AW: AW: [HSF] a carotid and coronary case

[psimha]

Roberto I mentioned 18 Deg based on the cases that I had  with a complex 
endartrectomy for aortoarteritis with extended patching.  As I said it 
also depends on the estimated time you would need and possibility of 
placing a shunt. My rough estimate would be > 1/2 an hour - 18 deg , 1/2 
hour- 15 min 22 Deg and 10-12 min 28 Deg.(If I was to do it on CPB - 
otherwise pre CPB only shunt clean and patch. The cases I did were all 
having horrible periarterial fibrosis , and when I opened the occluded 
side with the hope of finding a lumen it was terrible inside. The 
patients needed an aortic valve replacement in 2 cases and an aortic 
endartrectomy in one more patient. Preferred to do it cold and did not 
regret it as the patch needed to go nearly into the mastoid (the young 
girl who would collapse on standing) with excision of the styloid 
process!! The lumen looked worse than the angiogram.
Prasanna
Dr. Roberto Battellini wrote:
> Dear Prasanna,
> we cooled, but why so cold if we can continue perfusin? It´s no Total
> arrest!
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von prasannasimha
> Gesendet: Freitag, 3. August 2007 16:27
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: AW: [HSF] a carotid and coronary case
>
> Cool to 18 Deg with high perfusion pressures . During cooling / 
> rewarming CABG. During the arrest /Javid shunt period carotid endartrectomy.
> Prasanna
> Dr. Roberto Battellini wrote:
>   
>> How would the members operate a case with:
>>
>> Man 52 years old, had a stroke with hemiparesis after the right carotid
>>     
> was
>   
>> occluded. Left carotid 95% stenosed. He needs 3 arterial grafts for 3
>>     
> vessel
>   
>> disease. The right hemisphere is perfused from the left carotid.
>>
>> Roberto
>>
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