[HSF] RCA osteal lesion-osteal reconstruction

[Ani Anyanwu]

> Chest approach should not compromise the technique. If it is, than conversion should be done.> > Z Zhou
 
 
Z
 
Unfortunately this is easier said than done and in reality surgeons rarely will convert from a mini approach to a sternotomy. What usually results in such cases (where a compromise in technique is forced) is that we do not convert but either struggle, accept inferior result or accept inferior technique. This as i have said previously is well documented in the literature as a higher valve replacement rate in the majority of reports on min-invasive mitral valve surgery. Looking through most series, one will also note that conversions, although talked about, are rare in practice.
 
There is an understandable reluctance to give a patient a second scar or a larger scar.
 
Ani
 
 



> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] RCA osteal lesion-osteal reconstruction> From: zzhoumd at pol.net> Date: Wed, 30 Apr 2008 23:05:38 +0000> CC: > > > Hal, > > Agreed, whether you can do a good job with valve repair has lot to do with your understanding of the valve. > > Chest approach should not compromise the technique. If it is, than conversion should be done.> > Z Zhou> > Sent via BlackBerry by AT&T> > -----Original Message-----> From: Hgrmd at aol.com> > Date: Wed, 30 Apr 2008 07:45:15 > To:OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] RCA osteal lesion-osteal reconstruction> > > "Animal",> Actually, I'm more than OK with your stance. An old cowboy on TV once > said, "a man's got to understand his limitations." In our zeal to advance > surgical frontiers, we must not force those of us not comfortable or ready for the > challenge. For instance, there may be misguided surgeons wishing to create > a robotic mitral practice, who, in reality, have no significant mitral repair > experience done via sternotomy. Certainly, it would be a mistake for such > surgeons to think they will become safe robotic surgeons when they aren't even > comfortable doing complex open repairs.> > Hal> > > > **************Need a new ride? Check out the largest site for U.S. used car > listings at AOL Autos. > (http://autos.aol.com/used?NCID=aolcmp00300000002851)> _______________________________________________> 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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