[HSF] Mitroflow valve

[Ani Anyanwu]

Hal
 
I take it by extension that if you needed a mitral today you would vote for an ATS band....mmm
 
Looking forward to hearing your views in Leipzig - hope you give the single-theme evangelists and dinosaurs a hard time as you usually do. I have heard you question the experts and evangelists several times and have no doubt that you always speak for what you see as the best regardless of which direction it comes from. I have also seen your views change over the years as new understanding and experience emerges. The meeting has some weird stuff on as usual - thankfully no mitrofast this year, but by your analogy would anyone really want a sutureless AVR placed open in their loved ones? Well hopefully someone will stand up and ask the ethics of such demonstration!
 
Ani



> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Mitroflow valve> Date: Wed, 21 Nov 2007 13:28:32 -0500> From: hgrmd at aol.com> CC: > > Carmi and Bob,> ? Just to complete my thoughts.? For those who might think my previous posts indicate I'm some kind of shill for Edwards, do know that I haven't implanted an Edwards mitral, either porcine or pericardial, in years.? For mitral bioprostheses, I prefer the SJM Biocor due to its low profile.? I use ATS bands for my mitral robotic cases.? In my opinion, the best policy to use in determining what you use is what you would prefer to have implanted in you or one of your loved ones.> > Hal> > > -----Original Message-----> From: rwmfglycar at aol.com> To: OpenHeart-L at lists.hsforum.com> Sent: Wed, 21 Nov 2007 12:39 pm> Subject: Re: [HSF] Mitroflow valve> > > > > Carmi,> > Before you automatically accept a claim like that ask the rep to produce a "23" > Mitroflow and a "19" Edwards and their respective sizers. Have a?caliper ready. > Measure the designated "size" of each valve at the outer limits of the frame; > this is what the AAMI/ISO/FDA guidelines regard as the place to measure valve > size. Measure the outer dimension of the? part of the sizer that is supposed to > fit inside the annulus after excision of the native aortic valve.? Compare this > figure with your measurement of the valve size.?Compare also the dimensions of > the Edwards 19 and the Mitroflow 23 sizers.> For these two valves to fit ?into the same heart despite their different > designations they must in fact be pretty well?the same size.> If this is the case, then take Hegar dilators and gently pass them though the > valve until they fit the orifice of the open valve. Compare the results between > the two valves. It is possible that the actual orifice available for flow > through the maximally opened leaflets may be different betwen two valves that > fit the same heart. > For even better information get a range of pig hearts from the butcher (ask the > rep to provide them; most companies have a source for their wet labs). Using > your usual suture technique see how well the two differently designated devices > actually fit a real heart.Note that I am?suggesting ?you? look at very simple > dimensional. It is possible that there might be quite small but > nevertheless?measurable differences in hemodynamic?performance in a pulse > duplicator of two devices that are geometrically the same. This is very hard to > show in humans where the results are much more variable.> > Bob> > -----Original Message-----> From: Cysmd613 at aol.com> To: OpenHeart-L at lists.hsforum.com> Sent: Wed, 21 Nov 2007 11:46 am> Subject: Re: [HSF] Mitroflow valve> > > > > Our local Carbomedics/Sorin rep just stopped in my office to tell me about > the mitroflow aortic valve. It looks like a very nice valve with a very > flexible sewing ring and reportedly low transvalvular gradients. He says that a > > 23mm > mitroflow valve would fit in an annulus where only a 19 perimount valve would > fit. I plan to use one on my next AVR.> > Carmi > > > > **************************************Check out AOL's list of 2007's hottest > products.> (http://money.aol.com/special/hot-products-2007?NCID=aoltop00030000000001)> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > > ________________________________________________________________________> Email and AIM finally together. You've gotta check out free AOL Mail! - > http://mail.aol.com> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > > ________________________________________________________________________> Email and AIM finally together. You've gotta check out free AOL Mail! - http://mail.aol.com> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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