Neil Armstrong Died After Heart Surgery. That May Have Been Avoidable.

In this article Michael Mack explains his thoughts on the events leading to the death of Neil Armstrong.
Neil Armstrong suffered a tamponade after his pacing wires were removed which led to a series of events leading to his eventual death.
Michael Mack shares his thoughts on the death and his views on the issues it raises, which also raises many important issues for our community with regard to preparedness for complications after heart surgery for which STS guidelines exist but may not yet be fully adopted in some units, and also for surgery in smaller or community hospitals, of which this was an example.
Your thoughts on these important issues will be much appreciated, so please do post your views.