[HSF] On pump beating heart

[Mark Levinson]

On Feb 16, 2007, at 7:49 AM, Giuseppe Rescigno wrote:

> Don,
> I know that is not so orthodox, but in these pts I use the proximal  
> part of the RIMA as inflow for the sequential vein graft (T-T). I  
> wrote a paper on a few cases that was published in the HSF. At that  
> time I had no flowmeter but I had good results from a clinical  
> standpoint. In a recent case the pt had ST depression in the ICU, I  
> asked to restudy the patient and there was a stenosis at the  
> anastomotic site. I reopened the chest and I redid the anastomosis  
> after a low dose heparin. Everything was OK. This technique is  
> useful because there is no risk to jeopardize the LIMA-LAD. I would  
> really appreciate the opinions from all of you.
>
> Giuseppe
>

Giuseppe

I had the occassion in one hostile aortic case to take the RIMA to  
the LAD and use a vein graft off the RIMA to the PDA as a "T".   It  
worked great and was very
simple...



Mark M. Levinson, MD
Founder, Editor-in-Chief,
The Heart Surgery Forum
WWW: <http://www.hsforum.com>
Email: <mmLevinson at hsforum.com>