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Clinical Rotation Essay

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I got the opportunity to go to an extra clinical rotation today that I am very thankful for. The patient required a double bypass, where a section of the mammary artery and a section of the great saphenous vein were used to bypass two different blockages. The patient was intubated using a glide scope to insure accuracy. While the patient was intubated he also had a catheter put into his penis. When this was finished both the Cardiothoracic surgeon, Dr. Wagmeister, and an unnamed physician’s assistant went to work on the patient.
The PA started to harvest the great saphenous vein in the left leg. To do this, he went in laparoscopically with a camera to find and isolate the vein. Once the vein was isolated, they cut it and sealed both ends remaining …show more content…
The next step for him was to “install” the vein harvested from the leg. He had to make sure that he switched the direction of the vein opposite from its original position due to the fact that it has valves in place to stop reverse flow. From here he clamped down a small section of the aorta to prevent blood flow into the small section that he intended to be sewing. He used a small punch to punch out a piece of the aorta that would then have the vein attached to it. The end of the vein was attached to the aorta, which took a lot of skill because getting the depth of the stitches off in either direction could result in death. In this particular case, he accidentally poked a hole in the artery. He had to get rid of the vein that he was using by unstitching it and use another part of the previously harvested vein that he had set aside. He grabbed the other vein, that had been sitting in the patient’s blood to remain fresh and restarted the process of stitching both ends back into the heart. I was surprised because Dr. Wagmeister remained calm, no doubt because he had done it a bazillion times. He then did the same process of finding the clogged part of the heart to bypass and made sure the vein was facing the correct way to allow blood

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