[HSF] Another on vs off pump question......

[Hgrmd at aol.com]

Tea,
  I would echo your comments about Ani's evaluation of transplant  patients.  
Perhaps some of those large anterior aneurysms would be better  treated with 
surgical ventricular restoration rather than transplantation.   Yesterday, I 
saw a lady in the office that I had done SVR, CABG, mitral, and  tricuspid 
repair several months ago.  She went from Class III to I. Her EF  went from 15% 
preop to 35% on a recent transthoracic echo.  I've still got  the biventricular 
ICD option should she ever need it.  Tomorrow, I've got a  similar case.  I 
really need to get a picture of the one tomorrow, because  the calcified 
anteroapical aneurysm is bigger than the remaining heart.
Hal



************************************** See what's free at http://www.aol.com.