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Annals of Cardiac Anaesthesia

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https://www.readbyqxmd.com/read/28994697/hypertrophic-obstructive-cardiomyopathy-yamaguchi-syndrome-and-kounis-syndrome-clinical-challenges
#1
LETTER
Nicholas G Kounis, Ioanna Koniari, George Soufras, Nicholas Patsouras, George Hahalis
No abstract text is available yet for this article.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994696/an-uncommon-intraoperative-implantable-cardiac-device-complication-and-subsequent-troubleshooting
#2
LETTER
Rekha Suthar, Omar Viswanath, S Howard Wittels, Gerald P Rosen
No abstract text is available yet for this article.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994695/inadvertent-diversion-of-inferior-vena-cava-to-left-atrium-after-repair-of-atrial-septal-defect-early-diagnosis-and-correction-of-error-role-of-intraoperative-transesophageal-echocardiography
#3
LETTER
Mangesh Sudhakar Choudhari, Nameirakpam Charan, Manish Ishwar Sonkusale, Rashmi Arun Deshpande
No abstract text is available yet for this article.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994694/bifid-epiglottis-what-perioperative-physician-should-know-about-it
#4
LETTER
Rupesh Yadav, Sohan Lal Solanki, Jeson R Doctor
No abstract text is available yet for this article.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994693/accidental-placement-of-central-venous-catheter-into-internal-mammary-vein-a-rare-catheter-malposition
#5
LETTER
Manish Kela, Haridas Munde, Sushil Raut
No abstract text is available yet for this article.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994692/think-beyond-right-bundle-branch-block-in-atrial-septal-defect
#6
LETTER
Monish S Raut, Arvind Verma, Arun Maheshwari, Ganesh Shivnani
No abstract text is available yet for this article.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994691/distortion-of-aortic-valve-from-mechanical-traction-imposed-by-the-mitral-valve-prosthesis-the-three-dimensional-transesophageal-echocardiographic-perception
#7
Saravana Babu, Unnikrishnan P Koniparambil, Muthu Kumar, Bineesh K Radhakrishnan, Neelam Aggarwal, Saurabh Nanda
Iatrogenic injury to the aortic valve is a rare but frequently reported complication during mitral valve surgeries. Intraoperative 2-dimensional transesophageal echocardiography (2D TEE) has a major impact in diagnosing these injuries, so that timely intervention is possible. However, 2D TEE has lot of limitations during the perioperative period, which can be overcome by the three dimensional echocardiography (3D-TEE). We report a case where 3D TEE has undoubtedly delineated the cause for distortion of aortic sinus after mitral valve replacement and helped in the successful outcome...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994690/perioperative-management-of-a-patient-with-glanzmann-s-thrombasthenia-for-mitral-valve-repair-under-cardiopulmonary-bypass
#8
Parimala Prasanna Simha, Prasanna Simha Mohan Rao, Deepak Arakalgud, Rakesh Rajashekharappa, Manjunath Narasimhaih
A 30-year-old male patient presented with Glanzmann's thrombasthenia and mitral valve prolapse. He was in acute decompensated congestive heart failure due to severe mitral and tricuspid regurgitation. After his cardiac failure had been stabilized, the patient was subjected to mitral and tricuspid valve repair. His transfusion requirements were guided by thrombelastography and his bleeding disorder was managed by infusing single donor plasmapheresed platelet transfusions in the perioperative period. The patient underwent surgery uneventfully...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994689/a-case-report-of-combined-radical-pericardiectomy-and-beating-heart-coronary-artery-bypass-grafting-in-a-patient-with-tubercular-chronic-constrictive-pericarditis-with-coronary-artery-disease
#9
Gauranga Majumdar, Surendra Kumar Agarwal, Shantanu Pande, Bipin Chandra, Prabhat Tewari
We here report a successful midterm outcome following combined off-pump radical pericardiectomy and coronary artery bypass surgery (CABG) in a 65-year-old male patient who was suffering from chronic constrictive calcified tubercular pericarditis with coronary artery disease. Simultaneous off-pump CABG and radical pericardiectomy for nonsurgical constrictive pericarditis is reported very rarely in English literature.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994688/the-use-of-intravenous-hydroxocobalamin-as-a-rescue-in-methylene-blue-resistant-vasoplegic-syndrome-in-cardiac-surgery
#10
Yi Cai, Anwar Mack, Beth L Ladlie, Archer Kilbourne Martin
Vasoplegic syndrome is a well-recognized complication during cardiopulmonary bypass (CPB) and is associated with increased morbidity and mortality, especially when refractory to conventional vasoconstrictor therapy. This is the first reported case of vasoplegia on CPB unresponsive to methylene blue whereas responsive to hydroxocobalamin, which indicates that the effect of hydroxocobalamin outside of the nitric oxide system is significant or that the two drugs have a synergistic effect in one or multiple mechanisms...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994687/two-episodes-of-cardiac-tamponade-in-the-same-patient-from-removing-pacing-wires-and-a-pericardial-drain-a-case-report
#11
Rekha Suthar, Osman Nawazish Salaria, Carolina De La Cuesta, Omar Viswanath
A patient presented for an elective transcatheter aortic valve replacement with temporary transvenous pacing (TVP) wires placement per protocol. On postoperative day 1, the patient remained stable, so the wires were subsequently removed, after which the patient acutely decompensated, with transthoracic echocardiography revealing pericardial effusion. Emergent pericardiocentesis was performed, and a pericardial drain was placed. Three days later, the drain was removed; again, the patient acutely decompensated, requiring another emergent pericardiocentesis...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994686/lutembacher-syndrome-dilemma-of-doing-a-tricuspid-annuloplasty
#12
A V Varsha, Gladdy George, Raj Sahajanandan
We discuss the case of a 24-year-old woman with Lutembacher syndrome and severe tricuspid regurgitation (TR) who underwent surgical closure of atrial septal defect and mitral valve replacement without tricuspid annuloplasty despite a severe TR and a large tricuspid annulus on preoperative echo. The pathophysiology of Lutembacher syndrome is discussed below. The utility of perioperative echocardiography in assessing the annular diameter, tenting area and coaptation depth and thus providing insights into the functioning of the tricuspid valve will also be emphasized...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994685/rhabdomyolysis-and-compartment-syndrome-in-a-bodybuilder-undergoing-minimally-invasive-cardiac-surgery
#13
Sebastian John Baxter, Madhusudan Rao Puchakayala, Vinayak N Bapat
Rhabdomyolysis is the result of skeletal muscle tissue injury and is characterized by elevated creatine kinase levels, muscle pain, and myoglobinuria. It is caused by crush injuries, hyperthermia, drugs, toxins, and abnormal metabolic states. This is often difficult to diagnose perioperatively and can result in renal failure and compartment syndrome if not promptly treated. We report a rare case of inadvertent rhabdomyolysis and compartment syndrome in a bodybuilder undergoing minimally invasive cardiac surgery...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994684/atrial-myxomas-causing-severe-left-and-right-ventricular-dysfunction
#14
Aanchal Dixit, Prabhat Tewari, Rashmi Soori, Surendra Kumar Agarwal
Myxomas are the most common cardiac tumors, accounting for about 50% of benign primary cardiac tumors, with the majority located in the left atrium, and 80% of which originate in the interatrial septum. We report two cases with severe cachexia, neurological sequelae, and severe biventricle dysfunction secondary to atrial myxomas with marked early improvement after tumor excision.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994683/sutureless-aortic-valve-implantation-in-patient-with-porcelain-aorta-via-unclamped-aorta-and-deep-hypothermic-circulatory-arrest
#15
Vagelis Boultadakis, Nikolaos G Baikoussis, Victoras Panagiotakopoulos, Nikolaos A Papakonstantinou, Polyxeni Xelidoni, Stratos Anagnostou, Christos Charitos
Severe atherosclerotic calcification of the ascending aorta, the so-called porcelain aorta, precludes cardiac surgeons from placing an aortic cross-clamp and direct aortic cannulation due to the increased risk of systemic embolism and stroke. In the present report, we support the option of sutureless valve implantation in a case of a porcelain ascending aorta, with deep hypothermic circulatory arrest and also without aortic cross-clamp.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994682/successful-surgical-osteoplasty-of-the-left-main-coronary-artery-with-concomitant-mitral-valve-replacement-and-tricuspid-annuloplasty
#16
Ujjwal Kumar Chowdhury, Abhinav Singh Chauhan, Poonam Malhotra Kapoor, Suruchi Hasija, Priya Jagia, Pradeep Ramakrishnan
A 50-year-old woman with rheumatic heart disease, mitral stenosis, and critical isolated left main ostial stenosis was successfully treated by mitral valve replacement, tricuspid annuloplasty, and surgery of left main osteoplasty and is reported for its rarity. Notable clinical findings included an intermittently irregular pulse, blood pressure of 100/70 mmHg, cardiomegaly, a diastolic precordial thrill, a mid-diastolic murmur without presystolic accentuation that was loudest at the mitral area. Chest radiograph revealed cardiomegaly with a cardiothoracic ratio of 0...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994681/pulmonary-valve-reconstruction-during-conduit-revision-technique-and-transesophageal-echocardiography-imaging
#17
Sachin Talwar, Poonam Malhotra Kapoor, Sukhjeet Singh, Deepanwita Das, Kamal Prakash Sharma, Balram Airam
Transesophageal echocardiography can be a useful adjunct in assessing the quality of repair in patients undergoing novel methods of reconstruction of the right ventricular outflow. We present one such patient here.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994680/rising-central-venous-pressure-impending-right-sided-failure
#18
Monish S Raut, Arun Maheshwari, Vinayak Desurkar, Rajesh Bhavsar
Central venous pressure generally indicates right sided cardiac filling pressure. Although it is a static hemodynamic parameter, however trend of CVP gives important information regarding the patient's management. Patient with left ventricular assist device is prone to develop right ventricular dysfunction which can easily be suspected by trend of CVP. However rising CVP does not always imply right heart dysfunction.
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994679/ischemic-mitral-regurgitation
#19
REVIEW
Praveen Kerala Varma, Neethu Krishna, Reshmi Liza Jose, Ashish Narayan Madkaiker
Ischemic mitral regurgitation (IMR) is a frequent complication of left ventricular (LV) global or regional pathological remodeling due to chronic coronary artery disease. It is not a valve disease but represents the valvular consequences of increased tethering forces and reduced closing forces. IMR is defined as mitral regurgitation caused by chronic changes of LV structure and function due to ischemic heart disease and it worsens the prognosis. In this review, we discuss on etiology, pathophysiology, and mechanisms of IMR, its classification, evaluation, and therapeutic corrective methods of IMR...
October 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28994678/evaluation-of-the-effect-of-metformin-and-insulin-in-hyperglycemia-treatment-after-coronary-artery-bypass-surgery-in-nondiabetic-patients
#20
Kamran Ghods, Hossein Davari, Abbasali Ebrahimian
INTRODUCTION: Insulin therapy is the most commonly used treatment for controlling hyperglycemia after coronary artery bypass surgery in both diabetic and nondiabetic patients. Metformin has been indicated for critically ill patients as an alternate for the treatment of hyperglycemia. This study evaluated the effect of metformin and insulin in hyperglycemia treatment after coronary artery bypass surgery in nondiabetic patients. SETTINGS AND DESIGN: This study was a clinical trial comprising nondiabetic patients who had undergone coronary artery bypass surgery...
October 2017: Annals of Cardiac Anaesthesia
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