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

[Donald Ross]

Roberto,
If the LM wasn't stenosed I would have done vein to lad ( or nothing  
at all) and if it was , an extra vein to Cx.
I think your lima is doomed unless the stent  closes fairly soon.
Don
On 26/10/2006, at 9:16 AM, Dr. Roberto Battellini wrote:

> 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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