[HSF] Fwd: Stupid question or not?

[Edward Bender]

Right you are!
Ed Bender, MD


On 9/2/09 4:09 PM, "V. Aldrete, M.D." <valdretemd at shaw.ca> wrote:

> Hi Ed,
> 
> Did you mean "Noli nothi permittere te terere."?
> 
> Victor
> 
> On 2-Sep-09, at 1:32 PM, Edward Bender wrote:
> 
>> Ed:
>> As you know, one of the major causes of afib is mitral valve disease.
>> Repairing the mitral in the absence of afib means a priori that you
>> have
>> interrupted the natural progression by treating the underlying cause,
>> thereby not allowing the natural history of the disease.
>> 
>> I'm sure any of us could come up with a snarky metaphor about this
>> bizarre
>> thought process, but that would only be piling on.
>> 
>> Illigitimi non carborundum
>> Ed Bender, MD
>> 
>> 
>> On 9/2/09 3:09 PM, "Ed Raines" <DukeB60 at aol.com> wrote:
>> 
>>> 
>>> 
>>> 
>>> 
>>> ?? This morning one our cardiologists told me a cardiologic
>>> colleague was
>>> upset because he was doing a TEE on a patient I did a mitral repair
>>> upon and
>>> that the LA appendage wasn't closed.? The repair was fine.? He
>>> assumed I
>>> closed the appendage on all mitrals as a matter of routine.? In
>>> fact, I do not
>>> and oversew the appendage only in those with any history of AF in
>>> whom I do a
>>> Maze but not those without such a history.? He went on to suggest
>>> that we
>>> should be doing a Maze in ALL mitral cases regardless of whether
>>> they have had
>>> of history of AF because of the increased risk of AF in mitral
>>> patients.?
>>> While I think oversewing the appendage in mitral cases with no
>>> history of AF
>>> is perhaps debatable doing a Maze in those patients is
>>> indefensable.? He
>>> suggested this was being done at one of the famous meccas, but I
>>> doubt it very
>>> much.? Thoughts from the Forum?
>>> 
>>> ?
>>> 
>>> Ed
>>> 
>>> 
>>> 
>>> ?
>>> 
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