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Washington University Experience | VASCULAR | Cavernous Angioma | 4A0 Case 4 History
Case 4 History ---- The patient was a 66 year old woman with a history of severe mitral regurgitation, congestive heart failure, hypertension, type 2 diabetes, and coronary artery disease. She underwent two vessel CABG and mitral valve repair surgery in June, 2012. After an initial window of uneventful recovery she developed respiratory failure which required tracheostomy. Head CT performed due to the patient's altered mental status, showed acute brain infarction in the left frontal lobe, subacute infarction in the left occipital lobe, as well as age indeterminate lacunar infarcts in the left periventricular white matter and right caudate. During this time she also had renal failure which required dialysis. She was transferred to a care facility. She was readmitted to BJH and in the days before admission she was less responsive and had increased shortness of breath. Upon arrival, her telemetry showed sinus bradycardia and junctional bradycardia. She experienced more pronounced bradycardia (heart rate in the 30s) which was followed by asystole. Resuscitation efforts were unsuccessful and she was pronounced dead
