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    1182 results match your criteria Annals of cardiac anaesthesia[Journal]

    1 OF 24

    In response to: Unsolved enigma of atrial myxoma with biventricular dysfunction.
    Ann Card Anaesth 2018 Jan-Mar;21(1):107
    Department of Cardiothoracic Vascular Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
    Thanks to Raut et al.[1] for appreciating our efforts in managing the case of biatrial myxomas. A brief discussion is warranted here on the types, size of cardiac myxomas, interleukin 6 (IL-6) levels, left ventricle (LV) dysfunction, and their relation. Read More

    Pneumopericardium after minimally invasive atrial septal defect closure.
    Ann Card Anaesth 2018 Jan-Mar;21(1):99-100
    Department of Cardiac Anaesthesia, Max Superspeciality Hospital, New Delhi, India.
    Minimally invasive atrial septal defect (ASD) closure is a commonly performed cardiac surgical procedure and has good outcome. We report an interesting chest X-ray showing pneumopericardium in a patient who underwent ASD closure using a minimally invasive approach. Read More

    Unknown left atrial appendage mass! real-time three-dimensional transesophageal echocardiography helps in identification.
    Ann Card Anaesth 2018 Jan-Mar;21(1):97-98
    Department of Anaesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India.
    Left Atrial Appendage (LAA) is the most contractile part of Left atrium. It is also the most frequent place for thrombus formation that may lead to disastrous consequences. Complete trasoesophageal echocardiography examination always includes assessing LAA but sometimes unusually placed pectinate muscle, which is a normal structure may give baffling shadow that can only be interpreted correctly by Real time 3D echocardiography. Read More

    Quadricuspid aortic valve: A rare intraoperative diagnosis by transesophageal echocardiography.
    Ann Card Anaesth 2018 Jan-Mar;21(1):95-96
    Department of Cardio Thoracic Vascular Surgery, All Institute of Medical Sciences, New Delhi, India.
    Quadricuspid aortic valve (QAV) is a rare congenital anomaly frequently associated with other anomalies particularly coronary anomalies. It may be detected on transthoracic or transesophageal echocardiography. We present here a case report of a 27-year-old male patient with a QAV, the valve being regurgitant and requiring aortic valve replacement. Read More

    Looking inside the third generation left ventricular assist device using color doppler transesophageal echocardiography.
    Ann Card Anaesth 2018 Jan-Mar;21(1):92-94
    Department of Anesthesiology, Tufts Medical Center, Boston, MA, USA.
    HeartWare is a third-generation continuous flow left ventricular assist device (LVAD) and generates centrifugal pattern of blood flow. In the perioperative setting, interrogating the HeartWare devices is very difficult due to the interference of the Doppler by the impeller frequency and generation of the waterfall artifact. We present a case where using color Doppler a view "inside" the impeller can be seen which corresponds to the centrifugal flow of blood. Read More

    Role of transesophageal echocardiography during left atrial appendage occlusion device closure in a patient with non-valvular atrial fibrillation and angiodysplasia of the colon.
    Ann Card Anaesth 2018 Jan-Mar;21(1):88-91
    Department of Cardiology, JSS Superspeciality Hospital and Medical College, JSS University, Mysore, Karnataka, India.
    Atrial fibrillation is the most common arrhythmia associated with significant mortality and morbidity secondary to thrombo-embolism. To prevent this thrombo-embolism oral anticoagulation therapy is the recommended treatment. In patients with contraindications to oral anticoagulation therapy, percutaneous left atrial appendage occlusion device is indicated. Read More

    Superior vena cava clamping during thoracic surgery: Implications for the anesthesiologist.
    Ann Card Anaesth 2018 Jan-Mar;21(1):85-87
    Department of Thoracic Surgery, Sir Ganga Ram Hospital, New Delhi, India.
    Resection and reconstruction of the SVC is a challenging Intraoperative situation owing to the potential complications after clamping a patent vessel. Hemodynamic imbalance and neurological effects of SVC clamping can be life threatening. These complications can be prevented by careful intraoperative monitoring and management. Read More

    Mechanical discordance between left atrium and left atrial appendage.
    Ann Card Anaesth 2018 Jan-Mar;21(1):82-84
    Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
    During standard transesophageal echocardiographic examinations in sinus rhythm (SR) patients, the left atrial appendage (LAA) is not routinely assessed with Doppler. Despite having a SR, it is still possible to have irregular activity in the LAA. This situation is even more important for SR patients where assessment of the left atrium is often foregone. Read More

    Bleeding in the lung complicates a routine intracardiac repair: What went wrong!!!
    Ann Card Anaesth 2018 Jan-Mar;21(1):78-81
    Department of Cardiology, Cardiothoracic Centre, CNC, All Institute of Medical Sciences, New Delhi, India.
    Cyanotic congenital heart disease presents an increased tendency to bleed in view of subtle coagulation defects. Airway bleeding can be particularly difficult to manage while maintaining an adequate ventilation. An isolated lung bleed with the exclusion of possible traumatic, medical and surgical causes of bleeding, should alert the attending anesthesiologist to the possibility of the collateral-related bleeding. Read More

    Successful resolution with apixaban of a massive left atrial appendage thrombus due to nonrheumatic atrial fibrillation: A case report and review.
    Ann Card Anaesth 2018 Jan-Mar;21(1):76-77
    Department of Cardiology, St. Joseph's Regional Medical Center, Paterson, NJ, USA.
    A 32-year-old woman with a past medical history of paroxysmal atrial fibrillation, long QT syndrome, and implantation of an automatic iimplantable cardioverter-defibrillator (AICD) following cardiac arrest presented with disabling symptoms of paroxysmal atrial fibrillation due to recurrent AICD shocks. Before curative ablation, transesophageal echocardiography was performed to assess for existing thrombi. This is a rare case of successful resolution with apixaban of a massive left atrial appendage thrombus due to non-rheumatic atrial fibrillation that was successfully treated with apixaban. Read More

    Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses.
    Ann Card Anaesth 2018 Jan-Mar;21(1):71-73
    Department of Epidemiology and Biostatistics, Neurology and Neurosciences Research center, Qom University of Medical Sciences, Qom, Iran.
    We report a rare case of multiple hereditary exostosis where patient presented with bilateral base of neck exostoses with concurrent compression of brachial plexus and subclavian artery and vein. The patient was a young 26-year-old woman with chief complaints of pain in the left upper extremity, paresthesia in the left ring and little finger, and weakness in hand movement and grip. On referral, history, physical examination, radiological imaging, and electrodiagnostic tests evaluated the patient. Read More

    Large inferolateral left ventricular aneurysm.
    Ann Card Anaesth 2018 Jan-Mar;21(1):68-70
    Department of Cardiothoracic Surgery and Anesthesiology, Uppsala University Hospital, Uppsala, Sweden.
    The majority of cardiac left ventricular aneurysms involve the anterior and/or apical wall. We present a case of a 50-year-old man with heart failure caused by a large inferolateral left ventricular aneurysm and associated mitral regurgitation, managed by aneurysmectomy, mitral valvuloplasty, and surgical revascularization. Read More

    Right atrial fibroma in an adult patient.
    Ann Card Anaesth 2018 Jan-Mar;21(1):65-67
    Department of Anesthesiology, Medical School; Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.
    Left atrial fibroma as a benign tumor is an exceedingly rare left atrial mass. It has various clinical signs and symptoms and sometimes leads to serious complications such as lethal arrhythmia and death. We report a case of right atrial fibroma in a 40-year-old male who presented with dyspnea and atrial fibrillation. Read More

    Tricuspid valve straddling: An uncommon cause of left ventricular outflow tract obstruction in transposition of great artery with ventricular septal defect.
    Ann Card Anaesth 2018 Jan-Mar;21(1):61-64
    Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
    Transposition of great arteries (TGA) can be associated with left ventricle outflow tract (LVOT) obstruction. In the presence of ventricular septal defect (VSD), septal leaflet of tricuspid valve may prolapse through perimembranous VSD or rarely tricuspid valve tissue may override to produce LVOT obstruction. Occasionally, this may be mistaken for vegetation due to associated pulmonary valve endocarditis. Read More

    Cardiac surgery in a patient with implanted vagal nerve stimulator.
    Ann Card Anaesth 2018 Jan-Mar;21(1):57-59
    Medanta Institute of Critical Care and Anesthesiology, Medanta The Medicity, Gurugram, Haryana, India.
    The prevalence of epilepsy worldwide is around 0.5%-2% of the population. Antiepileptic medications are the first line of treatment in most of the cases but approximately 25%-30% epilepsy patients are refractory to the single or combination therapy. Read More

    Transesophageal echocardiography evaluation of the aortic arch branches.
    Ann Card Anaesth 2018 Jan-Mar;21(1):53-56
    Department of Cardiac Anesthesiology, Fortis Hospitals, Bengaluru, Karnataka, India.
    Visualization of aortic arch branches by transesophageal echocardiography has been technically challenging. Visualizing these vessels helps in identifying the extent of dissection of the aorta, assessing the severity of carotid artery stenosis, presence of atheromatous plaques, patency of the left internal mammary artery graft, confirmation of subclavian artery cannulation, confirming holodiastolic flow reversal in the left subclavian artery by spectral Doppler imaging in case of severe aortic regurgitation, and confirming the optimal position of the intraaortic balloon perioperatively. The information obtained is helpful for diagnosis, monitoring, and decision-making during aortic surgery. Read More

    Design and standardization of tools for assessing the perceived heart risk and heart health literacy in Iran.
    Ann Card Anaesth 2018 Jan-Mar;21(1):46-52
    Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
    Objectives: The aim is to achieve the standard tools for heart health, the present study aimed to design, develop, and standardize the two questionnaires of perceived heart risk scale (PHRS) and heart health literacy scale (HHLS).

    Methods: The present study was a methodological research conducted on the residents of Kermanshah Province, Iran, using the multi-stage cluster sampling. Further, considering the scientific methods in the psychometric field, the design of the research questionnaires was conducted. Read More

    Long-term quality of life postacute kidney injury in cardiac surgery patients.
    Ann Card Anaesth 2018 Jan-Mar;21(1):41-45
    Department of Nephrology, Heart and Lung Centre, Wolverhampton WV10 0QP, UK.
    Background: Acute renal failure after cardiac surgery is known to be associated with significant short-term morbidity and mortality. There have as yet been no major reports on long-term quality of life (QOL). This study assessed the impact of acute kidney injury (AKI) and renal replacement therapy (RRT) on long-term survival and QOL after cardiac surgery. Read More

    A randomized controlled trial comparing the myocardial protective effects of isoflurane with propofol in patients undergoing elective coronary artery bypass surgery on cardiopulmonary bypass, assessed by changes in N-terminal brain natriuretic peptide.
    Ann Card Anaesth 2018 Jan-Mar;21(1):34-40
    Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India.
    Objective: The objective of the study is to compare the myocardial protective effects of isoflurane with propofol in patients undergoing elective coronary artery bypass surgery on cardiopulmonary bypass (CPB), the cardio protection been assessed by changes in N-terminal brain natriuretic peptide (NT proBNP). Methodology and Design: This study is designed as a participant blinded, prospective randomized clinical trial.

    Setting: Christian Medical College Hospital, Vellore, India. Read More

    Assessment the effect of dexmedetomidine on incidence of paradoxical hypertension after surgical repair of aortic coarctation in pediatric patients.
    Ann Card Anaesth 2018 Jan-Mar;21(1):26-33
    Department of Anesthesia, Cairo University, Cairo, Egypt.
    Objective: The aim of the study was to assess the effect of dexmedetomidine on the incidence of paradoxical hypertension in patients undergoing aortic coarctation repair.

    Design: Randomized observational study.

    Setting: University hospital and cardiac center. Read More

    Dexmedetomidine for prevention of skeletal muscle ischaemia-reperfusion injury in patients with chronic limb ischaemia undergoing aortobifemoral bypass surgery: A prospective double-blind randomized controlled study.
    Ann Card Anaesth 2018 Jan-Mar;21(1):22-25
    Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
    Background: Dexmedetomidine is a selective α-2 agonist used for sedation. It has also been shown to have myocardial protective effect and prevent ischemia-reperfusion injury in off-pump coronary artery bypass patients. The aim of our study was to assess the effect of dexmedetomidine for prevention of skeletal muscle ischemia-reperfusion injury in patients undergoing aortobifemoral bypass surgery. Read More

    Retrospective study of complete atrioventricular canal defects: Anesthetic and perioperative challenges.
    Ann Card Anaesth 2018 Jan-Mar;21(1):15-21
    Department of Anesthesiology and Intensive Care Medicine, Heart Center Leipzig, Leipzig, Germany.
    Objective: The objective of this study was to highlight anesthetic and perioperative management and the outcomes of infants with complete atrioventricular (AV) canal defects.

    Design: This retrospective descriptive study included children who underwent staged and primary biventricular repair for complete AV canal defects from 1999 to 2013.

    Setting: A single-center study at a university affiliated heart center. Read More

    Prophylaxis of postoperative nausea and vomiting after cardiac surgery in high-risk patients: A randomized controlled study.
    Ann Card Anaesth 2018 Jan-Mar;21(1):8-14
    Intensive Care Unit, Parly 2 Clinic, Ramsay Générale de Santé, 78150 Le Chesnay, France.
    Context: The role of prophylaxis for postoperative nausea and vomiting (PONV) in cardiac surgery is under debate.

    Aims: To study the risk factors for PONV after cardiac surgery and the role of betamethasone with or without droperidol for its prevention.

    Setting And Design: Randomized open-label controlled study comparing standard care with PONV prophylaxis from February to November 2016. Read More


    Distortion of aortic valve from mechanical traction imposed by the mitral valve prosthesis: The three-dimensional transesophageal echocardiographic perception.
    Ann Card Anaesth 2017 Oct-Dec;20(4):472-474
    Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
    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). Read More

    Perioperative management of a patient with glanzmann's thrombasthenia for mitral valve repair under cardiopulmonary bypass.
    Ann Card Anaesth 2017 Oct-Dec;20(4):468-471
    Department of Anesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences, Bengaluru, Karnataka, India.
    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. Read More

    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.
    Ann Card Anaesth 2017 Oct-Dec;20(4):465-467
    Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
    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. Read More

    The use of intravenous hydroxocobalamin as a rescue in methylene blue-resistant vasoplegic syndrome in cardiac surgery.
    Ann Card Anaesth 2017 Oct-Dec;20(4):462-464
    Division of Cardiothoracic Anesthesiology, Mayo Clinic Florida, FL, USA.
    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. Read More

    Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report.
    Ann Card Anaesth 2017 Oct-Dec;20(4):459-461
    Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA.
    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. Read More

    Lutembacher syndrome: Dilemma of doing a tricuspid annuloplasty.
    Ann Card Anaesth 2017 Oct-Dec;20(4):456-458
    Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India.
    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. Read More

    Rhabdomyolysis and compartment syndrome in a bodybuilder undergoing minimally invasive cardiac surgery.
    Ann Card Anaesth 2017 Oct-Dec;20(4):453-455
    Department of Cardiac Surgery, St Thomas' Hospital, London SE1 7EH, United Kingdom.
    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. Read More

    Atrial myxomas causing severe left and right ventricular dysfunction.
    Ann Card Anaesth 2017 Oct-Dec;20(4):450-452
    Department of Cardiothoracic Vascular Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
    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. Read More

    Sutureless aortic valve implantation in patient with porcelain aorta via unclamped aorta and deep hypothermic circulatory arrest.
    Ann Card Anaesth 2017 Oct-Dec;20(4):447-449
    Department of Cardiac Surgery, Extracorporeal Circulation Unit, Evangelismos General Hospital of Athens, Athens, Greece.
    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. Read More

    Successful surgical osteoplasty of the left main coronary artery with concomitant mitral valve replacement and tricuspid annuloplasty.
    Ann Card Anaesth 2017 Oct-Dec;20(4):444-446
    Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
    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. Read More

    Pulmonary valve reconstruction during conduit revision: Technique and transesophageal echocardiography imaging.
    Ann Card Anaesth 2017 Oct-Dec;20(4):442-443
    Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
    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. Read More

    Rising Central venous pressure: Impending right-sided failure?
    Ann Card Anaesth 2017 Oct-Dec;20(4):440-441
    Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.
    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. Read More

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