[HSF] Re: [ccm-l] Image of the week Hemisternotomy

[Donald Ross]

I use a hemisternotomy for lima to LAD and it is very nice with no  
compromise. I dabbled with complete revascularisation using a T off  
the lima   but found I needed a left second interspace inverted L   
and since that is difficult to fix securely I have gone back to full  
sternotomy using a short skin incision which extends up to the bottom  
of the manubrium.
I think a mitral  via a hemisternotomy would be difficult in a crusty  
old patient but I haven't tried.
Don
On 01/05/2008, at 7:56 AM, Tea Acuff wrote:

> Please note that the aorta cannulation is "doeable". This is code  
> for limited access. In many alternative incisions  the proximals  
> (if used, Don) can be a bigger problem than the distals. An  
> inadvertant problem with the arota can exact a high price. Ability  
> to extend the incision is a real plus, but may not be worth the  
> trip (to India). On the other hand having Prasanna be your surgeon  
> may be worth some bumps in the road. He was not advertising for  
> CAB, however, or so it seems..
>
> tea
>
>
>
> ----- Original Message ----
> From: Prasanna Simha M <prasannasimha at gmail.com>
> To: gabi ford <gabiford at hotmail.com>
> Cc: OpenHeart-L <openheart-l at hsforum.com>; "<ccm-l at ccm-l.org>" <ccm- 
> l at ccm-l.org>
> Sent: Wednesday, April 30, 2008 12:29:03 PM
> Subject: [HSF] Re: [ccm-l] Image of the week Hemisternotomy
>
> swallow statins,exercise and diet instead of coming to get cut up !!
>
> Prasanna
>
> On Wed, Apr 30, 2008 at 10:57 PM, gabi ford <gabiford at hotmail.com>  
> wrote:
>
>>
>> From: prasannasimha at gmail.com
>>> This is a view of the mitral valve during a hemisternotomy. I do not
>> think that the view is compromised. You can clearly see the  
>> subvalvar (I am
>> doing a combined chordoplasty (chordal shortening +neochordal  
>> construction )
>> of the AML chordae.
>>
>> Prasanna,
>>
>> Dare I say it?  AMAZING!!!!!  :)
>>
>> How do we get together when I need my bypass?
>> Your OR or mine?
>>
>> Thanks for the pic and explanation.  As always, impressive.
>>
>> Gabi, RN
>
>
>
>
> -- 
> Prasanna Simha M
> _______________________________________________
> 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
> -----------------------------------------
> _______________________________________________
> 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
> -----------------------------------------