[HSF] younlady for MVR

[erdinç naseri]

Hal,
THis lady had an OMC 4 years ago in another center.Of course I will  do my 
best to repair the valve but if not and all the debate is for that moment .I 
pray TEE will be available (echo: mildly stenotic mitral valve and severe 
mitral regurg,leaflet mobility of both ant and pos. ones areseverely 
restricted,extreme calcification of the posterior annulus).as for your 
second advice unfortunately MVR is considered the only thearpeutic option in 
rheumatic cases here and  I am one of the ones who is trying the other way.
erdinc


>From: Hgrmd at aol.com
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] younlady for MVR
>Date: Sun, 18 Mar 2007 19:24:37 EDT
>
>Erdinc,
>    I agree with James, what's the etiology?  Unless it's  sevevere, 
>calcific
>rheumatic disease, you should first make every effort to  repair her valve.
>If not, can she possibly be referred to someone who does  a lot of repairs? 
>  To
>put a mechanical or bioprostheses in this young lady  will statistically
>severely shorten the quality and quantity of her life.
>   If the valve must be replaced, after exhaustively going over the  pros 
>and
>cons of mechanical versus tissue, you must do what the patient  requests.
>Hal
>
>
>
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