[HSF] anomalus origen left coronary

[Lalit Kapoor]

We have a CT Angio reconstruction of the dilated RCA which was amazing




----- Original Message ----- 
From: "Lalit Kapoor" <rch_lkapoor at sancharnet.in>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Wednesday, March 19, 2008 6:53 PM
Subject: Re: [HSF] anomalus origen left coronary


>
> In our patient, at Operation, the RCA was similarly dilated...
>
> We did not ligate the LCA but instead went in for a Takeuchi type repair
> creating a two coronary system
>
> Cardioplegia was delivered antegrade - but we additionally cross clamped 
> the
> pulmonary artery to prevent "steal" of the Cardioplegia via the LCA 
> opening
> into a low pressure Pulmonary artery.
>
> Once the heart had arrested we gave additional cardioplegia via the LCA
> ostium after opening the pulmonary artery.
>
> For the second dose of cardioplegia we gave  50% via the aortic root while
> occluding the LCA ostium with finger pressure. The remaining 50% of the
> plegia was administered via the LCA ostium using a large Balloon tipped
> ostial cannula
>
>
>
>
> Lalit Kapoor
> Cardiac Surgeon
> Apollo Hospital, Ranchi
>
> ----- Original Message ----- 
> From: "edgar manrique" <edman63 at hotmail.com>
> To: <openheart-l at lists.hsforum.com>
> Sent: Wednesday, March 19, 2008 9:29 AM
> Subject: [HSF] anomalus origen left coronary
>
>
>
> The surgery has long 6 hours with time pump of 158 min and our surgeon did
> mitral valve repair (alfieri), trycuspide vlave repair, aortic valve
> replacement (biologic), and thorugh pulmonary artery closed the ostium of
> Left coronary artery, and he think in mammary artery graft but he said 
> dont
> necessary. We saw another ostium in aorta artery and in this moment the
> patient is good with 55% EF, without problems until now. We had many
> problems with cardioplegia because so much coronary flow (see attach
> photos), so was good with continous CP retrograde.We are so thanks with 
> all
> forum for your help and your opinons thank very muchedgar j manrique
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