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    1150 results match your criteria Annals of cardiac anaesthesia[Journal]

    1 OF 23

    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

    Ischemic mitral regurgitation.
    Ann Card Anaesth 2017 Oct-Dec;20(4):432-439
    Division of Cardiac Surgery, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham (Amrita University), Kochi, Kerala, India.
    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. Read More

    Evaluation of the effect of metformin and insulin in hyperglycemia treatment after coronary artery bypass surgery in nondiabetic patients.
    Ann Card Anaesth 2017 Oct-Dec;20(4):427-431
    Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
    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. Read More

    Comparison of dexmedetomidine and ketamine versus propofol and ketamine for procedural sedation in children undergoing minor cardiac procedures in cardiac catheterization laboratory.
    Ann Card Anaesth 2017 Oct-Dec;20(4):422-426
    Department of Anaesthesiology and Critical Care, Command Hospital Air Force, Bengaluru, Karnataka, India.
    Background: The ideal anaesthetic technique for management of paediatric patients scheduled to undergo cardiac catheterisation is still not standardised.

    Aim: To compare the effects of ketamine-propofol and ketamine-dexmedetomidine combinations on hemodynamic parameters and recovery time in paediatric patients undergoing minor procedures and cardiac catheterisation under sedation for various congenital heart diseases.

    Material And Methods: 60 children of either sex undergoing cardiac catheterisation were randomly assigned into two groups Dexmedetomidine-ketamine group (DK) and Propofol-ketamine (PK) of 30 patients each. Read More

    Does bilevel positive airway pressure improve outcome of acute respiratory failure after open-heart surgery?
    Ann Card Anaesth 2017 Oct-Dec;20(4):416-421
    Department of Anesthesia and PSICUD, Faculty of Medicine, Tanta University, Tanta, Egypt.
    Background: Respiratory failure is of concern in the postoperative period after cardiac surgeries. Invasive ventilation (intermittent positive pressure ventilation [IPPV]) carries the risks and complications of intubation and mechanical ventilation (MV).

    Aims: Noninvasive positive pressure ventilation (NIPPV) is an alternative method and as effective as IPPV in treating insufficiency of respiration with less complications and minimal effects on respiratory and hemodynamic parameters next to open-heart surgery. Read More

    Comparison of the renoprotective effect of dexmedetomidine and dopamine in high-risk renal patients undergoing cardiac surgery: A double-blind randomized study.
    Ann Card Anaesth 2017 Oct-Dec;20(4):408-415
    Department of Cardiac Surgery, Madinah Cardiac Center, Almadinah Almonwarah, Saudi Arabia.
    Objective: The purpose of the current study was to compare the renoprotective effects of continuous infusion of dexmedetomidine and dopamine in high-risk renal patients undergoing cardiac surgery.

    Design: A double-blind randomized study.

    Setting: Cardiac Centers. Read More

    Relationship between perioperative left atrial appendage doppler velocity estimates and new-onset atrial fibrillation in patients undergoing coronary artery bypass graft surgery with cardiopulmonary bypass.
    Ann Card Anaesth 2017 Oct-Dec;20(4):403-407
    Department of Cardiac Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India.
    Background: Literature search reveals that postoperative atrial fibrillation (POAF) occurs in 15%-40% of coronary artery bypass graft (CABG) patients. Although several risk models exist for predicting the development of POAF, few have studied left atrial appendage (LAA) velocity. We hypothesize that an association between LAA velocity and development of POAF exists. Read More

    An innovative technique to improve safety of volatile anesthetics suction from the cardiopulmonary bypass circuit.
    Ann Card Anaesth 2017 Oct-Dec;20(4):399-402
    Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute; Anesthesia and Intensive Care, Vita-Salute San Raffaele University, Milan, Italy.
    Context: Myocardial injury during cardiac surgery on cardiopulmonary bypass (CPB) is a major determinant of morbidity and mortality. Preclinical and clinical evidence of dose- and time-related cardioprotective effects of volatile anesthetic drugs exist and their use during the whole surgery duration could improve perioperative cardiac protection. Even if administering volatile agents during CPB are relatively easy, technical problems, such as waste gas scavenging, may prevent safe and manageable administration of halogenated vapors during CPB. Read More

    Low-dose intravenous ketamine for postcardiac surgery pain: Effect on opioid consumption and the incidence of chronic pain.
    Ann Card Anaesth 2017 Oct-Dec;20(4):395-398
    Department of Nursing, Montreal Heart Institute, Université de Montréal, Montréal, QC, Canada.
    Background: Recent meta-analyses have concluded that low-dose intravenous ketamine infusions (LDKIs) during the postoperative period may help to decrease acute and chronic postoperative pain after major surgery.

    Aims: This study aims to evaluate the level of pain at least 3 months after surgery for patients treated with a postoperative LDKI versus patients who were not treated with a postoperative LDKI.

    Methods: Administrative and Ethics Board approval were obtained for this study. Read More

    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

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