[HSF] Quiz of the week

[psimha]

Nope.
I diagnosed this on the phone many a time .Many years back I did a 
similar diagnosis via the Internet across the globe !!! (A HSF member 
had posed a problem with his patient and it was diagnosed correctly)
A clue The patient had a bout of VTach - Vfib which luckily converted 
spontaneously before Cardioversion was attempted. Wrong treatment can be 
fatal in this condition.
Prasanna
Dr. Fouad Azoury wrote:
> An RV infarct I guess....If correct, pretty bad smell in the air... 
>
> Fouad M. Azoury, M.D.
> Chairman Department of Cardiothoracic Surgery
>
> American Hospital Dubai
> P.O.Box: 5566. Dubai
> U.A.E
> Switchboard: (971) 4 336 7777
> Office: (971) 4 3096396
> Fax: (971) 4 3096496
> Website: www. ahdubai.com 
>
>
> -----Original Message-----
> From: Prasanna Simha [mailto:prasannasimha at gmail.com] 
> Sent: Friday, August 31, 2007 7:05 PM
> To: OpenHeart-L at lists.hsforum.com; ccm
> Subject: [HSF] Quiz of the week 
>
> 13 year old girl -h/o endocarditis and underwent mitral valve 
> repair.Preop in cardiogenic shock (BP in the low 80's and unable to 
> sleep flat and in CHF). RV very bloated on opening the pericardium.
> Weaned of CPB with 3 mics dopa dobut and 0.35 mics Milrinone.
> ECG next day morning.
> Something fatal in the air ?
> (Misquoting ABBA -
> There was something fatal in the air that night
> The stars were bright
> Fernando"
> Prasanna
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