[HSF] RE: MVR with a difference

[A]

Thank you Ani for your comments

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Ani Anyanwu
Sent: Tuesday, August 14, 2007 8:13 AM
To: openheart-l at lists.hsforum.com
Subject: RE: [HSF] RE: MVR with a difference

Would anybody seriously give Ahmed flak about placing a 25mm Mitral
prosthesis? In our institution, 25mm is actually the median size of our
implanted mitral prostheses (it is unusual to have patients that need bigger
sized valves as these are generally reparable - most that cannot be repaired
are small rheumatic valves where it is difficult to get anything bigger than
a 25 or 27). If a surgeon is frequently implanting large mitral prosthesis
(29mm or more) then he needs to examine his practice as I suspect most such
valves could have been repaired.
 
Ani



> Date: Tue, 14 Aug 2007 18:29:12 +0530> From: prasannasimha at gmail.com> To:
OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] RE: MVR with a difference>
CC: > > That tiny old marm isn't going to take part in the Olympics so don't
> worry !! No flak only congrats.> Prasanna> Michael Firstenberg wrote:> >
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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