[HSF] POo MVR Severe TR, Lv dysfnction

[erdinç naseri]

Dear Yadav,
1.Obviously there is  a deterioration in LV fx from the preop status:İnappropriate myoc. preservation?failure to preserve the chordae?I have  exactly a similar patient with deterioration of LV fx.
2.He has also a severe AR which must be adressed.
3.With LVEDD of 80 mm I doubt that there will be reversal of LV fx and it will continue to dilate in a downhill course.
erdinc> Date: Thu, 16 Aug 2007 21:05:37 -0700> From: yadavluck at yahoo.com> To: OpenHeart-L at lists.hsforum.com> CC: > Subject: [HSF] POo MVR Severe TR, Lv dysfnction> > > > > We have a patient who underwent MVR and tricuspid repair[no cordal preservation] an year back for mital stenosis.she has lv dysfunction and CHF.Present EF 15%. Pre op ejection fraction was-35% and had normal coronaries. Immediate post op ejection fraction was 3o%.> She had organic TR and underwent tricuspid repair.> > Now she has severe TR, PA pressure 65, moderate to severe AR.LV-size 80/60> > We are debating about subjecting her to tricuspid valve replacement.> > > > > ---------------------------------> Need a vacation? Get great deals to amazing places on Yahoo! Travel. > _______________________________________________> 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> -----------------------------------------