AW: AW: [HSF] complicationsincardiacsurgery Wiki

Wed Nov 1 13:59:03 EST 2006

OK, Prasanna, you won. Let´s write all in a way that help others .
By the way, I see I mentioned Clinton already!
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von psimha
Gesendet: Mittwoch, 1. November 2006 13:19
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: AW: [HSF] complicationsincardiacsurgery Wiki

Well Roberto , did you think this conversation is private - Type in 
Google and you can get all our HSF conversations in the past !!
So much for private domains !!
I have enclosed an email of yours to HSF which I retrieved via Google 
below !!
So now what ? :-)

AW: AW: AW: [HSF] inability to find RCA and calcified aorta
Dr. Roberto Battellini battr at medizin.uni-leipzig.de
Fri May 19 18:14:01 EDT 2006

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The lady is on the 70´s and with total calcified aorta!
Of course, we plan here a lot of double mammaries and radials. In this case,
the right mammary had some plaques.If I had knew the diagnostic, I would had
done double mammary and radial and looked for a more experienced assistant.
The assistant plays a role in BH surgery , or not?

I recognize one fault from me: the day before she told she could not read
well, suddenly. Clinically she had no  neurologic alterations.I asked for a
brain CT, which was normal, and forgot to ask for an aorta CT. I should have
said like Clinton: One eye problem homolateral is the carotid, both is the
aorta, stupid!  But she is doing well.
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von 
prasannasimha
Gesendet: Freitag, 19. Mai 2006 15:54
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: AW: AW: [HSF] inability to find RCA and calcified aorta

I still have reservations putting a vein to the LIMA. May be good for
now but when vein graft atherosclerosis occurs we will put the LIMA in
jeopardy.
Prasanna
Dr. Roberto Battellini wrote:
 > Prasanna,
 > Now I understand, you mind on the  beating heart.
 > Of course, when I do beating heart on the RCA distal, I use shunt.
 > Today I had scheduled a lady with very diffuse coronary pathology, I
planned
 > with cardioplegia...but...the aorta ascendens and arch were all the
calcium
 > you can imagine. As I had a beginner as assistant, I went on-pump beating
 > heart  putting a very little  arterial cannula near the aortic valve as
 > arterial inflow, the only place without calcification. Then did LIMA to
LAD
 > medial and distal sequential, vein to obtuse marginal and proximal in the
 > LIMA, and vein to RCA distal (with shunt)and proximal in the RIMA. The
whole
 > RCA and distals were calcified and I put the vein in the only place I
could
 > find without calcium.
 > We have with other colleagues more or less 47 cases of porcelain or
 > supercalcified aorta ascendens where we changed the tactic and did 
beating
 > heart with pump and non touch the aorta. Sometimes the proximals in the
left
 > carotid or truncus braquiocefalicus in the first cases when I was afraid
to
 > put a vein in the mammary.
 > Have a good week end, tomorrow I am on duty, let´s see what comes.
 > Roberto
 >
 > -----Ursprüngliche Nachricht-----
 > Von: openheart-l-bounces at lists.hsforum.com
 > [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von
prasannasimha
 > Gesendet: Donnerstag, 18. Mai 2006 17:34
 > An: OpenHeart-L at lists.hsforum.com
 > Betreff: Re: AW: [HSF] inability to find RCA
 >
 > Proximal occlusion of the RCA /steal of blood from an open arteriotomy
 > if a shunt is not placed causes acute marginal steal, RV dysfunction
 > causing distention and AV nodal Ischemia causes bradycardia and further
 > distention.
 > Prasanna
 > Dr. Roberto Battellini wrote:
 >  
 >> Why distention of the RV?
 >> Roberto
 >>
 >> -----Ursprüngliche Nachricht-----
 >> Von: openheart-l-bounces at lists.hsforum.com
 >> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von 
Salerno,
 >>    
 > Tomas
 >  
 >> Gesendet: Donnerstag, 18. Mai 2006 14:53
 >> An: OpenHeart-L at lists.hsforum.com
 >> Betreff: RE: [HSF] inability to find RCA
 >>
 >> Always bypass the PDA as it is usually disease free, and one does not
 >> get heart blocks and other problems including distention of RV when
 >> bypassing the PDA compared to RCA.
 >>
 >> Tomas
 >>
 >> -----Original Message-----
 >> From: openheart-l-bounces at lists.hsforum.com
 >> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of psimha
 >> Sent: Thursday, May 18, 2006 8:59 AM
 >> To: OpenHeart-L at lists.hsforum.com
 >> Subject: Re: [HSF] inability to find RCA
 >>
 >> Why graft the RCA when the PDA is available and graftable.Crux disease
 >> will limit the patency of the graft if put to the main RCA.
 >> Prasanna
 >> john pj wrote:
 >>  
 >>    
 >>> We had a CABG recently in which we could not find RCA in the AV
 >>>    
 >>>      
 >> groove. We divided veins and exposed RA and RV walls. We Manged by
 >> grafting to PDA.
 >>  
 >>    
 >>>   
 >>>   Any body has similar experiences? any ideas?
 >>>   
 >>>   
 >>>   JOHN
 >>>
 >>>        
 >>> ---------------------------------
 >>> How low will we go? Check out Yahoo! Messenger's low  PC-to-Phone call
 >>>    
 >>>      
 >> rates.
 >>  
 >>    
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More information about the OpenHeart-L mailing list

Dr. Roberto Battellini wrote:
> Public domain would be complicate for the cardiac surgeons...
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Donald Ross
> Gesendet: Mittwoch, 1. November 2006 00:51
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: [HSF] complicationsincardiacsurgery Wiki
>
> Dear Prasanna,
> Since the Wiki is in the public domain it will readily become a  
> heavily bookmarked link for the litigation lawyers and perhaps may  
> not be a good idea after all?
> What do the rest of you think?
> Don
>
> On 31/10/2006, at 1:32 PM, prasannasimha wrote:
>
>   
>> Dear All,
>> I have given a request for the complicationsincardiacsurgery wiki.
>> The request will probably take 7 days to materialize.
>> If I get approval, I will give  details and we will then be able to  
>> create our Wiki.
>> I have registered it at Wikia. The original Wiki wiki.
>> Of created, I would request  people to help me out.
>> All the people who would like to join as a moderator/ monitoring  
>> team , please email me.
>> Prasanna
>> _______________________________________________
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