[HSF] Possible infected Freestyle

tdmartin2000 at aol.com tdmartin2000 at aol.com
Tue May 1 11:22:17 EDT 2007


Hal
A 25 Mosaic will easily fit in the same annulus as a 23 magna. So, if he were to have tried to place a 23 magna the same problem would have occured. The question to John would be if he thought he oversized. If so he should have tried a 23 Mosaic to begin with. 
What do you  think John?
Tom 
 
-----Original Message-----
From: Hgrmd at aol.com
To: OpenHeart-L at lists.hsforum.com
Sent: Tue, 1 May 2007 7:30 AM
Subject: Re: [HSF] Possible infected Freestyle


John,
  Welcome to our club.  I hope one of the principles you learn  from this 
case is that less is often more.  I don't know of many 80 yo  patients who would 

truly benefit from the hassle of a 25 mm stented  prosthesis.  If you had 
placed a 23 mm C-E Magna, you would have gotten the  same effective orifice 
area, 
and presumably not had this terrible  complication.  I'm not sure what Tea was 
implying about the use of pledgets  on the aortotomy, but I recommend you use 
them liberally.  Losing control  of an aortotomy is a very lonely feeling.
Hal



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