[HSF] Upper hemisternotomy

[Tea Acuff]

no.
tea


----- Original Message ----
From: Prasanna Simha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, August 13, 2007 8:49:36 AM
Subject: Re: [HSF] Upper hemisternotomy


I did not get it. Isn't that the routine place that everyone cannulates 
? (Though I do not use a straight cannula but a short beaked DLP/Sarns 
cannula)
Prasanna
Mark Levinson wrote:
>
> On Aug 7, 2007, at 12:56 PM, hgrmd at aol.com wrote:
>
>>
>> Roberto,
>>
>>   For aortas with calcification in the ascending as well as the arch, 
>> I cannulate a soft spot (usually distal ascending along the right 
>> side just anterior to the SVC) with a straight, flexible cannula.  I 
>> reach into the left chest and palpate the proximal descending aorta.  
>> I advance the cannula until I feel it touch the wall of the lateral 
>> proximal descending aorta.  I do this maneuver with the hope being 
>> that the blast of blood from the cannula is downstream to the arch 
>> vessels.
>>
>
> This cannula position reduces or eliminate neurocognitive dysfunction 
> associated with cardiac surgery, and I cannulate the proximal 
> descending in every case.
>
>
>
> Mark M. Levinson, MD
> Founder, Editor-in-Chief,
> The Heart Surgery Forum
> WWW: <http://www.hsforum.com>
> Email: <mmLevinson at hsforum.com>
>
>
>
> _______________________________________________
> 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 anddisclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>

_______________________________________________
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
-----------------------------------------