[HSF] Rheumatic mitral valve

[erdinç naseri]

Prasanna,
I agree with you. This is a recollection of what I meant:
Rheumatic MR starts with leaflet and subvalvular apparatus pathology( no annular dilatation at first) but as time passes and Lv dilates  annulus also dilates (  indication for a ring ).
erdinc> Date: Thu, 28 Jun 2007 07:12:05 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Rheumatic mitral valve> CC: > > > Erdinc , in ehrumatic valvar regurg patients there is commonly annular > dilatation. Carpentier's original ring with the 3:4 ratio was designed > not for myxomatous but for rheumatic repairs. Having said that pure MS > does not require a ring as these cases do not have annular dilatation.> Prasanna> erdinç naseri wrote:> > Dear Igor,> > Though I am not sure whether surgery is an option for this special patient but suppose so: implantation of an annular ring in mitral position will correct annular dilatation and resultant MR. even if she had MR that would be due to chordal fibrosis and shortening with tethering of the leaflets and also leaflet hypomobility due to fibrosis( typical of rheumatic valves).> > In conclusion: > > 1. There is no indication for prophylactic implantation of a ring> > 2. Rheumatic MR is not due to annular dilatation( in irreversible phase, LV may dilate leading to annular dilatation)> > 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> -----------------------------------------