[HSF] (no subject)

[hgrmd at aol.com]

Roberto,
  I left the pacing wires alone.  I just patched over the wires.  Hopefully, with relief of the stenosis as well as aggressive anticoagulation, the problem won't recur.

Hal


-----Original Message-----
From: Dr. Roberto Battellini <battr at medizin.uni-leipzig.de>
To: OpenHeart-L at lists.hsforum.com
Sent: Wed, 6 Feb 2008 2:49 pm
Subject: AW: [HSF] (no subject)



Congrats, Hal. What did you do with the pacer wires? Explantation and
pimyocardial wires?
oberto
-----Ursprüngliche Nachricht-----
on: openheart-l-bounces at lists.hsforum.com
mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von hgrmd at aol.com
esendet: Mittwoch, 6. Februar 2008 12:21
n: OpenHeart-L at lists.hsforum.com
etreff: [HSF] (no subject)
Dear Members,
 Two days ago, I reoperated on the gentleman with the stenotic and
hrombosed SVC.? I'm glad I did.? I femorally cannulated and went on pump
rior to splitting the chest (he was 3 weeks postop).? I only dissected the
ight atrium.? The adhesions were torture.? The tip of the femoral cannula
as advanced only into the IVC.? No effort was made to control either cava.?
he heart stayed warm and beating.? A right atriotomy was made and extended
cross the RA-SVC junction.? It was tightly stenotic.? A large amount of
lot was retrieved with a 6mm Fogarty.? A large patch of bovine pericardium
as placed.? The whole operation took less than 3 hours.? Yesterday, it was
vident that his facial and forearm edema were markedly improved.? He's
lready on Lovenox and Coumadin.
Hal
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