[HSF] Posterior Post-Infarction VSD, SAM, and other Misery

[erdinç naseri]

Hal and others,
please forgive me if I am asking  mindless questions. No experience with posterior VSD.What is the position of the heart inside the pericardium during the operation? Does anybody holds the heart or is it retracted by any means?
erdinc> Date: Tue, 10 Jul 2007 01:04:41 +0900> Subject: Re: [HSF] Posterior Post-Infarction VSD, SAM, and other Misery> From: toruasai at belle.shiga-med.ac.jp> To: OpenHeart-L at lists.hsforum.com> CC: > > Hal> > Great save, Hal! Have been enjoying this amazing thread. Bioglue is not> approved in Japan un fortunately. I myself had two posterior VSP early in> this year. Both I did Daggett type repair with inferior LV plus RV incision> without obvious RV failure. Both were quite hemostatic and came off CPB. I> went home and the other suddenly had arrest with no respose to CPR two weeks> postop. I don't describe my cases in detail here this time.> > Hard point of the posterior VSP is the relation between posteromedial> papillary muscle base and VSD. I would like to ask you a couple of> questions. Exactly how did you make left ventriculotomy with avoiding to cut> papillary muscle, starting from distally (from apex) or from base. How do> you locate the base of PM papillary muscle for sure? Have you considered to> make any RV incision? Please educate me.> -- > Tohru Asai> > > _______________________________________________> 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> -----------------------------------------