[HSF] aortic root reimplantation and Rv dysfx

[erdinç naseri]

Dear DR. Flege,
I have previously used the technique mentioned by you in 2 patients without success and this  was  the reason for not using it.Having heard of its successful use by you I will use it in the future( hope I won't need it).
erdinc> From: Jbflegejr at aol.com> Date: Tue, 4 Sep 2007 17:51:50 -0400> Subjects the reason for: Re: [HSF] aortic root reimplantation and Rv dysfx> To: OpenHeart-L at lists.hsforum.com> CC: > > Pulmonary artery counterpulsation may be used. A 20mm graft is sewn to the > main pulmonary artery which is essentially a diverticulum or pumping chamber. An > intraortic balloon is inserted into the graft with the end in the pulmonary > artery and counterpulsation applied just like to an intraortic balloon. This > was first described by Craig Miller who used in without success and the first > success was reported by me. > (Flege JB, Jr., Wright CB, Reisinger TJ. Successful balloon counterpulsation > for right ventricular failure. Ann Thorac Surg 1984;37:167-8.) (Miller's paper > is cited in the references.) I have used it successfully for two patients > with mitral stenosis and severe pulmonary hypertension having MVR and one patient > with biventricular failure resulting from extensive acute inferior RV and LV > infarction without pulmonary hypertension who required an intraortic balloon > as well. None of the three could be weaned from CPB even with industrial dosage > of ionotropes and all were dependent on the balloon support for two or three > days. I reopened the sternum to remove the balloon and grafts. All three made > good recoveries. I have used this support several other times without success > in equally desperate circumstances. John Flege> > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> _______________________________________________> 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> -----------------------------------------