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

[prasannasimha]

Michael - the coronaries ? f we have to stent you have to localize the 
tear and I bet it will be near some important vessels either coronary 
/cerebral.
Prasanna

Michael Firstenberg wrote:
> 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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