[HSF] Aortic dissection and CPR

[james le]

We recently had a   case of Aortic dissection   transferred from some other hospital for surgery. He had dissection   aorta involving the entire aorta along with severe AR.
  On arrival BP   was 90 systolic, all pulses   palpable and   there was no neurological deficit 
   At ER he suddenly developed severe Bradycardia   and   arrested and resuscitation was unsuccessful. TEE done after death   showed only small amount of pericardial collection.
   
   During CPR we had   a concern that vigorous massage could rupture aorta.
  How can we salvage such patients?
   
  Percutaneous bypass before we take to OR will help?
   

       
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