[HSF] Moderate Gradient Aortic Stenosis with patent LIMA,GEA

[erdinç naseri]

Prasanna,
To where you attach the vacuum generator( forgive me if the question is too stupid).Also don't forget that I only put 500 cc of prime and the rest is supplied by the pump suction through the R atriotomy created for venous cannulation.
erdinc> Date: Sun, 27 May 2007 21:16:35 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Moderate Gradient Aortic Stenosis with patent LIMA,GEA> CC: > > Erdinc,> You need not worry if you have an open oxygenator. You can convert one > by sealing the edges. In Croatia, the oxygenators supplied by Medtronic > were supposed to be vacuum assist capable but they actually were not. We > got around by taping the oxygenator and after sealing it it worked > wonderfully. Bojan can attest to the way vacuum assist can just change > the whole management of a case especially in a redo. I actually started > using vacuum assist after Hal and Ani were waxing eloquent about its use > and actually in the few places were I saw it being used I realized they > were not using true vacuum assist - the oxygenators were not truly closed.> It is now the norm now in my hospital and I start all cases with a dry > venous line so we just have to RAP via the arterial line and the venous > RAP component can be eliminated.> It allows use of unsnugged right atria and air locks are just historical.> Incidentally historically vacuum assisted venous drainage was first > described by Gibbon !!> If you need any help wrt to this you can contacth me and I will help you > out to allow establishment of vacuum assist.> Prasanna> Hgrmd at aol.com wrote:> > Erdinc,> > Thanks for the detailed description of your redo technique. The main > > thing is that it capitalizes on CPB's ability to facilitate dissecting the redo > > heart. Your point of widely opening the pleural spaces is one that I also do, > > but neglected to mention. One of its major benefits is preventing tense > > adhesions from ripping the RV. > > I do strongly advise you looking into getting vacuum assist. It does > > prevent air locks as well as allowing the use of smaller cannulas. In addition, > > I'm surprised you get adequate flows with long venous cannulas and gravitiy > > drainage. Before I used vacuum assist, I always had to cannulate both femoral > > veins to get adequate flow.> > > > Hal> >> >> >> > ************************************** See what's free at http://www.aol.com.> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies and > > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> >> > > > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------