Carlos
I saw a fair few in SA while there working as a SR. You are quite correct
in avoiding IPPV. One of the problems that can arise is the hilar stab and
once you instigate IPPV they can develop air emboli. We had a run of them
and
we couldn't understand what the hell was going on until started opening the
hearts of the PM ones under a bucket of water in the DR. They get
characteristic air bubbles. I must say it took a bit of figuring out until
we cracked it.
BTW we did a transverse thoractomy introducing the gigli saw under the
sternum and opening the two hemithoraces and it gave a very good access to
the heart and great vessels. I think better than a left thoracotomy.
Danny McGeehan
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|