AW: AW: [HSF] tricuspid noncoaptation-Cosgrove and the pericardial annuloplasties.

[Nasser F. Abou'Seada]

Happens everywhere I guess ..

NFA

On Fri, Feb 15, 2008 at 9:19 AM, Ani Anyanwu <anianyanwu at hotmail.com> wrote:

> Roberto
>
> These are published in the CCF series on both mitral (McGee first au) and
> tricuspid (mc carthy first au). Both show higher level of recurrence of
> regurgitation/reoperation in patients treated with pericardium and suture
> repair compared to a cosgrove or carpentier annuloplasty.
>
> Also your recollection of this history is a reminder that we must be
> selective in believing things we hear from the experts and authorities in
> our field. Of course the Cleveland Clinic group were probably lecturing on
> the excellence of their preferred technique of pericardial annuloplasty in
> the late 1980s - how could they dare admit otherwise that any other
> technique might be better. Mind you Carpentier had been putting in rings for
> almost 2 decades by then and I bet the Cleveland group would have rubbished
> the ring method and taught that the pericardium strips were superior.
>
> Then few years later, Cosgrove/Edwards had a ring to sell then all of a
> sudden pericardium became no good. Indeed McGee's paper illustrates this
> very well: As of 1991, the pericardium repair was the most frequently used
> technique for ischemic repair (60%) in cleveland with Carpentier rings 40%.
> By 1995 the pericardium dropped to 20% and guess what was the predominant
> method? The Cosgrove ring at 60%. By 2000, the Cosgrove rings accounted for
> 90% of all ischemic repairs. Of course when the next ring comes out it will
> be all change again. This was before the days of conflict of interest...
>
> Ani
>
>
>
>
>
> > From: battr at medizin.uni-leipzig.de> To: OpenHeart-L at lists.hsforum.com>
> Subject: AW: AW: [HSF] tricuspid noncoaptation-Cosgrove and the pericardial
> annuloplasties.> Date: Fri, 15 Feb 2008 08:36:18 +0100> CC: > > Hal,> > Do
> you remember that Cosgrove began performing mitral reconstructions with>
> pericardium in Glutaraldehid?. He had good results first, and then made his>
> own ring. Does someone know the late follow p of these cases?> That is the
> reason -by extrapolation- why I continue thinking that> pericardial ring is
> better than De Vega.> Roberto> > -----Ursprüngliche Nachricht-----> Von:
> openheart-l-bounces at lists.hsforum.com> [mailto:
> openheart-l-bounces at lists.hsforum.com] Im Auftrag von Hgrmd at aol.com>
> Gesendet: Freitag, 15. Februar 2008 00:35> An:
> OpenHeart-L at lists.hsforum.com> Betreff: Re: AW: [HSF] tricuspid
> noncoaptation> > Roberto,> Thanks for the posting. I've never done a single
> DeVega in my career. > However, in places the rigid rings aren't available,
> I suppose it's better> than > nothing.> > Hal> > > > **************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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