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	<title>Comments on: Do You Have A Diagram Of The Cardiac Conduction System?</title>
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	<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2007/08/23/diagram-of-cardiac-conduction-system/</link>
	<description>Former Patient And Author, Adam Pick, Blogs About Heart Valve Replacement And Heart Valve Repair</description>
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		<title>By: LAurie Collins</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2007/08/23/diagram-of-cardiac-conduction-system/comment-page-1/#comment-8928</link>
		<dc:creator>LAurie Collins</dc:creator>
		<pubDate>Mon, 23 Mar 2009 20:00:15 +0000</pubDate>
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		<description>Dear Adam,
      I just completed your book. I had minimally invasive surgery back in 2006 to replace my aortic valve.They placed a 19mm Mechanical valve in at that time.(  I now read literature that states that 19mm valves should only be placed in people that are tiny and live a sedentary lifestyle.) Now think I made a huge mistake in selecting the minimally invasive approach because I am only 50 and my lifestyle is anything but sedentary!
  I have now switched surgeons so that I have access to input from Dr.Starnes. They will be going in to do a root enlargement and to remove the obstruction that has developed in the LVOT since  the first surgery.
 I would like to hear about redo surgeries from your readers.I would like to specifically hear from anyone who has had a mechanical valve removed.
  I am also thinking of using a porcine valve this time to make  any subsequent redo less complicated. ( Unbelievably, my surgeon just went in to do a 7th redo on a patient!)
            Would it be possible to post my question so that I can learn from your readers?
                     Laurie Collins</description>
		<content:encoded><![CDATA[<p>Dear Adam,<br />
      I just completed your book. I had minimally invasive surgery back in 2006 to replace my aortic valve.They placed a 19mm Mechanical valve in at that time.(  I now read literature that states that 19mm valves should only be placed in people that are tiny and live a sedentary lifestyle.) Now think I made a huge mistake in selecting the minimally invasive approach because I am only 50 and my lifestyle is anything but sedentary!<br />
  I have now switched surgeons so that I have access to input from Dr.Starnes. They will be going in to do a root enlargement and to remove the obstruction that has developed in the LVOT since  the first surgery.<br />
 I would like to hear about redo surgeries from your readers.I would like to specifically hear from anyone who has had a mechanical valve removed.<br />
  I am also thinking of using a porcine valve this time to make  any subsequent redo less complicated. ( Unbelievably, my surgeon just went in to do a 7th redo on a patient!)<br />
            Would it be possible to post my question so that I can learn from your readers?<br />
                     Laurie Collins</p>
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