[HSF] Aortic Regurgitation in 16 year old

[Tea Acuff]

That depends on what you mean by tested. It has been used in a variety of anatomical positions. I'll forward your request to Rob Matheny the founder of Cor Matrix.

tea


----- Original Message ----
From: "rwmfglycar at aol.com" <rwmfglycar at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, November 12, 2007 10:43:22 PM
Subject: Re: [HSF] Aortic Regurgitation in 16 year old

Tea 
Where can one find data on the Cor matrix pericardial substitute? Hasitbeen tested other than as a cover for the heart?
Bob


-----Original Message-----
From: Tea Acuff <tacuff at swbell.net>
To: OpenHeart-L at lists.hsforum.com
Sent: Mon, 12 Nov 2007 5:35 pm
Subject: Re: [HSF] Aortic Regurgitation in 16 year old



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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