[HSF] Mitral valve repair testing in Associated Aortotomy

Thu Jun 7 03:37:08 EDT 2007

yes

NFA


On 6/7/07, Dr. Roberto Battellini <battr at medizin.uni-leipzig.de> wrote:
>
> May be. Also the drawing shows a long part of Aorta as the aortotomy were
> made very very high...
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von
> prasannasimha
> Gesendet: Mittwoch, 6. Juni 2007 16:29
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: [HSF] Mitral valve repair testing in Associated Aortotomy
>
> Dunno. Anyway it was funny to see it !!
> Prasanna
>
> Nasser F. Abou'Seada wrote:
> > 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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> >> >> > >
> >> >> > >
> >> >> >
> >> >> > _______________________________________________
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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
> >> >> _______________________________________________
> >> >> OpenHeart-L mailing list
> >> >>
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> >> >>
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> >> >> -----------------------------------------
> >> >>
> >> >> _______________________________________________
> >> >> OpenHeart-L mailing list
> >> >>
> >> >> Send postings to:
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> >> >>
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> >> >>
> >> >
> >> >
> >> >
> >>
> >> _______________________________________________
> >> OpenHeart-L mailing list
> >>
> >> Send postings to:
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> >>
> >
> >
> >
> _______________________________________________
> OpenHeart-L mailing list
>
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> -----------------------------------------
>
> _______________________________________________
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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