[HSF] MR and TR

[Tea Acuff]

Thanks. Like i said just wondering.
tea



----- Original Message ----
From: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Friday, May 30, 2008 8:57:45 PM
Subject: Re: [HSF] MR and TR

Tea
I really wish I had good long term or even mid term (>2yr) follow up. We're working on that and as soon as i get it I will let you know.

Tom


-----Original Message-----
From: Tea Acuff <tacuff at swbell.net>
To: OpenHeart-L at lists.hsforum.com
Sent: Fri, 30 May 2008 2:43 pm
Subject: Re: [HSF] MR and TR



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

----- Original Message ----
rom: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
o: OpenHeart-L at lists.hsforum.com
ent: Friday, May 30, 2008 8:27:45 AM
ubject: Re: [HSF] MR and TR
Tea- reasonable is in this case like my mother taught me long ago - "beauty is 
n the eye of the beholder"
Tom

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

Reasonable being exactly what? You see them back in 3 weeks alive?
a
----- Original Message ----
om: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
: OpenHeart-L at lists.hsforum.com
nt: Thursday, May 29, 2008 9:21:16 PM
bject: Re: [HSF] MR and TR
reat pictures- how did you do that?
either needs and operation or hospice. I would put his in hospital mortality 
20% and his major morbidity at 30 to 50% given his age, redo status, chf, and 
less than 40 w severe MR. That would leave him with a 50/50 chance of a 
asonable outcome.
om Martin
f Florida
inesville
----Original Message-----
om: Edward Bender <ebender001 at charter.net>
: OpenHeart-L <OpenHeart-L at hsforum.com>
nt: Thu, 29 May 2008 2:52 pm
bject: [HSF] MR and TR
I was asked to see an 81 year old male recently discharged from another
pital after being medically treated for class 4 CHF and peripheral edema.
ad previous CABG 10 years ago with LIMA to LAD and SVG¹s to OMB and RCA.
grafts patent, and no need for further revascularization.  Echo showed
ere 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
ow.  It does not reveal the severity of the MR, however.  I was asked to
k to him about MV and TV repairs as an outpatient.  Cardiologists reports
CHF is now class 3 on ³max med support.²  Assuming no other medical
blems, and further assuming he is ambulatory, what would you estimate his
nces are? (I hope the movie comes thru).
Bender, MD
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