[HSF] Aortic dissection and CPR

[Ben Bidstrup]

I have had them arrest just after I had spoken to the patient and as 
i was informing the family of the risks!

>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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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon