[HSF] [OT] Carpentier's Heart Valve Club Meeting

[prasannasimha]

Hal, I do leave 2-3 mm of the margin at times unclosed as it allows an 
"axis of closure" of the "pinafore" while the valve is closing. Closing 
right up to the edge at times can prevent a curvilinear closure.
Prasanna
hgrmd at aol.com wrote:
> Dear Faisal,
>   I just decided to immerse myself in valve repair for a week, so I'm currently at the Master of Valve 
> Repair Programme in Leiden, Netherlands.  Today was the first day of the conference, and it was pretty good though it relied too much on didactics of imaging techniques.  Dreyfuss did a nice repair with papillary muscle repositioning.  Dr. Dion was having quite a bit of trouble with a redo valve repair.  It looked like to me he should have closed an interscallop leak at P2-P3 or done a leaflet extension.  I'll bet he ended up with a replacement.  I hate to say it, but I kind of got a little grim satisfaction knowing that the big shots also struggle.
>   Like you, I thought the Heart Valve Club meeting at Sinai was one of the best 2 or 3 valve meetings that I've ever attended.  I was a little disappointed that Carpentier turned out to be human (he had to take one repair back the following day).  In my mind, David Adams has really matured into one of the top minds in valve repair today.  His systematic, innovative, undogmatic (is that a word?) approach to valve repair is one to be followed if one is going to get his repair rate up into the 90's.  Using methylene blue to paint the line of closure so that you can tell the depth of closure is a neat trick.  He also advocated leaving the terminal 2-3 mm at the leaflet edge open when closing an interscallop leak so that it wouldn't be retricted at the edge.  I plan to try that.  Using vertical compression sutures along with horizontal compression sutures when doing sliding leaflet plasty looks like it would further releave any tension on the suture lines.
>   Faisal, it was great meeting you as well.  You were one of several guys who introduced themselves to me.  I'm glad that at least a few of you appreciate the input.
> Hal  
>   
>  
>  
>  
> -----Original Message-----
> From: fc2020 at columbia.edu
> To: OpenHeart-L at lists.hsforum.com
> Sent: Mon, 16 Oct 2006 9:49 AM
> Subject: [HSF] [OT] Carpentier's Heart Valve Club Meeting
>
>
> Dear HSF Members:
>
> I just attended a two-day long meeting held by Heart Valve Club at Mt. Sinai
> Hospital in NY. The course directors were Prof. Carpentier himself and Dr.
> David Adams.
>
> It is always exciting to see the master of masters, Prof. Carpentier,
> perform the live surgeries and teach his concepts with great enthusiasm and
> dedication. Our very own Ani Anyanwu was part of the faculty and gave a
> great talk on "Assessing Outcomes Following Valve Reconstruction". Another
> very thought provoking lecture was given by Valentine Fuster about the new
> and evolving concepts in understanding the basis of valve calcification. I
> must say that the conference was a superb success on a whole and the credit
> goes to Dr. Adams and his team (especially Dr. Filsoufi and their research
> fellows) to put together such a wonderful program.
>
> I'm sure Hal will share his comments with you soon since he was by all means
> one of the most attentive attendees. Furthermore, it was exciting to see
> many back and forth discussions of the faculty of the course from the podium
> with Hal from his auditorium seat.
>
> It was nice meeting you, Hal.
>
> Take care,
>
> Faisal
>
>  
>
> ----------------------------------------------------
>
> Faisal H. Cheema, M.D.
>
> Associate Research Scientist
>
> Division of Cardiothoracic Surgery
>
> College of Physicians and Surgeons of Columbia University - New York
> Presbyterian Hospital,
>
> MHB 7 GN 435, 177 Fort Washington Ave, New York, NY 10032
>
> Office: (212) 305 5108, Pager: (917) 899 4698, Fax: (212) 342 5309, Cell:
> (917) 499 5115
>
>  
>
>  
>
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