I had full aortic-length type A & B dissection last year. 6.5cm aortic aneurysm, regurgitation, broken valve, root, coronary artery. Everything. Wife saved my life. Took me to the Hospital in 12 minutes. Doctors took my life in their hands and gave it back again.
A great presentation! I especially liked the talking points about managing AD complications. It’s a frightening diagnosis that’s out there to get you! I’ve had a patient with a unilateral lower limb weakness and weak distal pulses who ended up having an AD! He did have HTN and was a smoker.
Great talk and discussion. Whats your pressors of choice in aortic disection - Does it differ if you have AR ? because our regular pressors of choice will result in tachycardia. Thanks
I would postulate dobutamine or milrinone. Norepi would increase afterload, epi would increase HR, I can't see how vasopressin would be beneficial, and neo would fall in line with norepi regarding afterload.
Very informative video, thanks for your effort, i'dl love see more video like this, aboveall if with eng subtitles (i'm not eng native speaker). Greetings!
Greetings from London,UK. I was misdiagnosed by the general hospital I was taken to with loss of feelings in both legs. They thought I had a trapped nerve and was going to send me home with paracetamol!! It was my wife who insisted they do a CT of my heart. The doctor on duty said it wasn't needed, but agreed do the CT just to keep my wife quiet. Shock, horror when they saw my WHOLE aorta was dissected, including Left subclavian, Brachocephalic Trunk & Proximal SMA. Right Coronary Artery also dissected & both Illiac arteries as well. Was rushed to Barts Hospital, London & had ten hour surgery. There really does seem to be a general ignorance of what the symptoms are for dissections at non specialist heart hospitals. I really think education is the key.
Incredible you survived! Gives me some hope for my mother who's currently in ICU with Aortic dissection. Lucikly the nurse triaging my mother happened to have a patient the week prior with the same emergency. Had it not been for that stroke of luck she may well be gone
I had full aortic-length type A & B dissection last year. 6.5cm aortic aneurysm, regurgitation, broken valve, root, coronary artery. Everything. Wife saved my life. Took me to the Hospital in 12 minutes. Doctors took my life in their hands and gave it back again.
A great presentation! I especially liked the talking points about managing AD complications. It’s a frightening diagnosis that’s out there to get you! I’ve had a patient with a unilateral lower limb weakness and weak distal pulses who ended up having an AD! He did have HTN and was a smoker.
Great talk and discussion. Whats your pressors of choice in aortic disection - Does it differ if you have AR ? because our regular pressors of choice will result in tachycardia. Thanks
I would postulate dobutamine or milrinone. Norepi would increase afterload, epi would increase HR, I can't see how vasopressin would be beneficial, and neo would fall in line with norepi regarding afterload.
You are so lucky to come out of an aortic dissection alive.
Nice episode
Thank you
Very informative video, thanks for your effort, i'dl love see more video like this, aboveall if with eng subtitles (i'm not eng native speaker). Greetings!
Thanks
Greetings from London,UK. I was misdiagnosed by the general hospital I was taken to with loss of feelings in both legs. They thought I had a trapped nerve and was going to send me home with paracetamol!! It was my wife who insisted they do a CT of my heart. The doctor on duty said it wasn't needed, but agreed do the CT just to keep my wife quiet. Shock, horror when they saw my WHOLE aorta was dissected, including Left subclavian, Brachocephalic Trunk & Proximal SMA. Right Coronary Artery also dissected & both Illiac arteries as well. Was rushed to Barts Hospital, London & had ten hour surgery. There really does seem to be a general ignorance of what the symptoms are for dissections at non specialist heart hospitals. I really think education is the key.
Incredible you survived! Gives me some hope for my mother who's currently in ICU with Aortic dissection. Lucikly the nurse triaging my mother happened to have a patient the week prior with the same emergency. Had it not been for that stroke of luck she may well be gone
Brilliant!
✍✍✍✍✍✍ Awesome video! Thank you!
Thanks!
wawo ,couldn't be better ❤
Thank you!
Worst dissection I’ve ever seen was 12/10 testicle pain with syncope
Whoa! That’s quite the presentation. Thanks for sharing
Great
Thank you for that!
This is what killed John Ritter.
Blood test for it coming soon
Sorry, I came to learn and got completely overwhelmed with two docs talking over the presentation.
Awesome. So happy you enjoyed it