[HSF] acute aortic regurg. inHD patient

Tue Feb 27 18:35:51 EST 2007

Dear members,
Finally we operated the patient with enterococcal 
inf.endocarditis.AVR+mitral annuloplast + Tric.Devega.Left yugular vein 
catheter! in the LV(I got the picture and will try to  send it to the 
forum).Patient in ICU undergoing CVVHDF
Erdinc

>From: prasannasimha <prasannasimha at gmail.com>
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] On pump beating heart
>Date: Tue, 27 Feb 2007 18:19:26 +0530
>
>He practices in Mumbai.(He visits multiple hospitals including Breach Candy 
>hospital etc)
>Prasanna
>Donald Ross wrote:
>>Prasanna,
>>Who publishes series of individual cases no matter how pretty the clinical 
>>results?
>>Even if they are put into print many wont believe them ( Hal et al ) or 
>>take any notice unless there has been some some attempt at science, some 
>>hypothesis formulated , some conclusion to be elucidated.
>>This wonderful surgeon/orchestral conductor can't publish his beautiful 
>>playing.
>>All one can do is to take your advice and visit the man.
>>So, where does he work?
>>Don
>>PS I thought he used a balloon instead of bypass in crook cases which I 
>>believe is probably more morbid than cpb.
>>
>>On 27/02/2007, at 10:45 PM, prasannasimha wrote:
>>
>>>The worst possible scenario is a person wanting to complete a 100 % OPCAB 
>>>experience in time for a conference etc and refusing to go on pump or at 
>>>least institute an IABP while the heart is demanding it !!. Saying this, 
>>>in isolated CABG's not in cardiogenic shock, inability to displace the 
>>>heart during OPCAB is more often an expression of failure of the surgeon 
>>>- anesthesiologist team to understand what is going on.
>>>You should see Dr Bhattacharya doing a multivessel total arterial 
>>>revascularization on a 10 - 15 % EF heart being done effortlessly to 
>>>believe it. He has probably the worlds largest "individual surgeon" 
>>>series of OPCAB's and unfortunately the blessed man doesn't publish. 
>>>Watching him do an OPCAB is  like seeing an orchestra play.
>>>Prasanna
>>>
>>>Ani Anyanwu wrote:
>>>>Off-pump surgery is sometimes also a crime against the human - I have 
>>>>seen several cases where the heart, or the entire patient, has suffered 
>>>>because of reluctance and refusal of the surgeon to accept conversion to 
>>>>CPB. It cuts both ways (some patients also suffer by having on-pump 
>>>>CABG). We should not be evangelists for a technique but for the patient. 
>>>>The patient couldn't care less whether we used CPB or not - all they 
>>>>want is a lasting operation at low risk so our primary aim should be to 
>>>>deliver this goal.
>>>>
>>>>Ani
>>>>   ----- Original Message -----   From: 
>>>>NielsB at aol.com<mailto:NielsB at aol.com>   To: 
>>>>OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com>   
>>>>Sent: Tuesday, February 27, 2007 3:09 AM
>>>>   Subject: Re: [HSF] On pump beating heart
>>>>
>>>>
>>>>   Who said it is?. It is not a crime against humanity but in some cases 
>>>>it is a   crime against a human. The   heart lung machine is a tool 
>>>>among many others,   very frequently a very important one. But it is not 
>>>>some holy grail either. We   use it when we need it, for CABG this is 
>>>>not so common, then the stabilizer   is a better tool in my humble 
>>>>opinion.
>>>>
>>>>
>>>>   Jacob Bergsland
>>>>
>>>>
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>
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