[HSF] TVR with liver failure

[zzhoumd at pol.net]

Michael, 

A liver biopsy may be helpful to determine the underline liver problem. If there are a lot of necrosis and fibrosis, then risk is very high.

I thought they usually do a liver biopsy before transplant.

Z Zhou



Sent via BlackBerry by AT&T

-----Original Message-----
From: "Michael Firstenberg" <msfirst at gmail.com>

Date: Mon, 3 Mar 2008 09:03:01 
To:OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] TVR with liver failure


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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