[HSF] Mitral Repair for PM rupture

[Nasser F. Abou'Seada]

pictures did not pass 

NFA 

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Tohru Asai
> Sent: Monday, January 15, 2007 9:30 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: [HSF] Mitral Repair for PM rupture
> 
> Members,
> 70 yo female with sudden onset of dyspnea, cardiogenic shock three days
> after chest pain. She was admitted emergently, cathed and Ramus occlusion
> was opened by angioplasty in other hospital. Then she was reffered to me
in
> this Monday morning. Pulmonary edema with low O2 saturation, systolic
> pressure 50-80 mmHg (with intubated FiO2 1.0, IABP).
> 
> I performed Mitral Repair for this anterolateral PMR. PM for AC. A1, and
A2
> is ruptured. My strategy was relocation of two fibrotendieous top parts of
> PM to other intact heads and Carpentier Physio ring annuloplasty. ( I
rearly
> use GoreTex chordae in any occasion.) Enjoy my pictures!
> 
> Replace or repair? Which do you choose? I am writing a chapter (Japanese)
> for Mitral Repair for PM rupture. Tips and pitfalls anyone want to
discuss?
> ( Personally I have completed 5 repairs out of 6 cases in my career, all
six
> cases could survive this catastrophic event ).
> --
> Tohru Asai