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Annals of Cardiac Anaesthesia

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https://www.readbyqxmd.com/read/28701619/anesthesia-challenges-in-patent-ductus-arteriosus-stenting-for-congenital-heart-disease
#1
LETTER
S Nanditha, Poonam Malhotra Kapoor, Kunal Sarin
No abstract text is available yet for this article.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701618/appropriate-size-of-double-lumen-tubes-in-asians
#2
LETTER
Chitra Rajeswari Thangaswamy
No abstract text is available yet for this article.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701617/is-off-pump-cardiac-surgery-ready-for-goal-directed-therapy
#3
LETTER
Cor Slagt
No abstract text is available yet for this article.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701616/asystole-following-neuromuscular-blockade-reversal-in-cardiac-transplant-patients
#4
LETTER
Njinkeng J Nkemngu
No abstract text is available yet for this article.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701615/bentall-procedure-in-a-patient-with-parkinson-disease
#5
LETTER
Nanditha Sreedhar, Minati Choudhury, K Pradeep, V Devagourou
No abstract text is available yet for this article.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701614/methylene-blue-for-post-cardioplumonary-bypass-vasoplegic-syndrome
#6
LETTER
Neha Pangasa, Rohan Magoon, Vandana Bhardwaj, Amita Sharma, Ameya Karonjkar, Poonam Malhotra Kapoor
No abstract text is available yet for this article.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701613/management-of-iatrogenic-pulmonary-artery-injury-during-pulmonary-artery-banding
#7
Neeti Makhija, Shivani Aggarwal, Sachin Talwar, Suruchi Ladha, Deepanwita Das, Usha Kiran
Pulmonary Artery banding (PAB) is limited to selected patients who cannot undergo primary repair due to complex anatomy, associated co-morbidities, as a part of staged univentricular palliation, and for preparing the left ventricle prior to an arterial switch operation. We report a catastrophic iatrogenic complication in which the pulmonary artery was injured during the PAB. We discuss its multi-pronged management.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701612/sugammadex-to-reverse-neuromuscular-blockade-in-a-child-with-a-past-history-of-cardiac-transplantation
#8
Karen Miller, Brian Hall, Joseph D Tobias
Sugammadex is a novel agent for the reversal of neuromuscular blockade. The speed and efficacy of reversal with sugammadex are significantly faster than acetylcholinesterase inhibitors, such as neostigmine. Sugammadex also has a limited adverse profile when compared with acetylcholinesterase inhibitors, specifically in regard to the incidence of bradycardia. This adverse effect may be particularly relevant in the setting of a heart transplant recipient with a denervated heart. The authors present a case of an 8-year-old child, status postcardiac transplantation, who required anesthetic care for laparoscopy and lysis of intra-abdominal adhesions...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701611/the-utility-of-targeted-perioperative-transthoracic-echocardiography-in-managing-an-adult-patient-with-anomalous-origin-of-the-left-coronary-artery-pulmonary-artery-for-noncardiac-surgery
#9
Anudeep Jafra, Suman Arora, Aveek Jayant
Congenital coronary artery anomalies as a whole are uncommon. Abnormal origin of the left coronary artery from the pulmonary artery (ALCAPA) is probably the most common congenital coronary defect. An overwhelming majority of the patients with untreated ALCAPA do not survive to adulthood. As yet, there is no consensus on the management of adults with ALCAPA. We describe a patient with breast malignancy and incidentally detected ALCAPA; primacy was given to treatment of the oncologic condition as a first step...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701610/idarucizumab-praxbind-for-reversal-of-pradaxa-prior-to-emergent-repair-of-contained-ruptured-transverse-arch-aneurysm
#10
Erol Vahit Belli, Teng Lee
Idarucizumab before cardiopulmonary bypass was used for the reversal of dabigatran during an emergent frozen elephant trunk repair of a transverse arch aneurysm. Reversal was successful and minimal not massive transfusion was required with no abnormal sequelae seen with use before cardiopulmonary bypass.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701609/a-rare-case-of-acyanotic-congenital-heart-disease-large-patent-ductus-arteriosus-with-pre-ductal-coarctation-of-descending-thoracic-aorta-with-patent-ductus-arteriosus-closure-and-extra-anatomical-bypass-grafting
#11
Zara Wani, Deepak Tiwari, Rajeev Gehlot, Deepak Kumar, Sushil Chhabra, Meenaxi Sharma
We report a case of 18-year-old female patient with large patent ductus arteriosus (PDA)-preductal coarctation of descending thoracic aorta. She underwent large PDA closure with a prosthetic graft from ascending aorta to descending thoracic aorta by mid-sternotomy on cardiopulmonary bypass machine under total hypothermic circulatory arrest.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701608/management-of-a-case-of-double-aortic-arch-with-tracheal-compression-complicated-with-postoperative-tracheal-restenosis
#12
Hemang Gandhi, T Vikram Kumar Naidu, Amit Mishra, Pankaj Garg, Jigar Surti, Visharad Trivedi, Himanshu Acharya
Tracheal stenosis in association with the double aortic arch (DAA) is uncommon; however, it carries a high risk of morbidity, mortality, and restenosis. Although surgery is the mainstay of managing a case of the DAA with tracheal stenosis, management of tracheal restenosis requires a multidisciplinary approach. In this case report, we present our successful experience in managing a child of DAA with tracheal stenosis who developed tracheal restenosis after sliding tracheoplasty of trachea.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701607/anesthetic-challenges-of-extrinsic-trachea-bronchial-compression-due-to-posterior-mediastinal-mass-our-experience-with-a-large-esophageal-mucocele
#13
Saipriya Tewari, Puneet Goyal, Amit Rastogi, Aarti Agarwal, P K Singh
Large posterior mediastinal masses may lead threatening complications such as critical tracheobronchial compression. Airway management in these individuals is a challenge and being a lower airway obstruction; rescue strategies are limited. We encountered one such case of a large esophageal mucocele causing extrinsic tracheobronchial compression. We have described the anesthetic management of this case using awake fiber-optic assessment followed by intubation. Close communication with the surgical team, meticulous planning of airway management, and early drainage of the mucocele are the cornerstones of management in such patients...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701606/silicone-tracheobronchial-stent-a-rare-cause-for-bronchoesophageal-fistula-and-distortion-of-airway-anatomy
#14
Bhupesh Kumar, Ganesh Kumar Munirathinam, Goverdhan Dutt Puri, Anand Kumar Mishra, Virendra Kumar Arya
Silicone tracheobronchial stents are being increasingly used in a large number of patients for the treatment of tracheal stenosis. One very rare complication due to tracheobronchial stenting is bronchoesophageal fistula (BEF), which has been associated with the use of metallic stents. We report intraoperative management of a patient undergoing repair of a BEF, following previous insertion of a silicone Y-stent that is soft in texture and has not been implicated for this complication till date. In addition, misalignment of this silicone tracheobronchial Y-stent resulted in a tracheal mucosal bulge proximal to the stent that vanished after its removal...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701605/role-of-transesophageal-echocardiography-in-surgical-retrieval-of-embolized-amplatzer-device-and-closure-of-coronary-cameral-fistula
#15
Bhupesh Kumar, Alok Kumar, Ganesh Kumar, Harkant Singh
Congenital coronary artery fistula is an uncommon anomaly. Transcatheter coil embolization or Amplatzer vascular plug device closure of fistula is often done in symptomatic patients with safe accessibility to the feeding coronary artery. Embolization of Amplatzer vascular plug device is rare. We report an 11-year-old male child who presented to us with increasing shortness of breath for 7 years. He had a history of Amplatzer vascular plug device closure of right coronary-cameral fistula 8 years back. Echocardiography demonstrated a dilated aneurysmal right coronary artery with turbulent jet entering into the right ventricle (RV) and device embolized into the left pulmonary artery (LPA)...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701604/major-vessel-venous-thrombosis-in-patients-of-posttubercular-chronic-constrictive-pericarditis-undergoing-pericardectomy-a-rare-scenario
#16
Akhilesh Pahade, Prabhat Tewari
We are reporting two cases of neck and arm major venous thrombosis in patients of posttubercular chronic constrictive pericarditis posted for pericardectomy. There was unanticipated difficulty in placement of Internal Jugular vein catheter and subsequent ultrasound revealed thrombosis in the major veins. It was not diagnosed in the preoperative period. This report raises this major complication and highlights the use of ultrasound in such scenarios.
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701603/is-endothelin-gene-polymorphism-associated-with-postoperative-atrial-fibrillation-in-patients-undergoing-coronary-artery-bypass-grafting
#17
Ira Dhawan, Minati Choudhury, Milind P Hote, Anushree Gupta, Poonam Malhotra, Kalaivani V Mani
BACKGROUND: The mechanism of development of atrial fibrillation (AF) in patients undergoing coronary artery bypass grafting (CABG) has not been clearly defined, and the involvement of multiple factors such as advanced age, withdrawal of β-blockers, inadequate atrial protection, and electrolyte imbalance, particularly hypomagnesemia has been documented by several authors. Despite all the available pharmacologic prophylaxis, incidence of AF still remains high in this group of patients...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701602/to-evaluate-dexmedetomidine-as-an-additive-to-propofol-for-sedation-for-elective-cardioversion-in-a-cardiac-intensive-care-unit-a-double-blind-randomized-controlled-trial
#18
Tanveer Singh Kundra, Parminder Kaur, P S Nagaraja, N Manjunatha
INTRODUCTION: Propofol may lead to patient recall and discomfort when used for sedation in elective cardioversion. The aim of the present study was to evaluate dexmedetomidine as an additive to propofol for sedation in elective cardioversion. MATERIALS AND METHODS: A total of 500 patients undergoing elective cardioversion were randomized into Group 1 (n = 250) and Group 2 (n = 250) on the basis of computer-generated randomization table. Patients in Group 1 were given dexmedetomidine (1 mcg/kg) over 10 min before giving propofol (1 mg/kg), while patients in Group 2 were given only propofol (1 mg/kg)...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701601/an-antenatal-diagnosis-congenital-high-airway-obstruction
#19
S Miital, A Mittal, R Singal, S Singal, G Sekhon
Congenital high airway obstruction (CHAOS) is a rare lethal fetal malformation characterised by obstruction to the fetal upper airway, which can be partial or complete. Antenatal diagnosis of CHAOS is important due to recent management options. Diagnosis is made with secondary changes such as hyperechoic enlarged lungs resulting in mediastinal compression, ascites, hydrops, flattened or everted diaphragms and dilated distal airways. We reported a case of CHAOS, antenatally on ultrasonography (USG) at 20 weeks of gestation...
July 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28701600/inadequate-venous-drainage-transesophageal-echocardiography-as-rescue
#20
Monish S Raut, Arun Maheshwari, Sumir Dubey, Ganesh Shivnani, Sandeep Joshi, Arvind Verma, Swetanka Das
Malposition of venous cannula can cause inadequate venous drainage during cardiopulmonary bypass. It would be good clinical practice to use TEE to check the position of inferior venous cannula to avoid this problem at the earliest.
July 2017: Annals of Cardiac Anaesthesia
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