[HSF] AATS 2009-ligation of LAA and CX closure

Lucas Ramirez, MD ramirezgil at une.net.co
Sat May 23 15:27:22 EDT 2009


Thanks a lot!
Where do you work currently?
 
Lucas

----- Mensaje original -----
De: hgrmd at aol.com
Fecha: Sábado, Mayo 23, 2009 2:27 am
Asunto: Re: [HSF] AATS 2009-ligation of LAA and CX closure
A: OpenHeart-L at lists.hsforum.com

> Lucas,
>   Please feel free to visit whenever you are in South Florida.
> 
> Hal
> Sent from my Verizon Wireless BlackBerry
> 
> -----Original Message-----
> From: "Lucas Ramirez, MD" <ramirezgil at une.net.co>
> 
> Date: Fri, 22 May 2009 23:00:59 
> To: <OpenHeart-L at lists.hsforum.com>
> Subject: Re: [HSF] AATS 2009-ligation of LAA and CX closure
> 
> 
> Hal:
>  
> I live in Medellin, Colombia.  Thanks for calling me a good 
> company! 
> Lucas
> 
> ----- Mensaje original -----
> De: hgrmd at aol.com
> Fecha: Viernes, Mayo 22, 2009 10:40 pm
> Asunto: Re: [HSF] AATS 2009-ligation of LAA and CX closure
> A: OpenHeart-L at lists.hsforum.com
> 
> > Lucas,
> >   Good to know I'm in good company.  BTW, where 
> do you live?
> > 
> > Hal
> > Sent from my Verizon Wireless BlackBerry
> > 
> > -----Original Message-----
> > From: "Lucas Ramirez, MD" <ramirezgil at une.net.co>
> > 
> > Date: Fri, 22 May 2009 22:33:18 
> > To: <OpenHeart-L at lists.hsforum.com>
> > Subject: Re: [HSF] AATS 2009-ligation of LAA and CX closure
> > 
> > 
> > Hal:
> >  
> > That's exactly what I do.  It works and it's very long 
> > lasting judging by echocardiographic follow up
> >  
> > Regards,
> >  
> > Lucas
> > 
> > ----- Mensaje original -----
> > De: hgrmd at aol.com
> > Fecha: Viernes, Mayo 22, 2009 6:40 am
> > Asunto: Re: [HSF] AATS 2009-ligation of LAA and CX closure
> > A: OpenHeart-L at lists.hsforum.com
> > 
> > > Frankly Ajit, I'm skeptical of Mark's ligation technique as 
> > well 
> > > as his observations of lower AF and pericardial 
> > effusions.  
> > > I've never heard of the latter claims until now.  I 
> > wonder 
> > > if he has looked at a number of these ligated LAA's to see 
> if 
> > > they reopen.
> > >   No method is fool proof, but I've found a 2 
> layer 
> > linear 
> > > endocardial closure to be the most secure for me.
> > > 
> > > Hal
> > > Sent from my Verizon Wireless BlackBerry
> > > 
> > > -----Original Message-----
> > > From: "Ajit Damle" <damle at cableone.net>
> > > 
> > > Date: Fri, 22 May 2009 06:18:47 
> > > To: <OpenHeart-L at lists.hsforum.com>
> > > Subject: RE: [HSF] AATS 2009-ligation of LAA and CX closure
> > > 
> > > 
> > > Well, I am going to question these techniques of atrial 
> > > appendage ligation.
> > > The atrial appendages I see have rarely, if ever, a narrow 
> > base. 
> > > Most have a
> > > wide base, making ligation a worrisome prospect. About a cm 
> or 
> > > two above the
> > > base, there is indeed a narrow waist where I put my suture 
> or 
> > > staple line,
> > > convincing myself that I am at the true base.
> > > 
> > > Do either of you have any echocardiographic follow up? 
> > > 
> > > Ajit Damle
> > > 
> > > 
> > > -----Original Message-----
> > > From: openheart-l-bounces at lists.hsforum.com
> > > [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of 
> > Mark 
> > > LevinsonSent: Thursday, May 21, 2009 10:04 PM
> > > To: OpenHeart-L at lists.hsforum.com
> > > Subject: Re: [HSF] AATS 2009-ligation of LAA and CX closure
> > > 
> > > 
> > > On May 21, 2009, at 9:41 PM, Prasanna Simha M wrote:
> > > 
> > > > We do that by placing a clamp and tying while partially 
> > > releasing  
> > > > the clamp.
> > > > This prevents it from sliding up.
> > > 
> > > I've done that too.   Works fine in most appendages..
> > > 
> > > Mark
> > > 
> > > Mark Levinson, MD.
> > > Founder, Editor-in-Chief
> > > The Heart Surgery ForumR
> > > Multimedia Cardiothoracic Journal
> > > URL: http://www.hsforum.com
> > > URL: http://newoptionsinheartsurgery.com
> > > Emali:  mmlevinson at hsforum.com
> > > 
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> > > -----------------------------------------
> > > 
> > 
> > Lucas Ramírez, MD
> > Cirujano Cardiovascular
> > Clínica Cardiovascular Santa María
> > Medellín, Colombia
> > 
> > 
> 
> Lucas Ramírez, MD
> Cirujano Cardiovascular
> Clínica Cardiovascular Santa María
> Medellín, Colombia
> 
> 

Lucas Ramírez, MD
Cirujano Cardiovascular
Clínica Cardiovascular Santa María
Medellín, Colombia


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