[HSF] Aortic cusp repair in root reimplantation for AAE

[Tea Acuff]

I doubt it. i have noticed (per the Word program)  that the reading level of my comments is now between the 6th and 8th grade. I should be coming into focus at any time.
but thanks,
tea



________________________________
From: Giuseppe Rescigno <grescigno at mac.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, August 5, 2009 3:38:32 PM
Subject: Re: [HSF] Aortic cusp repair in root reimplantation for AAE

Alleluiah, alleluiah, I finally understand a comment by Dr T Acuff! (is my english knowledge improving?)

G






On Wednesday, 05 August, 2009, at 07:41PM, "Tea Acuff" <tacuff at swbell.net> wrote:
>
>Fair enough. I often feel like I am having a conversation with myself  
>on HSF. My name mostly appears the the posts of others in the third  
>person.
>
>Simply put we both recognize ourselves and are recognized as heart  
>surgeons. We both, more or less, operate on people with the same  
>diagnosis or DRG. But when we look at the details of what we actually  
>do, not what we generally say and talk about what we do, we are from  
>different worlds.
>
>If that and my other descriptons of my views fail to make sense to you  
>try my opinion: I have the highest regard for what you are able to  
>accomplish as a surgeon. If you are not able to publish your  
>experinces in "our" primary journals or present at our meetings, it is  
>both our great loss and to our great discredit. Iran has some things  
>right.
>
>Tea
>Sent from my iPhone
>
>On Aug 5, 2009, at 10:09 AM, Prasanna Simha M  
><prasannasimha at gmail.com> wrote:
>
>> Honestly Tea I did not understand a thing so I don't know how to  
>> reply.
>> Prasanna
>>
>> On Wed, Aug 5, 2009 at 6:29 PM, Tea Acuff <tacuff at swbell.net> wrote:
>>
>>>
>>> Prasanna,
>>> I have been thinking about populations, distributions, and the  
>>> philosophic
>>> views that we carry individually to give context to these contextual
>>> categories. When I see past all the verbiage that we employ, to  
>>> that which
>>> you actually do, I am amazed how we can be compared. If we were to  
>>> compare
>>> CVs or compellations of our work, we would see some variations or
>>> distribution of the same "family", heart surgeons. However, I see
>>> "mispoche", a mish mash of relics somewhat arbitrarily categorized  
>>> under a
>>> single quintiessential characteristic. Family and mispoche may mean  
>>> the
>>> same, but their implications and effects are in different worlds.
>>> Wow!
>>> Tea
>>> Sent from my iPhone
>>>
>>> On Aug 5, 2009, at 6:29 AM, Prasanna Simha M  
>>> <prasannasimha at gmail.com>
>>> wrote:
>>>
>>> One of the papers that I presented in Iran  was congenital AR, From  
>>> Sept
>>> 1997 I have repaired 128 valves with congenital AR and had to  
>>> replace and
>>> additional 6 which I could not repair. You ned to take a functional
>>> approach
>>> using 3 levels - ventriculoaortic ,ST jucntion and sinus to factor  
>>> in the
>>> repair. One important thing is that just because you repaired one  
>>> leaflet
>>> you cannot asume the other leaflet doesnt require correction  
>>> because when
>>> you do the VS and ST junction corrections very often the other  
>>> leaflet (so
>>> called "Norma" will prolapse and that needs correction too.one  
>>> problem in
>>> children that you have to factor in also is growth potential when  
>>> doing
>>> such
>>> repairs.
>>> In the panel on the right yoiu see an obvioulsy badly distorted  
>>> cusp in a
>>> child with severe AR. You can see the final repair that has been  
>>> done and
>>> which needed a pretty lot of work. The lower one is another case  
>>> which also
>>> required multiple maneuvers and corrections to achieve a good result.
>>> One small tip - the regurgitant jet always is directed away from the
>>> prolapsing cusp
>>> Prasanna
>>>
>>> On Wed, Aug 5, 2009 at 10:56 AM, Tohru Asai
>>> <toruasai at belle.shiga-med.ac.jp>wrote:
>>>
>>> Thanks Prassana
>>> I directly went to PubMed to read articles by Gebrain El Khoury.
>>> These are something!
>>> Tohru
>>> Tohru Asai
>>> Otsu, Japan
>>>
>>>
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>>>
>>> --
>>> Prasanna Simha M
>>> <CONGENITAL AR RAZAVI.jpg>
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>>
>>
>>
>> -- 
>> Prasanna Simha M
>> _______________________________________________
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