[HSF] mitral valve

[Ani Anyanwu]

The valve outlives the patient in most mitral replacements in the elderly - this is partly the argument for repair, as protagonists of repair would argue that the mere act of valve replacement makes it more likely that the patient will die with the valve functioning (as the replacement reduces the life expectancy of the patient).

Ani
  ----- Original Message ----- 
  From: Salerno, Tomas<mailto:TSalerno at med.miami.edu> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Thursday, October 26, 2006 12:54 PM
  Subject: RE: [HSF] mitral valve


  Remember, for those age, mitral valve implantation of a prosthesis is an option!!  I know the reaction, but this is reality. One can do this very simple and preserving all the mitral valve apparatus. The valve will outlive the patient...

  Tomas

  -----Original Message-----
  From: openheart-l-bounces at lists.hsforum.com<mailto:openheart-l-bounces at lists.hsforum.com> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Dr. Roberto Battellini
  Sent: Thursday, October 26, 2006 1:52 PM
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com>
  Subject: AW: [HSF] mitral valve

  You can choose: 1. to do it through right thoracotomy, long vein cannula
  through femoral vein, axilary artery cannulation, cool down or beating heart
  upon your experience. Or:  2. resternotomy, don´t touch the left side,
  beating heart with Tomas technique. If the repair is easy, beating heart is
  ok, but if it´s complicate, better cool down. But I would not risk the LIMA.
  Roberto


  -----Ursprüngliche Nachricht-----
  Von: openheart-l-bounces at lists.hsforum.com<mailto:openheart-l-bounces at lists.hsforum.com>
  [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von m.andre vasu
  Gesendet: Donnerstag, 26. Oktober 2006 02:52
  An: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com>
  Betreff: [HSF] mitral valve

  80 yo insulin dependent diabetic obese S/P CABG 8years ago with all open
  grafts-lima 2 radials 1 vein all on left side-RCA occluded.
  She has bad iliac disease as well.
  Needs mitral repair/replace severe MR.Which approach best?
  Cannulate in chest R thoracotomy,cool fibrillate without Ao cross clamp?
  Andre Vasu
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