[HSF] A question of conduits

[Donald Ross]

Lima to D1, T-radial to the rest. If lad is closer to 40 than 50%  
then leave otherwise SVG.
Alternatively, to quote Ani: " Does he really need an operation?"
Don
On 26/03/2008, at 2:58 PM, Mitch Lirtzman wrote:

> Let's start a new thread, shall we?
>
> A 56yo male, non-diabetic smoker, admitted with NSTEMI. Cath shows  
> total OM with faint distal flow as the culprit. RCA 100% w/  
> collateral to the PDA. D1 is 90% and LAD 40%-50% at most. LVEF~  
> 45%. Body habitus is mesomorph bordering on Cajun-porky.
>
> My plan would be skeletonized RIMA to the PDA, try to get the LIMA  
> from D1 to OM and probably leave the LAD alone.
>
> Any thoughts/ contrary opinions?
>
> Now, I hope you don't mind my changing directions, but for you  
> "OPCAB-ers" out there, for the last several cases, I've been able  
> to graft every vessel I need to, but for the last two, in  
> positioning for the circ, the BP would just not tolerate the  
> change. Trendelenburg, Rt lateral, volume loading, none of it  
> worked. And "putting the heart into the rt chest", the worst. Any  
> pearls would be happily accepted.
>
> Thanks, Mitch
>
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