[HSF] circumflex in the groove

[Tea Acuff]

No. See repaly to Erdinc. Clear?

tea



----- Original Message ----
From: Roberto Battellini <robertobattellini at hotmail.com>
To: openheart-l at lists.hsforum.com
Sent: Wednesday, October 1, 2008 12:24:49 PM
Subject: RE: [HSF] circumflex in the groove


Tea,
do you mean through thoracotomy? as for sternotomy and big rotation of the heart without cannulas the heart could stay empty...
Roberto> Date: Wed, 1 Oct 2008 08:57:18 -0700> From: tacuff at swbell.net> Subject: Re: [HSF] circumflex in the groove> To: OpenHeart-L at lists.hsforum.com> CC: > > Exactly the same considerations and qualifications for off pump except no need to worry about canulae.> Tea> > Sent from my iPhone> > On Oct 1, 2008, at 8:21 AM, jbflegejr at aol.com wrote:> > Grafting the circumflex in the a-v groove in a patient with no previous operations need not be difficult. Open the pericardium on the right well back toward the phrenic nerve, open the right pleural cavity, cannulate for venous drainage as you might for a transplant (one cannula directly into the SVC and the other through the atrium close to the SVC) so that cannulas do not get in the way of rotating the heart into the right chest. Then rotate the heart to the right beneath the sternum into the right chest and that flattens out the lateral aspect of the LV and enables work on the circumflex without any more
 retraction and with very nice exposure. Use of the bipolar cautery for hemostasis in the fat is helpful. John Flege> > > -----Original Message-----> From: Roberto Battellini <robertobattellini at hotmail.com>> To: openheart-l at lists.hsforum.com> Sent: Tue, 30 Sep 2008 12:36 pm> Subject: RE: [HSF] circumflex in the groove> > > > > > > > > and read before the article written by John Flege, all the necessary details are > there.John is a cavalier and doesn´t mention his paper.I did this approach 4 > times on the beating heart with pleasure, but take care the aorta could be very > calcified and in that case go to the axillary.> Roberto> From: Jbflegejr at aol.com> Date: Tue, 30 Sep 2008 11:34:28 -0400> > Subject: Re: [HSF] circumflex in the groove> To: OpenHeart-L at lists.hsforum.com> > CC: > > In a reoperation the circumflex in the AV groove is best approached by > left > thoracotomy. Since the IMA is in use, a S> VG or radial artery would be Ok > with > the
 proximal anastomosis to the descending aorta if it is not too > diseased, the > subclavian artery if you can reach it which should be possible > through the > 4th IS and awkward thfough the 5th IS, or the axillary artery > exposed by > subclavicular incision. I certainly would graft it if it is the > cause of her > symptoms. John Flege> > > > **************Looking for simple > solutions to your real-life financial > challenges? Check out WalletPop for the > latest news and information, tips and > calculators. (http://www.walletpop.com/?NCID=emlcntuswall00000001)> > _______________________________________________> 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> -----------------------------------------> > > > > > > > _______________________________________________> 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
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