[HSF] Indications for maze with mitral surgery

[Mitch Lirtzman]

Drawing a diagram, of course!At 07:35 PM 3/2/2008, you wrote:
>On Mon, Mar 3, 2008 at 7:00 AM, Mitch Lirtzman <drmitch at cox.net> wrote:
> > Prasanna, you are such a good artist, (physician/ surgeon/ computer jock),
> > would you mind?
>Would I mind doing what ? The message has got truncated.
>Prasanna
>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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>
>--
>Prasanna Simha M
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