[HSF] Redo Radical Mitral Valvuloplasty

[rwmfglycar at aol.com]

Prasanna,

If at the center of an atrioventriculanterior cleft the free edges veer away from each other doing a complete closure of the cleft ma straighten the free edge of the aanterior leaflet and leavesignificant insufficiency.  A small triangular notch in the anterior leafletn left by not stitching the whole cleft leaves very little leak.
Bob


-----Original Message-----
From: prasannasimha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Sat, 2 Jun 2007 9:58 am
Subject: Re: [HSF] Redo Radical Mitral Valvuloplasty



Yes. The only place where we need to completely close upto the edge (and even there rarely it may be necessary to avoid it (ie complete cleft closure) in case stenosis will result) is in a primum ASD. Of course the mechanism and pathology are different. 
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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