[HSF] RE: MVR with a difference

[A]

Mike:
It is not your doing it is my desktop acting up for some unknown reason.
Even Hal's message was the same way. I may have to reboot the machine.

Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Michael
Firstenberg
Sent: Tuesday, August 14, 2007 3:35 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] RE: MVR with a difference

hmmm- not sure what I did, just using the reply on my Google mail system?

-michael


On 8/14/07, A <alsadd at ksu.edu.sa> wrote:
>
> Thank you Michael for your support. Incidentally did you use special color
> for your message. It was not visible initially but when I responded it
> became apparent what did you do?
>
> Ahmed
>
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Michael
> Firstenberg
> Sent: Tuesday, August 14, 2007 3:24 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] RE: MVR with a difference
>
> No frowns whenever you operate on an 85 year old and you can discharge her
> home.
>
> -michael
>
>
> On 8/14/07, A <alsadd at ksu.edu.sa> wrote:
> >
> > 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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