[HSF] Indigenous ring model X.1

[prasannasimha]

Of course Hal, even I would not do the same in your shoes (or would I- I 
do not know !!).I do not think many would be sitting with a paper rock 
and scissors doing and well if I got something prefabricated that the 
patient did not have to pay the earth for why not. Between a repair and 
an MVR I think I am doing a better service to them by repairing the 
valves and sending them off to the Hinterland with an indigenous ring be 
it pericardial/Goretex or whatever. At the end of the day let us not kid 
our selves - any of the rings especially flexible could have been a 
piece of shoestring if you look at them.(And that is not my quote) 
Probably Daniel Unich could get the source of the quote right.
Prasanna
Hgrmd at aol.com wrote:
> Prasanna,
>   Though it would seem inviting to have this handmade ring to be the  answer 
> in bringing repair to the masses, I would caution readers in more  affluent 
> situations to be very cautious, especially if there is the possibility  of 
> litigation.  Many years ago, Cooley famously made flexible rings out of  sectioned 
> Dacron aortic grafts.  However, I don't believe too many surgeons  in America 
> would be so bold.  
>   I still have significant concerns as to the completeness of followup  of 
> these implanted prostheses.  Again, if it works well, more power to  you.  As 
> for me, I'm not willing to take the risk of an adverse equipment  failure 
> potentially robbing me of my retirement.
>  
> Hal
>
>
>
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