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DIFFICULT VALVE DISEASE: FOCUS 2009 Guidelines and beyond: an interactive case-based course ESC Heart House Nice February, 19-21 PROGRAM AND FACULTY Course Directors Faculty Manuel J Antunes, Coimbra, PT Manuel J Antunes, Coimbra, PT Pilar Tornos Mas, Barcelona, SP Roger Hall, London, UK Bernard Iung, Paris, FR Bernard Iung, Paris, FR Jens Kaden, DE Pieter Kappetein, Rotherdam, NE Pilar Tornos Mas, Barcelona, SP Bernard Prendergast, London, UK Raphael Rosenheck, Vienna, AT Janina Stepinska, Krakow, PL Program I- The asymptomatic patient 1. asymptomatic severe aortic stenosis. Calcification, progression and exercise testing 2. asymptomatic severe aortic regurgitation 3. asymptomatic severe mitral regurgitation. Watchful waiting or surgery? II- Heart failure in valvular heart disease 1. mitral regurgitation and poor left ventricular function 2. tricuspid regurgitation after successful mitral surgery 3. low gradient aortic stenosis and heart failure III- Valvular heart disease and coronary artery disease 1. acute coronary syndrome in patient with artificial heart valve 2. moderate aortic stenosis with CAD 3. patient with moderate mitral regurgitation undergoing CABG IV- Valve disease in the elderly 1. evolution of aortic valve disease in the elderly 2. risk analysis in the elderly patients: are patients denied surgery? 3. transcatheter / transapical valve replacement: The alternative in the elderly? V- Valvular disease in pregnancy 1. anticoagulation during pregnancy 2. cardiac surgery in pregnant patients VI- Difficult endocarditis 1. prosthetic valve endocarditis with abscess 2. cerebral complications 3. the big vegetation on the mitral valve VII- Problems after valve replacement 1. paraprosthetic leak and severe haemolysis (diagnosis, medical treatment, when to reintervene) 2. primary deterioration of bioprosthesis (diagnosis, timing of reoperation) 3. stroke and bleeding in patients with mechanical aortic prosthesis VIII- Anticoagulation and thrombosis 1. to bridge or not to bridge - what to do in case of noncardiac surgical procedures 2. what to do when the valve is thrombosed 3. non-occlusive prosthetic thrombosis following mitral valve replacement with a mechanical prosthesis