[HSF] anomalus origen left coronary

[ghassan ????? baslaim]

The key here is do not do harm.
 
If repair is impractical due to experience or sinus origin, then grafting is enough and avoid making 3-valve case to a 4-valve one.
 
Ategrade CPG will be enough with snaring PA distally/heart venting however,  retrograde is your choice 'cause. of AI
 
good luck
 
G. Baslaim
Jeddah, KSA> From: edman63 at hotmail.com> To: openheart-l at lists.hsforum.com> Date: Mon, 17 Mar 2008 16:04:03 -0500> 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> _________________________________________________________________> Express yourself instantly with MSN Messenger! Download today it's FREE!> http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/_______________________________________________> 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> -----------------------------------------
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