[HSF] Leaking thoraco-abdominal aneurysm.

[Nasser F. Abou'Seada]

CONGRATULATIONS DAVE .... man for the tough job ..
I think that calls for celebration ..... Ostrich .. on top of  Blomendale ?
... let you choose the wine !!


> We replaced the descending down to the diaphragm. We
> placed her on fem-fem bypass, and also placed a 24F
> cannula in the left atrium via the pulmonary vein. We
> placed an apex vent into the LV to decompress the
> heart. Thoracotomy was in the 5th space, with sparing
> of the diaphragm, but with combined retro-peritoneal
> dissection to get good exposure of the abdominal
> aorta.


- How far was your intercostal incision ?  You spared the diaphragm? you
mean you had to DETACH the diaphragm from its circumference? or how did you
gain access to the retroperitoneal aorta ? and how far have you secured of
the retroperitoneal aorta ?

- Any reason why you've  elected to place an LA vent if you are placing an
apical LV vent ?

NFA