[HSF] TVR with liver failure

[Prasanna Simha M]

As far as transplant is concerned what is a "Bad Cirrhotic " ?

Prasanna

On Mon, Mar 3, 2008 at 7:33 PM, Michael Firstenberg <msfirst at gmail.com> wrote:
> No liver biopsy
>  I just spoke to the Liver Attending - they are not looking to transplant her
>  ("her heart may be too bad") and he thinks she is a bad cirrhotic.
>
>  I will probably turn her down (and she if anyone want to balloon
>  this).......
>
>  anyone on the Forum interested in a case - I can send her to Flordia?  Tea?
>  India?  NYC?
>
>  anyone?
>
>  -michael
>
>
>
>
>  On 3/3/08, zzhoumd at pol.net <zzhoumd at pol.net> wrote:
>  >
>  >
>  > Has the patient had a liver biopsy? I missed the early part.
>  >
>  > Z Zhou
>  >
>  >
>  > Sent via BlackBerry by AT&T
>  >
>  > -----Original Message-----
>  > From: Michael Firstenberg <msfirst at gmail.com>
>  >
>  > Date: Sun, 2 Mar 2008 17:45:03
>  > To:<OpenHeart-L at lists.hsforum.com>
>  > Subject: RE: [HSF] TVR with liver failure
>  >
>  >
>  > Ok stop skirting around the issue
>  >
>  > Would anyone operate?
>  >
>  > Michael Firstenberg <msfirst at gmail.com>
>  >
>  > -----Original Message-----
>  > From: Hgrmd at aol.com
>  > To: OpenHeart-L at lists.hsforum.com
>  > Sent: 3/2/2008 5:28 PM
>  > Subject: Re: [HSF] TVR with liver failure
>  >
>  > Tom,
>  > Your choice of porcine valve for the tricuspid position is likely  the
>  > best
>  > one.  To be honest, I've a very limited experience with tricuspid
>  > replacement, and have probably done less than 10 in my career.  I
>  > have  opted for a
>  > pericardial prosthesis simply because their durability seems better  in
>  > the aortic
>  > and mitral positions.  However, anybody requiring a tricuspid  replacement
>  > is
>  > pretty unlikely to outlive the prosthesis.
>  >
>  > 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