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

[hgrmd at aol.com]

Roberto,
  Sounds like Fred is being innovative with your schedule.  I wish we had such an arrangement in my group.
Hal 
 
 
-----Original Message-----
From: battr at medizin.uni-leipzig.de
To: OpenHeart-L at lists.hsforum.com
Sent: Thu, 26 Oct 2006 1:30 PM
Subject: AW: [HSF] An emergency case I did half an hour before: left maindisection-me...


Hal,
she was not ischaemic, of course I could have left for the morning, but now
we have a new style of night Duty, we come at 7.00PM and stay until 7.00 AM
and do these cases very frisch. We gain cases in the whole year. For example
I did that yesterday, do it today and tomorrow. Saturday free. Next week
normal work. But the question is: the dissected left main was not
obstructive, the LAD was stented. The reason for surgery was the probable
catastrophic course of the dissection, which is not a "like Type A or B"
dissection, but a iathrogenic one, a plaque accident. Just intellectual
thoughts. 
Roberto
 
-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Hgrmd at aol.com
Gesendet: Donnerstag, 26. Oktober 2006 01:13
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: [HSF] An emergency case I did half an hour before: left
maindisection-me...

Roberto,
  I'd have to see the films and review the pt's data and examine her  before

being able to answer that question.  If I thought there was any  evidence of

ischemia, I would have proceeded there and then.  However, if  the patient
was 
well-perfused, pain free, making urine with an OK EKG, then I  might keep
her 
on heparin and do her later that morning.  Obviously, your  approach can't
be 
criticized.
  As for the operation, I would have done exactly as you did.
Hal
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