[HSF] failed homograft 13 years later

[Ben Bidstrup]

>Colleagues, I have a 30 yr old male who had a homograft root AVR 
>done at age 17 for bicuspid Aortic valve. He is back now with CHF, 
>mean gradient 68 mmHg and normal LV function. Would anyone give him 
>a mechanical valve through the conduit, given his youth? thanks 
>chuckdouville
>_______________________________________________
>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
>-----------------------------------------

What does he want?
No coumadin - Perimount

May have to do a miniroot or conduit.

Sometimes there is a plane between the native aorta and the valve 
which is usually calcified, allowing the allograft to be removed and 
leaving the aortic root free to do what is best.
-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon