[HSF] Full metal jacket

[Nasser F. Abou'Seada]

Congratulations Tohru on your magnificent procedure and exceptionally
difficult case.
let us know how you did find the native vessels ........ where did you pick
up your graftable sites, how did you formulate your decision making as to
which grafts goes where. what was the sequence of your grafts ? ..... how
did you avoid the sites of the stents ? ... did you insert your grafts all
distal to the stents ?? ....
Congratulations again ........ Please send Photos ...... pre and post
.......... would be great for all meetings with cardiologists ........

NFA

On Dec 11, 2007 3:50 AM, Tohru Asai <toruasai at belle.shiga-med.ac.jp> wrote:

> Dear Members
>
> Thank you all for comments. It was interesting I heard TMR, Vineberg and
> even transplant. But I laughed Prasanna's recommenndation to implant
> Cypher
> to bilateral MCA of the cardiologist! However I am afraid that these
> vessels
> may have occluded already,,, HAHAHA.
>
> Bach to my patient, She underwent OPCAB x6 ( LIMA-D2-LAD, SV-D1-OM1-OM2,
> GEA-PDA). LIMA and GEA were harvested in skeletonized fashion by using HS.
> Target vessels were really small and meticulous work was required.
>
>
> We kept her on heparin and aspirin and discontinue clopidogrel. And start
> heparin 3 hours following the procedure. ASA, clopidogrel and Warfarin
> were
> started on POD#1. Currently we don't have option of TMR or HTx. MSCT
> demonstrated all grafts patent so far. She felt a lot better and
> discharged
> home.
>
> I am still a conservative guy, staying away from endarterectomy even in
> this
> kind of patients. Though I am not sure it is right.
> --
> Tohru Asai
> Shiga University of Medical Science
> Otsu, Japan
>
>
>
>
>
> _______________________________________________
> 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
> -----------------------------------------
>