[HSF] AORTIC VALVE REPLACEMENT

[Ani Anyanwu]

Dr Raines
 
Do you use the same semicontinuous technique for mitral and tricuspids? If not what is the basis for choice of different techniques in those valves?
 
Thanks
 
Ani
 



> From: DukeB60 at aol.com> Date: Thu, 20 Mar 2008 00:00:51 -0400> Subject: Re: [HSF] AORTIC VALVE REPLACEMENT> To: OpenHeart-L at lists.hsforum.com> CC: > > Gustavo, > I have replaced the aortic valve for the last 17 years with three 3-0 > prolene sutures with the technique I learned from Donald Doty and still do it > exactly as shown in his surgical atlas. The argument against is the fear of > perivalvular leak but I have not seen that issue if you are careful to take > good bites and are diligent in debriding the annulus and in snugging the > sutures down before tying them. It is quicker, allows the use of the suture for > retraction to gain visibility of the annulus and I like only having to tie > three knots. The only time I don't use the technique (maybe once or twice) is > if the annulus is very calcified and can't be debrided adequately and I fear > the calcium cutting the prolene. You have to be careful not to ever grasp or > fracture the prolene but with the right technique I have found it to be a > very reliable approach. > > > > Ed> > Edward P. Raines, M.D., J.D.> BryanLGH Cardiothoracic Surgery> BryanLGH Medical Center East > 1600 South 48th Str.> Lincoln, Nebraska 68506> Office: 402-481-8430> Cell: 402-730-9242> Fax: 402-481-8429> > > > In a message dated 3/19/2008 8:14:48 P.M. Central Daylight Time, > gabuin at intramed.net writes:> > Dears members of the forum.> I ussually perform my aortic valve replacement using 2-0 not pledgetted > sutures of Ethibond.> Sometimes (large annullus) I use pledgetted sutures.> What´s your preffered technique?> Why?> > Does any of the members of the forum replace the aortic valve with prolene > in with 6 2-0 prolene sutures?> If so, why?> Thanks> gustavo> > _______________________________________________> 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> -----------------------------------------> > > > > > **************Create a Home Theater Like the Pros. Watch the video on AOL > Home. > (http://home.aol.com/diy/home-improvement-eric-stromer?video=15?ncid=aolhom00030000000001)> _______________________________________________> 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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