[HSF] Redo OPCAB

[Nasser F. Abou'Seada]

Excellent motto Prasanna .... excellent argument

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of prasannasimha
> Sent: Monday, December 11, 2006 8:40 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Redo OPCAB
> 
> That is the agreement - physiologically minimal and not just
> anatomically minimal - that used to be a debate question for our MCh
> papers in the 90's
> Prasanna
> 
> Salerno, Tomas wrote:
> > In the beginning of minimally invasive CABG, Calafiore and I met over a
beer in Rio
> de Janeiro Brazil, and discussed what should minimally invasive mean for
CABG. We
> came to the conclusion that it was "avoidance of the heart lung machine"
and that the
> size of the incision was a lesser factor.
> >
> >
> >
> > Tomas
> >
> >
> >
> >
> >
> > This all flows from the logical consequences of MIDCAB, which we did
before we
> thought about what it meant to do "minimally invasive" surgery.  Three
general
> directions of thought: no pump, anaortic (which is Australian for "don't
touch the
> stinkin' aorta") , and no sternotomy. If Hani (S.) wants this one, it
falls under the 3rd
> category of which I prefer to think of as moving from one incision with
multiple
> options to multiple incisions with one option.
> > Tea
> > PS For those that think that CABG is a vegetable, MIDCAB is a size of
taxi.
> >
> >
> > ----- Original Message ----
> > From: Nasser F. Abou'Seada <nfaabouseada at gmail.com>
> > To: OpenHeart-L at lists.hsforum.com
> > Sent: Saturday, December 9, 2006 6:17:32 AM
> > Subject: RE: [HSF] Redo OPCAB
> >
> >
> > Just coming from a meeting in Damascus where we were "lectured" on a new
> > procedure fro redo-opcab  -Shennib procedure- ... it is called
"Sequential
> > subxiphoid and thoracotomy incisions with Graft pull through for
redo-off
> > pump CABG"
> > 27-29 cases were presented.
> > the technique is essentially a targeted aimed one, at specific loci of
> > specific vessels to revascularize ... if I have understood it the right
way.
> > My question is for the honourable members of the forum about their
thoughts,
> > experience and comments on this procedure.
> >
> > NFA
> >
> >
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