[HSF] anomalus origen left coronary

Lalit Kapoor rch_lkapoor at sancharnet.in
Tue Mar 18 08:50:15 EDT 2008


We have recently operated a 26-yr-old patient with an ALCAPA

I have some nice operative photos too but am not able to upload them at 
present.

Am still trying

Lalit Kapoor



----- Original Message ----- 
From: "Prasanna Simha M" <prasannasimha at gmail.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Tuesday, March 18, 2008 7:14 AM
Subject: Re: [HSF] anomalus origen left coronary


> 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
> _______________________________________________
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