[HSF] Correction of MR in Myopathic Ventricles

[erdinç naseri]

Hal,
What is the mecanism of that huge increase in EF and what was your 
myocardial protection protocol?I have to congradulate your anesthesia 
colleagues.( remember my patient with Acute AI and infective endocarditis on 
HD)
erdinc


>From: hgrmd at aol.com
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: [HSF] Correction of MR in Myopathic Ventricles
>Date: Wed, 07 Mar 2007 11:16:16 -0500
>
>Dear Members,
>   I just saw a morbidly obese 58 yo lady in my office for followup.  In 
>September '05, she presented with multiple hospitalizations for CHF.  She 
>had normal coronaries, severe MR, and an EF of 8% by planimetry on TEE!  I 
>did mitral and tricuspid repairs.  A few days later, she had a 
>biventricular pacer inserted.
>   Since then, she has been readmitted only once for a TIA.  She is 
>completely asymptomatic.  Transthoracic echo from last month revealed trace 
>MR, no TR, and an EF of 50-55%.  My belief is that most surgeons wouldn't 
>have touched her with a ten foot pole.  Comments?
>
>Hal
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