(OT) Re: [HSF] aortic root replacement ,svere hyperbilirubinemia

[prasannasimha]

If you were British you would say - I would put on my bicycle clips 
-(For those who did not understand bicycle clips were metal thingies 
that we used to wear as children while riding bicycles to prevent the 
trousers getting stuck in the spokes and were placed tightly around the 
ankles. I think you would get the rest of the process in relation to  
sphincteric tone.
Mitch Lirtzman wrote:
> Hal, that line about sphincter tone is a classic. I'll give you full 
> credit, but I've GOT to use it! MitchAt 12:04 PM 8/4/2007, you wrote:
>> Prasanna,
>>   I've done plenty of AVR's through a 6 cm upper hemisternotomy.   I 
>> make an
>> "L" shaped sternotomy checked off into the right 4th ICS.  I use  a 
>> neuro saw
>> to make that fine little cut across the interspace.  I've yet  to 
>> injure the
>> RIMA with this approach.  I use femoral cannulation and  Heartport 
>> retrograde.
>> Works well.  However, I've never had the balls  to use this approach 
>> for a
>> Bentall.  I've certainly read the reports, but a  full Bentall with 
>> hemiarch or
>> arch replacement takes me long enough via a full  sternotomy.  I 
>> think my
>> sphincter tone would only be audible by dogs if I  tried doing a 
>> Bentall through a
>> keyhole.
>>
>> Hal
>>
>>
>>
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