[HSF] PA versus LV Vent

Nasser F. Abou'Seada nfaabouseada at gmail.com
Tue May 8 08:46:37 EDT 2007


very well said
Totally agree

NFA


On 5/8/07, ICHFNO at aol.com <ICHFNO at aol.com> wrote:
>
> PA venting site disruptions were discussed by this group a few months
> ago.  I
> would agree that almost any part of the heart can be used for venting and
> that, by and large a PA vent will decompress a distended LV given enough
> time,
> if there is not an overwhelming degree of Aortic regurg or pulmonary
> venous
> return. Regarding damage, certainly this is an old wives (wise?) tale, we
> routinely vent the PA in a number of peds cases when we are reconstructing
> PA's
> that are distored, discontinuous or hypoplastic and I cannot remember a
> case
> where the venting caused lung damage. Any vent site, anywhere can cause a
> disaster, either intra or post-op, or late post-op. Meticulous attention
> to
> detail, thought about what the pathology is and luck following the
> prepared will
> usually prevent a vent site disaster.
>
> Bill
>
> William M  Novick MD
> Paul Nemir Jr., MD Professor
> International Child Health and  Surgery
> University of Tennessee Health Sciences Center
> Founder and Medical  Director
> International Children's Heart Foundation
> _www.babyheart.org_ (http://www.babyheart.org/)
> cell  901-438-9413
> office 901-869-4243
> fax 901-432-4243
> home  901-523-2086
>
>
>
>
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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC


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