[HSF] Flow requirements in recent infarcts

[Nasser F. Abou'Seada]

Prasanna
what about the survival chances of the myocardium in the very first few
minutes after revascularization, in particular while weaning off bypass ?

NFA

On 5/3/07, Prasanna Simha M <prasannasimha at gmail.com> wrote:
>
> There is a survival advantage even in the acute situation if the patient
> is
> going to cross the first week (Because the first week graft closur of SVG
> determines the acute difference).
> The only cases where a LIMA on its own may harm are when harvesting
> becomes
> impossible (as Ed said) (though there may be an argument for going on CPB
> and continuous additional retroperfusion )
> The other one is in a redo with a patent SVG requiring replacement where a
> LIMA alone may cause acute hypoperfusion when an additional protective SVG
> may be required.
>
> On 5/3/07, ebender001 at charter.net <ebender001 at charter.net> wrote:
> >
> > Because he is your senior, and he may hold your job in his hands, he
> must
> > be right in your hospital.  However, in other places, including the
> > literature, he is probably holding on to a belief rather than a fact.  I
> > can't remember the citation(s), but I seem to remember that LIMA to LAD,
> in
> > the acute setting, conveys an early  survival advantage over vein
> > graft.  This is not to say that in a crash and burn situation, all
> patients
> > should have a LIMA.  In other words, don't repeatedly cardiovert me out
> of
> > V-fib while you are taking down my LIMA.
> >
> > Ed Bender, MD
> >
> >
> > ---- james le <jamesle2007 at yahoo.com> wrote:
> > >
> > >
> > >   One my seniors always uses vein graft to LAD for acute  anterior MI
> > patients going for emergency CABG .
> > >   Accoarding to him blood flow requirements of infracted areas is high
> .
> > >   I wish to know whether it is correct?
> > >
> > >
> > > ---------------------------------
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> > >  Check outnew cars at Yahoo! Autos.
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>
> --
> Prasanna Simha M
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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC