AW: [HSF] aortic root reimplantation and Rv dysfx

[erdinç naseri]

Hal,
Unfortunately I don't have the ability to send the CAG by e-mail but the ECA was so sort of a very huge pipe of 1-2 cm lengt with no side branches . I probed the ostiom and angiographic findings were confirmed . RCA was just a stump.
erdinc> From: Hgrmd at aol.com> Date: Wed, 5 Sep 2007 20:54:34 -0400> Subject: Re: AW: [HSF] aortic root reimplantation and Rv dysfx> To: OpenHeart-L at lists.hsforum.com> CC: > > Dave,> Until your post, I missed the fact that Erdinc didn't reimplant the RCA > orifice. Without having seen the films, I will bet you that small RV branches > were knocked off, and that was one of the contributing factors to the RV > being dead. Years ago, I remember doing an AVR in a lady with a tiny root. I > had to shoe horn in a small mechanical valve. The RCA was nondominant, and I > remember that the orifice was obstructed. I reasoned that since the RCA was > nondominant, the patient could bet by with the orifice obstructed. The > patient came off pump and went to CVICU looking pretty good. However, over the > next few hours her systemic pressure dropped, along with the cardiac output. > The next morning, TEE revealed a well contracting LV and mechanical valve. > Unfortunately, the RV was akinetic. She died. That's a lesson I've never > forgotten. Thanks for reminding me.> > Hal> > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> _______________________________________________> 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> -----------------------------------------