[HSF] Type II acute dissection + subacute hemorrhagic CVA

[erdinç naseri]

Robertto,

Cerebral infarction 1 week ago and AMI today. I operated  him. ıntraop finding: dissection in the LMCA and epicardial echo showed huge concentric LVH.

Bentall +CABG X 4. RCA graft reattached to ascending aorta .Out of operation room on IABP and high inotrope.

Cardioplegia thru all possible routes .

erdinc
 
> From: robertobattellini at hotmail.com
> To: openheart-l at lists.hsforum.com
> Subject: RE: [HSF] Type II acute dissection + subacute hemorrhagic CVA
> Date: Mon, 4 May 2009 21:17:44 +0200
> 
> 
> Erdinc,
> 
> 
> 
> When you talk about infarction, is it myocardial or cerebral???
> 
> Roberto
> 
> > From: robertobattellini at hotmail.com
> > To: openheart-l at lists.hsforum.com
> > Subject: RE: [HSF] Type II acute dissection + subacute hemorrhagic CVA
> > Date: Mon, 4 May 2009 21:09:04 +0200
> > 
> > 
> > May be terrible, but you must operate on him...he is too young for leaving him alone.
> > 
> > Aorta ascendens replacement + LAD revascularization and may be Aortic valve resuspension/replacement.
> > 
> > 
> > 
> > Take care of the myocardial protection!! retrograde and also through the RCA graft.
> > 
> > Roberto
> > 
> > > From: enaseri at hotmail.com.tr
> > > To: openheart-l at lists.hsforum.com
> > > Date: Mon, 4 May 2009 11:47:49 +0000
> > > Subject: [HSF] Type II acute dissection + subacute hemorrhagic CVA
> > > 
> > > 
> > > Urgent opinion requested:
> > > 
> > > 42 Y/O male ,operated CABG X 3 ( 9 months ago) ,7 days ago acute hemorrhagic infarction with minimal sequalae.today admitted with severe chest pain and anterolateral AMI.CAG:3 vessel disease, RCA graft open ,Diagonal graft occluded ,lima occluded,Aortography:acute aortic dissection, CT:Type II dissection ( no involvement of arch is seen),TTE: EF moderate,AR +++ 
> > > 
> > > erdinc
> > > 
> > > 
> > > 
> > > _______________________________________________
> > > 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
> > > -----------------------------------------
> > _______________________________________________
> > 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
> > -----------------------------------------
> _______________________________________________
> 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
> -----------------------------------------