[HSF] LV Aneurysm Repair

[erdinç naseri]

Agree with prasanna.
IMR and Non IMR are 2 completely different entities from the progression of the disease point of view.
erdinc> Date: Thu, 21 Jun 2007 06:41:12 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] LV Aneurysm Repair> CC: > > The natural history of a patient with Grade 2 non ischemic MR is > different from that of one with Ischemic MR. In Ischemic MR the LV has > deteriorated and has caused secondary MR. The Grade 2 MR patient has > still not reached the apex of his Starlings curve and can compensate for > Years. So they can remain in Grade 2 MR for years . That is why the > indications for surgery in nonischemic MR is either symptomatic MR or > one with deteriorating LV if asymptomatic. How many Grade 2 Nonischemic > MR's will fit that bill ?> Prasanna> hgrmd at aol.com wrote:> > Prasanna,> >> > I disagree. I can't cite the papers right off hand, but why should nonischemic MR have a prognosis any different? Certainly the prognosis of MR with dilated cardiomyopathy is a bad actor. In addition, mod MR from myxomatous disease does progress with time.> >> >> >> > Hal> >> >> > -----Original Message-----> > From: psimha <prasannasimha at gmail.com>> > To: OpenHeart-L at lists.hsforum.com> > Sent: Wed, 20 Jun 2007 7:56 am> > Subject: Re: [HSF] LV Aneurysm Repair> >> >> >> > Moderate Ischemic MR should be the statement non Ischemic MR is a different ball game all together with different prognosis and outcomes. > > Prasanna > > Hgrmd at aol.com wrote: > > > >> Tea, > >> I don't plan to debate this extensively. Suffice it to say, doing an SVR > does not cure the pathology producing secondary MR. I've yet to see an LV > anuerysm case in which there is mitral prolapse. The MR seen in LV aneurysms > is definitely due to annular dilatation. The literature is replete, and my > own experience supports it, that using a DeVega or a flexible band produces > inferior results compared to a full rigid or semirigid ring. When I challenged > Menicanti after his presentation at ISMICS, he slyly stated that only 17% had > worse than moderate MR on followup. Notice he didn't include moderate MR in > his analysis. We all know that even moderate MR adversely effects the long > term survival. Considering that you are doing a huge operation, why not > splurge on a ring and give the patient the best operation possible? > >> Hal > >> > >> > >> > >> ************************************** See what's free at http://www.aol.com. > >> _______________________________________________ > >> 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 > > ----------------------------------------- > >> >> > ________________________________________________________________________> > AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com.> > _______________________________________________> > 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> -----------------------------------------