[HSF] (urgent) Acute dissection/Osler-weber-rendu

[Michael Firstenberg]

Before you all laugh me out of the room -
what about a proximal aortic stent
    granted no/little data, and may not work, but then again rushing  
off to the OR
    for a nice little pump run doesnt sound like a hot idea either

It "may" work and buy you/him a little time (like how about a couple  
of years)

anyone with any experience?

good luck!

michael

On Oct 8, 2006, at 8:45 PM, Hgrmd at aol.com wrote:

> Tom,
>   I don't know how many units of blood you normally use on a type I
> dissection, but I wouldn't operate until you think you have   
> enough.  As we all know,
> it can take the blood bank quite a while to  work through the  
> crossmatching
> problems associated with preformed antibodies.  With that  
> frightening history of
> GI bleeding, it may be that his best option is  medical  
> management.  Good
> luck.  BTW, I would use aprotinin on this  case!
> Ha
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