[HSF] Aortic Regurgitation in 16 year old

[rwmfglycar at aol.com]

Nice description Prasanna 
Bob


-----Original Message-----
From: psimha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Mon, 12 Nov 2007 1:13 pm
Subject: Re: [HSF] Aortic Regurgitation in 16 year old


I gave up on Individual cusp extensions as there seems to be too much of geometrical "randomness" with it unless you are knocking of all 3 leaflets. Takes more time and has a higher failure rate. With the single strip method we are sure to get a minimum coaptation defined by the "minimum" strip height and the cuspal extensions to that can be preplanned (extensions are bumps on the strip) or can be sutured on later (makes it a bit more complicated). The triradiate strip with bumps is the easiest one as it tailors to the defect in the leaflet and is faster to do and has less guess work. The central Frater stitch tells you how much tissue has to be added precisely instead of presumptive eyeballing since you are working centrifugally unlike centripetally with cuspal extensions - where you have to not only worry about the "center" but also the height(of coaptation) . The strip method eliminates the uncertainty of "height"(of coaptation) problem as it is the first thing taken care of.?
Prasanna?
ICHFNO at aol.com wrote:?
> Sorry, I am doing the former, individual cuspal extensions. >?
>?
>?
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