[HSF] An emergency case I did half an hour before: left main disection-members oppinion

Tea Acuff tacuff at swbell.net
Wed Oct 25 19:29:22 EDT 2006


Urgent or elective if already several days old, Cabg. I would do "both" vessels. One can declare anything an emergency and I have seen it often usually be y the same doctors over and over.
tea 


----- Original Message ----
From: Dr. Roberto Battellini <battr at medizin.uni-leipzig.de>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, October 25, 2006 6:16:10 PM
Subject: [HSF] An emergency case I did half an hour before: left main disection-members oppinion


Just to consider: 85 years old lady, with LAD stenosis, in a city near
Leipzig. She didn´t accept surgery (MIDCAB), and was stented. She got a
dissection of the left main and a good stent in the LAD. Was sent to us for
emergency surgery, which she then accepted. Stable haemodinamically, I did
LIMA-LAD and vein to obtuse marginal, all went OK.
My question is if some member would have left the patient for tomorrow or
even avoided the operation, as she was stable, is an old lady, and the
dissection seemed to be have been stabilized. The second question, for Don
Ross is if he would have done only a LIMA-LAD for the left main dissection. 
All these are theoretical intellectual discussions, as she is already
operated at 01.00

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Tea Acuff
Gesendet: Mittwoch, 25. Oktober 2006 23:13
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: [HSF] Current Requirements for the ABTS

No but expect it soon.
tea


----- Original Message ----
From: "Hgrmd at aol.com" <Hgrmd at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, October 25, 2006 12:31:39 AM
Subject: Re: [HSF] Current Requirements for the ABTS


Tea,
  Let's put it this way.  Did you ever see an anesthesia resident  get cut 
and end up a surgeon?
Hal
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