[HSF] Porcellan Aorta

[erdinç naseri]

Dr.Goldman ,
what is TAA?
erdinc> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Porcellan Aorta> From: GoldmanS at MLHS.ORG> Date: Thu, 23 Aug 2007 07:46:00 -0600> CC: > > Apical-aortic conduit is another option. Apical conector is avvailable from Medtronic. We do it on pump. First we connect a graft with Freestyle on top to TAA via anterior lateral thoracotomy. We sew on connector and go on pump (via a side arm on the aotic side of graft and L fmoral vein). Withthe heart beating and warm we cut a plug from the apex and connect the conduit. Usually 20-30 min on pump. This also useful with difficult patent grafts or real bad LV. Patient can't have too much aortic regurgitation.> > Scott Goldman MD> > Chairman > Department of Surgery> MLH> > -----Original Message-----> > From: "Dr. Roberto Battellini" <battr at medizin.uni-leipzig.de>> Subj: [HSF] Porcellan Aorta> Date: Thu Aug 23, 2007 12:46 am> Size: 2K> To: "OpenHeart-L at lists.hsforum.com" <OpenHeart-L at lists.hsforum.com>> > Dear members, > Yesterday a colleague had to perform an AVR in a case, the aorta and arch > were was so calcified that he closed the sternum and sent the patient for > transapical valve replacement. I will try to find the preop Chest Rx. > Does anybody had soma case? > Roberto > > -----Ursprüngliche Nachricht----- > Von: openheart-l-bounces at lists.hsforum.com > [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von > Rwmfglycar at aol.com > Gesendet: Donnerstag, 23. August 2007 06:38 > An: OpenHeart-L at lists.hsforum.com > Betreff: Re: [HSF] As with TR > > > In a message dated 8/22/2007 10:30:28 A.M. Eastern Daylight Time, > prasannasimha at gmail.com writes: > > Talking of AS with TR we had a case operated by my colleague- severe > calcific AS in a HBSAg positive patient. Uneventful surgery and patient > weanedwith 3 mics dopa dobut and adlib SNP. Of ventilator etc over 6 > hours. On post op Day 3 developed Afib and severe TR and went into > fulminant hepatic failure and died after 12 days. > Prasanna > > > Dear Prasanna, > I would suspect he had Tr. Regurg. in the past. It might have been absent > at > the time of surgery (perhaps he had some "tuning up" preop) and of course > it > might not have been evident under anesthesia. We know he had a diseased > liver (which is often undetectable with routine testing). Then A fib > develops > with a compromised right ventricle and its annulus dilates and the sick > liver is > subjected acutely to raised right atrial pressures and fails. One other > possibility I have seen but in mitral rather than aortic cases, is late > paradoxical pulmonary hypertension, which can have the same effect on a > vulnerable > right ventricle. The key is to make sure that any history of previous Tric. > > Insuff. is picked up even even if the valve seems fine at the time of > surgery. > A history of previous Tric. ins. is an indication for tricuspid surgery > Bob > > > > ************************************** Get a sneak peek of the all-new AOL > at > http://discover.aol.com/memed/aolcom30tour > _______________________________________________ > 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 > ----------------------------------------- > > _______________________________________________ > 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 > ----------------------------------------- > > _______________________________________________> 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> -----------------------------------------