[HSF] Relationship between Vascular Surgery and Cardiac Surgery

[Tea Acuff]

Not if you select them like this!

tea



----- Original Message ----
From: Michael Firstenberg <msfirst at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Friday, March 28, 2008 12:38:15 PM
Subject: [HSF] Relationship between Vascular Surgery and Cardiac Surgery

I find it interesting now that current guidelines do not recommend and
extensive cardiovascular work-up prior to major vascular surgery that we are
getting more consults in patients who have had big MI's after vascular
surgery.  These patients get cath - and guess what - several CAD (at least)
and now need CABG.

Heading down to cath lab now to evaluate a patient POD#1 s/p Fem-pop (BKA on
other leg) who coded post-op and had a huge MI (EF~10%).... 76 years/old.
Not sure what I can offer at this point in terms of a long term benefit.

I have not seen many good outcomes (short or long) when operating on
non-ambulatory (esp amputees - unless very functional) patients......
comments?


-michael
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