[HSF] Upper hemisternotomy

[Tea Acuff]

On the lesser curve distal ascending (left).
tea


----- Original Message ----
From: Prasanna Simha M <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, August 13, 2007 1:14:33 PM
Subject: Re: [HSF] Upper hemisternotomy


Then where ?
Prasanna

On 8/13/07, Tea Acuff <tacuff at swbell.net> wrote:
>
> 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>
> >
> >
> >
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-- 
Prasanna Simha M
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