[HSF] LV VENTING

[Nasser F. Abou'Seada]

Nice idea .... I vote for that ..

NFA
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Ben Bidstrup
> Sent: Wednesday, November 15, 2006 3:23 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: RE: [HSF] LV VENTING
> 
> Tomas,
> Perhaps we could have a section in the Wiki for 'rejected papers.'
> Many will come with the words from the Editor We have reviewed your
> article and I am sorry to say it  does not meet the needs of our
> readers or not enough interest.' I have a few of those and it is
> often quite galling when a few years later an almost identical report
> appears in the same Journal!
> 
> >At least I tried by submitting a manuscript that was rejected.
> >
> >The device is for use in the pericardial cavity and to my knowledge the
> >package states that it is not for intracardiac use.
> >
> >Tomas
> >
> >-----Original Message-----
> >From: openheart-l-bounces at lists.hsforum.com
> >[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Ajit Damle
> >Sent: Wednesday, November 15, 2006 2:14 AM
> >To: OpenHeart-L at lists.hsforum.com
> >Subject: RE: [HSF] LV VENTING
> >
> >How is the FDA going to know about this complications unless someone
> >calls
> >them?
> >
> >A Damle
> >
> >-----Original Message-----
> >From: openheart-l-bounces at lists.hsforum.com
> >[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of
> >hgrmd at aol.com
> >Sent: Tuesday, November 14, 2006 3:04 PM
> >To: OpenHeart-L at lists.hsforum.com
> >Subject: Re: [HSF] LV VENTING
> >
> >Fon,
> >   Sorry to hear about that problem.  In view of the multiple times the
> >metal
> >spring sucker has become entangled in the subvalvular apparatus (myself
> >included), the FDA should step in and take this dangerous product off
> >the
> >market, especially since equally effective safe alternatives are readily
> >available.
> >Hal
> >
> >
> >-----Original Message-----
> >From: FONHMD at aol.com
> >To: OpenHeart-L at lists.hsforum.com
> >Sent: Tue, 14 Nov 2006 3:48 PM
> >Subject: Re: [HSF] LV VENTING
> >
> >
> >One of my partners was doing a redo AVR,  CABG and used this spring
> >sucker
> >through the root to vent the LV.  It  got entangled in chordae.  He
> >couldn't
> >get
> >
> >it out without potentially  damaging the MV so he cut off the tip and
> >decided
> >to go into the LA to retrieve  it.  That turned out to be a major issue.
> >He
> >
> >couldn't find it.   Somehow it apparently fell into a pulmonary vein.
> >After
> >
> >trying combined  fluoroscopy and ureteroscopes to try to find and
> >extract it
> >
> >unsuccesfully, he  finally gave up on it.  Unfortunately, a lot of extra
> >time
> >and effort was  expended and tragically that patient was very
> >coagulopathic,
> >
> >bleed a lot, had LV  failure and died in the OR.
> >     After a multidisciplinary review of that case, we  decided to get
> >rid of
> >
> >that sucker altogether and tried a couple of other  alternatives.  The
> >HSF
> >helped add mounting anecdotal evidence to my  recommendation of
> >eliminating
> >that
> >
> >device.  Despite labeled warnings, most  surgeons will not read all the
> >cautions and the only foolproof way to prevent  chordal entanglement is
> >to
> >eliminate
> >it's use.
> >     Prasanna, I fully support the idea of a Web based  CV complications
> >book.
> >  I may not be able to contribute as much as others,  but all input can
> >be
> >valuable, particularly after it has been compiled and  edited.
> >
> >K. Fon Huang, MD
> >Chair, CV and Thoracic Surgery
> >St. John's Hospital, Springfield, MO.
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> 
> --
> Ben Bidstrup FRACS FRCSEd FEBCTS
> Consultant Cardiothoracic Surgeon
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