[HSF] small Mitral valve

[Nasser F. Abou'Seada]

Good argument Hal. I concur with your points

NFA
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Hgrmd at aol.com
> Sent: Monday, January 01, 2007 3:45 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] small Mitral valve
> 
> Tomas,
>   What followup, if any, was there for Batista's ventricular side  Alfieri
> repairs?  In all series that I've seen, including Alfieri's, this  type of
> repair without an accompanying ring has terrible long term  results.  In
Alfieri's
> large series, over 60% had moderate or worse MR at  the end of 2 years.
If I
> had those kinds of results, I wouldn't have a  significant mitral
practice.
> Why do a procedure that has no demonstrable  long term track record?  The
> correct approach to this problem is  transatrial insertion of a full rigid
or
> semirigid ring.  Flexible bands,  flexible rings, Devegas, and unsupported
> Alfieri's all have poor long term  performance according to what I've read
in the
> literature as well as my own  personal experience (Many years ago, I saw
Cosgroves
> inserted for pure annular  dilatation fail within a few months).
>   If it exists, somebody please show me a reference that demonstrates  the
> long term durability of a mitral repair done via a left  ventriculotomy.
> Hal
> _______________________________________________
> 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
> -----------------------------------------