[HSF] Access to AV groove area post bypass Bioprosthesis choice

[Prasanna Simha M]

Also unfortunately fashions come and go and also history has a nagging habit
of repeating itself !!!
A few years back I did a loco regional wall motion study of patients who
received and did not receive total versus partial leaflet preservation and
this was presented in our national conference by one of out students . We
noted a striking difference in locoregional contractiltiy  with total
chordal preservation . I am not sure I will be completely convinced by "one"
study. We saw a dramatic increase in survival when we were using inferior
cardioplegia (as I mentioned previously and that was when I was a student )
and may be other things have compensated for this difference over time but
dismissing chordal preservation as useless based on one observer may be
premature and sends out the wrong message.
Incidentally the basic work on mitro-annular continuity was based on the
work of Cobb et al and so it is also called as "Cobb's cycle"
Ani, based on that one study would you stop preserving the chordal
apparatus?

Prasanna

On Jan 21, 2008 7:04 AM, <Hgrmd at aol.com> wrote:

> Dear Ani,
>  I can't wait to read that paper!  Unfortunately, a lot of what  we've
> been
> taught as gospel has ultimately turned out not to be so true.
>
> Hal
>
>
>
> **************Start the year off right.  Easy ways to stay in shape.
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-- 
Prasanna Simha M