[HSF] Image of the week How to do an OMV

[Nasser F. Abou'Seada]

Dear Prasanna 
was that email a reply to an old msg of yours ?
there was no photos
I did not receive your primary email???
do you still have the photo?
thanks

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of murtaza chishti
> Sent: Tuesday, January 23, 2007 7:30 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: RE: [HSF] Image of the week How to do an OMV
> 
> hi
> 
> great pictures
> 
> thanks
> 
> murtaza chishti
> ehirc,delhi
> 
> 
> >From: prasannasimha <prasannasimha at gmail.com>
> >Reply-To: OpenHeart-L at lists.hsforum.com
> >To: "OpenHeart-L at lists.hsforum.com" <OpenHeart-L at lists.hsforum.com>
> >Subject: [HSF] Image of the week How to do an OMV
> >Date: Wed, 06 Sep 2006 21:50:13 +0530
> >
> >I realized that I did not have any pictures of an open mitral
> >commissurotomy. Web rarely get cases as they are usually ballooned except
> >when we have large LA clots.
> >I made a photo panorama of a case.
> >This case had significant mitral stenosis and Grade II MR an LA clot and
a
> >history of CVA.. The patient underwent a mitral valve repair  which
> >required significant mitral commissurotomy, posterobasal chordal release,
> >pseudocleft closure that  resulted in perfect competence on both apical
> >saline insufflation and epicardial echocardiography. The patient had clot
> >removal and and an emaze done.
> >I have photographed the main steps viz
> >Valve analysis
> >Traction sutures on leaflets and crossing them to enhance the definition
of
> >the commissures.
> >Marking the end of the commissure and the mitral veil with a stab with a
11
> >No Blade.
> >Hooking of the subvalvar with a Mixter and division of the fused
commissure
> >with a 15 No blade and proceeding to divided inferiorly into the
subvalvar
> >while cautiously "sharing" subvalvar structures bilaterally to both AML
and
> >PML.
> >The process is repeated on the opposite side.
> >In this case post commissurotomy the residual leak was judged to be from
a
> >pseudocleft  between P2 and P3 which was closed (Usually  is not required
> >with pure MS).
> >Prasanna .
> >Prasanna
> 
> 
> ><< HowtodoanOMVeml.jpg >>
> 
> 
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