[HSF] Aortic dissection and CPR

[tdmartin2000 at aol.com]

Most of these pts with sudden deterioration have rupture into their pericardium and are not salvageable. I have attempted on multiple occasions and have had 2 that we got out of the OR only to have anoxic cerebral deaths. If they have tamponade, CPR does no good, as you cannot fill. One of the ones we got out of the OR actually had arrest right after induction of anesthesia and we were on pump in under 10 min.



Tom Martin

U of Florida

Gainesville


-----Original Message-----
From: james le <jamesle2007 at yahoo.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Mon, 10 Sep 2007 6:35 am
Subject: [HSF] Aortic dissection and CPR




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?
   

       
---------------------------------
Looking for a deal? Find great prices on flights and hotels with Yahoo! 
FareChase.
_______________________________________________
OpenHeart-L mailing list

Send postings to:
 OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------


________________________________________________________________________
Email and AIM finally together. You've gotta check out free AOL Mail! - http://mail.aol.com