[HSF] (no subject)

[Prasanna Simha M]

What was the reson for the pacemaker and if the rhythm is sinus what was the
effect of crossing  the SVC RA junction.(May not be so important  with a
pacemaker dependent patient anyway)

Prasanna

On Feb 6, 2008 10:14 PM, <hgrmd at aol.com> wrote:

>
> Prasanna,
>
> ? I left the pacing wires undisturbed.? Their presence was the reason I
> didn't consider an endovascular approach or interposition of a tube graft.?
> I just used a big patch that was roughly twice the width of the gap left by
> the atriotomy.
>
>
>
> Hal
>
>
> -----Original Message-----
> From: Prasanna Simha M <prasannasimha at gmail.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Wed, 6 Feb 2008 6:31 am
> Subject: Re: [HSF] (no subject)
>
>
>
>
> And the pacing wires ?
> Prasanna
>
> On Feb 6, 2008 4:50 PM, <hgrmd at aol.com> wrote:
>
> > 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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>
>
> --
> Prasanna Simha M
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-- 
Prasanna Simha M