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Not exactly something in our typical EM wheelhouse, but with already having access to the abdominal cavity due to the c-section, would anyone have thought about a trans-diaphragm approach to the heart vs the thoracotomy? I've heard of surgeons doing this during ex-laps. I suspect they'd also have more access to the LUQ during an ex-lap than one would have during a perimortem c-section.
What you do matters.