[HSF] tricuspid noncoaptation

Nasser F. Abou'Seada nfaabouseada at gmail.com
Thu Feb 14 13:59:46 EST 2008


"direct visualization + finger  data and preop TTE  may parallel that of
TEE."

Dear erdinc
what was your assessment of your "finger data" of the tricuspid valve at
first procedure .. ?? ... would you describe that please ?


"My approach to mitral valve is mostly trans-septal unless I am in hurry to
cut the Xclamp short"

why would the trans-septal approach tak more Cross clamp time? ... whether
DeBost or SSI ??


"And the idea of prevention in TR isn't  well taken by the social security
system and cardiology circles here and at the time being."

I am not sure I do get it ... please fogive my ignorance .... does the
cardiologist's "circles" have other concepts that the "surgical circles" are
not aware off ?? ... these are fairly old concepts ..!! ... are we to be
dictated as to what to do in surgery according to what the cardiologist says
??
Social Insurance does not have to pay for an extra annuloplasty ...
Prasanna'a idea is costless ....... not to mention a classic teflonized
DeVega .... !! ... surely the safety of a "practice" is not compromised
cause of un-founded "cardiology circles' " concepts ...!! ... the only
obstacle is FUNDING ... and that can be modulated ... never compromised ..!!

NFA




On Thu, Feb 14, 2008 at 12:51 PM, erdinç naseri <enaseri at hotmail.com.tr>
wrote:

>
> Dear Dr.Frater,
> I don't have TEE in the op room , whenever needed I ask the cardiology
> fellows to bring their own TEE probe.So direct visualization + finger
>  data and preop TTE  may parallel that of TEE.My approach to mitral valve
> is mostly trans-septal unless I am in hurry to cut the Xclamp short .And the
> idea of prevention in TR isn't  well taken by the social security system and
> cardiology circles here and at the time being.
> erdinc
>
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