[HSF] Ao Wraping

[Tea Acuff]

You about covered it, Michael.
tea


----- Original Message ----
From: Michael Firstenberg <msfirst at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, March 31, 2007 1:32:06 PM
Subject: RE: [HSF] Ao Wraping


You are a brave man
What were the indications for the ross in a 39 year old?

-----Original Message-----
From: DukeB60 at aol.com
To: OpenHeart-L at lists.hsforum.com
Sent: 3/31/2007 12:15 PM
Subject: Re: [HSF] Ao Wraping

I have continued to be a proponent of the Ross procedure and have done well  
over 100 over the past ten years with excellent results.  I have done six  
over the past three months and last week did two on one day, one being on a 39yo  
male medical malpractice trial lawyer who came here from another state after  
considerable research about all his options and all the players.  Both are  
doing well.  My experience has been very gratifying with the Ross despite  all 
the controversy and in fact I told the lawyer that if he didn't want people  
to question his decision he should go with the Magna valve, his second choice,  
as he will hear many opinions against the Ross but after a lengthy preop  
discussion over the Internet, the phone and in person he wanted to go with the  
Ross.  To combat dilatation of the autograft I have put it inside a  Hemashield 
dacron graft and to combat allograft stenosis have selected only very  young 
donors.  So far these methods have worked well.  In appropriate  age groups I 
offer a tissue valve (Biocor or Magna), mechanical (On-X),  Allograft (for 
infected annulus) or the Ross and let the patient decide after a  lengthy 
discussion of the respective advantages and disadvantages of each.  

Edward P.  Raines, M.D., J.D.
BryanLGH Cardiothoracic Surgery
BryanLGH Medical Center  East
1600 South 48th Str.
Lincoln, Nebraska 68506
Office:  402-481-8430
Cell: 402-730-9242
Fax:  402-481-8429



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