[HSF] ATS valve

[Tea Acuff]

I am confused as to which direction is left.
;)
tea


----- Original Message ----
From: prasannasimha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, June 18, 2007 8:32:17 PM
Subject: Re: [HSF] ATS valve


Does that mean that the hinge line should be placed between
bisecting the two coronary ostia  ?
Prasanna
rwmfglycar at aol.com wrote:
> Prasanna,
> Do not placa a Bileaflet valve with the axis le3ttoright across the 
> orifice . This will leave onr leaqflet and orifice over the septal 
> bulge. The flow from this leaflet will be directed at the leser curve 
> , may tend to open less and will be acompanied by less smooth flow 
> into the aorta and a higher gradient. t is preferable to have one end 
> of the hinge right over the septal area. Flow will then proceed evenly 
> through both orifices towards the greater curve and on around to the 
> arch.
> Bob
>
>
> -----Original Message-----
> From: hgrmd at aol.com
> To: OpenHeart-L at lists.hsforum.com
> Sent: Mon, 18 Jun 2007 1:57 pm
> Subject: Re: [HSF] ATS valve
>
>
>
>
>
>
> Prasanna,
>
>   I've been using ATS mechanicals for about the last 3 years.  No 
> problems so
> far.  The thing I like about it is the ability to reliably rotate it.  In
> addition, I've had no problems with leaflet impingement which was a 
> problem with
> the St. Jude Regent.  For small calcified mitral annuli, they have an 
> AP valve
> that sits on top of the valve orifice.  This is a life saver if you 
> are faced
> with an orifice smaller than 25 mm. 
>
>
>
> Hal
>
>
> -----Original Message-----
> From: prasannasimha <prasannasimha at gmail.com>
> To: OpenHeart-L at lists.hsforum.com <OpenHeart-L at lists.hsforum.com>
> Sent: Mon, 18 Jun 2007 11:08 am
> Subject: [HSF] ATS valve
>
>
>
> We implanted our units first ATS valve last week.(The so called advanced
> performance valve) Seemed OK and patient had low gradients etc (AVR) 
> Can members
> who ave implanted it tell me about their experiences especially the 
> good the bad
> and the ugly (More interested in the last two). 
> One thing I noted when we were implanting the valve was that we had 
> sized it to
> a 24 AP (actually 26 sizer went in but 24 was the largest size 
> supplied) and it
> did take a bit of effort to get it in (though once in it fit well). I 
> was a bit
> worried at that time that it may have been "oversized" wrt to the sizer. 
> Is there any 'preferred " position in literature wrt bilealfet valves 
> in the
> aortic position. (I am aware of the position wrt monoleaflet valves 
> but could
> not really get any data for bileaflet valves). 
> Prasanna 
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