[HSF] Image of the week

[Nasser F. Abou'Seada]

3 cases ?? .... and you call that not constituting real experience ???? ....
haha dear friend .... have any other member of the forum managed such cases
???? ... 

BTW, have you inserted the PA vent in all 3 cases ??? ...
what was their apparent aetiology? .. pathology ?? .. age predilection ? ..
was the aneurysm in the ascending aorta? isolated or with further distal
involvement ?? ... what was your technique used ? ... how far have you had
to replace of the aorta ? .. valve included ?? .. any photos ? ... have you
published that ?? 

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of prasannasimha
> Sent: Tuesday, January 16, 2007 12:18 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Image of the week
> 
> I have operated 3 cases like this.
> Femoral cannulation. Mini thoracotomy to place a PA vent (though an
> endovent could be probably placed.)
> Cool on fem fem bypass and with circ arrest / low flow open the sternum.
> When the heart arrests I give a K bolus via the arterial
> line.Surprisingly I have even entered the aneurysm on low flows but it
> doesn't somehow burst as the clot seems to still hold !! though a N=3
> doesn't really constitute real experience.
> An additional atrial cannula is placed for increasing return (though now
> I would use  vacuum assist) . Then the rest would continue in the
> regular manner depending on extent etc
> Prasanna
> 
> Nasser F. Abou'Seada wrote:
> > Dear Prasanna
> > The only case like that I've seen it's photo was in Hamilton Bailey's
> > Clinical Signs on Surgery, ... some 1980 ..... Probably the photo was
taken
> > in India as well ...
> > are you including it in the wiki ?
> > I guess the "thrill" of touching it does boast one's adrenaline sky high
> > !!!!
> > any other photos ?
> > Please keep us posted how you manage this case.
> >
> > NFA
> >
> >
> >> -----Original Message-----
> >> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> >> bounces at lists.hsforum.com] On Behalf Of prasannasimha
> >> Sent: Tuesday, January 16, 2007 10:22 AM
> >> To: OpenHeart-L at lists.hsforum.com; ccm
> >> Subject: [HSF] Image of the week
> >>
> >> Ain't I ready to burst !!
> >> Prasanna
> >>
> >
> > _______________________________________________
> > 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
> > -----------------------------------------
> >
> >
> >
> 
> _______________________________________________
> 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
> -----------------------------------------