10:00–10:10
Welcome and course rationale: why concomitant AF ablation is still underused
M. Kowalewski, M. Farkowski
SESSION I – The adoption gap · LIVE CASE 1: On-pump CABG with box lesion (AtriCure Encompass clamp) and LAA exclusionChairs: S. Boveda, M. La Meir · Discussants: T. Hanke, L. Aerts
10:10–10:25
Live 1.1 – Patient, indication, CPB and ablation strategy
OR connection
10:25–10:50
Class I but rarely done: what guidelines say and why we do not follow them
F. Rega (15′ + 10′ discussion)
10:50–11:05
Live 1.2 – Pulmonary vein / box isolation with the Encompass clamp
OR connection
11:05–11:30
Does concomitant ablation save lives? Registry and meta-analytic evidence
P. Suwalski (15′ + 10′)
11:30–11:45
Live 1.3 – Completing the box, exit-block testing, LAA clip
OR connection
11:45–12:00
Live 1.4 – Grafts, weaning, rhythm on arrival in ICU
OR connection
12:00–12:15 — Coffee break · wet-lab and simulation stations open
SESSION II – The mitral patient · LIVE CASE 2: Robotic mitral valve repair with left atrial cryo lesion setChairs: J.L. Merino, F. Rega · Discussants: C. de Asmundis, B. van Putte
12:15–12:30
Live 2.1 – Robotic set-up, ports, peripheral cannulation
OR connection
12:30–12:55
Cryoablation through a small door: making lesions transmural and safe in minimally invasive and robotic mitral surgery
S. Salzberg (15′ + 10′)
12:55–13:10
Live 2.2 – Left atriotomy and cryo lesion set (box, mitral isthmus, LAA)
OR connection
13:10–13:35
PRO-CONTRA: A left atrial lesion set is enough in mitral disease
PRO: S. Benussi · CONTRA (biatrial): T. Hanke
13:35–13:50
Live 2.3 – Valve repair
OR connection
13:50–14:05
Live 2.4 – TEE result, rhythm at weaning, post-op rhythm plan
OR connection
14:05–14:50 — Lunch · wet-lab, Affera simulation, LAA occlusion stations
SESSION III – Less invasive, still complete · LIVE CASE 3: MIDCAB with thoracoscopic concomitant ablationChairs: B. Maesen · Discussants: S. Stec, D. Linz
14:50–15:05
Live 3.1 – Positioning, thoracoscopic ports, LIMA harvest
OR connection
15:05–15:30
Thoracoscopic ablation: what 15 years of stand-alone and hybrid experience teach the concomitant surgeon
B. van Putte (15′ + 10′)
15:30–15:45
Live 3.2 – Epicardial PV and box isolation
OR connection
15:45–16:10
Ganglionated plexi and the autonomic nervous system: target, bystander or cause of post-operative AF?
A. Fedorowski (15′ + 10′)
16:10–16:25
Live 3.3 – Conduction block testing and LAA exclusion
OR connection
16:25–16:40
Live 3.4 – Off-pump LIMA–LAD anastomosis and wrap-up
OR connection
16:40–16:55 — Coffee break
SESSION IV – My Nightmare Case (OR and EP lab abstracts)Jury: J.L. Merino (chair), S. Benussi, S. Boveda, T. Hanke, M. Farkowski
16:55–17:55
10 selected cases, 4′ presentation + 2′ jury and audience discussion each
Abstract presenters
17:55–18:00
Day 1 closing remarks
M. Kowalewski