This is a 3-mos-old male with tetralogy of Fallot, diagnosed prenatally, who underwent complete repair yesterday which included closure of the VSD and reconstruction of the RV outflow tract. CPB time = 84 - PowerPoint PPT Presentation

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This is a 3-mos-old male with tetralogy of Fallot, diagnosed prenatally, who underwent complete repair yesterday which included closure of the VSD and reconstruction of the RV outflow tract. CPB time = 84

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CPB time = 84' and AOC time = 47'. He separated from bypass in sinus rhythm, ... CICU, chest closed, on the same inotropic support, bilateral chest tubes, a RIJ ... – PowerPoint PPT presentation

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Title: This is a 3-mos-old male with tetralogy of Fallot, diagnosed prenatally, who underwent complete repair yesterday which included closure of the VSD and reconstruction of the RV outflow tract. CPB time = 84


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  • This is a 3-mos-old male with tetralogy of
    Fallot, diagnosed prenatally, who underwent
    complete repair yesterday which included closure
    of the VSD and reconstruction of the RV outflow
    tract. CPB time 84 and AOC time 47. He
    separated from bypass in sinus rhythm, on
    dopamine 5 mcg/kg/min and milrinone 0.25
    mcg/kg/min. Peak lactate was 2.5. Post repair
    TEE demonstrated no VSD patch leak, no gradient
    across the RV outflow tract, and good
    biventricular function. He received 1 unit of
    pRBC while on bypass.
  • He arrived in the CICU, chest closed, on the same
    inotropic support, bilateral chest tubes, a RIJ
    central line, and a radial arterial line. He
    received 1 unit of PLTS for a platelet count of
    85K and ongoing bleeding (which ceased).
  • Overnight..
  • Exam.
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