AW: [HSF] Abnormal LIMA

[Dr. Roberto Battellini]

We are waiting for your hystological report!
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von john pj
Gesendet: Montag, 1. Oktober 2007 03:50
An: OpenHeart-L at lists.hsforum.com
Betreff: [HSF] Abnormal LIMA

2 days back we operated  a 54 yr old man for LT main stenosis with lesions
in LAD and OM.The LIMA[2.5 mm in size] was harvested with out  any
difficulty  and  had good pulsation and flow when divided. When we divided
the distal end we noted that the  thick intima was telescoping beyond the
remaining layers. When it was cut opened the intima was more opaue  and
lacked the lustre of normal intima. The thickened  Intima was sliding
against other layers as if they are separated. It was not like dissection.
We did not see any localised atherosclerosis plaques .
  .
  We exised about 3 cm LIMA and there was no change in teh appearence . We
went ahead with LIMA to LAD grafting takinkincare to incluse all the layers
cautiously.We are watching the patient closely. We have low threshold to go
back to replace it with a vein in case  of any problems in the LAD
territory.
   
Any comments?
       
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