[HSF] Heparin Induced Thrombocytopenia and CABG

[V. Aldrete, M.D.]

The patient had an early post-op ventilatory difficulty mostly due to  
the most severe emphysema I have ever seen, which added to pulmonary  
edema from CPB made me leave the sternum open for two or three days  
with only the skin closed,  With aggressive diuresis we were able to  
close it later and the remainder of the post-op proceeded  
uneventfully.  He was discharged from hospital and seen early post-op  
with normal recovery, but have no knowledge of his status since.
Re: the heparin induced bronchospasm, this was controlled by going on  
CPB and vasoconstrictors, while removing the Swan Ganz. The remainder  
of the operation was uneventful, but the CPB was longer than normal  
for a triple bypass.

Victor

On Oct 15, 2007, at 8:14 PM, Cysmd613 at aol.com wrote:

> Victor,
>
> Thank you for your response.  What happened with your patient?
> In my patient, the anesthesiologist had actually only put in the  
> introducer
> and not the S-G itself.
>
> Carmi
>
>
>
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