[HSF] small mitral valve

[Nasser F. Abou'Seada]

Nand: .... Alder Hey? Roxane Mckay ?


NFA
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of nand kejriwal
> Sent: Friday, December 29, 2006 4:41 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] small mitral valve
> 
> Erez
> 
> When I worked in Alder Hey Children Hospital in Liverpool, I remember a
> small child who required MVR. All the sutures were taken in the LA wall
> above the annulus and it worked well.
> 
> Nand
> 
> On 12/29/06, prasannasimha <prasannasimha at gmail.com> wrote:
> >
> > Erez, I forgot if you are using the suprannular placement, remember to
> > use a low profile prosthesis.  Placing a Dacron/ Goretex tube is in fact
> > very easy.
> > Prasanna
> > Erez Sharoni wrote:
> > > Thanks,
> > > The Aortic Valve is OK,Hal We thought also about the tilting Issue -
> > > wonder
> > > if there is another way?!!
> > > Thanks again for the quick replay
> > > Erez
> > >
> > >
> > > On 12/28/06, Hgrmd at aol.com <Hgrmd at aol.com> wrote:
> > >>
> > >> Dear Erez,
> > >> Tough problem.  I would vote to completely debride away any  remnants
> > of
> > >> the native valve (doubt there's any trace), and remove as much
fibrous
> > >> scar as
> > >> you can without getting into trouble.  Probably, a  mechanical valve
> > >> sutured
> > >> to the anterior annulus and tilted so that it can be  sewed to the
> > >> posterior
> > >> left atrium is your best bet.  Good luck.  You  and she will need
> > it.  I
> > >> would
> > >> guess that a 4th valve procedure will carry  a substantial risk.  For
> > >> sure, I
> > >> would get a preop CT and consider going on  CPB prior to splitting
the
> > >> sternum.
> > >> Maybe this is one that should be  approached via a right thoracotomy.
> > >> Hal
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