[HSF] Apical saline insufflation

[prasannasimha]

What is TVMC ?
Prasanna

Nasser F. Abou'Seada wrote:
> I quite agree with you Prasanna .... I do exactly the same .... and I do
> believe that apical insufflation is more accurate and assuring ..... 
> always
> easy to do .... amy be cause of TVMC??? ...
>
> NFA
>
>
> On 6/4/07, prasannasimha <prasannasimha at gmail.com> wrote:
>>
>> This is an old  picture of a repair done with a pericardial band. You
>> can see the excellent coaptation while the ventricle is insufflated
>> apically with the fluid egressing from the aortic root vent
>> demonstrating full filling and distention of the ventricle. Such a
>> result correlates very well with periop and postop TEE. Striving for
>> that makes decision making simple.
>> Somehow for me the transmitral insufflation  seems to be faulty at times
>> as usually a "lip" can "unfurl" demonstrating a leak under pressure and
>> appears competent with plain transmitral insufflation.Lots of people use
>> it successfully but it is not a good method in my hand. (Despite trying
>> to use the parrallel line of coaptationa and fill and press rules etc
>> etc. Could  people educate me on this further. I obviously am doing
>> something wrong with that method though I seem to have no problems with
>> the apical saline insufflation method. My colleague has become so
>> convinced with apical saline insufflation that he always asks me to do
>> it in addition (It is my habit to call some one else and always
>> demonstrate it to them also - sort of an internal quality control)
>> Prasanna
>>
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>
>