[HSF] mitral valve [OT]

Nasser F. Abou'Seada nfaabouseada at gmail.com
Thu Nov 2 03:26:21 EST 2006


A Good example of how one can "read" a statement from both "sides" --NOT
ends- ...... or interpret a statistical parameter the way he would argue
.... !!! ... an everlasting argument for the "truth" ..??? yours or mine
.... !!!!!

NFA
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Ani Anyanwu
> Sent: Wednesday, November 01, 2006 5:11 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] mitral valve
> 
> 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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