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

[Prasanna Simha M]

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.Willrequire 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