[HSF] (no subject)

[Tea Acuff]

I think that prasanna is comparing apples and oranges myself.
tea



----- Original Message ----
From: Ani Anyanwu <anianyanwu at hotmail.com>
To: openheart-l at lists.hsforum.com
Sent: Sunday, August 31, 2008 8:45:17 PM
Subject: RE: [HSF] (no subject)

> > The long term results of Ross are favorable. Let us> also remember that mechanical AVR has a 60 % 10 year survival. even with> good anticoagulation.Take the 10 year survival and the Ross at 10 years is a> different story. > Prasanna

Prasanna

Are you really suggesting that the Ross applied to these patients would result in superior survival? The Ross is used in a very selected group of young patients and I am not sure there are any comparative data suggesting that for similar age and comorbidity the ross operations survive longer. BTW where did you get 60% - that seems to me like the 10 year survival for mechanical MVR?

Ani





> Date: Sun, 31 Aug 2008 23:13:08 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] (no subject)> CC: > > That may not be exactly tru thoughI do not deny that these have to be> closely followed up. The long term results of Ross are favorable. Let us> also remember that mechanical AVR has a 60 % 10 year survival. even with> good anticoagulation.Take the 10 year survival and the Ross at 10 years is a> different story.Patients at least come back to you with a problem where as> many with a mechanical MVR don't even reach you.> > Prasanna> > On Sun, Aug 31, 2008 at 11:05 PM, <Hgrmd at aol.com> wrote:> > > Ani,> > As usual, your analysis of Ross results reflects my conclusions as well.> > Unless they are scrupulously followed up, the results are probably not> > quite> > as good as reflected in the literature. At the last Society of Heart> > Valve> > Disease, the Ross surgeon on your faculty gave a particularly glowing> >
 account> > of his results. I was skeptical then; I'm skeptical now. The major> > problem> > for me is that the Ross requires replacing a usually normal root (This is> > the> > same criticism I have of stentless miniroots for aortic stenosis.). In> > addition, it converts single valve into double valve disease.> > Finally, the Ross is inherently more risky. I know the surgeon who did> > the Ross on my patient back in 1999. This surgeon has and deserves an> > excellent reputation. However, I'll always remember how he asked me to> > review a case> > in which he was being sued. The patient was a 24 yo single mother of 3> > that> > he did a Ross for AI. The patient died shortly after surgery of a massive> > anteroseptal MI. Though it was never proved, I'm sure the fatality was> > due to> > injury of the 1st septal while harvesting the autograft. If the lady had> > just had a garden variety mechanical AVR, I'm sure there would be 3 less> > orphans in my
 community.> >> > Hal> >> >> >> > **************It's only a deal if it's where you want to go. Find your> > travel> > deal here.> > (http://information.travel.aol.com/deals?ncid=aoltrv00050000000047)> > _______________________________________________> > 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> > -----------------------------------------> >> > > > -- > Prasanna Simha M> _______________________________________________> 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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