[HSF] MR and TR

[Tea Acuff]

Reasonable being exactly what? You see them back in 3 weeks alive?
tea



----- Original Message ----
From: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, May 29, 2008 9:21:16 PM
Subject: Re: [HSF] MR and TR

Great pictures- how did you do that?
HE either needs and operation or hospice. I would put his in hospital mortality at 20% and his major morbidity at 30 to 50% given his age, redo status, chf, and EF less than 40 w severe MR. That would leave him with a 50/50 chance of a reasonable outcome.

Tom Martin
U of Florida
Gainesville


-----Original Message-----
From: Edward Bender <ebender001 at charter.net>
To: OpenHeart-L <OpenHeart-L at hsforum.com>
Sent: Thu, 29 May 2008 2:52 pm
Subject: [HSF] MR and TR



I was asked to see an 81 year old male recently discharged from another
ospital after being medically treated for class 4 CHF and peripheral edema.
e had previous CABG 10 years ago with LIMA to LAD and SVG¹s to OMB and RCA.
ll grafts patent, and no need for further revascularization.  Echo showed
evere MR and TR due to annular dilatation on both accounts.  PA systolic =
4, PCWP = 38, CI = 2.5, systemic BP = 170/80.  The ventriculogram is shown
elow.  It does not reveal the severity of the MR, however.  I was asked to
alk to him about MV and TV repairs as an outpatient.  Cardiologists reports
is CHF is now class 3 on ³max med support.²  Assuming no other medical
roblems, and further assuming he is ambulatory, what would you estimate his
hances are? (I hope the movie comes thru).
Ed Bender, MD



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