AW: [HSF] Abnormal LIMA

[Tea Acuff]

I think that good is almost always better than perfect as we frequently discuss...even in women.

tea


----- Original Message ----
From: David Harris <drdharris at yahoo.co.uk>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, October 2, 2007 3:15:52 PM
Subject: Re: AW: [HSF] Abnormal LIMA


I have used quite a few radial that have a good lumen
(old patients - tend to have less spasm), but patchy
areas of calcium.

This has not put me off, as they were very large
radials, and sofar there have been no come-backs. But
I have often wondered if these radials with small
areas of calcium are BETTER, as they can obviously
never spasm!

Dave


--- "Dr. Roberto Battellini"
<battr at medizin.uni-leipzig.de> wrote:

> We do the same as you did. With Intuition and
> experience. Last year we
> discarded a big atherosclerotic LIMA in an
> coarctatio aortae operated
> patient who came 30 years later for AVR (bicuspid
> valve) and bypass. I have
> discarded also many  radial arteries because of
> calcification.
> Roberto
> 
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im
> Auftrag von
> MDavalle at aol.com
> Gesendet: Montag, 1. Oktober 2007 17:20
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: [HSF] Abnormal LIMA
> 
> In a similar "vein", I am wondering what do do when
> I take down a LIMA and
> it 
> has small islands of non obstructive plaque.  I have
> seen this mostly in 
> young diabetics and went ahead and used them
> documenting good flow at
> completion 
> with Medi-stem.  What do others think?
> 
> 
> 
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Dr. David G. Harris, FCS, MMED,
Cardiothoracic Surgeon        
Suite 207                                
Kuils River Private Hospital,        
PO Box 1200, Kuils River, 7579, Cape Town, South Africa.            
Tel +27-21-9006411             
Fax +27-21-9006412      Mobile +27-83-3309587

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