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Dr. Andrew Rynne

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Had Myocardial Infarction. In Coma. Have An Open Wound. Is It Common To Keep An Open Wound?

my cousin, age 62 not great health, overweight , had a MI 2 days ago, then a 14 hr surgery; he s in icu with the wound still open and in a medically induced coma . Is this common to keep the wound open and what is the general prognosis if this happens, poor? It s probably unknown depending on many factors, I m sure. He s in Ankorage, AK now. Hi Dr. Akole, I don't know how to answer on this form so I'm doing it here. My cousin passed away last week. I have recently gotten some of my questions answered by the family. He didn't have a CABG, he had a dissecting aorta and the surgery was longer than I was told at first, 20 hrs. He had so many complications that his body just couldn't bounce back from but he gave it a good fight. I really do appreciate your taking the time to give me a great answer and your concern. So thank you very much.
Wed, 8 May 2013
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Internal Medicine Specialist,  's  Response
Dear friend, welcome and thanks for entrusting your query here at Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.


No, it is not common after a routine CABG (bypass surgery). The chest is kept open if there are complications or ongoing or possible bleeding.
If it was really a 14 hour surgery, it is not routine surgery.
As you said rightly, prognosis depends on lot of factors. What surgery was done? What was the problem?
How was his health condition before?
We need lot of data to recommend something online.
In general, the impression about prognosis is not good.

I hope to have given you some good idea.
Please ask for any clarifications before closing and rating this answer.
Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck! Thank you!!
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Had Myocardial Infarction. In Coma. Have An Open Wound. Is It Common To Keep An Open Wound?

Dear friend, welcome and thanks for entrusting your query here at Healthcaremagic! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. No, it is not common after a routine CABG (bypass surgery). The chest is kept open if there are complications or ongoing or possible bleeding. If it was really a 14 hour surgery, it is not routine surgery. As you said rightly, prognosis depends on lot of factors. What surgery was done? What was the problem? How was his health condition before? We need lot of data to recommend something online. In general, the impression about prognosis is not good. I hope to have given you some good idea. Please ask for any clarifications before closing and rating this answer. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole Good Luck! Thank you!!