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

[Giulio Rizzoli]

We always operated on dissected coronaries immediately.
1) to be gentle to out cardiologic intensivist, who were worried about
2) because they alwais left the metal guide for us, to recognize the 
true lumen of the dissected vessel.
                     Giulio Rizzoli

At 05.09 26/10/2006, you wrote:
>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
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Giulio Rizzoli MD FETCS
Cardiochirurgia Padova
tel. 049 821-2408
fax 049 821-2409
e-mail giulio.rizzoli at unipd.it