[HSF] rheumatic mitral disease

[erdinç naseri]

Prasanna,
will try to send the pictures. No previous experience in this.
erdinc> Date: Thu, 7 Jun 2007 18:24:24 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] rheumatic mitral disease> CC: > > Can you send me Echo pictures especially SAX, PLAX and 4C.> Rules to follow> 1)Covert MS MR to pure MR by doing a proper commissurotomy.Release > subvalvar.> 2) Release posterobasal chordae and free the PML.> 3)Re Analyze the valve for prolapse (especially AML.) and restriction - > each area may have a different problem.> 4)Use goretex chordae for elongated chordae (I use a method which I call > combined chordoplasty using combined shortening + artificial chordal > placement).> 5) Use a ring - I make one of Goretex patch.> Feel free to ask me to help real time online if we can match times > practically.> Prasanna> > > > erdinç naseri wrote:> > Dear all,> > > > opinion requested about the following case: 57 y/o diabetic female,history of mitral valve dis.,NYHA class III,in sinus rhythmwith mild diastolic rumble and early systoliic murmur on auscultation.Echo: mitral valve thickening,posterior leaflet severely restricted but anterior one has good mobility,MVA 1.67 cm2,Mitral gradient peak 20 mmHg -mean 9 mmHg,eccenteric moderate to severe mitral regurg jet from posteromedial commissure,LA 6.5 cm. > > Planning to do coronary angio followed by mitral repair +/- CABG.> > Although my experience of mitral valve repair has been in ischemic mitral insufficiency and rarely myxomatous degeneration from echo it seems an easy task.> > any comments> > erdinc > > > > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies and > > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> >> > > > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------