[HSF] Mitral valve repair testing in Associated Aortotomy

[Nasser F. Abou'Seada]

yes Mr. Expert
that is thetrick
not to extend the terminal part of the hcey stick first .... till you can do
the test
 but apparently they never knew that?
..... never did it ????

NFA


On 6/6/07, prasannasimha <prasannasimha at gmail.com> wrote:
>
> Nasser, I have been able to place the balloon above the aortic annulus
> and inflate it. A common mistake is to overinflate it - that makes it
> pop out. It must be inflated just enough to make a seal. I do this with
> the regular aortotomy extending into the NCC though it is wise to
> initially  not take the lower end of the hockey stick as you are
> interested in the OMV/ Repair first and then the aortotomy.
> I think I have a picture let me see - my picture collection has become
> an unorganized mess.
> Prasanna.
> Nasser F. Abou'Seada wrote:
> > Dear Roberto
> > Welcome back ... nice to read for you again .. I've been lurking
> > myself for
> > a while ..
> > yes, I quite agree to your criticism, also if you look at their
> > illustrative
> > drawings; it is completely showing insertion of the balloon deeper to
> the
> > aortic "annulus", likely to push the AML when the LV is saline filled
> > under
> > pressure, pushing the balloon upwards in the LVOT. Having the balloon
> > at or
> > above the aortic "annulus" would not actually be feasible with a full
> > aortotomy incision to the depth of the NC Sinus ... it simply will
> > jump out
> > ..... having the baloon below annulus would provide a false "smiling"
> > valve
> > on testing .... a well known issue
> >
> > Welcome Back Sir ... we missed your enriching presence ..
> >
> > NFA
> >
> > On 6/6/07, Dr. Roberto Battellini <battr at medizin.uni-leipzig.de> wrote:
> >>
> >> NFA,
> >> During 15 years, they performed only 24 cases of double valve with
> >> mitral
> >> reconstruction. Out of them, 23 cases become a mechanical aortic
> >> valve for
> >> a
> >> medium age of 60 +- 12 years (may be too many mechanical valves). If
> you
> >> look at the Table 1, the mitral reconstruction techniques are : Kay
> >> annuloplasty in 7, 4 ring annuloplasties, only 8 quadrangular
> >> resections,,
> >> etc. No echo descriptions.
> >>
> >> There are NO NEW ideas...I would have rejected the paper outright.
> Every
> >> first year resident can write that.
> >> What more can you say?
> >> Roberto
> >>
> >> -----Ursprüngliche Nachricht-----
> >> Von: openheart-l-bounces at lists.hsforum.com
> >> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Nasser F.
> >> Abou'Seada
> >> Gesendet: Dienstag, 5. Juni 2007 19:01
> >> An: OpenHeart-L at lists.hsforum.com
> >> Betreff: Re: [HSF] Mitral valve repair testing in Associated Aortotomy
> >>
> >> Hahahahahahaha ...... yes .... hahahahahaahaha .... but read the rticle
> >> and
> >> ake omments please
> >>
> >> NFA
> >>
> >> On 6/5/07, prasannasimha <prasannasimha at gmail.com> wrote:
> >> >
> >> > Funny that this method which has been used by us for years and years
> >> > (even by my Grand Daddy surgeons) is being claimed to be original !!
> >> > Prasanna
> >> > Nasser F. Abou'Seada wrote:
> >> > > Testing for mitral valve repair in cases of associated aortotomy
> ...
> >> > >
> >> > > http://icvts.ctsnetjournals.org/cgi/rapidpdf/icvts.2007.158808v1
> >> > >
> >> > > I find the subject interesting and argumentative ...
> >> > > what about members practices ???
> >> > > Comments??
> >> > >
> >> > > NFA
> >> > > _______________________________________________
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> >>
> >> --
> >> Nasser  F.  Abou'Seada,
> >> MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
> >> FICS,FISCVS,FSSRCTS,FHMS,MESC
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> >
>
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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC