[HSF] LV VENTING

[A]

Agree totally with Hal. I have seen one of my mentors struggle to repair an
LV because of the vent tear. I believe the pulmonary veins are a convenient
place to vent for AVR only rarely do I resort to direct LV venting.
No surprises there Hal to your experience 

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Hgrmd at aol.com
Sent: Wednesday, November 08, 2006 3:11 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] LV VENTING 

Nasser,
   I use LV venting sparingly.  Though I've put in hundreds,  I have had 2 
occasions where I punctured the LV apex in very thick ventricles or
calcified 
AV grooves.  In those cases, it is difficult to feel the passage  of the
vent 
into the LV.  I'm sure there are plenty of surgeons out there  who are
rolling 
their eyes and thinking that I'm a klutz.  However, it  happens.  Therefore,
I 
generally work to avoid it.  During AVR's, I  drop a flexible sucker down
the 
orifice.  For Dor's, the same thing.   If the LV severely distends after 
removing the clamp and it can't be relieved by  restoring the rhythm, I'll
place 
an LV vent in the MPA.  Quick and  easy.  I've never seen a problem, though 
I've heard of some blowouts on  HSF.
Hal
_______________________________________________
OpenHeart-L mailing list

Send postings to:
 OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------