AW: [HSF] de Vaga

[erdinç naseri]

Roberto,Sorry for the delay in response.I tailor a valved conduit from a 
mechanical prosthesis + hemashield say 32 graft and 31 valve or 30 and 29 
.It has always been very difficult for me to psh the valve inside the graft. 
It's kind of larghe valve for the same size graft .Once ı tried '7 and 30 
and that time there a lot of dog ears in the tailored graft.For reason 7: I 
can't use perimount freely.Things are sometimes funny here :I had to defend 
myself about ordering a firm to bring a tubular graft for an acute type II 
dissection at 3 o'clock in the morning and not informing the purchasing 
department before hand.Adminstration guys think that the aorta informs you 
about the time that it's going to be dissected !!!
erdinc


>From: "Dr. Roberto Battellini" <battr at medizin.uni-leipzig.de>
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: <OpenHeart-L at lists.hsforum.com>
>Subject: AW: [HSF] de Vaga
>Date: Mon, 19 Mar 2007 18:50:25 +0100
>
>Erdinc,
>
>We understand all but not point 9. I am doing a very nice experience with
>Perimout + Haemashield done in 5 minutes bench surgery. They do not bleed
>more than valved conduits.
>Why not buy bioprothesis from Brazil, they are very good and cheap. Ask 
>Prof
>Ennio Buffolo, he was many times in European meetings.
>Roberto
>
>-----Ursprüngliche Nachricht-----
>Von: openheart-l-bounces at lists.hsforum.com
>[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von erdinç naseri
>Gesendet: Samstag, 17. März 2007 15:02
>An: OpenHeart-L at lists.hsforum.com
>Betreff: Re: [HSF] de Vaga
>
>Hal,
>I agree with you about the superiority of a ring to Devega but ı also have
>to add that many cardiac surgeons in places other than USa and several
>developed countries work under economic and physical conditions which are
>quiet different than you. and this sometime s a suboptimal treatment the
>only one available.Let me give an overview of our OR to you for better
>understanding:
>1.No TEE available all the time.
>2.No autoransfusion device for aortic cases all the time.
>3.Use mostly reused IABP catheter
>4.Use  the cheapest oxygenator available so that if CPB>150 minutes then
>hemolysis is 100% there.
>5.No epiaortic US
>6.Rings can be purchased for only 5-10%  of the patients ( patient pays)
>7.Bioprosthesis are not reimbursed totally by social security so that the
>patient must pay an additional amount.
>8.No bioglue available.
>9.No valved conduit is reimbursed so I have to tailor one from a conduit 
>and
>
>a valve and this increases bleeding
>I can extend this list to 100 .So sometimes a quick and suboptimal 
>operation
>
>saves the day.
>erdinc
>
>
>
> >From: Hgrmd at aol.com
> >Reply-To: OpenHeart-L at lists.hsforum.com
> >To: OpenHeart-L at lists.hsforum.com
> >Subject: Re: [HSF] de Vaga
> >Date: Sat, 17 Mar 2007 09:37:24 EDT
> >
> >Don and Ahmed,
> >   BTW, suppose you or your wife were having your severe TR fixed as a
> >part
> >of some cardiac operation.  Would you, in all honesty, rather the  
>surgeon
> >use
> >a piece of suture to fix it, or would you rather he splurge on a  
>tricuspid
> >ring?
> >
> >Hal
> >
> >
> >
> >
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