35yo having lap band. Initial attempt at placing Trocar midline is difficult, so surgeon moves to upper right(?) quad. Optical Trocar is being used.

Next Bp unable to read. Hr 150, sat falling, end tidal falling. Surgeon immmediatly notified, within 2 minutes patien has arrested. Abdomen is opened and full of blood, stat call for vascular surgeon. 1hr later code is called, never got a rhythm back, echo shows empty heart. Vasc surgeon finds approx 8cm hole in aorta.

Not my case - in fact, lets call it hypothetical.

Thoughts?