[HSF] Sandwiched pericardial strip

[Nasser F. Abou'Seada]

> For the Venticulo-Autograft anastomosis I use a strip of non treated
> autologous pericardium sandwiched between the prolene and the tissues. 
> Homayoun Jalali

Dear Homayoun 
Do you sandwich the anastomosis between 2 strips of untreated pericardium
??? ....... or you mean you use only one strip ???? ... in such case ....
you insert it on the ventricular?? or autograft side ?

> By the way most bleeding I have seen from the ventriculo-arterial
> anastomosis have been related to a loose runner. I have then put a
> stitch under the runner somewhere I can see it well and pulled it up
> before fixing it.
> Homayoun Jalali

haven't any such loose runner got frail after pulling it up ??? .... do you
do the second runner after tying the first one ?? .... how do you fix the
loose first  runner after pulling it up  ?? ... pulling it to the end and
tie it ??

NFA