[HSF] (no subject)

[alsadd]

Congratulations Hal a job well done. It is the thing to do bite the bullet. 


Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of hgrmd at aol.com
Sent: Wednesday, February 06, 2008 3:21 AM
To: OpenHeart-L at lists.hsforum.com
Subject: [HSF] (no subject)

Dear Members,
? Two days ago, I reoperated on the gentleman with the stenotic and
thrombosed SVC.? I'm glad I did.? I femorally cannulated and went on pump
prior to splitting the chest (he was 3 weeks postop).? I only dissected the
right atrium.? The adhesions were torture.? The tip of the femoral cannula
was advanced only into the IVC.? No effort was made to control either cava.?
The heart stayed warm and beating.? A right atriotomy was made and extended
across the RA-SVC junction.? It was tightly stenotic.? A large amount of
clot was retrieved with a 6mm Fogarty.? A large patch of bovine pericardium
was placed.? The whole operation took less than 3 hours.? Yesterday, it was
evident that his facial and forearm edema were markedly improved.? He's
already on Lovenox and Coumadin.

Hal
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