[HSF] Image of the week

[Nasser F. Abou'Seada]

Incidentally Prasanna ...
such cases .. do you ask them to pay for the cost of their operation ?? I
mean do you have any facility to have such "unique" cases paid for their
operations ??? .. the likelihood of them going and not coming back is very
high !!!! ... one reason or "another" ..!!

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
> >>
> >
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