[HSF] bagged Cx

[Ani Anyanwu]

How about a CT angiogram?
  ----- Original Message ----- 
  From: DukeB60 at aol.com<mailto:DukeB60 at aol.com> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Wednesday, January 24, 2007 2:19 AM
  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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