[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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