AW: [HSF] tricuspid noncoaptation-Patient with seizures.

[erdinç naseri]

Dear Nasser,
Though  redo operation through R chest proved  to be very difficult and disasterous, sternal re-entry has its own pitfalls.Personally I get thoracic CT before any redo cardiac operation and by studing it very carefully -sometimes with a radiologist-try to stay away from trouble. I always cannulate a peripheral artery before sternotomy and open specially lower half of the sternum with Lebsche knife 1mm/second!This way I have been able to open the chest in almost all of my cases without any cardiac injury ,but I have also witnessed very experienced surgeons injuring the heart very severely sometimes deadly in sternal re-entry.So let's not call a sternal re-entry "a piece of cake.
erdinc> Date: Fri, 15 Feb 2008 13:36:36 -0600> From: nfaabouseada at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: AW: [HSF] tricuspid noncoaptation-Patient with seizures.> CC: > > Dear erdinc> I do quite understand the position you have been in ..... probably you have> done the best available option at the situation ...... it is easy to think> different in retrograde ....> should there have been a fault ..... but sure the concept behind your> decision to go for TCA is quite understood.> > NFA> > On Fri, Feb 15, 2008 at 12:22 PM, erdinç naseri <enaseri at hotmail.com.tr>> wrote:> > >> > Dear Dr. Harris,> > 1.Before the last attempt I implanted and explanted twice .I wanted to do> > the last one on a still heart.Aorta was out of site and we hane no> > endoclamp.> > 2.Hypothermia up to 20 C, Pentothal infusion ,RCP( 500 cc/min) at 20C> > 3.Rewarm up to 35 C> > 4.Cool and rewarm in 45 min> > 5.Htc 18,PH 7.25> > erdinc> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies> > and> > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------