[HSF] 20 year old year S/P DORV repair, Kawashima type spiral tunnel with 100 mm Hg LVOT gradient

[Prasanna Simha M]

Oops issed the title mentioning that it wa a Kawashima type of repair !!
Prasanna


On Nov 15, 2007 2:56 PM, Prasanna Simha M <prasannasimha at gmail.com> wrote:

> Is the aorta D malposed ? Was the VSD Subpulmonic (as you mention a spiral
> patch ? Kawashima type of repair)
> prasanna
>
>
> On Nov 15, 2007 2:50 PM, Prasanna Simha M < prasannasimha at gmail.com>
> wrote:
>
> > Is it possible to incise  the VSD patch and widen the subaortic region ?
> > I presune the LVOTO is due to the spiral patch being not wide
> > enough.Will require a probably an additional RVOT patch then to prevent
> > RVOTO due to the bulging of the neo VSD patch. The other option is to remove
> > the VSD patch and do a REV type of Repair.
> > ps where are you getting these cases ?.
> > Prasanna
> >
> >
> > On Nov 15, 2007 2:39 PM, <ichfno at aol.com > wrote:
> >
> > > Polling the group, 20 year old girl now 18 years after DORV repair
> > > with spiral tunnel and 2 level LVOTO totaling 100 mmHg. Echo shows gradient
> > > to be immediately subaortic and at the level of the VSD. What to do?
> > >
> > > WNovick
> > >
> > >
> > > -----Original Message-----
> > > From: Cysmd613 at aol.com
> > > To: OpenHeart-L at lists.hsforum.com
> > > Sent: Thu, 15 Nov 2007 12:22 pm
> > > Subject: Re: [HSF] I used aprotinin today
> > >
> > >
> > >
> > > Tea,
> > >
> > > Why are you calling the hematologist brave?  Because he is giving
> > >  procrit
> > > and her hemoglobin may go above 12?
> > >
> > > Carmi
> > >
> > >
> > >
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> > --
> > Prasanna Simha M
>
>
>
>
> --
> Prasanna Simha M




-- 
Prasanna Simha M