[HSF] (no subject)

[psimha]

I have (call it serendipity) got a child with Pectus who requires an MV 
repair!!
We had done a few cases with variable amounts of pectus but left them 
alone. One had a pretty severe pectus but the patient ws not interested 
in repair. Shje was scheduled for an OPCAB but when we opened cardiac 
dislocation was difficult and was done on CPB.
I would consider that if you needed to do a pectus repair IMA's would be 
kept preserved for a Wada flipover.
Prasanna
Tea Acuff wrote:
> Unless it really is severe nothing needs to be done differently. I have never done it, but if the heart was severely displaced by the pectus, I suppose it would be easy enough to take out the sternum removing the most of the cartilage,  divide the manbrium,  and put back in the sternum over the fascia after the CABG.
>
> trea
>
>
> ----- Original Message ----
> From: Ashok Sharma [CCDHB] <Ashok.Sharma at ccdhb.org.nz>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Tuesday, August 7, 2007 3:40:22 PM
> Subject: [HSF] (no subject)
>
>
> Dear Colleagues,
> a patient with svere pectus requires cabg ,any suggestions 
> regards 
> ashok
>
>
>
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