[HSF] mitral valve

Ani Anyanwu anianyanwu at hotmail.com
Fri Nov 3 05:31:24 EST 2006 

Dear Tea

Could you please translate this all to English...I do not speak American!

Ani
  ----- Original Message ----- 
  From: Tea Acuff<mailto:tacuff at swbell.net> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Thursday, November 02, 2006 10:44 PM
  Subject: Re: [HSF] mitral valve


  Be careful, Ani. You are starting to sound like a surgical relativist and could lose any chance you may have in academics to set up guidelines for the rest of us. Since you are not currently in Boston you are already on the border zone, but there may be a long line of Anyanwu's from Cambridge that can still help you... By the way, are you  Ani Anyanwu the III or IV?
  Tea

  ----- Original Message ----
  From: Ani Anyanwu <anianyanwu at hotmail.com<mailto:anianyanwu at hotmail.com>>
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com>
  Sent: Wednesday, November 1, 2006 4:10:34 PM
  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<mailto:TSalerno at med.miami.edu>> 
    To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com<mailto: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<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<mailto: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<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<mailto: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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