[HSF] Possible infected Freestyle

[Tdmartin2000]

In sizing Mosaic valves it is not the barrel that goes in the annulus that is the size as the Mosaic is a truly supra-annular valve. The size is the part above the barrell.

Tom Martin
U of Florida
Gainesville



In a message dated 05/01/07 16:53:15 Eastern Daylight Time, streitman at yahoo.com writes:
Hal, 

Unfortunately at the time the only valve on the shelf 
was Medtronic.  I am new here but have finally gotten 
Edwards valves on the shelf.  I have spent the past 
several months trying to sort out the propoganda 
regarding tissue aortic valve data.  I have found 
several things interesting.  Specifically comparing 
the Mosaic Ultra to the Perimount Magna, I have found 
that the sizers for these valves are not the same.  If 
you look at the barrel end of both sets, the Magna is 
true to size (ie 25 is 25) and the Ultra barrel end is 
smaller than stated ( a 25 is really 23mm in 
diameter).  What this does in my opinion is make you 
think you are getting a bigger Medtronic valve in the 
same sized hole.  I think the EOA size for size b/t 
the two is better in the Edwards valve.  I guess what 
I am getting at is I believe that the Magna is a 
better choice from an EOA/gradient standpoint and now 
have that available. 

John 
--- Hgrmd at aol.com wrote: 

> 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 
> 
> 
> 
> ************************************** See what's 
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John E Streitman, M.D. 
Cardiovascular Surgeon 
Pinehurst Surgical 
streitman at yahoo.com 

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