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

[Jbflegejr at aol.com]

I have not operated on a couple of patients with dissection of left main who 
were sent some hours after the cath, one was the next day, and were stable. 
One had aortic stenosis and I proceeded with operation two weeks later and found 
that she had dissection of the ascending aorta, presumably retrograde from 
the left main. I replaced her valve and since there was no intimal tear in the 
aorta, left that alone. I do not know if that is the right thing to do and two 
patients do not make a series. Incidentally, I would not do LIMA to LAD if it 
had a patent stent and no proximal stenosis. John Flege