Download presentation
Presentation is loading. Please wait.
Published byJewel Marshall Modified over 9 years ago
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
Similar presentations
© 2024 SlidePlayer.com. Inc.
All rights reserved.