[HSF] younlady for MVR

A alsadd at ksu.edu.sa
Mon Mar 19 10:31:21 EDT 2007


Agree with repair as the firs option. Erdinc is it mitral stenosis, regurg
or both? How big is the LA is she in sinus rhythm? Now if she has MR and you
could not repair it and decided to replace it; my advice to you is to save
the mitral apparatus if the LA is roomy as seen in MR with elongated thinned
out apparatus. The least you could do is to save the posterior leaflet.

Ahmed 


erdinç naseri wrote:
>
> Dear All,
> Tomorrow I will do a MVR in a 25 y/o woman who is planning to have  
> ababy.She is living in  a big city and had heard of earlier 
> degeneration of bioprosthesis  and insisted on having a mechanical 
> valve.I, in my part insisted that I won't operate her unless she 
> accepts a pericardial valve.Now the question :am I right or pushing 
> too far?
> erdinc
>
>>
>
>
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