I meant to post this on Friday but then…
Anyway, I took care of a 63-year-old having redo-CABG and MVR on Friday. Her starting EF was 25% at best! Well, all hell broke loose when we tried to come off CPB. The right heart wouldn’t play ball – it kept failing.
So we let the Milrinone and Epi run, added an IABP and waited and waited. An hour later, she was off CPB with an index of 2.2 and a mixed-venous saturation of 78-82. Her hematocrit was never an issue.
I have just observed countless times how time heals matters of the heart in the OR. I guess it also applies in everyday life!
