[HSF] Redo Radical Mitral Valvuloplasty

prasannasimha prasannasimha at gmail.com
Sat Jun 2 20:32:05 EDT 2007


Incidentally did you consider releasing the posterobasal chordae. I 
always do it in rheumatic repairs where there is usually a retraction of 
all the P segments. It helps to "unroll" the leaflets and increase the 
coaptation area In fact I rarely have to do leaflet augmentation  in 
rheumatics as long as I do a good posterobasal chordal release.(In fact 
it can be a good determinant of the ability to do a rheumatic repair.
Prasanna
Hgrmd at aol.com wrote:
> Prasanna,
>   I think we are actually saying the same thing.  The last few  mm's are left 
> open so as to allow the leaflet edge to billow up and seal the  furrow.
> Hal
>
>
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