[HSF] Sorry ! Correction!: Giulio in Berlin

[Giulio Rizzoli]

At 07.45 03/07/2009, you wrote:

>Giulio,
>
>Â  I was told by a very prominent German surgeon 
>that Hertzer's operation isn't durable,and he 
>had reoperated a number of them. Fast isn't always best.
>
>Hal


There was another interesting report 
of  Hetzer  "Succesful correction of aortic valve 
incompetence and ascending aortic aneurysm by 
relocating aortic valve plane through short aortic graft replacement " C77.
He says that the cranial relocation of the plane 
of the aortic annulus  takes care of grade 3-4 aortic incompetence.
This is a very provocative observation !
Our center has presented a poster (P 127) on the 
techniques to replace the aorta and the non 
coronary sinus by reshaping the prosthesis to form a non coronary sinus.
Altough been in the poster I do not use this 
technique because, as Hetzer, I think that 
displacing  cranially the non coronary annulus 
reconstitutes the correct simmetry of the annulus 
displaced by the aneurismal dilatation. But i 
don't have data on the effect of this on aortic 
incompetence. (we would have replaced most valves with 3-4 incompetence).
Someone has experience or data to comment.
                                                                        Giulio

ps. Hal I woul'd like to know your family name.


Giulio Rizzoli MD FETCS
Cardiochirurgia Padova
tel. 049 821-2408
fax 049 821-2409
e-mail giulio.rizzoli at unipd.it

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