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

[hgrmd at aol.com]

Prasanna,

? I totally agree with your statement.? TEE is not 100% in ruling out occult tamponade.



Hal


-----Original Message-----
From: Prasanna Simha M <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Tue, 4 Dec 2007 1:11 am
Subject: Re: [HSF] Cardiac arrest after redo CABG in a young patient




No investigation is fool proof including TEE for tamponade. I have seen
cases where the cardiologists swore that there was no collection but there
was alocal tamponade compressing a graft causing LCOS which was relieved by
removing the clot. No patient in cardiac surgery should die without having
inspected the heart (radical statement but may be life saving occasionaly)
Prasanna
On Dec 4, 2007 5:41 AM, <zzhoumd at pol.net> wrote:

> 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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-- 
Prasanna Simha M
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