Cardiopulmonary Bypass Before Anesthesia Induction In A Case Of Ruptured Ascending Aortic Aneurysm

We present a case of ruptured ascending aortic aneurysm with cardiac tamponade and cardiogenic shock, managed by awake cardiopulmonary bypass to avoid hemodynamic collapse. This represents an unconventional approach of establishing cardiopulmonary bypass, which in most cases is done post induction. Increased surgical bleeding from full heparinisation prior to sternotomy can be a problem, limiting visibility.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research