Hemodynamics Case 9
Patient with a history of coronary artery disease and severely impaired LV function with PA pressure of 45/20 mmHg to undergo coronary artery bypass grafting with left internal mammary artery. Patient’s bypass course is complicated by hypotension requiring norepinephrine (phenylephrine and vasopressin were not effective). This is a high risk coronary artery bypass grafting with a low ejection fraction, that is complicated by vasoplegia on bypass. The TEE clip below is obtained post-bypass.
![](https://www.google.com/images/icons/product/drive-32.png)
The most likely drug(s) that will be needed to come off of cardiopulmonary bypass are:
- Nitric oxide
- Dobutamine
- Milrinone/NE/Methylene blue
- Dopamine
- None of the above