Cardiopulmonary Bypass Before Anesthesia Induction in a Case of Ruptured Ascending Aortic Aneurysm.

Management of ruptured ascending aortic aneurysms causing hemodynamic compromise represents a major challenge, especially during induction of anesthesia. We present a case of ruptured ascending aortic aneurysm with cardiac tamponade and cardiogenic shock, managed by awake cardiopulmonary bypass to avoid hemodynamic collapse. This represents an unconventional approach to establishing cardiopulmonary bypass, which in most cases is done postinduction.

Inflammatory markers are elevated in Eisenmenger syndrome.

Inflammation may be an important contributing factor to the progression of Eisenmenger syndrome (ES). Markers of systemic inflammation in ES have not been systematically studied. Inflammatory markers including high-sensitivity C-reactive protein (hs-CRP), interleukin-2 (IL-2), IL-6, and interferon-γ (IFN-γ) were measured in 42 consecutive ES patients (mean age, 24.