[HSF] Occluded SVC

[Shahid Mahmud Malik]

Hal,
I had a similar situation whilst doing a MVR for severe mitral stenosis only 
last week in a frail lady.The tape snare when removed from IVC unwieled a 
tear in the back of IVC as blood continued  to well up.I must have caused a 
tear passing the instrument behind the ivc prior to the tape snare.Briefly 
on low flows,I stitched the posterior pericardium to the ivc medially and 
right pleura laterally.Bleeding stopped and so far no problems.If the 
problem with your patient does not go away with time ,you may consider 
Bovine tube graft among other solutions.
Shahid Malik
----- Original Message ----- 
From: <Hgrmd at aol.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Friday, February 01, 2008 6:41 AM
Subject: Re: [HSF] Occluded SVC


> Nasser,
>  Your thoughts are probably where I'm headed.  Thanks.
>
> Hal
>
>
>
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