AW: [HSF] Abnormal LIMA

[Ben Bidstrup]

So Tea , what is perfect ?

>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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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon