[HSF] Cardiac arrest after redo CABG in a young patient

[tdmartin2000 at aol.com]

We have all been in this situation and have all probablyl tried all kinds of measures. In my experience, assuming he is still asystolic, unless he is a transplant candidate VADs and echmo unfortunately are expensive delay measures for the ultimate outcome. 

Tom Martin
U of Florida
Gainesville


-----Original Message-----
From: zzhoumd at pol.net
To: OpenHeart-L at lists.hsforum.com
Sent: Mon, 3 Dec 2007 11:41 pm
Subject: [HSF] Cardiac arrest after redo CABG in a young patient



To forum members,

This weekend I was on call. One of my partners patients developed cardiac 
arrest. He is only 57 year old had redo CABGx5 4 days ago. Weight about 300LB. 
After 30 minutes CPR, he is still asystole. Considering his young age, I placed 
him on ECMO. I thought about BiVAD, but I just do not know if his brain will 
come back. Just wonder if anybody will do anything different. I did not 
reexplore him as TEE show no tampnade and he has no more conduit.

Thanks!

Z Zhou
Sent via BlackBerry by AT&T
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