[HSF] Re: Image of the week - Failed repair

[Tea Acuff]

Clearly this shows it is (nearly) impossible. Of course by this criterion anything new in the future is also (nearly) impossible.


tea


----- Original Message ----
From: "hgrmd at aol.com" <hgrmd at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, March 5, 2008 8:50:50 AM
Subject: Re: [HSF] Re: Image of the week - Failed repair


I've never seen a large series in a reputable journal showing performance of the cured pericardial strip that is comparable to a ring.



Hal


-----Original Message-----
From: Prasanna Simha M <prasannasimha at gmail.com>
To: OpenHeart-L <OpenHeart-L at hsforum.com>
Sent: Wed, 5 Mar 2008 9:39 am
Subject: [HSF] Re: Image of the week - Failed repair




Oops forgot attachment.
Anything else that could be gleaned from the pictures ?
Prasanna
On Wed, Mar 5, 2008 at 8:08 PM, Prasanna Simha M
<prasannasimha at gmail.com> wrote:
> 14 Year old girl (currently) operated 2 years back for a repair with
>  eMaze with good result. 1 1/2 years later Had a bout of rheumatic
>  fever with progressive MR. I had to go in again in view of increasing
>  MR. We discussed with the parents who opted for a mechanical MVR this
>  time.In sinus rhythm
>  Findings  Bilateral combined chordoplasty was intact with AML level at
>  expected height. The trenchless chordoplasty site was well preserved
>  and the chords of the AMl and leaflet were well preserved. There was a
>  tear of the glutaraldehyde treated pericardium which had given rise to
>  annular dilatation with that being the mechanism for  failure of the
>  repair. It would have been probably good for a ring placement but the
>  discussion preop was ultimately for a replacement even if rerepairable
>  so I replaced the valve.
>  Femorals cannulated (but I did not go on bypass but did open the
>  sternum as the sternum appeared easy to open. Minimal dissection and
>  entered both pleurae. Dissected enough aorta for cardioplegia and
>  cross clamping.SVC cannulated through intact pleura . RA opened
>  without taping (vacuum assist) and trans interatrial MVR. Total blood
>  loss post op 110 ml.
>  Lessons learnt ?
>  Pericardium can dehisce. Does rheumatic fever and inflammation have
>  been contributary  since Echoes done till 1 1/2 years after surgery (I
>  get echoes every 6 months for all cases) were good.
>
>  --
>  Prasanna Simha M
>



-- 
Prasanna Simha M



_______________________________________________
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
-----------------------------------------



[Image Removed] 

_______________________________________________
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
-----------------------------------------