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diagnosis cardiology cardiothoracic cathlab clinical dissection evaluation freewall indications intraoperative management perioperative preop preoperative risk rupture stratification surgery vascular video
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... dissection in any patient ... at onset • Tearing ... disease • Cardiac ... surgery/catheterization
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... risk (>5%): - Aortic ... Severe Aortic stenosis ... postoperative cardiac ... preoperative stress testing
Intraoperative Cardiac Free Wall Rupture Free wall rupture...yes we can save them Following a syncope event, a 72-y
Intraoperative Cardiac ... brought to the ER, stable ... no history of cardiac ... ANGIO ruled out aortic ... the OR for post MI
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