[HSF] Acute dissection - what now?

[Ani Anyanwu]

Hal
 
Is the mechanism for the RV infarct not dissection down the coronary sinus? If so  what is to say the left sinus will not dissect next infarcting the rest of the heart? 
 
Hal I think you have to be very clear as many students, residents and novice surgeons as myself read this forum regard comments from senior HSF surgeons as yourself very highly. Are you seriously  saying that when a dissection presents as hemopericardium and myocardial infarction with RV failure we should consider a strategy of CABG only? 
 
Ani



> From: Hgrmd at aol.com> Date: Sun, 12 Aug 2007 20:46:24 -0400> Subject: Re: [HSF] Acute dissection - what now?> To: OpenHeart-L at lists.hsforum.com> CC: > > Ani,> I think you're glossing over a key element of David's case. The patient > was in the midst of an MI with severe RV dysfunction/infarction. To simply do > an RCA bypass bought him and the patient time. In the absence of the MI, > I'm sure Dave would have repaired the dissection as per usual.> > Hal> > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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