[HSF] GorTex Annular Mitral Ring

[Nasser F. Abou'Seada]

Dear Prasanna 
would you care to elaborate more on your technique with complete GorTex
annular mitral ring ?

NFA
> -----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, January 20, 2007 12:02 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Kays stitch
> 
> Tea addressing chordal elongation /leaflet prolapse with neochordae
> obviously will take care of one mechanical component - the leaflet
prolapse
> but how will that help with annular dilatation ?? That is a second
component
> of the problem. I have used the mural annular shortening suture or Panneth
> Burr annuloplasty for years (though now I make a complete Goretex annular
> ring now _ I used to initially place a U band when Chand came but now have
> shifted to a complete Goretex ring made from a patch as others had
> experessed concerns about incomplete rings though frankly since I am not
> dealing with many "ischemic myopathic" ventricles itdoesn't make much of a
> difference . I will photograph it some time.
> Prasanna
> 
> On 1/20/07, Tea Acuff <tacuff at swbell.net> wrote:
> >
> > Trust me this is not the only lonely camp of theory that I have visited.
> > Occasionally I thrive there, but one has to do most of the work oneself.
> > Call me "out of phase". Remember that the white light of truth is made
up of
> > many phases.
> > Tea
> >
> >
> > ----- Original Message ----
> > From: "Hgrmd at aol.com" <Hgrmd at aol.com>
> > To: OpenHeart-L at lists.hsforum.com
> > Sent: Friday, January 19, 2007 8:42:13 PM
> > Subject: Re: [HSF] Kays stitch
> >
> >
> > Dear Tea,
> >   If you are under the impression that it's often OK to repair a  mitral
> > valve with Goretex chords and no ring, I think you are in a fairly
> > lonely  camp.
> > Without question, a prosthesis to stabilize the annulus improves the
> > durability of the repair.  In the past year, I actually reoperated a
> > failed  18 month
> > old repair for myxomatous disease done by another surgeon.  Do you
think
> > myxomatous mitral valves are immune to subsequent
> > annular  dilatation?  Why
> > subject a patient to surgery if you are planning to do a  procedure that
> > won't give
> > them the best chance for a durable result?   Finally, if you had a
mitral
> > repair for myxomatous disease, would you let the  surgeon do it without
a
> > ring?
> >   BTW, in just a few more days, I look forward to busting your chops  in
> > person!
> > Hal
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> 
> 
> --
> Prasanna Simha M
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