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

[Michael Firstenberg]

I know of several surgeons in very difficult "markets" who perform mainly
stentless AVR+/-roots and use this as a valuable marketing tool to attract
patients - and it works, for them.  But, my understanding of the literature
is that while you do get a more favorable LV mass regression profile, there
is a higher operative M&M - even in the hands of people who do a lot of
them.  I guess they have to survive their initial operation to get
regression?  Again, is "improved LV mass regression" (considering the tools
used) something that is clinically usefull or like so much of what we do and
talk about - a vehicle for publication.

-michael


On 1/22/08, Hgrmd at aol.com <Hgrmd at aol.com> wrote:
>
> Ani,
> I know of a surgeon in my community who still proudly implants  stentless
> valves in apparently most of his patients needing an AVR.  This  probably
> includes some fairly young people.  Taking out a healthy root to  replace
> the
> aortic valve just doesn't make any sense to me.  In addition,  the
> mortality for
> replacing a failed stentless valve is apparently quite  substantial, in
> contrast
> to the relatively low mortality in replacing a stented  valve.
>
> Hal
>
>
>
> **************Start the year off right.  Easy ways to stay in shape.
> http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
> OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies
> and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>