[HSF] Rt thoracotomy MVR

[Ani Anyanwu]

> I have a young lady who underwent pectus repair many years ago. She now> needs mitral replacement for severe MR. I am planning to do it through a> right thoracotomy.
 
Nand
 
Why exactly do you want to do this through a right thoracotomy? Certainly there is no indication for a thoracotomy per se as the procedure will be easily accomplished via sternotomy. If thoracotomy is not your usual approach for mitral surgery, and if it is not the patient requesting a thoracotomy, then may be best to stick to the approach you are used to in such an unusual case.
 
Does the patient certainly need a replacement (and why?) - would a sternotomy improve her chances of repair or is valve certainly irreparable?
 
ANi
 



> Date: Mon, 10 Mar 2008 20:47:10 +1300> From: nkkejriwal at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Rt thoracotomy MVR> CC: > > Hi> > I have a young lady who underwent pectus repair many years ago. She now> needs mitral replacement for severe MR. I am planning to do it through a> right thoracotomy. I have not done many of these. The last I did was a> gentleman with mitral prosthesis endocarditis last year. In that case, I did> not release too many adhesions and did it under fibrillatory arrest.> > In this lady I am hoping to cross clamp the aorta. I know some of you have a> large experience with MVR through Rt thoracotomy. Any tips?> > Nand> _______________________________________________> 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> -----------------------------------------
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