[HSF] Image of the week Post BMV LV rupture

[Nasser F. Abou'Seada]

yes ....... Balloon Mitral Valvotomy ......... to my mind having the same
effect on the valve as a blunt motor vehicle accident ...!!

NFA


On 10/19/07, Tea Acuff <tacuff at swbell.net> wrote:
>
> Could you send both picture and video? I seem to have lost them. What is
> B? MV? Blunt Motor vehicle?
>
> tea
>
>
> ----- Original Message ----
> From: psimha <prasannasimha at gmail.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Friday, October 19, 2007 12:35:51 PM
> Subject: Re: [HSF] Image of the week Post BMV LV rupture
>
>
> Things moved so fast and I did not have a free heart lung machine at the
> time though that would have probably have made it less stressful (or
> would it ?). Anyway  one of my junior colleagues opined to me at the end
> that since I was trained in the CMV days and was used to handling the LV
> apex probably using CPB would not have come first to my mind. Anyway if
> things had not worked I would have considered CPB  but if things were so
> mishmash then I probably would still have to use the glue patch  and
> keep the  patient on CPB to keep the area dry to allow the  glue to
> act.  Anyway things  were done quickly - direct suture failed - larger
> needle - failed - pericardial patch failed - largest silk suture on
> largest needle pursestring wide around the whole of the LV and tie -
> viola - worked. Resuscitation and waited to see if it held and glue was
> bought by a cardiology resident from a general shop across the road (no
> glue in house) and it stuck well. Closed and resuscitation continued
> and chest closed  In the meanwhile my case that was induced in the OR
> was waiting !!). I know one thing. If I had procrastinated and insisted
> on moving a HLM precious  time would have been lost. We rarely use CPB
> for cardiac trauma so I am not so sure if it is really necessary .
> Till now we have managed most BMV tears without CPB. I have used at
> times a cardiotomy reservoir and a Ryles tube in the RA to allow suction
> bypass with the cardiotomy reservoir acting like a cell saver and once
> used temporary inflow occlusion. One of my colleaguses has used CPB.
> The only time I have used CPB was to repair or replace a torn mitral
> valve in low output and cardiogenic shock due to acute MR.
> Prasanna
> Mehta Sukumar wrote:
> > Prasanna,
> >   Congrats.
> >   Did you think of cardiopulmonary bypass support at any stage treating
> this emergency?
> >   Sukumar.
> >
> >
> >  __________________________________________________
> > Do You Yahoo!?
> > Tired of spam?  Yahoo! Mail has the best spam protection around
> > http://mail.yahoo.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
> > -----------------------------------------
> >
> >
> >
>
> _______________________________________________
> 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
> -----------------------------------------
>