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Chest Pain During Cesarean Delivery in Relation to Anomalous Right Coronary Artery: A Case Report. 剖宫产胸痛与右冠状动脉异常的关系:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-15 DOI: 10.1213/XAA.0000000000000543
Blanca Tapia Salinas, Andrea Kollmann Camaiora, Estibaliz Alsina Marcos, Fernando Gilsanz
{"title":"Chest Pain During Cesarean Delivery in Relation to Anomalous Right Coronary Artery: A Case Report.","authors":"Blanca Tapia Salinas,&nbsp;Andrea Kollmann Camaiora,&nbsp;Estibaliz Alsina Marcos,&nbsp;Fernando Gilsanz","doi":"10.1213/XAA.0000000000000543","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000543","url":null,"abstract":"<p><p>Chest pain during labor can have many etiologies, one of which is myocardial ischemia. We report a 38-year-old woman with American Society of Anesthesiology physical status I scheduled for elective cesarean delivery who experienced chest pain and electrocardiographic signs of myocardial ischemia immediately after carbetocin administration. Subsequent investigations revealed an aberrant right coronary artery originating from the left coronary sinus coursing between the aorta and the pulmonary artery. This was considered the likely cause of the patient's chest pain. The patient gave written permission for the authors to publish this report.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 4","pages":"119-122"},"PeriodicalIF":0.5,"publicationDate":"2017-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34946026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Traumatic Ventricular Septal Defect After Stab Wound to the Chest Missed by Transthoracic Echocardiography: A Case Report. 胸部刺伤后外伤性室间隔缺损经胸超声心动图漏诊1例。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000528
Abimbola O Faloye, Raphael Y Gershon
{"title":"Traumatic Ventricular Septal Defect After Stab Wound to the Chest Missed by Transthoracic Echocardiography: A Case Report.","authors":"Abimbola O Faloye,&nbsp;Raphael Y Gershon","doi":"10.1213/XAA.0000000000000528","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000528","url":null,"abstract":"<p><p>Traumatic ventral septal defect may be sustained after either blunt force or penetrating trauma to the chest. Severity ranges from asymptomatic to acute decompensated heart failure. Our patient suffered a stab wound to the chest and was initially taken to the operating room for repair of a lacerated right ventricle. Subsequent postoperative hemodynamic deterioration prompted a bedside transthoracic echocardiogram, which failed to identify causal factors. A transesophageal echocardiogram performed immediately after ventral septal defect was demonstrated. This case serves to highlight the gaps in current standard practice and encourages the use of transesophageal echocardiogram as a screening tool in patients after penetrating cardiac injuries.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"65-68"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35229970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Aortoiliac Thrombosis Following Tranexamic Acid Administration During Urgent Cesarean Hysterectomy: A Case Report. 紧急剖宫产子宫切除术中使用氨甲环酸后主动脉髂血栓形成一例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000535
Omar S Hajmurad, Ankeet A Choxi, Zahira Zahid, Roman Dudaryk
{"title":"Aortoiliac Thrombosis Following Tranexamic Acid Administration During Urgent Cesarean Hysterectomy: A Case Report.","authors":"Omar S Hajmurad,&nbsp;Ankeet A Choxi,&nbsp;Zahira Zahid,&nbsp;Roman Dudaryk","doi":"10.1213/XAA.0000000000000535","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000535","url":null,"abstract":"<p><p>Postpartum hemorrhage (PPH) contributes to 25% of maternal deaths worldwide. Abnormal placentation is a well-known culprit of PPH. Although controversial, iliac artery balloon occlusion has been used in patients to decrease bleeding. The use of antifibrinolytic agents, such as tranexamic acid (TXA), have gained popularity in the management of PPH. We present a 35-year-old parturient with placenta percreta that was managed with internal iliac artery balloon occlusion with concomitant use of TXA during urgent cesarean hysterectomy with subsequent aortoiliac thrombosis formation. The role of both TXA and arterial balloons in PPH, along with their respective limitations, are discussed.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"90-93"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000535","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34956970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Incidental Cerebral Acute Subdural Hematoma After Transforaminal Lumbar Interbody Fusion: A Case Report. 经椎间孔腰椎椎间融合术后偶发急性脑硬膜下血肿1例。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000536
Kazuhiro Shirozu, Keita Takahashi, Mitsumasa Hayashida, Katsuyuki Matsushita, Yasuharu Nakashima, Sumio Hoka
{"title":"Incidental Cerebral Acute Subdural Hematoma After Transforaminal Lumbar Interbody Fusion: A Case Report.","authors":"Kazuhiro Shirozu,&nbsp;Keita Takahashi,&nbsp;Mitsumasa Hayashida,&nbsp;Katsuyuki Matsushita,&nbsp;Yasuharu Nakashima,&nbsp;Sumio Hoka","doi":"10.1213/XAA.0000000000000536","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000536","url":null,"abstract":"<p><p>We present a 68-year-old woman who developed acute cerebral subdural hematoma (SDH) early after transforaminal lumbar interbody fusion. Four hours postoperatively, the patient complained of headache and nausea. Enhanced cranial computed tomography showed cerebral SDH. Despite no obvious intraoperative dural damage, we suggest that cerebrospinal fluid leakage by incidental dural tear likely caused the SDH. To our knowledge, this is the first report of detected cerebral SDH immediately after spinal surgery in spite of no neurological deficits.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"94-96"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000536","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34957523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Anesthetic Challenges for Posterior Spine Surgery in a Patient With Left Ventricular Assist Device: A Case Report. 使用左心室辅助装置的患者后路脊柱手术的麻醉挑战:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000531
J Pablo Kollmar, Douglas A Colquhoun, Julie L Huffmyer
{"title":"Anesthetic Challenges for Posterior Spine Surgery in a Patient With Left Ventricular Assist Device: A Case Report.","authors":"J Pablo Kollmar,&nbsp;Douglas A Colquhoun,&nbsp;Julie L Huffmyer","doi":"10.1213/XAA.0000000000000531","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000531","url":null,"abstract":"<p><p>With the growing rate of left ventricular assist device (LVAD) implantation, patients with end-stage heart failure and LVAD support are presenting for a variety of noncardiac surgeries. We describe a case of urgent posterior lumbar decompression for spinal stenosis in a 73-year-old man with HeartMateII LVAD, which presented significant anesthetic challenges in terms of positioning, blood loss, and coagulopathy.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"77-80"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000531","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34956971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Anesthetic Management of a Patient With Epidermolysis Bullosa Requiring Major Orthopedic Surgery: A Case Report. 需要大骨科手术的大疱性表皮松解症患者的麻醉处理:1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000530
Kim M Strupp, Jennifer A Zieg, Brian Johnson, Judit M Szolnoki
{"title":"Anesthetic Management of a Patient With Epidermolysis Bullosa Requiring Major Orthopedic Surgery: A Case Report.","authors":"Kim M Strupp,&nbsp;Jennifer A Zieg,&nbsp;Brian Johnson,&nbsp;Judit M Szolnoki","doi":"10.1213/XAA.0000000000000530","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000530","url":null,"abstract":"<p><p>Epidermolysis bullosa (EB) encompasses a wide spectrum of rare genetic disorders in which an abnormality in collagen leads to loss or absence of normal intracellular bridges. Friction or shear forces on the skin and mucosa result in blister, bullae, and scar formation. We present our experience in the management of a patient with EB who required multiple procedures for squamous cell carcinoma of the left arm, including forequarter amputation. We describe the anesthetic challenges in caring for a patient with EB undergoing major orthopedic surgery.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"73-76"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34957520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Hyperkalemia After Laparoscopic Nephrectomy in Patients With Renal Insufficiency: A Case Report. 腹腔镜肾切除术后肾功能不全患者高钾血症1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000529
Frank J Penna, Hiep T Nguyen, Constance S Houck
{"title":"Hyperkalemia After Laparoscopic Nephrectomy in Patients With Renal Insufficiency: A Case Report.","authors":"Frank J Penna,&nbsp;Hiep T Nguyen,&nbsp;Constance S Houck","doi":"10.1213/XAA.0000000000000529","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000529","url":null,"abstract":"<p><p>Laparoscopic surgery is an evolving surgical modality in children, which has been applied to increasingly more complex surgeries and patients, including patients with renal insufficiency. These patients are particularly susceptible to the challenges that laparoscopy imposes on their altered physiology, leading to marked electrolyte disturbances, including metabolic acidosis and hyperkalemia. Hyperkalemia has the potential for marked impairment of cardiac conduction. We report 2 cases where significant, potentially lethal hyperkalemia developed during laparoscopic nephrectomy in adolescents with renal insufficiency. Awareness of this issue, as well as adequate preparation and intraoperative monitoring are essential to preventing this life-threatening complication.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"69-72"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000529","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34946028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Hypnosis and Axillary Compartment Block for Breast Cancer Surgery: A Case Report. 催眠和腋窝腔室阻滞用于乳腺癌手术:一例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000532
Régis Fuzier, Sylviane Achelous, Geneviève Salvignol, Eva Jouve
{"title":"Hypnosis and Axillary Compartment Block for Breast Cancer Surgery: A Case Report.","authors":"Régis Fuzier,&nbsp;Sylviane Achelous,&nbsp;Geneviève Salvignol,&nbsp;Eva Jouve","doi":"10.1213/XAA.0000000000000532","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000532","url":null,"abstract":"<p><p>Hypnosis has been proven to be a powerful tool in the management of anxiety and pain. It allows for an increase of pain threshold, which can reach the level of surgical analgesia. Recently injection of local anesthetics around the serratus muscle has been presented as an alternative to paravertebral block for cancer breast surgery. We report the successful use of hypnosis in combination with an axillary compartment block for lumpectomy and axillary lymph node dissection.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"81-83"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34999452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Difficult Airway Management Caused by Local Anesthetic Allergy During Emergent Cesarean Delivery: A Case Report. 剖宫产急诊中局麻过敏致气道管理困难1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000533
Courtney L Maxey-Jones, Alec Palmerton, Jocelyn R Farmer, Brian T Bateman
{"title":"Difficult Airway Management Caused by Local Anesthetic Allergy During Emergent Cesarean Delivery: A Case Report.","authors":"Courtney L Maxey-Jones,&nbsp;Alec Palmerton,&nbsp;Jocelyn R Farmer,&nbsp;Brian T Bateman","doi":"10.1213/XAA.0000000000000533","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000533","url":null,"abstract":"<p><p>Difficult airway management in the gravid patient is a well-described phenomenon. We present a case of emergent cesarean delivery complicated by a \"cannot intubate, cannot ventilate\" scenario that was later determined to be secondary to an allergic, IgE-mediated reaction to epidurally administered local anesthetic.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"84-86"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34946025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Profound Obstructive Hypotension From Prone Positioning Documented by Transesophageal Echocardiography in a Patient With Scoliosis: A Case Report. 经食管超声心动图记录的脊柱侧凸患者俯卧位引起的深度阻塞性低血压1例报告。
IF 0.5
A&A Case Reports Pub Date : 2017-08-01 DOI: 10.1213/XAA.0000000000000534
Arnoley S Abcejo, Juan Diaz Soto, Courtney Castoro, Sarah Armour, Timothy R Long
{"title":"Profound Obstructive Hypotension From Prone Positioning Documented by Transesophageal Echocardiography in a Patient With Scoliosis: A Case Report.","authors":"Arnoley S Abcejo,&nbsp;Juan Diaz Soto,&nbsp;Courtney Castoro,&nbsp;Sarah Armour,&nbsp;Timothy R Long","doi":"10.1213/XAA.0000000000000534","DOIUrl":"https://doi.org/10.1213/XAA.0000000000000534","url":null,"abstract":"<p><p>In a healthy 12-year-old female with scoliosis, prone positioning resulted in pressor-refractory cardiovascular collapse. Resumption of supine position immediately improved hemodynamics. Intraoperative transesophageal echocardiography (TEE) revealed a collapsed left atrium and biventricular failure. Repeat prone positioning resulted in a recurrence of hypotension. However, hemodynamic stabilization was restored and maintained by repositioning chest pads caudally. The patient successfully underwent a 6-hour scoliosis repair without perioperative morbidity. With this case, we aim to: (1) reintroduce awareness of this mechanical obstructive cause of reversible hypotension; (2) highlight the use of intraoperative TEE during prone hemodynamic collapse; and (3) suggest an alternative prone positioning technique if chest compression results in hemodynamic instability.</p>","PeriodicalId":6824,"journal":{"name":"A&A Case Reports ","volume":"9 3","pages":"87-89"},"PeriodicalIF":0.5,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/XAA.0000000000000534","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34957521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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