[HSF] On pump beating heart

[prasannasimha]

Mumbai - I do not have his exact address but he is   practicing (One of 
the sites where he operates) in Breach Candy Hospital.
Prasanna
gustavo abuin wrote:
> Dear Prasanna.
> Where does Doctor Bhattacharya is? It would be very interesting to 
> play a visit.
> Thanks
> ----- Original Message ----- From: "prasannasimha" 
> <prasannasimha at gmail.com>
> To: <OpenHeart-L at lists.hsforum.com>
> Sent: Tuesday, February 27, 2007 8:45 AM
> Subject: Re: [HSF] On pump beating heart
>
>
>> The worst possible scenario is a person wanting to complete a 100 % 
>> OPCAB experience in time for a conference etc and refusing to go on 
>> pump or at least institute an IABP while the heart is demanding it 
>> !!. Saying this, in isolated CABG's not in cardiogenic shock, 
>> inability to displace the heart during OPCAB is more often an 
>> expression of failure of the surgeon - anesthesiologist team to 
>> understand what is going on.
>> You should see Dr Bhattacharya doing a multivessel total arterial 
>> revascularization on a 10 - 15 % EF heart being done effortlessly to 
>> believe it. He has probably the worlds largest "individual surgeon" 
>> series of OPCAB's and unfortunately the blessed man doesn't publish. 
>> Watching him do an OPCAB is  like seeing an orchestra play.
>> Prasanna
>>
>> Ani Anyanwu wrote:
>>> Off-pump surgery is sometimes also a crime against the human - I 
>>> have seen several cases where the heart, or the entire patient, has 
>>> suffered because of reluctance and refusal of the surgeon to accept 
>>> conversion to CPB. It cuts both ways (some patients also suffer by 
>>> having on-pump CABG). We should not be evangelists for a technique 
>>> but for the patient. The patient couldn't care less whether we used 
>>> CPB or not - all they want is a lasting operation at low risk so our 
>>> primary aim should be to deliver this goal.
>>>
>>> Ani
>>>   ----- Original Message -----   From: 
>>> NielsB at aol.com<mailto:NielsB at aol.com> To: 
>>> OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
>>> Sent: Tuesday, February 27, 2007 3:09 AM
>>>   Subject: Re: [HSF] On pump beating heart
>>>
>>>
>>>   Who said it is?. It is not a crime against humanity but in some 
>>> cases it is a crime against a human. The   heart lung machine is a 
>>> tool among many others, very frequently a very important one. But it 
>>> is not some holy grail either. We use it when we need it, for CABG 
>>> this is not so common, then the stabilizer is a better tool in my 
>>> humble opinion.
>>>
>>>
>>>   Jacob Bergsland
>>>
>>>
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