[HSF] Tissue valve in a young patient/ best redo option?

[Tea Acuff]

That is the thinking in Dallas also, although this is a very initial experience. Why would you think the opposite, Tom? I will also say that I have stopped trying to think about whether to use a mechanical valve or not thinking about ten plus years from now. Redos are not that hard and guessing what will be our options then are problematic. It is conceivable that we might be taking out mechanic valves in a decade or two in some patients in favor of better options(?). I recently pushed a 46 yo with a "volcano" aortic valve from biscupid anatomy towards a stented pericardial valve since she waited to come to see the doctor (having had a coart repair at 18) when she needed intubated for CHF. She doesn't like doctors.

It is becoming more clear to me that we mostly palliate (and not just valves) and the most important years to palliate are the next ten! This requires two mind sets. First, get the patient through the best (and likely easiest) procedure that you can, and secondly don't screw it up for next time. Sometimes these goals are somewhat at odds and require further consideration as to what is "less harm". I think classifying this recommendation by evidence is a crock of ...
 
tea


----- Original Message ----
From: "Hgrmd at aol.com" <Hgrmd at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, November 22, 2007 11:47:42 AM
Subject: Re: [HSF] Tissue valve in a young patient/ best redo option?

Tom,
  Fred Mohr told me that senescent stented bioprostheses are   particularly 
suited for AVI's (aortic valve insertion).  He said the stent  provides a great 
landing zone for the new graft.

Hal



**************************************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
-----------------------------------------