1,211 results match your criteria Annals of cardiac anaesthesia[Journal]
Ann Card Anaesth 2018 Apr-Jun;21(2):220
Department of Anesthesiology, K S Hegde Medical Academy, Mangalore, Karnataka, India.
Ann Card Anaesth 2018 Apr-Jun;21(2):218-219
Department of Anesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
We are presenting a very interesting X-ray image of the calcific aortic valve in a septuagenarian male patient who underwent successful aortic valve replacement. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):215-217
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Pulmonary alveolar proteinosis (PAP) is a rare syndrome in which phospholipoproteinaceous matter accumulates in the alveoli leading to compromised gas exchange. Whole-lung lavage is considered the gold standard for severe autoimmune PAP and offers favorable long-term outcomes. In this case report, we describe the perioperative management and procedural specifics of a patient undergoing WLL for PAP in which an anesthesiologist serves as the proceduralist and a separate anesthesiologist provides anesthesia care for the patient. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):212-214
Department of Cardiovascular Surgery, Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India.
Persistent left superior vena cava (LSVC) with absent right SVC (RSVC) is a rare congenital anomaly. If undetected, the condition may pose difficulties in central venous catheter insertion, pacemaker electrode insertion, and cannulation during cardiopulmonary bypass. We describe a case of persistent LSVC with absent RSVC, who was diagnosed to have bicuspid aortic valve with aortic stenosis. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):208-211
Department of Anesthesiology and Perioperative Medicine, Augusta University, Augusta, GA, USA.
A 74-year-old female underwent an uneventful bilateral thoracoscopic maze procedure for persistent atrial fibrillation with continuous transesophageal echocardiographic (TEE) guidance. She presented six weeks later with persistent fever and focal neurological signs. Computed tomography of the thorax revealed air in the posterior LA, raising suspicion for an abscess versus an atrioesophageal fistula (AEF). Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):205-207
Department of Cardio Thoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, India.
Absent superior vena cava (SVC) is an asymptomatic congenital systemic venous anomaly which is rarely detected and compatible with normal life. Undiagnosed absent SVC may cause problems during cardiac catheterization or cardiac surgery. We present our surgical experience in a patient with tetralogy of Fallot who had undiagnosed absent SVC. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):203-204
Department of Cardiothoracic and Vascular Surgery, G B Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.
This report describes a patient with severe mitral stenosis who underwent mitral valve replacement. After completion of cardiopulmonary bypass, an unexpected finding of a right atrial mass was noticed on transesophageal echocardiography. The actual finding, possible differential diagnosis, and the management strategy are discussed. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):200-202
Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India.
Management of a patient with a giant bulla coming for a nonthoracic surgery is rare, and its anesthetic management is very challenging. It is imperative to isolate only the subsegmental bronchus, in which the bulla communicates to avoid respiratory morbidities such as pneumothorax, emphysema or atelectasis of the surrounding lung parenchyma, and postoperative respiratory failure. Herewith, we want to report the anesthetic challenges of a patient with giant bulla communicating into one of the subsegmental right upper lobe bronchus for splenectomy. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):195-199
Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Asymmetrical septal occluder device (ASOD) has made percutaneous closure of ventricular septal defect an easy and effective management option. Although there are reports of aortic and tricuspid valvular regurgitation after deployment of ASOD, only few cases of tricuspid stenosis (TS) has been reported so far in the literature. We report a case of malaligned ASOD that occurred after successful device closure resulting in TS along with mild tricuspid and aortic regurgitation requiring surgical retrieval. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):192-194
Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan.
Inverted left atrial appendage (LAA) is a rare complication in cardiac surgery. The echocardiographic appearance often leads to misdiagnosis of thrombus or some other cardiac mass. Patients misdiagnosed in this way often undergo unnecessary anticoagulation or surgical treatment. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):189-191
Division of Anesthesiology, ese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan.
Infective endocarditis (IE) during pregnancy and subsequent cardiac surgery are rare and associated with a high risk of mortality for the mother and fetus. It is difficult to determine the right time for cardiac intervention when IE is diagnosed early in pregnancy. A 33-year-old previously healthy woman in the 11 week of pregnancy was diagnosed with IE and underwent surgical intervention. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):185-188
Department of Surgery, Division of Cardiac Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Pregnant women with stenotic degeneration of bioprosthetic cardiac valves may require another valve replacement procedure when their symptoms deteriorate with progression of pregnancy, but fetal mortality is higher with cardiac surgery done on cardiopulmonary bypass. Transcatheter valve-in-valve implantation may help to improve the fetal and maternal outcomes in these situations. Double valve-in-valve implantation is rare and has not been reported in a pregnant patient. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):181-184
Department of Cardiovascular Surgery, Gabriel Montpied University Hospital; Department of Adult Cardiac Surgery, University of Auvergne, Clermont-Ferrand, France.
Objectives: To report the epidemiological profile of the patients who underwent extracorporeal life support (ECLS) and then analyze the indications and outcomes of this procedure.
Methods: It consisted of a retrospective and descriptive study based on the database from the department of cardiovascular surgery.
Setting: University hospital clinic. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):175-180
Faculty of Medicine, University of Medical Sciences, Tehran, Iran.
Background: The aim of the present study was to investigate the relationship between maximum clot firmness (MCF) in rotational thromboelastometry (ROTEM) and postoperative bleeding in patients on clopidogrel after emergency coronary artery bypass graft surgery (CABG).
Methods: This observational study recruited 60 patients posted for emergency CABG following unsuccessful primary percutaneous coronary intervention (PCI) while on 600 mg of clopidogrel. The study population was divided into 2 groups on the basis of their MCF in the extrinsically activated thromboelastometric (EXTEM) component of the (preoperative) ROTEM test: patients with MCF <50 mm (n = 16) and those with MCF ≥50 mm (n = 44). Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):173-174
Department of Anaesthesiology and Critical Care, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Ann Card Anaesth 2018 Apr-Jun;21(2):167-172
Department of Cardiac Anesthesia, U N Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India.
Background: The prevalence of diabetes mellitus in patients requiring coronary artery bypass grafting (CABG) is noticeably high (20%-30%). These patients have inferior perioperative outcome, reduced long-term survival, and high risk of recurrent episodes of angina. To improve perioperative outcome surgical unit defined satisfactory glycemic control is desired during this period. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):158-166
Department of Internal Medicine, Instituto de Cardiología-Fundación Cardioinfantil, Universidad del Rosario, Bogotà DC, Colombia.
Context: Cardiac tamponade (CT) following cardiac surgery is a potentially fatal complication and the cause of surgical reintervention in 0.1%-6% of cases. There are two types of CT: acute, occurring within the first 48 h postoperatively, and subacute or delayed, which occurs more than 48 h postoperatively. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):151-157
Department of Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Introduction: Peri-operative monitoring of coagulation is important to diagnose potential cause of hemorrhage, to manage coagulopathy and guide treatment with blood products in patients undergoing cardiac surgery with cardiopulmonary bypass. This study was done to evaluate usefulness of Thromboelastography (TEG) and routine coagulation tests (RCT) in assessing hemostatic changes and predicting postoperative bleeding in patients undergoing cardiac surgery with cardiopulmonary bypass.
Methods: Fifty adult patients undergoing cardiac surgery with cardiopulmonary bypass were enrolled in this prospective study. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):143-150
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
Background: Moderate sedation is required for out-patient transesophageal echocardiography (TEE). Our objective was to compare the effect of Ketofol and dexmedetomidine for outpatient procedural sedation in diagnostic TEE with a hypothesis that Ketofol would be as effective as dexmedetomidine. Patients and. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):141-142
Department of Anesthesia, Intensive Care and Pain Management, Citizens Specialty Hospital, Hyderabad, Telangana, India.
Ann Card Anaesth 2018 Apr-Jun;21(2):134-140
Prince Sultan Cardiac Centre, Riyadh; National Heart Institute, Cairo, Egypt, Al-Hassa, Saudi Arabia.
Objective: The aim of the study was to compare the effect of two different regimens of milrinone on hemodynamics and oxygen saturation in pediatric patients undergoing Fontan procedure.
Design: This was a randomized study.
Setting: Cardiac centers. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):129-133
Department of Cardiac Anaesthesia, MGM Medical College and MCRI, Aurangabad, Maharashtra, India.
Introduction: Ultrafast tracking of anesthesia (UFTA) is practiced routinely, whereas immediate on-table extubation after off-pump coronary artery bypass (OPCAB) grafting surgery has many concerns. The purpose of our study was to evaluate the safety and feasibility of immediate extubation (IE) versus UFTA.
Methods: Sixty patients were enrolled who underwent OPCAB surgery. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):123-128
Department of Anesthesiology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Background: Off-pump coronary artery bypass surgery (OPCAB) is often complicated by hemodynamic instability, especially in patients with prior left ventricular (LV) dysfunction and appropriate choice of inotrope plays a vital role in perioperative management of these patients.
Aim And Objective: To study hemodynamic effects and immediate outcome of prophylactic infusion of levosimendan in patients with the LV dysfunction undergoing OPCAB surgery and whether this strategy helps in successful conduct of OPCAB surgery.
Materials And Methods: After Institutional Ethics Committee approval, 60 patients posted for elective OPCAB surgery were randomly divided into two groups (n = 30 each). Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):116-122
Department of Anesthesiology, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.
Perioperative management of pulmonary hypertension remains one of the most challenging scenarios during cardiac surgery. It is associated with high morbidity and mortality due to right ventricular failure, arrhythmias, myocardial ischemia, and intractable hypoxia. Therefore, this review article is intended toward the anesthetic considerations in the perioperative period, with particular emphasis on the selection of technique and choice of anesthesia with maintenance, anesthetic drugs, and the recent intraoperative recommendations for prevention and treatment of pulmonary hypertensive crisis. Read More
Ann Card Anaesth 2018 Apr-Jun;21(2):114-115
Department of Anesthesiology, McGill University, Montreal, H3G 1A4, Canada.
Ann Card Anaesth 2018 Apr-Jun;21(2):111-113
Department of Anaesthesiology and Critical Care, All Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Ann Card Anaesth 2018 Apr-Jun;21(2):109-110
Department of Anaesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India.
Ann Card Anaesth 2018 Jan-Mar;21(1):107
Department of Cardiothoracic Vascular Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
Thanks to Raut et al. 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
Ann Card Anaesth 2018 Jan-Mar;21(1):105-106
Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Ann Card Anaesth 2018 Jan-Mar;21(1):103-104
Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ann Card Anaesth 2018 Jan-Mar;21(1):101-102
Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
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
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
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
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
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
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
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
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
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
Ann Card Anaesth 2018 Jan-Mar;21(1):74-75
Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi PGIMS, Lucknow, Uttar Pradesh, India.
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
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
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
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
Ann Card Anaesth 2018 Jan-Mar;21(1):60
Department of Neurology, Sanjay Gandhi PGIMS, Lucknow, Uttar Pradesh, India.
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