[HSF] Indications for maze with mitral surgery

[Mitch Lirtzman]

Prasanna, you are such a good artist, (physician/ surgeon/ computer jock), 
would you mind?At 03:17 AM 3/2/2008, you wrote:
>The right atrial lesions are
>One from the SVC to IVC.
>Two from the previous lesion crossing the crista to the atrial incision.
>Three from the IVC  via the tricuspid isthmus to the tricuspid valve.
>Four Burn the mouth of the coronary sinus with the burn going in the
>mouth at the triangle of Koch
>Five Join the SVC_IVC lesion to the CS and then to the TV isthmic burn
>Six - from SVC to above the anteroseptal commissure of the tricuspid valve
>Seventh -  is to go from the RA incision over the RA appendage on to
>the dome of the LA keeping a 3mm gap over the SA nodal artery. I have
>omitted this when I have taken lesion 6 at times in redos with no
>difference in conversion rates so I think lesion 7 may be omitted.
>
>Prasanna
>
>On Sun, Mar 2, 2008 at 1:33 PM, nand kejriwal <nkkejriwal at gmail.com> wrote:
> > Prasanna
> >
> >  What lesions do you create in the right atrium? Do you do just the CS 
> mouth
> >  lesion or the full set including the one from SVC to IVC and another 
> towards
> >  the TV, in all your cases.
> >
> >  Nand
> >
> >
> >
> >  On 3/2/08, Prasanna Simha M <prasannasimha at gmail.com> wrote:
> >  >
> >  > I ablate the mitral Isthmus and I burn the coronary sinus mouth from
> >  > the RA as a part of the biatrial set and believe that both are very
> >  > important. When I did the comparative study the "epicardial right +
> >  > endocardial left" was designed with elimination of the CS mouth lesion
> >  > and the superior RA to TV lesion being omitted.The isthmic burn was
> >  > attemopted in that set by burning externally from IVC to TV. The left
> >  > atrial set included the mitral isthmic lesion.
> >  > Lesser mazes did give a lower conversion rate.
> >  >
> >  > One of my friends from PGI Chandigarh gave eMAZE as the topic for the
> >  > thesis of his postgraduate student and his findings also confirmed
> >  > that an abbreviated set of lesions has a lower conversion rate.
> >  >
> >  >
> >  > On Sun, Mar 2, 2008 at 3:56 AM,  <Hgrmd at aol.com> wrote:
> >  > > Prasanna,
> >  > >   Do you ablate the mitral isthmus and the coronary sinus with
> >  > the  cautery?
> >  > >
> >  > >  Hal
> >  > >
> >  > >
> >  > >
> >  > >  **************Ideas to please picky eaters. Watch video on AOL 
> Living.
> >  > >  (
> >  > 
> http://living.aol.com/video/how-to-please-your-picky-eater/rachel-campos-duffy/
> >  > >  2050827?NCID=aolcmp00300000002598)
> >  > >
> >  > >
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> >  >
> >  >
> >  >
> >  >
> >  > --
> >  >
> >  > Prasanna Simha M
> >  >
> >  > _______________________________________________
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>
>--
>Prasanna Simha M
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