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Wed Jan 24 18:26:06 GMT 2007

The anatomy is such that you *might* be able to get a stent-graft into the
innominate without covering the opening of the right common carotid, or you
could stent up into the carotid and do a carotid-subclavian bypass if
necessary - but carotid stenting is getting less tenable by the month -
especially without adjuvant antiplatelet therapy..

BUT if you're going into the right chest to fix the oesophagus anyway then
you should do a formal open repair of the innominate.  How far out from time
of injury are we now?

Karim

On 24/01/07, Ronald Gross <Rgross at harthosp.org> wrote:
>
> I have to go with (I think it was) Ian's decision - stent the
> innominate,  repair  the goose through the right chest, and pleural patch
> only if your judgement tells you that it is needed - in the OR>
> Ron
>
> >>> <KMATTOX at aol.com> 1/24/2007 10:42 AM >>>
>
>
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Fwd: ccml Sunday's Case The plot gets more COMPLEX