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VIV TMVR with Sapien 3
80 y/o s/p cabg 20 years ago. Redo sternotomy for severe Mitral regurgitaiton 15 years ago. Other hx: Bil Fem-pop bypass, h/o stroke, severe COPD and severe pulm htn on ATC O2. Chronic pain, CKD, etc. Presented at valve conference for failure of mitral bpv. Mean gradient of 15 mmHg. It was decided that we would proceed with VIV TMVR with a Sapien 3. On paper, it sounded like a bad idea. Once I met the patient, it was clear to me she wanted this done as her severe MS was going to... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 12, 2024 Category: Universities & Medical Training Authors: sevoflurane Tags: Anesthesiology Source Type: forums

Can I be a CT surgeon and still have a life?
Today, I just finished a sub-I in CT surgery at my medical school in Southern California. It was my favorite rotation so far in medical school. Even with all of the stress and chaos involved, I found myself excited to wake up every morning and scrub into a CABG or valve replacement or an aortic dissection. I felt extremely connected to the various residents, fellows, and attendings I worked with. Some of them even told me I would have a really good chance at getting accepted to my med... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 13, 2023 Category: Universities & Medical Training Authors: KBO Tags: Medical Students (MD) Source Type: forums

Coronary artery bypass surgery
Discussion BMAT 2023 Discussion GAMSAT 2023 Discussion UCAT 2023 Results Other application years: Official Undergraduate Medicine 2024 Entry Graduate Entry Medicine 2024 Entry Graduate Entry Medicine 2025 Entry Useful Articles: GCSE Requirements for Medicine Everything you need to know about the BMAT Work Experience as a Graduate or Mature student Medicine Personal Statement Advice Medicine Personal Statement Advice (Graduate Entry) Interview Frequently Asked Questions MMI Medicine Interview Tips What to do after an unsuccessful first application If your query is answered by one of the Megathreads o...
Source: The Student Room - October 13, 2022 Category: Universities & Medical Training Authors: TSR Hippocrates Tags: Medicine Source Type: forums

Critical Care Nurse taking Postbac Courses? How does this experience look for Admins
Hey guys I just got a RN position on a CTICU unit at the #1 Hospital in New York . This unit gets all the open heart surgeries, CABG, vents, ECHMO, etc. I'm super stoked and super humbled. I was a med-surg nurse for 4 years prior to the switch. For my Nurses turned to Physicians, how much has your nursing experience impacted your pre-med journey? I could imagine it could only help. Current Pre-Med situation : By the time I matriculate (assuming I apply 2023 cycle and accepted for the... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 13, 2022 Category: Universities & Medical Training Authors: RN-2-Medicine Tags: Nontraditional Students Source Type: forums

Tamponade
Opinions on a case. 60yo M pod 10 cabg with day 1 reopening for massive bleed, presents to ED in and out of fast afib, sob. Tte shows rv chamber compression in diastole. 3.3cm effusion around rv. Significant transmitral and transtricispud respirophasic variations. Last ate 3 hours before. Otherwise had RA, grade 2 dl view for cabg. Normal blood work. Surgeon wants to do pericardial window. Hes a chill surgeon. Pt is remarkably stable. Lying flat, no fluids running, no aline. Everyone is... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 26, 2022 Category: Universities & Medical Training Authors: PpfSuxTube Tags: Anesthesiology Source Type: forums

Another AW case
It’s Friday, you are not on call and just finished an of EF 15% AVR/cabg x3. You have one foot out the door when all of a sudden you get called for a trach (fauk). 65 y/o morbidly obese patient with a pharyngeal mass. Smoked her whole life, can’t lie flat, can hardly talk. Below is her CT scan. Plan? (Source: Student Doctor Network)
Source: Student Doctor Network - February 5, 2021 Category: Universities & Medical Training Authors: sevoflurane Tags: Anesthesiology Source Type: forums

Paralysis of lower legs after Total hip replacement
This case happenEd in Stockton, Ca to my anesthesiologist friend. i am not involved in the case. This is second hand information. Patient is 75 year old elderly female had Htn, CAD, s/p CABG A few years ago now is cleared by cards and is scheduled for total hip replacement. A spinal was given and achieved good anesthesia level with routine monitors. Intraop significant blood loss is noted and was resuscitated with crystalloids. Post op the patient was sent to PACU. The nurses /... Paralysis of lower legs after Total hip replacement (Source: Student Doctor Network)
Source: Student Doctor Network - September 27, 2020 Category: Universities & Medical Training Authors: inquisitiveanes Tags: Anesthesiology Source Type: forums

Cardiac Induction Case
For the students and residents. 70 something y/o pt for CABG. EF 30-35%, pretty bad CAD. ESRD, last HD last night. Inpatient. Pt is tiny, and anemic to boot. Hct high 20s. Looks frail. Edentulous. Has that aura of "I'm gonna give you trouble today." To the room and baseline SBP 180s. Induce gently and the pressures hold in the 100s throughout line placement. Yay, we're out of the woods I thought. I thought. Then all of a sudden the pressure drops to the 60s, and the sats drop to the... Cardiac Induction Case (Source: Student Doctor Network)
Source: Student Doctor Network - September 6, 2020 Category: Universities & Medical Training Authors: Hawaiian Bruin Tags: Anesthesiology Source Type: forums

Another Cardiac Case
I always enjoy the case presentations around here and it's been a while since I contributed, so here was a fun case 54 y/o male underwent Sternotomy for CABG/MVR/MAZE/LLAA 2 months ago after presenting with an NSTEMI. BMI 42, recent hx of Meth and Marijuana use, current everyday smoker with questionable COPD (PFTs were fine), OSA on BiPAP while at hospital (non-compliant at home), and AFib on Elliquis. Surgery went uneventfully, had a Mitral Valve Repair (simple ring), good flow in... Another Cardiac Case (Source: Student Doctor Network)
Source: Student Doctor Network - July 31, 2020 Category: Universities & Medical Training Authors: sethco Tags: Anesthesiology Source Type: forums

Challenging case
Had an interesting case recently, wondering how others would have tackled it: 72 yo M with poorly controlled HTN, IDDM, morbidly obese (190kg), pAF, CAD s/p remote CABG complicated by ischemic CM (LVEF 25% w/ RWMAs), post-capillary pulmonary HTN (mPAP ~50, R heart dilated and mildly reduced fxn), and AS s/p TAVR now w/ severe prosthetic valve stenosis. ESRD on HD, however he is now progressively volume overloaded because he has been getting hypotensive during attempts at ultrafiltration... Challenging case (Source: Student Doctor Network)
Source: Student Doctor Network - July 6, 2020 Category: Universities & Medical Training Authors: Hork Bajir Tags: Anesthesiology Source Type: forums

Severe pHTN for bilateral debridement @ Surgicenter : (
Hey everyone, Interesting case coming up I thought I’d solicit some ideas on. 57 yo F with history of primary pHTN, COPD, OSA non-compliant with CPAP (nocturnal nasal cannula 2L instead), CABG in 2001, DES 4 mo. ago to SVG-RCA. LIMA-LAD patent, otherwise just luminal irregularities and lesions <40%. Scheduled for bilateral venous stasis ulcer debridement at the surgicenter. No angina. Can “just about” lay flat. But minimal exercise tolerance due to SOB. Sees pHTN specialist who says... Severe pHTN for bilateral debridement @ Surgicenter : ( (Source: Student Doctor Network)
Source: Student Doctor Network - June 26, 2020 Category: Universities & Medical Training Authors: ISoNitrous Tags: Anesthesiology Source Type: forums

Urology vs ENT.... Or Plastics
Medical Student here. I started medical school thinking i wanted to be a cardiac surgeon after doing a year of research in cardiology prior to medschool. Unfortunately, after watching 20 odd CABG I’ve realised cardiac surgery isn’t for me, I want a speciality that is a little broader. So as an overview I would like to be in a surgical speciality which offers: - Diversity both in patient population and procedures - A medical and diagnostic element - Reconstructive in nature - A bonus would... Urology vs ENT.... Or Plastics (Source: Student Doctor Network)
Source: Student Doctor Network - June 12, 2020 Category: Universities & Medical Training Authors: British_IMG Tags: Surgery and Surgical Subspecialties Source Type: forums

Study Finds Limited Benefits of Stent Use for Millions With Heart Disease
Is a stent always the answer for people with chest pain? Maybe not. But they do need to do some work, new research finds, including sticking to medication and changing behaviors. www.nbcnews.com Study Finds Limited Benefits of Stent Use for Millions With Heart Disease Stents and coronary artery bypass surgery are no more effective than intensive drug treatment and better health habits in preventing millions of Americans from heart attacks and death, a large study fou...
Source: Student Doctor Network - November 17, 2019 Category: Universities & Medical Training Authors: Lawper Tags: Topics in Healthcare Source Type: forums

How would you do this case?
Hey guys heres a case. 65 y.o. 77kg, 5'11" BMI 23, with previous medical history of CAD, MI x3 (last in 2017); s/p DES to OM (6/07); periprocedure thalamic CVA x 2 with right-sided weakness; s/p CABG (LIMA-LAD, SVG-RCA/PDA in 4/2010) and DES x4 (OM1 6/2017, LAD 5/2008 and 2017, LCx 5/2015) with ischemic cardiomyopathy, h/o VT and CHB s/p AICD (pacemaker dependent); infected AICD, lead extraction 4/26/2019 and generator change with leadless single chamber pacemaker; chronic stable angina... How would you do this case? (Source: Student Doctor Network)
Source: Student Doctor Network - October 24, 2019 Category: Universities & Medical Training Authors: DrOwnage Tags: Anesthesiology Source Type: forums

Re: Antithrombotic treatment after coronary artery bypass graft surgery: systematic review and network meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - October 10, 2019 Category: General Medicine Source Type: forums