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    1122 results match your criteria Annals of cardiac anaesthesia[Journal]

    1 OF 23

    Management of iatrogenic pulmonary artery injury during pulmonary artery banding.
    Ann Card Anaesth 2017 Jul-Sep;20(3):379-380
    Department of Cardiac Anaesthesia, Cardiothoracic Centre, All Institute of Medical Sciences, New Delhi, India.
    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. Read More

    Sugammadex to reverse neuromuscular blockade in a child with a past history of cardiac transplantation.
    Ann Card Anaesth 2017 Jul-Sep;20(3):376-378
    Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital; Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
    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. Read More

    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.
    Ann Card Anaesth 2017 Jul-Sep;20(3):372-375
    Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
    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. Read More

    Idarucizumab (Praxbind) for reversal of pradaxa prior to emergent repair of contained ruptured transverse arch aneurysm.
    Ann Card Anaesth 2017 Jul-Sep;20(3):369-371
    Department of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, FL 32611, USA.
    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. Read More

    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.
    Ann Card Anaesth 2017 Jul-Sep;20(3):365-368
    Department of Anaesthesia and Critical Care, NIMS Medical College and Hospital, Jaipur, Rajasthan, India.
    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. Read More

    Management of a case of double aortic arch with tracheal compression complicated with postoperative tracheal restenosis.
    Ann Card Anaesth 2017 Jul-Sep;20(3):362-364
    Department of Research, U. N. Mehta Institute of Cardiology and Research Center (Affiliated to BJ Medical College), Ahmedabad, Gujarat, India.
    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. Read More

    Anesthetic challenges of extrinsic trachea-bronchial compression due to posterior mediastinal mass: Our experience with a large esophageal mucocele.
    Ann Card Anaesth 2017 Jul-Sep;20(3):359-361
    Department of Anesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
    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. Read More

    Silicone tracheobronchial stent: A rare cause for bronchoesophageal fistula and distortion of airway anatomy.
    Ann Card Anaesth 2017 Jul-Sep;20(3):355-358
    Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
    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. Read More

    Role of transesophageal echocardiography in surgical retrieval of embolized amplatzer device and closure of coronary-cameral fistula.
    Ann Card Anaesth 2017 Jul-Sep;20(3):351-354
    Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
    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. Read More

    Major vessel venous thrombosis in patients of posttubercular chronic constrictive pericarditis undergoing pericardectomy: A rare scenario.
    Ann Card Anaesth 2017 Jul-Sep;20(3):348-350
    Department of Anaesthesiology, Sanjay Gandhi postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
    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. Read More

    Is endothelin gene polymorphism associated with postoperative atrial fibrillation in patients undergoing coronary artery bypass grafting?
    Ann Card Anaesth 2017 Jul-Sep;20(3):341-347
    Department of Biostatistics, All Institute of Medical Sciences, New Delhi, India.
    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. This unexplained cause could be genetic inheritance of endothelin-1 (ET-1) gene which is thought to have a pro-arrhythmogenic effect. Read More

    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.
    Ann Card Anaesth 2017 Jul-Sep;20(3):337-340
    Department of Cardiac Anaesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
    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. Read More

    An antenatal diagnosis: Congenital high airway obstruction.
    Ann Card Anaesth 2017 Jul-Sep;20(3):335-336
    Department of Radiodiagnosis and Imaging, M.M. Institute of Medical Sciences and Research, Mullana, Haryana, India.
    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. Read More

    Inadequate venous drainage-transesophageal echocardiography as rescue.
    Ann Card Anaesth 2017 Jul-Sep;20(3):333-334
    Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India.
    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. Read More

    Interesting images: Multiple coronary artery aneurysms.
    Ann Card Anaesth 2017 Jul-Sep;20(3):331-332
    Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA.
    We present the case of a 65-year-old male who presented with stable angina and dyspnea on exertion. His initial workup yielded a positive treadmill stress test for reversible apical ischemia, and transthoracic echocardiogram demonstrated impaired systolic function. Cardiac catheterization was then performed, revealing severe atherosclerotic disease including multiple coronary artery aneurysms. Read More

    The blalock and taussig shunt revisited.
    Ann Card Anaesth 2017 Jul-Sep;20(3):323-330
    Department of Cardiac Anaesthesia, CTC, AIIMS, New Delhi, India.
    The systemic to pulmonary artery shunts are done as palliative procedures for cyanotic congenital heart diseases ranging from simple tetralogy of Fallots (TOFs)/pulmonary atresia (PA) to complex univentricular hearts. They allow growth of pulmonary arteries and maintain regulated blood flow to the lungs till a proper age and body weight suitable for definitive corrective repair is reached. We have reviewed the BT shunt with its anaesthtic considerations and management of associated complications. Read More

    Randomized comparative study of intravenous infusion of three different fixed doses of milrinone in pediatric patients with pulmonary hypertension undergoing open heart surgery.
    Ann Card Anaesth 2017 Jul-Sep;20(3):318-322
    Department of Pediatric Anesthesiology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
    Background: Pulmonary hypertension secondary to congenital heart disease is a common problem in pediatric patients presenting for open heart surgery. Milrinone has been shown to reduce pulmonary vascular resistance and pulmonary artery pressure in pediatric patients and neonates postcardiac surgery. We aimed to evaluate the postoperative outcome in such patients with three different fixed maintenance doses of milrinone. Read More

    Propofol versus Ketofol for Sedation of Pediatric Patients Undergoing Transcatheter Pulmonary Valve Implantation: A Double-blind Randomized Study.
    Ann Card Anaesth 2017 Jul-Sep;20(3):313-317
    Department of Pediatric Cardiology, Prince Sultan Cardiac Centre, Riyadh, Saudi Arabia.
    Objective: The study was done to compare propofol and ketofol for sedation of pediatric patients scheduled for elective pulmonary valve implantation in a catheterization laboratory.

    Design: This was a double-blind randomized study.

    Setting: This study was conducted in Prince Sultan Cardiac Centre, Saudi Arabia. Read More

    Cardiovascular operation: A significant risk factor of arytenoid cartilage dislocation/subluxation after anesthesia.
    Ann Card Anaesth 2017 Jul-Sep;20(3):309-312
    Department of Anesthesiology Service, Sakurabashi-Watanabe Hospital, Osaka, Japan.
    Background: Arytenoid cartilage dislocation/subluxation is one of the rare complications following tracheal intubation, and there have been no reports about risk factors leading this complication. From our clinical experience, we have an impression that patients undergoing cardiovascular operations tend to be associated with this complication.

    Aims: We designed a large retrospective study to reveal the incidence and risk factors predicting the occurrence and to examine whether our impression is true. Read More

    Coronary artery bypass graft patients' perception about the risk factors of illness: Educational necessities of second prevention.
    Ann Card Anaesth 2017 Jul-Sep;20(3):303-308
    Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy.
    Background: Patients' beliefs about the cause of cardiac disease (perceived risk factors) as part of the global psychological presentation are influenced by patients' health knowledge. Hence, the present study aimed to assess the relationship between actual and perceived risk factors, identification of underestimated risk factors, and indication of underestimation of every risk factor.

    Materials And Methods: In this cross-sectional study, data of 313 coronary artery bypass graft (CABG) patients admitted to one hospital in the west of Iran were collected through a demographic interview, actual risk factors' checklist, open single item of perceived risk factors, and a life stressful events scale. Read More

    Neutrophil gelatinase-associated lipocalin as a biomarker for predicting acute kidney injury during off-pump coronary artery bypass grafting.
    Ann Card Anaesth 2017 Jul-Sep;20(3):297-302
    Department of Anesthesiology, Medicine and Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA.
    Background: Acute kidney injury (AKI) following cardiac surgery is a major complication resulting in increased morbidity, mortality, and economic burden. In this study, we assessed the usefulness of estimating serum neutrophil gelatinase-associated lipocalin (NGAL) as a biomarker in predicting AKI in patients with stable chronic kidney disease (CKD) and undergoing off-pump coronary artery bypass grafting (OP-CABG).

    Patients And Methods: We prospectively studied sixty nondialysis-dependent CKD patients with estimated glomerular filtration rate <60 ml/min/1. Read More

    Risk factors of postcardiotomy ventricular dysfunction in moderate-to-high risk patients undergoing open-heart surgery.
    Ann Card Anaesth 2017 Jul-Sep;20(3):287-296
    Department of Anaesthesiology, Pharmacology and Intensive Care, University Hospital of Geneva; Faculty of Medicine, University of Geneva, Geneva, Switzerland.
    Introduction: Ventricular dysfunction requiring inotropic support frequently occurs after cardiac surgery, and the associated low cardiac output syndrome largely contributes to postoperative death. We aimed to study the incidence and potential risk factors of postcardiotomy ventricular dysfunction (PCVD) in moderate-to-high risk patients scheduled for open-heart surgery.

    Methods: Over a 5-year period, we prospectively enrolled 295 consecutive patients undergoing valve replacement for severe aortic stenosis or coronary artery bypass surgery who presented with Bernstein-Parsonnet scores >7. Read More

    Modified blalock-taussig shunt and levosimendan for left ventricular preparation in a child with transposition of great arteries and regressed ventricle undergoing rapid 2 stage arterial switch operation.
    Ann Card Anaesth 2017 Apr-Jun;20(2):265-267
    Department of CTVS, Intensive Care for CTVS, All India Institute of Medical Sciences, New Delhi, India.
    Rapid two-stage arterial switch operation (ASO) is very relevant as many patients of transposition of great arteries (TGA) present late to the hospital when primary switch either is not possible or carries a high risk of morbidity and mortality. Hence, other means apart from the traditional methods of left ventricle preparedness should be tried to help this category of patients, who are to undergo rapid two-stage ASO. We successfully used levosimendan and continuous positive airway pressure after 1st stage operation in a patient with dTGA and regressed ventricle, which helped in left ventricular preparedness, and the child underwent rapid two-stage ASO uneventfully. Read More

    Diagnostic dilemma: Low oxygen saturation during cardiac surgery.
    Ann Card Anaesth 2017 Apr-Jun;20(2):262-264
    Department of Cardiothoracic and Vascular Surgery, CNC, AIIMS, New Delhi, India.
    We report a case of rheumatic heart disease with severe mitral stenosis having cyanosis and low oxygen saturation on pulse oximetry. The findings of clinical examination and low values on pulse oximetry were inconsistent with the findings of normal partial pressure of oxygen and oxygen saturation on arterial blood gas analysis, leading to diagnostic dilemma. In such clinical scenario, the anesthesiologist should be aware and vigilant about the differential diagnosis of low oxygen saturation on pulse oximetry. Read More

    Partial anomalous pulmonary venous return: Scimitar vein.
    Ann Card Anaesth 2017 Apr-Jun;20(2):259-261
    Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC, USA.
    Scimitar syndrome is a rare association of congenital cardiopulmonary anomalies characterized by partial anomalous pulmonary venous return, in which an abnormal right pulmonary vein drains into the inferior vena cava. This case exemplifies the role of transesophageal echocardiography in perioperative management and surgical decision-making. Read More

    Transient cortical blindness following intracardiac repair of congenital heart disease in an 11-year-old boy.
    Ann Card Anaesth 2017 Apr-Jun;20(2):256-258
    Department of Cardiothoracic Surgery, Narayana Superspeciality Hospital, Howrah, Kolkata, West Bengal, India.
    Postoperative blindness (PB) primarily involves reception and conductance parts of the visual pathway due to ischemia following cessation of blood supply, for example, retinal vascular occlusion. Although a rare cause of PB, cortical blindness (CB), which results from ischemia/infarction of visual cortex, has a poor outcome due to its mostly nonreversible nature. Ischemic optic neuropathy is the most common cause of PB following cardiac surgeries. Read More

    Mechanical cause for acute left lung atelectasis after neonatal aortic arch repair with arterial switch operation: Conservative management.
    Ann Card Anaesth 2017 Apr-Jun;20(2):252-255
    Department of Cardiothoracic Surgery, National Heart Center, Royal Hospital, Muscat, Sultanate of Oman.
    Respiratory complications due to mechanical obstruction of the airways can occur following pediatric cardiac surgery. Clinically significant intrathoracic vascular compression of the airway can occur when extensive dissection and mobilization of arch and neck vessels is involved as in repair of interrupted aortic arch. This case report describes a neonate who underwent interrupted aortic arch repair along with an arterial switch operation and developed a left lung collapse immediately after tracheal extubation. Read More

    Serpentinous structure in the right atrium.
    Ann Card Anaesth 2017 Apr-Jun;20(2):250-251
    Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India.
    Thin, slender, filament like structure is common finding in right atrium echocardiographically. These structures generally represent embryological remnants like thebasian valve, eustachian valve and chiari network. Apart from these variants, they can also be initial finding of thrombotic process specially in the presence of central venous catheter. Read More

    Inverted left atrial appendage masquerading as a left atrial mass.
    Ann Card Anaesth 2017 Apr-Jun;20(2):248-249
    Department of Anaesthesia, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
    An inverted left atrial appendage after cardiac surgery is a rare finding and can be misinterpreted as a thrombus, mass, or vegetation. We report a case where intraoperative transesophageal echocardiography assisted in making an accurate diagnosis. Read More

    Transthoracic echocardiography versus transesophageal echocardiography for rupture sinus of Valsalva aneurysm.
    Ann Card Anaesth 2017 Apr-Jun;20(2):245-246
    Department of Cardiothoracic and Vascular Anesthesia, All India Institute of Medical Sciences, New Delhi, India.
    We report a rare case of sinus of Valsalva aneurysm of both right and left coronary sinus (LCS), with perforation of the LCS opening into the left ventricle. The LCS aneurysm with its perforation was undiagnosed on transthoracic echocardiography emphasizing the role of transesophageal echocardiography in delineating the anatomy. Read More

    Right-to-left shunting through the unidirectional valved patch after closure of ventricular septal defect.
    Ann Card Anaesth 2017 Apr-Jun;20(2):243-244
    Department of Cardiothoracic and Vsscular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
    Postoperative transesophageal echocardiography images of a patient undergoing unidirectional valved patch closure of ventricular septal defect in the setting of severe pulmonary hypertension are presented. The images and videos elegantly demonstrate a functioning valve without any obstruction to the left ventricular outflow. Read More

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