[HSF] Aortic dissection and CPR

[Michael Firstenberg]

In my very very limited humble opinion, if they are arresting and unless you
are in the OR or they have young brains, then the cat may be out of the
bag........

anyone ever have a dissection survive with CPR in progress?


-michael


On 9/10/07, james le <jamesle2007 at yahoo.com> wrote:
>
> 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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