[HSF] Access to AV groove area post bypass

rwmfglycar at aol.com rwmfglycar at aol.com
Fri Jan 18 01:05:37 EST 2008


You will get tons of advice on this one but remember one principle: the more difficult the exposure the more critical it is to get every stitch perfect the first time. This is a special state of mind. What is easy to achieve automatically?in a 1000 mid LAD anastamoses needs specific stitch by stitch concentration at or near the posterior AV groove. (I presume you excise a calcified valve and first and ?have a vent in the ventricle).
Bob


-----Original Message-----
From: yadav del <yadavluck at yahoo.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Fri, 18 Jan 2008 12:39 am
Subject: [HSF] Access to AV groove area post bypass



When we do OM    anastomosis close to the AV   groove   in cases with CABG and 
mitral valve replacement.   We find it difficult to visualise the OM area to 
inspect for bleeding post CPB. 
   
  Any tips about it? [We do not do beating heart CABG]
  Would It be useful to use posterior pericardial traction sutures as used for 
OM exposure in beating heart cases?

       
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