[HSF] Post-op arrest

[erdinç naseri]

Dear Ahmed,
A previous Mı scar albeit very small can also cause bouts of serious arrhythmias.How are you sure that the Lima-Om hypoperfusion is the cause?
erdinc> From: alsadd at ksu.edu.sa> To: OpenHeart-L at lists.hsforum.com> Subject: RE: [HSF] Post-op arrest> Date: Tue, 17 Jul 2007 14:00:00 -0700> CC: > > Don:> I would bit that the VT is due to the stenosed Lima. I believe that a> stenosed graft would reveal itself by low flow when the flow is measured at> surgery. We do that routinely in our practice. I would probably take him and> put a vein graft distal to stenosed Lima anastamosis. Because VT can happen> again and could prove fatal. > That is what comes to my mind now. Others in the forum might disagree with> me I look forward to their opinion. > Thank you for sharing this with the Forum> > Ahmed> > -----Original Message-----> From: openheart-l-bounces at lists.hsforum.com> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Donald Ross> Sent: Tuesday, July 17, 2007 3:02 AM> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Post-op arrest> > Here is a change from rings:> 82 yr. male had moderate infarct after his hip was pinned> Angio showed blocked everything and 40%EF> 10 days post infarct prophylactic opcab X 2, rima to lad, lima to om> 6 days post op, VT arrest in ward.> Angio shows patent rima to lad but "band" stenosis of lima to om just > proximal to anastamosis ( looks bad but rapid filling of om from lima.)> For some reason card doesn't want to pop stenosis with balloon. > ( Says ima too convoluted but I bet he would have done it if patient > was private)> Questions:> 1. Is VT due to stenosed graft or recent infarct?> 2. Could the stenosis have been diagnosed by flow probe at operation?> 3. What should I do now?> > Don> > _______________________________________________> 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> -----------------------------------------