Patient with severe tricuspid valve bacterial endocarditis and sepsis as well as covid 19 infection undergone off pump valve excision and valve rudimentary repair as well as RA closure choking inflow technique used for this patient this is Dr Sam's 30th experience
Patient with twice previous CABG and stent with Covid 19 vaccine showed LV clot formation due to contraindication to heparin as a result of recent haemorrhage CVA undergone off pump Beating apical clot evacuation and closure with teflon felts
Patient with road traffic accident and sternal fracture with posterior displacement and bones entered pericardial space injured RV undergone repair of RV and sternal reconstruction with titanium
Epicardial permanent pace fix with just a little mini ant lateral thoracotomy and pericardial opening for patient with heart failure
Patient with previous CX territory's stent came with stent ruptured and LV wall ruptured undergone pericardial patch technique repair
Very huge LA clot in patient with funnel shaped mitral valve and MS after Covid 19 vaccination undergone clot evacuation LAA closure and mitral valve replacement
Patient with extensive huge ant mediastinal mass and TTE suggestive for tamponade and constrictive pericarditis and all chambers were compressed by tumor completely excised and pathology was concordant with sarcoma reason for this extensive surgery at this step was hemodynamic and dyspnea of the patient
Another type of SVG transverse Y graft in this configuration you can perfuse LAD and OM and Diagonal artery as well as Right side target vessels with just one or two proximal opening in the ascending aorta specially for calcification
Example of multiple Y grafts for total epicardial vessels revascularisation as you can see despite 6 grafts just two proximal anastomoses in the ascending aorta
Aortic epicardial leision orignating from vasa vasarum and pathology conconrdant with aortic epicardial hemangioma very rare case of tumor in aortic position
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