[HSF] 2 year old with severe AI and endocarditis
Michael Firstenberg
msfirst at gmail.com
Tue Dec 11 10:22:42 EST 2007
sorry for your loss.
of course the interesting question is what could or would you have done if
you were at a "mecca" - do you think the RV/LV could have recovered to wean
from mechanical support? Was this poor child too far gone? Emergent
transplant for sepsis/endocarditis with a dead heart?
again, sorry
-michael
On 12/11/07, Rwmfglycar at aol.com <Rwmfglycar at aol.com> wrote:
>
> Bill,
> Acute AI is a critically time dependent destroyer of ventricles.
> Results are
> great when you operate on the day of the tear. With each succeeding day
> the
> venticular damage gets worse and worse. There is a point after which
> ventricular recovery does not occur. I know of no way other way, at the
> present state
> of knowledge, to find out whether your patient's heart has reached that
> point except to try. You tried.
> Bob
>
>
>
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