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.
PMID: 31163129 [PubMed - as supplied by publisher]

Source: The Annals of Thoracic Surgery - May 31, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Srivastava S, Das A, Khanuja JS, Pendharkar A, Ganesan PK Tags: Ann Thorac Surg Source Type: research