New [HSF] Case

[Prasanna Simha M]

I did a child with VSD AR who had severe AR some time back. The annulus
was18 mm and there was sinotubular dilatation. In that case I repaired
prolapsed leaflets, fixed his ventriculoaortic junction and d the STjunction
and resuspended his cusps. He is doing well. He was also 2 years when I did
the surgery and is growing well.No gradients . He was very sick before
surgery and has a trememdous growth spurt (he is now 6 years old).I think it
is worth fixing these annuli to small adult sizes especially looking at the
parents  bodily habitus/size.
Prasanna

On Fri, Oct 3, 2008 at 10:57 PM, Prasanna Simha M
<prasannasimha at gmail.com>wrote:

> I think it is worth sleeving the Florida way.(Tom Martin's technique)
> Would fix the AR and prevent further dilatation. 18 mm would very like last
> till adulthood or at least allow reaching adulthood.
>
>
> On Fri, Oct 3, 2008 at 10:42 PM, <ichfno at aol.com> wrote:
>
>> 18mm, 1+ only at this time.
>>
>> -----Original Message-----
>> From: Prasanna Simha M <prasannasimha at gmail.com>
>> Sent: October 03, 2008 6:26 PM
>> To: OpenHeart-L at lists.hsforum.com
>> Subject: Re: New [HSF] Case
>>
>> Aortic root dimensions with the AI ?
>> Prasanna
>>
>> On Fri, Oct 3, 2008 at 8:50 PM, <ichfno at aol.com> wrote:
>>
>> > What to do in 2 y.o., Marfan's with 3+ MR, 3+ TR, 1+ AI and PI?
>> >
>> > WNovick
>> >
>> > -----Original Message-----
>> > From: Michael Firstenberg <msfirst at gmail.com>
>> > Sent: October 03, 2008 5:41 PM
>> > To: OpenHeart-L at lists.hsforum.com
>> > Subject: Re: [HSF] Case
>> >
>> > my take on these types of patients is that the MR, if the valve and
>> annulus
>> > are normal, is a functon of the AS and gets better over time.  Based
>> upon
>> > the info provided, I would do an AVR and a PVI - but I am sure others
>> would
>> > be much more aggressive.......... also depends on the eye-ball test.
>> >
>> >
>> > -michael
>> >
>> > On Fri, Oct 3, 2008 at 10:04 AM, <DukeB60 at aol.com> wrote:
>> >
>> > > 75 yo. female, normal LV, severe AS with  80mmHg. peak gradient, AVA
>> > > 0.6cm2,
>> > > normal CA's, chronic persistent AF, moderate  MR.  Referred for AVR.
>> >  Would
>> > > members of the Forum also do a Maze  and if so what lesion set.  Would
>> > > members
>> > > also perform a mitral  repair.  Annulus not heavily calcified, no
>> leaflet
>> > > prolapse, annular  dilation.   LA not dilated.
>> > >
>> > >
>> > >
>> > >
>> > >
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>>
>> --
>> Prasanna Simha M
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>
>
>
> --
> Prasanna Simha M
>



-- 
Prasanna Simha M