[HSF] 25 mm valve

psimha prasannasimha at gmail.com
Thu Aug 16 22:47:34 EDT 2007


I just went through our statistics wrt valve implantation and while I do 
have a high repair rate (and that is primarily in a rheumatic 
population) the commonest size was 27 , There were only a few 25 and 29 mm.
Incidentally Ani, while replacing rheumatic valves do you do a posterior 
split of thePML.along with a commissurtomy. I find this springs open the 
calcific valve allowing a larger size to be placed with AML PML 
preservation with either native tissue or neochordae  (depending on the 
anatomy).Many a time I hae seen valves where people would have said that 
a 25 mm valve would only fit and I have seen that the posterior split 
allows a larger size to be implanted.
Prasanna



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