[HSF] Small Aortic Annulus and Root

[Nasser F. Abou'Seada]

Good Observation ... Good Concept ...

NFA

On Feb 11, 2008 9:18 PM, Ani Anyanwu <anianyanwu at hotmail.com> wrote:

> >What is surprising is not that we see this problem, but that we don't see
> it more often. > > tea> Maybe the problem does not exist.
>
> Ani
>
>
>
> > Date: Mon, 11 Feb 2008 18:51:32 -0800> From: tacuff at swbell.net> Subject:
> Re: [HSF] Small Aortic Annulus and Root> To: OpenHeart-L at lists.hsforum.com>
> CC: > > One of the problems with this thread, other than loose terminology
> moving from annulus to root to subaortic stenosis, is represented by the
> direction that valve technology specically mechanical has moved in the past
> decade. Just as we still are largely arguing about annular solutions for
> ventricular induced mitral problems, we are arguing about annular solutions
> for small outflow tracts. While sometimes this may be limited only to the
> annulus or more likely true valvular stenosis, many times this includes
> small LVOT below the annulus. This does necessarily mean discrete pediatric
> type subannular rings. I will bet that many of the small annular patients as
> in this case also have a related small LVOT to some extent. Much of the the
> efforts by industry has been to reduce the bulk of the intraannular portion
> of the valve. (This includes stentless solutions.) This has limited margins
> so valves are now mostly designed for supraannular implantation avoiding a>
> "surgical" solution for the problem of the small annulus which is part of
> the LVOT. This LVOT stenosis is presumbly now solved by an industrial
> solution. How many of you look through your completed supravalular implant
> and see a smaller out flow tract underneath? This must be a nearly informly
> universal finding for all supra annular implants that are sized to the max.
> What is surprising is not that we see this problem, but that we don't see it
> more often. > None of this means I am against industry. Quite the contrary.
> It does require critical thought about the nature of the solution, however.>
> > tea> > > > ----- Original Message ----> From: "ICHFNO at aol.com" <
> ICHFNO at aol.com>> To: OpenHeart-L at lists.hsforum.com> Sent: Monday, February
> 11, 2008 5:58:24 PM> Subject: Re: [HSF] Small Aortic Annulus and Root> >
> SAS=Subaortic stenosis, which translates to subannular.> > WNovick> > > >
> **************The year's hottest artists on the red carpet at the Grammy >
> Awards. Go to AOL Music. > (
> http://music.aol.com/grammys?NCID=aolcmp00300000002565)>
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