[HSF] Aortic Regurgitation in 16 year old

[psimha]

No. I haven't been that aggressive with rheumatic aortic valve repairs 
(unless they are children)

Prasanna
Tea Acuff wrote:
> Bill, or Prasanna for that matter,
> If you are looking at tissue extension for leaflets have you looked at the Cor matrix (extracellular matrix) "pericardial" substitute?
>
> tea
>
>
> ----- Original Message ----
> From: "rwmfglycar at aol.com" <rwmfglycar at aol.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Monday, November 12, 2007 1:20:41 PM
> Subject: Re: [HSF] Aortic Regurgitation in 16 year old
>
>
> These cases are very pathology dependent. The thicker the leaflets the more the difficulty. I never was too happy with leaflet unfurling.
> Pericardial leaflets in a goretex tube very interesting,
>
> Bob
>
>
> -----Original Message-----
> From: ICHFNO at aol.com
> To: OpenHeart-L at lists.hsforum.com
> Sent: Mon, 12 Nov 2007 12:38 pm
> Subject: [HSF] Aortic Regurgitation in 16 year old
>
>
>
>
> The child with aortic regurgitation I presented last week was operated on  
> today. Leaflets were rolled and thickened severely, as with RF. Initially we did 
>
> 3 leaflet thinning and leaflet augmentation with glutaraldehyde fixed 
> autologous  pericardium. Gave the CP upon aortic closure and at low flow rate 
> competency was  noted, but at high flows had some LV distention. Removed the 
> clamp, 
> and once the  heart was beating TEE showed moderate residual AI. Did a Ross. 
> Made a  trileaflet valve from Goretex and remainder of pericardium for conduit. 
> Off with  trivial AI and RV Valve conduit gradient of 5 by direct 
> measurement. This is the  2nd one in a row we have had to convert to a Ross 
> after failed 
> leaflet  extension, must be doing something wrong!
>
> Bill
>
>
>
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