[HSF] anomalus origen left coronary

[Prasanna Simha M]

Dr Novick, I fully agree with a two coronary system but putting a LIMA
or a double mammary is also an option. there are thousands of patients
with Tector T grafts etc to prove that this is adequate.If one is  not
well versed with ostial translocation more harm may be done than good.
Prasanna

On Tue, Mar 18, 2008 at 6:47 AM,  <ichfno at aol.com> wrote:
> SHE NEEDS A 2 CORONARY SYSTEM.  I WOULD SUGGEST CORONARY ELONGATION AND TRANSLOCATION. A LIMA WILL NOT BE ENOUGH. WE HAVE 12 THAT WE HAVE DONE, INCLUDING A 41 YEAR OLD WITH MR. LET ME KNOW IF YOU WANT DETAILS.
>
>  WNOVICK
>
>
>
>  -----Original Message-----
>  From: edgar manrique <edman63 at hotmail.com>
>  Sent: March 17, 2008 4:04 PM
>  To: openheart-l at lists.hsforum.com
>  Subject: [HSF] anomalus origen left coronary
>
>
>
>  we have a 68 yo female with double lesion mitral and aortic valve regurgitation and trycuspidea regurgitation and auricular fibrilation, and EF 55 % of LV, and she has a origen of left coronary artery from pulmonar artery trunck, and she hasnt been with myocardila isquemia, our question is : 1. there is surgical indication 2. if is yes so, is necessary for LCA clip or graft with safenus or mamary artery, and how is the myocardial protection in pump ??
>  thanks
>  edgar j manrique
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-- 
Prasanna Simha M