[HSF] Aortic dissection and CPR

[Tohru Asai]

Dear Michael
Yes. I had a case two years ago. As james' case, our patient suddenly became
bradycardic and BP dropped from 80s to 40s and arrest. Immediately intubated
and go straight to our cardiac OR with external massage.

Quick sternotomy and femoral artery cannulation done. There was bloody
pericardial effusion of moderate amount but no descrete rupture.
Interestingly the patient could produce BP around 80s while opening
pericardium. The ordinary ascending aorta replacement was performed under
deep hypothermic circ arrest. Surprisingly, he woke up nicely and was eating
diet next day. Lucky man!
-- 
Tohru Asai


> 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?