[HSF] Would anyone operate (am I a glutton for punishment?)

[Ani Anyanwu]

What exactly do you mean when you say trashed mitral leaflets - is this a IIIA dsyfunction? Also when you say fibrosis in the liver I take it this implies liver cirrhossis? If so what is the state and prognosis of both his liver and kidney disease and is he (or will he be) eligible for liver and repeat kidney transplantation? 
 
Ani



> Date: Mon, 26 Nov 2007 13:35:55 -0500> From: msfirst at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Would anyone operate (am I a glutton for punishment?)> CC: > > On Echo his mitral leaflets are trashed. My plan was a tissue mitral and a> tissue Bentall. I discussed with Hematology about giving him G-CSF to get> his counts up a little.> > -michael> > > On 11/26/07, zzhoumd at pol.net <zzhoumd at pol.net> wrote:> >> >> > I would put a tissue valve in this patient. Something simple for the> > ascending. Most like, ring for the mitral valve.> >> > Z Zhou> >> > Sent via BlackBerry by AT&T> >> > -----Original Message-----> > From: "Michael Firstenberg" <msfirst at gmail.com>> >> > Date: Mon, 26 Nov 2007 11:54:14> > To:OpenHeart-L at lists.hsforum.com> > Subject: [HSF] Would anyone operate (am I a glutton for punishment?)> >> >> > Ok, so after my weekend disaster.......> >> > 56 year/old - ESRD, failed kidney transplant - makes some urine with> > severe> > proteinuria. HepC with high viral load, mild fibrosis on biopsy, no> > varocise.> > Severe AI with dilated root (5.6 cm) with mod/sev MR. EF ~30-40.> > Coronaries ok - mild disease. Got some treatment for his HepC but is now> > pancytopenic - comes in with a WBC of 1-2k, platelets <60k, and a Hct~20.> > Gets short of breath walking to the bathroom. Probably need MV> > replacement> > (tissue??) and either a Bentall or valve sparing root.> >> >> > -michael> > _______________________________________________> > 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> > -----------------------------------------> >> > _______________________________________________> > 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> > -----------------------------------------> >> _______________________________________________> 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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