[HSF] Rt thoracotomy MVR

[Ani Anyanwu]

Hal
 
This is most certainly fact. I am out of the country right now and have only limited internet access so am not able to get you exact references. However if you do a pubmed search on either of those authors and also search on Colvin, Cosgrove and Cohn (mini mitral via via non=endoscopic approach) you will get the exact figures and find replacement rates between 7 and 15 %. Indeed in Vanermans's initial series his replacement rate was 30%. There is no doubt that the limited access and tactile control limits what can be done via any mini-incision. Indeed I heard Chitwood give a lecture just this week and he still does the odd replacement via thoracotomy. It depends on what one's priorities are - if it is to use a side or mini incision for all cases then there will be some avoidable replacements. If it is to repair all cases then (as you will testify) the surgeon will agree that in some cases a sternotomy may be the preferable option. 
 
Obviously these data are historical as they include initial experience, and having overcome the learning curve these gurus can likely repair almost everything via mini access but the same definitely does not apply to the occasional 'side surgeon'.
 
Ani



> From: Hgrmd at aol.com> Date: Wed, 12 Mar 2008 06:19:16 -0400> Subject: Re: [HSF] Rt thoracotomy MVR> To: OpenHeart-L at lists.hsforum.com> CC: > > Dear Ani,> That's a pretty provocative statement you made about Vanermen, Chitwood, > and Mohr. Not that I'm doubting you, but could you please provide references > demonstrating what you stated? I realize your boss advertises a nearly > "100%" repair rate on his website. He is also quite vocal in his opposition to > any approach other than full sternotomy. The problem is the public doesn't > want a full sternal split for the average mitral repair.> > 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> -----------------------------------------
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