[HSF] bagged Cx

[A]

Agree with Bob if one is careful and keeps the Circ in mind no injury would
take place in a fresh case. In your case since the ventricle recovered doubt
that there was significant circ compromise. 

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of DukeB60 at aol.com
Sent: Tuesday, January 23, 2007 11:20 PM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] bagged Cx

Thanks Bob,
    I believe the suture technique you describe is that  used by Carpentier 
in placing annular sutures.  While I don't have the  needle go into the 
ventricular cavity, I do attempt to angle the needle in the  manner you
describe.  
Yes, I do wear loupes on mitral and aortic cases as I  think it helps to be
more 
precise in every aspect of the case.  I don't  wear them for thoracic cases 
but do for all cardiac  procedures.  Although I have heard of the cx. being 
compromised in  mitral valve cases, this is my first experience and it isn't
the 
kind of  circumstance in which I thought it would happen.  Fortunately she
is 
doing  exceptionally well and should be home today or tomorrow.  Because the

echo  shows a full return of infero/lateral wall motion I think we'll skip
the 
angio.  as either my grafts or her native coronary is functioning well and
I'm 
not sure  her management would change either way.  Thanks for taking the
time 
to  respond.
 
 

                      Ed
 
Edward P.  Raines, M.D., J.D.
BryanLGH Cardiothoracic Surgery
BryanLGH Medical Center  East
1600 South 48th Str.
Lincoln, Nebraska 68506
Office:  402-481-8430
Cell: 402-730-9242
Fax:  402-481-8429
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