[HSF] (no subject)

[Prasanna Simha M]

Gut instinct pays.
Prasanna

On Feb 6, 2008 10:17 PM, <hgrmd at aol.com> wrote:

>
> Ahmed,
>
> ? Thanks for your words.? Parenthetically, all of my partners advised me
> not to operate.
>
>
>
> Hal
>
>
> -----Original Message-----
> From: alsadd <alsadd at ksu.edu.sa>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Wed, 6 Feb 2008 5:33 pm
> Subject: RE: [HSF] (no subject)
>
>
>
>
> 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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-- 
Prasanna Simha M