[HSF] previous MVR and severe TR

[Nasser F. Abou'Seada]

"Parenthetically, I just got consulted on an old lady with previous MVR who
has severe TR and intractable right heart failure."
Dear Hal ...
Awaiting your analysis ...

NFA

On Thu, Feb 14, 2008 at 1:02 PM, <hgrmd at aol.com> wrote:

> Thanks, Bob.  It means a lot coming from you.
> Parenthetically, I just got consulted on an old lady with previous MVR who
> has severe TR and intractable right heart failure.
>
> Hal
> Hal
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: rwmfglycar at aol.com
>
> Date: Thu, 14 Feb 2008 11:42:57
> To:OpenHeart-L at lists.hsforum.com
>  Subject: Re: [HSF] tricuspid noncoaptation
>
>
> Dead right Hal. Since I tend to read my mail top down instead of bottom up
> you will see a respons from me that would have been unnecessary if I had
> read your piece first
> Bob
>
>
> -----Original Message-----
> From: Hgrmd at aol.com
> To: OpenHeart-L at lists.hsforum.com
> Sent: Thu, 14 Feb 2008 7:19 am
> Subject: Re: [HSF] tricuspid noncoaptation
>
>
>
> Bob,
>  The fact that the patient at Erdinc's original operation only needed  a
> mitral ring indicates that the original problem is cardiomyopathy.  In my
> experience with those hearts, the need for concomitant tricuspid repair is
> much
>
> higher than for the degenerative mitral cases.  Why should only the LV and
>  the
> mitral annulus dilate in a sick heart?  The reality is the right side
>  usually
> does the same thing.  I suspect if a TEE of the original case of  Erdinc's
> exists, the tricuspid annulus would be dilated.
>
> Hal
>
>
>
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