[HSF] AI and ASC AO Aneurysm s/p Ross procedure

[Tea Acuff]

Amen
tea


----- Original Message ----
From: Ani Anyanwu <anianyanwu at hotmail.com>
To: openheart-l at lists.hsforum.com
Sent: Saturday, September 8, 2007 9:07:59 PM
Subject: RE: [HSF] AI and ASC AO Aneurysm s/p Ross procedure


The 'literature' results are already different because only the experts, academics and those with good results report their series. For example if you read through the literature you will see series where the mortality for reoperative surgery is less than they have for first time surgery. Like I remember the series from Harefield (my home institution) on redo homograft (after a previous homograft) had a mortality below 5%. Pooling data from experts and experienced surgeons provides a skewed view of the real world which is partly why it is very difficult to get the true interpretation of risks and benefits from the literature. Also within those expert practices, they only publish those parts of their practice where they experience good results. For example, if you went through the literature you might find surgeon A's results with OPCAB but see nothing about his mitral repair results and surgeon B who publishes 100 mitral repairs, you see nothing about
 his results with arch replacement etc. There is so much publication bias that data on survival in the literature have to be taken with a grain of salt.

Ani



> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] AI and ASC AO Aneurysm s/p Ross procedure> Date: Sat, 8 Sep 2007 14:09:57 -0400> From: tdmartin2000 at aol.com> CC: > > Hal> I wonder if the "literature" results would be different if people like you and several other REALLY experienced redo surgeons were to pool their 3rd time redo's together and look at the results?> > Tom> > > -----Original Message-----> From: Hgrmd at aol.com> To: OpenHeart-L at lists.hsforum.com> Sent: Sat, 8 Sep 2007 1:17 pm> Subject: Re: [HSF] AI and ASC AO Aneurysm s/p Ross procedure> > > > Tom,> Agree about the M&M for 3rd time redos. I did one last week, and it went > very well. However, in the literature, I'd bet that the mortality for a 3rd > time redo valve case is generally at least 15-20%. For one thing, the > incidence of catastrophic reentry is definitely higher.> One consideration that may change our thinking is the possibility that > percutaneous or transapical AVI's will
 be a viable option for senescent stented > > aortic valves.> > Hal> > > > ************************************** See what's new at http://www.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:>
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