus Atrial Septal Defect Repair. A Single Institution Experience
Jason R. Imundo, Khushboo Parikh, Marnie O'Donnell, PA, Joseph B. Clark, John L. Myers
Penn State Health Children's Hospital, Hershey, PA
P9.
Congenital Heart Surgery Produces Parental Anxiety
Jess L. Thompson, Elaine Griffeth, Michael Brand, Harold Burkhart
University of Oklahoma, Oklahoma City, OK
8:00 pm-9:15 pm
SESSION IV: MY WORST NIGHTMARE CASES
Moderators: Christopher A. Caldarone
Luca A. Vricella
8:00 pm
A12. The Neo-aortic Valve That Would Not Stop Leaking
Christopher J. Knott-Craig
Le Bonheur Children's Hospital, Memphis, TN

Discussant: Christian Pizarro
8:15 pm
A13. Iatrogenic Type A Aortic Dissection Repair In A Surgical Atrial Septal Defect Closure Patient
Praveen R. Tambrallimath1, Abhishek Prabhu1, Abhijeet Shitole1, Richard Jonas2
1KLE Dr Prabhakar Kore Hospital, Belagavi, India, 2Childrens National Medical Centre, Washington, DC

Discussant: Duke E. Cameran
8:30 pm
A14. Coronary Artery Thromboembolism After Norwood Procedure
Ali Ibrahimiye, James Hammel
Childrens hospital and Medical Center Omaha, Omaha, NE

Discussant: Richard A. Jonas
8:45 pm
A15. 130 Kg Of Failing Fontan - LVAD Plus ECLS To New Method Of TAH
Ronald K. Woods, Lyle Joyce
Medical College Wisconsin, Milwaukee, WI

Discussant: John H. Calhoon
9:00 pm
A16. Re-operating Internationally On Fallot'S Complex - A Comedy Of Errors
Aubyn Marath, Renzo CiFuenteS, Janine Henson, Mariano Brizzio
CardioStart International, Tampa, FL

Discussant: David P. Bichell
Monday, October 28, 2019
7:00 am-2:00 pm
REGISTRATION
7:00 am-8:00 am
CONTINENTAL BREAKFAST
8:00 am-8:10 am
Welcome
Joseph A. Dearani, President
Mayo Clinic, Rochester, MN

Luca A. Vricella, Program Chair
Advocate Children's Hospital/University of Chicago, Chicago, IL
8:10 am-10:25 am
SCIENTIFIC SESSION V
Moderators: Kristine J. Guleserian
Jeffrey P. Jacobs
 
8:10 am
~ John A. Hawkins Top Scoring Abstract Award ~
A17. Evolving Understanding Of Total Artificial Heart Support Of Young Infants And Children
Ronald K. Woods, Robert Niebler, Micheal Mitchell, Viktor Hraska, Steve Kindel
Medical College Wisconsin, Milwaukee, WI

Discussant: David L. Morales
8:25 am
A18. Mid-term And Long-term Outcomes Following Reinforced Ross Operation*
Awais Ashfaq, Hayden Leeds, Irving Shen, Ashok Muralidaran
Oregon Health Sciences University, Portland, OR

Discussant: Duke Cameron
8:40 am
A19. Coronary Artery Reimplantation As A Surgical Alternative For The Treatment Of Anomalous Aortic Origin Of The Coronary Artery
Carlos Bonilla-Ramirez, Jeffrey S. Heinle, Christopher Caldarone, Dean McKenzie, Prakash Masand, Silvana Molossi, Ziyad M. Binsalamah
Baylor College of Medicine, Houston, TX

Discussant: James Jaggers
8:55 am
A20. Low Birth Weight Is Associated With Decreased Survival Following The Norwood Procedure
Ziyad M. Binsalamah, Zachary Spigel, Christopher Caldarone, Dean McKenzie, Iki Adachi, Michiaki Imamura, Jeffrey Heinle
Baylor College of Medicine, Houston, TX

Discussant: Christopher Mascio
9:10 am
A21. Right Pulmonary Artery Size Is A Predictor Of Survival In Patients With Unrepaired Scimitar Vein
Carlos Bonilla-Ramirez, Iki Adachi, Michiaki Imamura, Jeffrey S. Heinle, Christopher Caldarone, Ziyad M. Binsalamah
Baylor College of Medicine, Houston, TX
9:25 am
A22. The Normal Aortic Root And Cusp Configuration In Pediatric Patients: Guide To A Successful Aortic Valve Repair*
Ismail Bouhout1, Marien Lenoir1, Rong Wu1, Jean-luc Bigras1, Nagib Dahdah1, Ismail El-Hamamsy2, Marie-Josée Raboisson1, Nancy Poirier1
1CHU ME Sainte Justine, Montreal, QC, Canada, 2Montreal Heart Institute, Montreal, QC, Canada
9:40 am
A23. Establishing Standard Dimensions Of Pediatric Aortic Valves: En Route To Successful Aortic Valve Repair In Children*
Daniel Cheong1, Leif Lovig1, Miguel A. Mendoza2, Zev Blumenkrantz2, Khanh Nguyen1
1Maria Fareri Children's Hospital - New York Medical College, Valhalla, NY, 2New York Medical College, Valhalla, NY

Discussant: Michel N. Ilbawi
9:55 am-10:30 am
COFFEE BREAK – VISIT EXHIBITS
10:30 am-11:15 am
SCIENTIFIC SESSION VI: CHSS Data Center Report
Moderators: William M. DeCampli, Orlando, FL
CHSS Data Center

James K. Kirklin, Birmingham, AL
CHSS Research Committee Chair
11:15 am-12:00 pm
LEONARD BAILEY MEMORIAL LECTURE
Introduced by: Joseph A. Dearani, President

Beginning a Career in Congenital Heart Surgery
Edward L. Bove
University of Michigan, Ann Arbor, MI
12:00 pm-1:00 pm
SYNCARDIA LUNCH SYMPOSIUM
1:00 pm-1:15 pm
MEMBER BUSINESS MEETING- CHSS Members Only
Joseph A. Dearani, President
Emile A. Bacha, Secretary-Treasurer
1:15 pm – 2:00 pm
PUBLIC REPORTING AND THE STS CONGENITAL DATABASE
Session open to all CHSS Attendees
1:15 pm – 1:30 pm
PUBLIC REPORTING DISCUSSION
Joseph A. Dearani, President
1:30 pm-1:45 pm
HARVARD RE-EXAMINATION UPDATE OF THE STS DATABASE
John E. Mayer
Boston Children's Hospital, Boston, MA
1:45 pm – 2:00 pm
QUESTION AND ANSWER SESSION
2:00 pm-2:45 pm
KEYNOTE LECTURE
Introduced by: Marshall L. Jacobs, Past President

"A la recherche du temps perdu": Professional Relationships with Surgeons over the Last Five Decades
Professor Robert Anderson
Institute of Genetic Medicine, Newcastle University, United Kingdom
2:45 pm-2:50 pm
PRESENTATION OF THE BEST RESIDENT PAPER AWARD & BEST POSTER
Presented by: Joseph A. Dearani, President
2:50 pm-3:20 pm
COFFEE BREAK – VISIT EXHIBITS
3:20 pm-4:50 pm
SCIENTIFIC SESSION VII
Moderators: Hani Najm
Mark D. Plunkett
3:20 pm
A24. Ross Procedure In Neonate And Infant Populations: A Multicenter Meta-analysis Review
David Kalfa1, Scarlett Tohme2, Shangqing Jiang3, Amee Shah1, Lindsay Freud1, Giovanni Ferrari1, Emile Bacha1
1New York-Presbyterian Morgan Stanley Children's Hospital, New York, NY, 2New York Medical College, Valhalla, NY, 3Columbia University Mailman School of Public Health, New York, NY

Discussant: V. Mohan Reddy
3:35 pm
A25. Outcomes And Predictors Of Atrioventricular Valve Repair In Patients With Single-ventricle Physiology
Eliana Al Haddad, David Blitzer, Brett Anderson, Anne Ferris, Lindsay Freud, Marc Richmond, Paul Chai, Damien LaPar, Emile Bacha, David Kalfa
Columbia University Medical Center, New York, NY

Discussant: John W. Brown
3:50 pm
A26. Caval Division With Autologous Reconstruction: Partial Anomalous Pulmonary Venous Connection Entering The Proximity Of Cavoinnominate Junction
Lauren Mathis1, Danielle Crethers2, Bert Buckman1, Brendan Shafer1, Michael Jensen3, Anastasios C. Polimenakos1
1Children's Hospital of Georgia, Augusta, GA, 2Medical College of Georgia, Augusta, GA, 3Augusta University, Augusta, GA

Discussant: Constantine Mavroudis
4:05 pm
A27. Pulmonary Artery Interventions Following The Norwood Procedure
Zachary Spigel, Alyssa Thomason, Ziyad Binsalamah, Christopher Caldarone, Michiaki Imamura, Iki Adachi, Jeffrey Heinle, E Dean McKenzie
Texas Children's Hospital/Baylor College of Medicine, Houston, TX
4:20 pm
A28. Adult Congenital Heart Disease: A Framework For Classifying And Capturing The Spectrum Of Surgical Complexity
Tara Karamlou, Pradeep Krishnamohan, Xiaoje Huang, Aisha Zia, Eugene H. Blackstone, David Majdalany, Joanna Ghobrial, Hani Najm, Elizabeth Saarel, Gosta Pettersson
Cleveland Clinic, Cleveland, OH

Discussant: Christo I. Tchervenkov
4:35 pm
A29. Evolution Of The Norwood Operation Outcomes In Patients With Late Presentation
Osman O. Al-Radi, Mohamed F. Ismail2, Ahmed F. Elamhrouk2, Amr Arafat1, Tamer E. Hamouda2, Bayan A. Alsheikh2, Mohamed S. Shihata2, Ahmed A. Jamjoom2
1King Abdulaziz University, Jeddah, Saudi Arabia, 2King Faisal Specialist Hospital and Research Ceneter, Jeddah, Saudi Arabia

Discussant: Bahaaldin Alsoufi
4:50 pm
CONCLUDING REMARKS
Joseph A. Dearani, President
* Resident Paper