[HSF] acute aortic insuffiency dure to BE

[erdinç naseri]

Dear forum members,
On monday morning we took the patient with Acute AI and bacterail 
endocarditis to operation.( blood culture showed enterococci sensitive to 
VM).Induction of anasthesia lead to deep hypotension and bradycardia 
followed by cardiac arrest.10 minutes of external chest massage and 
adrenaline and dopamine ,cardiac activity returns.was not sure about the 
neurologic condition so didn't proceed with operation and took the patient 
back to the ICU.Informed the family about the possibility of neurologic 
damage.She woke after 10 hrs and now is without deficit.Family refused 
operation for 3 days but today they accepted the operation again. BTW 
anesthesia inadvertently put a catheter in her left subclavian artery(blood 
running up to the fluid bottle) and I am planning to take it out in the 
operation room.We used CVVHDF in these 3 days. very effective lowering of 
blood creatinin and K levels.(we don't have any nephrologist so we manage 
the CRRT).Control Echo :mobile mass originating from NCC 5 
mm,AI+++,MI++,TI++.Will try once again.
ERdinc


>From: Hgrmd at aol.com
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] acute aortic insuffiency dure to BE
>Date: Mon, 19 Feb 2007 07:21:27 EST
>
>Bob,
>   Actually, it's my case, and I'm leaving in a few minutes to take  care 
>of
>it.  In my opinion, this pt's AI if chronic.  I noticed in his  chart that 
>he
>had been treated by a rheumatologist for "rheumatica myalgia"  since last
>September.  SBE was probably the culprit.  If you look at  the patient, he 
>seems
>fine.  In fact, he's roaming the halls with wide open  AI, mod MR, and
>mod-severe TR.  I'll let HSF know what I find
>Hal
>_______________________________________________
>OpenHeart-L mailing list
>
>Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
>To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>http://mmp.cjp.com/mailman/listinfo/openheart-l
>
>All messages transmitted by the OpenHeart-L are subject to the policies and
>disclaimers posted at:
>http://www.hsforum.com/listdisclaim
>-----------------------------------------