[HSF] Difficult redo AVR MVR

[Tea Acuff]

Often ignorance is bliss. Your stature only enlarges in my eyes.

tea


----- Original Message ----
From: "rwmfglycar at aol.com" <rwmfglycar at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, April 26, 2007 5:24:23 AM
Subject: Re: [HSF] Difficult redo AVR MVR


Dear Ed 
I did quite a few mitral procedures via the aorta and some aortic maneuvers through the mitral orifice (not as good). It so happens I don't think that I did exactly what you describe. But so what if I or anyone in the world has never done it before. Congratulations on a good solution! 
By the rules I once worked under I was theoretically required to get approval for any procedure that had not been done in the hospital before. I absolutely ignored those rules through nearly half a century, Which does not mean that I did not getall thehelp I could from trusted colleagues anywhere in the world
Bob


-----Original Message-----
From: ebender001 at charter.net
To: OpenHeart-L at lists.hsforum.com
Sent: Wed, 25 Apr 2007 11:50 PM
Subject: [HSF] Difficult redo AVR MVR


I just finished a very difficult redo avr, mvr (both replacements).  With the 
aortic valve out, I still had trouble seeing the anterior part of the annulus, 
even by usual technique of progressively putting annular sutures and "sneaking 
up" on this part of the annulus by pulling down on the previously placed 
sutures.  I finally had to place the last three pledgeted matress sututres via 
the aortotomy and pass them into the left atrium for placement through the valve 
ring.  It worked remarkably well.  Has anybody had experience doing the 
difficultly exposed anterior annulus this way?

Ed Bender, MD

_______________________________________________
OpenHeart-L mailing list

Send postings to:
OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------
________________________________________________________________________
AOL now offers free email to everyone.  Find out more about what's free from AOL at AOL.com.
_______________________________________________
OpenHeart-L mailing list

Send postings to:
OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------