Pulmonary hypertension (PH) is a complicated, and potentially life threatening, disease that is defined as having a mean pulmonary artery pressure greater than or equal to 25 mm Hg at rest. It was first described in medical literature in 1891 by a German physician, Ernst von Romberg, who mentioned pulmonary vascular stenosis in an autopsy. While it is considered a rare disease, being seen in only 1-2 people out of every million across the United States and Europe, those of us practicing cardiac surgery at programs with advanced heart and lung failure patients will likely see a lot of this disease.
CT Assist Blog
As the years go by, I feel like I’ve become better equipped to handle any situation I face at work. I’m not saying I always know exactly what to do, but the experience I have obtained over the years has given me a large tool box to work from. I can usually get out of any situation with a minimal amount stress. Unfortunately, this same principle does not apply to vein harvesting. The bad veins always find me. I have a running joke at work that I can create drama in any vein harvesting situation. Don’t get me wrong; I always find a way to get the vein out, and rarely will it need any repairs. But sometimes I think it takes years off of my life. As I sat and thought about this I realized that difficult veins have given me a tool box for vein harvesting too. Experienced harvesters will have heard these tips before, but for any new comers to EVH, I thought I’d share a few of the tools that have helped me along the way.