- A 46 year old female with a past history of antiphospholipid syndrome and a mechanical MVR admitted with ascending cholangitis complicated by a cardiac arrest. Required emergent re do MVR as well as an urgent laparotomy.
Current problems included:
a) Slow respiratory wean
b) Ongoing tracheostomy bleed
c) CVVHDF for ARF
e) Evidence of intravascular hemolysis