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Department of CTVS.  56 years old male from Cuttack  Date of admission 27.08.2014  Date of surgery 04.09.2014  Date of death 05.09.2014  Diagnosis:

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Presentation on theme: "Department of CTVS.  56 years old male from Cuttack  Date of admission 27.08.2014  Date of surgery 04.09.2014  Date of death 05.09.2014  Diagnosis:"— Presentation transcript:

1 Department of CTVS

2  56 years old male from Cuttack  Date of admission 27.08.2014  Date of surgery 04.09.2014  Date of death 05.09.2014  Diagnosis: coronary artery disease; post inferior wall MI, severe mitral regurgitation, mild aortic regurgitation, NYHA class V, mild LV dysfunction, poorly controlled diabetic

3  Admitted to EMR on 27.08.2014 with severe breathlessness, sweating, cough x 9 days  Not a known hypertensive, known diabetes x 12 years  At admission in LVF, shock, shifted to ICU, stabilized, intubated and ventilated, supportive care given, Nephrology consult taken for azotemia  CAG done on 02.09.2014 (mild 30% LAD lesion, 100% RCA lesion, LCx normal)

4  Still on mechanical ventilator, unable to extubate, recurrent LVF, persistent azotemia  on 04.09.2014 emergency CABG with mitral valve replacement done  Weaned off CPB with difficulty with high inotropic support and IABP support, shifted in unstable condition  Deteriorated and died at 5 AM on 05.09.2014

5  11 months old male baby from Puri  Date of admission 08.09.2014  Date of surgery: 18.09.2014  Date of death: 18.09.2014  Diagnosis: Congenital acyanotic heart disease; partial AV canal defect, large perimemrnaous ventricular septal defect, ostium primum ASD, large PDA, severe PAH

6  Admitted for cough, fever, vomiting x 2 months  Stabilised, treated with antibiotics, persistent mild cough, cath could not be done  VSD closure, PDA ligation and ASD closure done on 18.09.2014  Shifted to ICU in stable condition, developed tachy-arryhthmia (resistant VT) in immediate post-op period, deteriorated quickly and died at 10PM same day

7  49 year old male from Baripada  Date of admission: 03.09.2014  Date of surgery: 08.2014  Date of death: 09.09.2014  Diagnosis: Rheumatic valvular heart disease, severe MR, mild MS, moderate AS, moderate AR, single vessel CAD, diabetic, CRF, NYHA class V, in atrial fibrillation with fast rate

8  Admitted to EMR with chest pain, sweating and breathlessness since same day morning  Admitted, stablised, sugars controlled, shifted to CT-ICU for AF with fast rate on 06.09.2014, put on non-invasive ventilation  DVR with CABG done on 08.9.2014, shifted to CT-ICU in unstable condition  Persistent acidosis, low BP, low urine output despite IABP and high inotropic support  Died on 09.09.2014 at 11:45 PM


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