[HSF] Time to say adieu to a great valve?

[Nasser F. Abou'Seada]

> Ease of implantation in small hearts, ..... especially when the exposure
is bad (redo, reredo cases)

Dear Tushar 
I do agree in with most of what have you said. SE valves proved to be the
most durable valves in my experience. However I've found it a little "tight"
to insert SE valves in a small ventricle, and in small aorta as well. the
last that I've experience with was the SE 2000. 

NFA
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Tushar
> Sent: Saturday, February 10, 2007 4:37 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: RE: [HSF] Time to say adieu to a great valve?
> 
> Thrombosis of disc valves in mitral position in spite of regular
> anticoagulation,  is not unusual. On the other hand, same is not true for
> ball valve. This has been discussed often in our conferences. Even ardent
> users of Chitra valves also agree to this.
> 
> Ball valve goes on and on even when anticoagulation is not adequate as is
> often the case in our country. Stanley has reported a case of 30 year
> survival in tricuspid position for Ebstein without any anticoagulation!
Disc
> valves are not forgiving. This is one reason why Starr valves are still
> popular in our country in spite of its drawbacks.
> 
> Ease of implantation in small hearts, freedom from botheration of checking
> the disc movements especially when the exposure is bad (redo, reredo
cases)
> are other virtues.
> 
> Durability is never a problem and most of our patients do not seem to mind
> higher gradient and excess noise.
> 
> I agree, making it may not be anymore profitable to the company. Hence, I
> expect them to make it as a "service product". Explore this while you are
in
> Jaipur. You will find many Starr lovers there!
> 
> Prasanna, I am not in Jaipur, but why not return from Jaipur via
Ahmedabad?
> I assure you easy access to the net and great hospitality!
> 
> Tushar
> 
> 
> 
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Prasanna Simha
M
> Sent: Saturday, February 10, 2007 1:59 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Time to say adieu to a great valve?
> 
> With the economical Chitra valve available , I cannot see the need now to
> implant a Starr Edwards at least in India. I do not think the Chitra valve
> is any better or worse than any other single tilting disk valve in the
> market. With the decreased implantation rate I think Edwards must have
> decided to pull it out.
> Tushar, cannot ee you in the conference. I am finding it difficut to
access
> the internet in Jaipur.
> Prasanna
> 
> On 2/8/07, Tushar <tushar at icenet.net> wrote:
> >
> > I have not seen any official note from the supplier of valve. However,
> > Edwards representatives meeting us regularly have given this news and no
> > new
> > supply is available.
> >
> > Can they not continue making it as a "service product"? Can someone from
> > us
> > who are using it today get this done?
> >
> > Tushar
> >
> > -----Original Message-----
> > From: openheart-l-bounces at lists.hsforum.com
> > [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of A
> > Sent: Wednesday, February 07, 2007 10:24 PM
> > To: OpenHeart-L at lists.hsforum.com
> > Subject: RE: [HSF] Time to say adieu to a great valve?
> >
> > I am missed the news did the company stop making it? Where did you read
> > this?. Thanks
> >
> > Ahmed
> >
> >
> > -----Original Message-----
> > From: openheart-l-bounces at lists.hsforum.com
> > [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Tushar
> > Sent: Tuesday, February 06, 2007 5:24 AM
> > To: OpenHeart-L at lists.hsforum.com
> > Subject: [HSF] Time to say adieu to a great valve?
> >
> > Starr-Edward valve is no longer available. In these days of better
> > bioprosthetic valves and bileaflet disc valves, there will be very few
> > surgeons across the world who will feel saddened by this news. Even
than,
> > worldwide nearly 3000 valves per year, largely mitrals, were being used
> > till
> > yesterday. It was a popular valve among several Indian cardiac surgeons
> > and
> > was often still used in premier institutes like Escorts Heart Institute.
> > Many will wish that it should still be available for some patients.
Alas,
> > profession has no control over industry or market forces.
> >
> > Let us salute the valve and bid a warm farewell to one which really set
> > the
> > ball (pun intended!) rolling!!!
> >
> > Tushar
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> 
> 
> --
> Prasanna Simha M
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