[HSF] endocarditis

[gustavo abuin]

may be Hal, I will try.
I will post the result next friday.
gustavo
----- Original Message ----- 
From: <Hgrmd at aol.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Sunday, March 09, 2008 10:56 PM
Subject: Re: [HSF] endocarditis


> Gustavo,
>  The problem is your patient probably has too extensive an  infection to
> survive surgery.  The last time I did a similar case was last  summer.  I 
> had to
> do a radical debridement of the aortic root, ventricular  septum, anterior
> leaflet tricuspid valve.  I placed a bovine patch for the  VSD, repaired 
> the
> mitral, placed an aortic root homograft, and did a tricuspid  valve 
> replacement.
> The clamp time was 4 hr, 15 min, but he came off CPB  easily without a
> balloon. He made a complete recovery.  However, he  started out with a 
> normal EF.
> Yours is 18%. Does he have a  drug-induced cardiomyopathy?  I suspect your
> patient will need an operation  similar to the one I described.  I hate to 
> say it,
> but I'm afraid your  patient is probably cooked.
>
> Hal
>
>
>
> **************It's Tax Time! Get tips, forms, and advice on AOL Money &
> Finance.      (http://money.aol.com/tax?NCID=aolprf00030000000001)
> _______________________________________________
> 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
> -----------------------------------------
>
>
> -- 
> No virus found in this incoming message.
> Checked by AVG.
> Version: 7.5.518 / Virus Database: 269.21.7/1319 - Release Date: 3/8/2008 
> 10:14 AM
>
>