[HSF] Apical saline insufflation

[Nasser F. Abou'Seada]

Trans Ventircular Mitral Commissurotomy ..... I use Indian Tubbs ... thought
you'd tell me ...

NFA


On 6/4/07, prasannasimha <prasannasimha at gmail.com> wrote:
>
> 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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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC