Acute massive PE with cardiogenic shock is a surgical emergency. The key to good surgical outcome is early diagnosis and surgical referral. Recently we had 2 cases in early 20s , chronic smokers, one with history of trauma and immobilisation and other with liposuction procedure done 2 weeks ago. Both had gradual worsening of symptoms since a week and came in cardiogenic shock.
You can appreciate the clot burden in the pulmonary system often underrated. The swift action multidisciplinary team of cardiologist, radiologist anaesthesiologist, perfusionist, intensivist, physio, nurses is paramount for a successful outcome.
Endoscopic Aortic Valve replacement in a symptomatic 70 yr old lady with severe AS with fixed severe AR and grade 3 osteoporosis. 4 cm RAT ( right anterior thoracotomy) incision, no bone cut, endoscopic assisted, excellent visualisation for decalcification and suture placement.
Fast track extubated, no blood transfusion, discharged in 3 days
Dr Sudarshan GT
Minimally invasive and Robotic Cardiac Surgeon Fortis Hospitals, Bangalore
70 yr old with tight long segment LAD disease, underwent Robotic LIMA harvesting with 4 CM incision over LAD and beating heart anastomosis using octopus nuvo.. Pt extubated on table, minimal analgesics, discharged on 3rd day
Dr Sudarshan GT
Senior Consultant minimally invasive cardiac surgeon Fortis hospital, Bannerghatta road
