[HSF] anomalus origen left coronary

[Tea Acuff]

Its hard to not want to do something fancy or simple, but thank god we found some symptomatic pathology before she died of old age without first bringing the joy of a job well done to some surgeon.
By the way don't forget you have a full plate already...

tea



----- Original Message ----
From: Prasanna Simha M <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, March 17, 2008 8:44:43 PM
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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