[HSF] Image of the week Calcified healed vegetations

[A]

Prasanna:
Sorry to tell you this but I didn't get the image. Did the rest of Forum get
it? Would it be too much for you to re-send?  Thanks


Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Prasanna Simha M
Sent: Wednesday, May 30, 2007 1:51 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] Image of the week Calcified healed vegetations

I could shave it off the AML. I was prepared to patch plasty the AML if I
needed to excise it.
Prasanna

On 5/30/07, nand kejriwal <nkkejriwal at gmail.com> wrote:
>
> Prasanna
>
> Did you have to excise any part of the anterior leaflet or you just shaved
> off the vegetation leaving the entire leaflet intact?
>
> nand
>
> On 5/30/07, prasannasimha <prasannasimha at gmail.com> wrote:
> >
> > I had prepared glutaraldehyde treated pericardium to refashion the edge
> > but did not have to do so. I was able to give a good margin as I could
> > easily shave the calcified vegetation in a sort of "plane" leaving
> > uncalcified tissue behind. There was a good  depth of coaptation and I
> > undersized the Goretex ring so that I had 1 cm  of coaptation based on
> > the AML area.
> >
> > Prasanna
> >
> > Ben Bidstrup wrote:
> > > What was the free edge of the AML like when you had excised all the
> > > mischief? Did you have enough to get good depth of coaptation?
> > >
> > >> 40 year old lady with multiple healed vegetations on anterior leaflet
> > >> chordae with rupture involving virtually whole of the AML which
> > >> underwent repair with neochordal construction after excising all
> > >> broken chordae and associated vegetations.
> > >> Prasanna
> > >>
> > >>
> > >> Attachment converted: Absolute Genius:calcified vegtetations eml.jpg
> > >> (JPEG/<IC>) (007FEB50)
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-- 
Prasanna Simha M
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