[HSF] MR and TR

[Tea Acuff]

I just wondered it you had more specific data than my "looks okay in followup clinic at three weeks". If not i will take it as your mom said...face value.
tea



----- Original Message ----
From: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Friday, May 30, 2008 8:27:45 AM
Subject: Re: [HSF] MR and TR

Tea- reasonable is in this case like my mother taught me long ago - "beauty is in the eye of the beholder"

Tom


-----Original Message-----
From: Tea Acuff <tacuff at swbell.net>
To: OpenHeart-L at lists.hsforum.com
Sent: Thu, 29 May 2008 10:37 pm
Subject: Re: [HSF] MR and TR



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

----- Original Message ----
rom: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
o: OpenHeart-L at lists.hsforum.com
ent: Thursday, May 29, 2008 9:21:16 PM
ubject: Re: [HSF] MR and TR
Great pictures- how did you do that?
E either needs and operation or hospice. I would put his in hospital mortality 
t 20% and his major morbidity at 30 to 50% given his age, redo status, chf, and 
F less than 40 w severe MR. That would leave him with a 50/50 chance of a 
easonable outcome.
Tom Martin
of Florida
ainesville

----Original Message-----
rom: Edward Bender <ebender001 at charter.net>
o: OpenHeart-L <OpenHeart-L at hsforum.com>
ent: Thu, 29 May 2008 2:52 pm
ubject: [HSF] MR and TR

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

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