[HSF] RE: MVR with a difference

[A]

I have to give you feed back on this patient. She was operated last week and
we discussed the choice of valves with her family they opted for a tissue
valve. She received a size 25 Carpentier Edwards tissue valve. I know some
of you would frown up on that and I am expecting a lot of flak. By the way
she is about ready to be discharged home

Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Dr. Roberto
Battellini
Sent: Wednesday, August 08, 2007 6:24 AM
To: OpenHeart-L at lists.hsforum.com
Subject: AW: [HSF] RE: MVR with a difference

I had to use a Nr 25 aortic valve 2 times in a mitral position. If the
patient is   like yours, no problem.
If your plastic fails, do not decalcify completely the annulus...or you call
the devil. Better partially as needed.
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von A
Gesendet: Mittwoch, 8. August 2007 23:09
An: OpenHeart-L at lists.hsforum.com
Betreff: [HSF] RE: MVR with a difference

 

 

  _____  

From: A [mailto:alsadd at ksu.edu.sa] 
Sent: Wednesday, August 08, 2007 3:08 PM
To: 'OpenHeart-L at lists.hsforum.com'
Subject: MVR with a difference

 

Dear forum members:

A fragile 85-year old female weighs 41Kg has severe MS. Echo reveals heavy
calcification of the valve MVA is < 0.75

Coronaries are clean no other co-morbid conditions. Planning surgery with
the hope of repair but the cardiologists are warning me that the valve is
densely calcified LA rather small. I have  a feeling that a size 27 would be
difficult to use in her case. 

 

In the event of failure of repair and we had to replace, given her
fragility, weight and the small LA  what do you recommend tissue or a
mechanical valve ? The other question would any one of the members use a
size 25 in the mitral?

 In either categories of the prosthetic valves.

Thank you for your opinion.

 

My apologies I forgot to sign my name I am re-sending it. Please excuse the
error

 

Ahmed

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