[HSF] Indications for maze with mitral surgery
Mitch Lirtzman
drmitch at cox.net
Sat Mar 8 10:46:41 EST 2008
Prasanna, it seems my messages are as blank as my goofy computer. Got fried
in a thunderstorm the other nite. The diagram I asked for came over the HSF
just after I posted to you the other day. Thanks for you foresight in
anticipating my need for a visual aid.
Mitch
At 11:39 AM 3/7/2008, you wrote:
>Mitch , all your emails are coming as a blank !!
>Prasanna
>
>On Fri, Mar 7, 2008 at 8:58 AM, Mitch Lirtzman <drmitch at cox.net> wrote:
> >
> > 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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