Annals of Cardiac Anaesthesia最新文献_第3页

Paradoxical Increase in Left Ventricular Outflow Tract Gradient in a Patient Undergoing Mitral Valve Repair and Septal Myectomy. 接受二尖瓣修复和室间隔肌切除术的患者左心室流出道梯度的矛盾增加。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_225_24

Devika Poduval, Thushara Madathil, P Nagarjuna, Tony Joseph, Praveen Varma, P K Neema

{"title":"Paradoxical Increase in Left Ventricular Outflow Tract Gradient in a Patient Undergoing Mitral Valve Repair and Septal Myectomy.","authors":"Devika Poduval, Thushara Madathil, P Nagarjuna, Tony Joseph, Praveen Varma, P K Neema","doi":"10.4103/aca.aca_225_24","DOIUrl":"10.4103/aca.aca_225_24","url":null,"abstract":"Abstract: The Doppler-derived gradient depends on the magnitude of the flow across a narrowed orifice and the alignment of the Doppler with the flow. Septal myectomy is indicated in symptomatic obstructive hypertrophic cardiomyopathy (HCM) patients with peak instantaneous gradient > 50 mmHg. Chordal rupture has been reported infrequently in obstructive HCM patients, which may hide left ventricular outflow tract (LVOT) gradient because of a decreased forward flow across the LVOT, posterior shift of the coaptation point due to flail posterior mitral leaflet widening the LVOT, or absence of systolic anterior motion (SAM). An increase in the flow across the LVOT will occur after mitral valve repair, which may manifest as an increased LVOT gradient. In a clinical scenario of the simultaneous presence of severe mitral regurgitation, severe septal hypertrophy, and low gradient across the LVOT, the dilemma is whether to perform a septal myectomy in addition to MV repair. An unexpected increase in the LVOT gradient occurred despite septal myectomy in a patient with mitral regurgitation after mitral valve repair. We discuss the necessity of septal myectomy in the presence of a low LVOT gradient, severe mitral regurgitation, and posterior shift of the coaptation point due to posterior leaflet flail and chordal rupture.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 3","pages":"317-320"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590308","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: 0

Pulmonary Artery Endarterectomy with Deep Hypothermic Circulatory Arrest in a Patient with a Congenital Antithrombin III Deficiency. 先天性抗凝血酶III缺乏症患者肺动脉内膜切除术伴深部低温循环停止1例。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_39_25

Sylvain Diop, Elie Fadel, Maria-Cristina Kassab, Thibaut Genty, Iolanda Ion

引用次数: 0

Management of Persistent Postoperative Cerebrospinal Fluid Leak Following Removal of Lumbar Spinal Drain After Thoracoabdominal Aortic Aneurysm Repair. 胸腹主动脉瘤修复术后腰椎引流管取出后持续脑脊液漏的处理。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_19_25

S Suvetha, Saravana Babu, Suneel Puthuvassery Raman, Prasanta Kumar Dash

引用次数: 0

Perspectives on the Predictive Role of PvCO2 × Ve/Q for Hyperlactatemia During Cardiopulmonary Bypass. PvCO2 × Ve/Q对体外循环中高乳酸血症的预测作用

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_255_24

Srinivas Rachoori, Hamrish Kumar Rajakumar

引用次数: 0

Intraoperative Plasma Exchange for Sensitized Lung Transplantation Candidate Leads to Significant Perioperative Coagulopathy. 术中血浆置换致敏肺移植候选者可导致明显的围术期凝血功能障碍。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_11_25

Luke Landolt, Joseph C Goldstein, William Weir, Mindaugas Rackauskas, Joseph AbuRahma

引用次数: 0

Schematic Clock Diagram to Assess Mitral Paravalvular Leak by 2D TEE. 二维TEE评估二尖瓣旁漏的时序图。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_3_25

Mohit Prakash, Suruchi Hasija

引用次数: 0

Palpation versus Ultrasound-Guided Dynamic Needle Tip Positioning Technique for Radial Artery Cannulation. 触诊与超声引导下动态针尖定位技术在桡动脉插管中的应用。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_209_24

Sujan Dhakal, Gentle S Shrestha, Ritesh Lamsal, Priska Bastola, Elija Gautam, Anil Shrestha

{"title":"Palpation versus Ultrasound-Guided Dynamic Needle Tip Positioning Technique for Radial Artery Cannulation.","authors":"Sujan Dhakal, Gentle S Shrestha, Ritesh Lamsal, Priska Bastola, Elija Gautam, Anil Shrestha","doi":"10.4103/aca.aca_209_24","DOIUrl":"10.4103/aca.aca_209_24","url":null,"abstract":"Introduction: Invasive blood pressure monitoring is the clinical reference during perioperative patient management. It is usually performed by cannulating the radial artery. Different clinical conditions make arterial cannulation difficult using the conventional palpation (CP) method. This study compares the ultrasonography (USG)-guided dynamic needle tip positioning (DNTP) technique with the CP method to assess the first-pass success rate of radial artery cannulation.Methods: In the operation theater of a university hospital, a total of 52 adult patients requiring arterial cannulation were randomized into two equal groups. Arterial cannulation was performed using the CP method in one group and the ultrasound-guided DNTP method in the other group. The first-pass success rate was the primary objective. The 5-minute success rate, the time required for successful cannulation, the number of skin punctures, and the number of cannulae used were also compared using the Chi-square test, an independent sample t-test, and the Mann-Whitney U test.Results: The first-pass success rate was significantly higher in the USG-guided DNTP method (88.5%) compared to the CP method (46.2%) (P 0.001). The overall 5-minute success rate was 96.2% in the USG-guided DNTP and 65.4% (P 0.005) in the CP method. The median time for successful cannulation was significantly lesser in the USG-guided DNTP group [44 s (IQR: 35-72)] compared to the CP group [134 s (IQR: 28-378)] (P 0.007). The mean number of skin punctures in the USG-guided DNTP group was 1.15 ± 0.46 and 2.04 ± 1.18 in the CP group (P 0.001).Conclusion: USG-guided DNTP method of radial artery cannulation increased the first-pass success rate.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 3","pages":"248-254"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590307","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: 0

The Effect of Continuous Magnesium Infusion to Prevent Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting. 持续输注镁预防非体外循环冠状动脉搭桥术患者术后房颤的作用。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_238_24

Robin George, Nisha Rajmohan, Rolita Prathima Lobo, Suresh Gangadharan Nair, J Lekshmipriya Govind, Lakshmi Priya Menon

{"title":"The Effect of Continuous Magnesium Infusion to Prevent Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting.","authors":"Robin George, Nisha Rajmohan, Rolita Prathima Lobo, Suresh Gangadharan Nair, J Lekshmipriya Govind, Lakshmi Priya Menon","doi":"10.4103/aca.aca_238_24","DOIUrl":"10.4103/aca.aca_238_24","url":null,"abstract":"Introduction: Postoperative atrial fibrillation (POAF), which occurs in almost 20-40% of cardiac surgeries, is associated with life-threatening complications. Serum hypomagnesemia, a frequent finding after cardiac surgeries, is a predictor for POAF. In this study, we investigated the effect of continuous magnesium infusion to prevent POAF in patients undergoing off-pump coronary artery bypass grafting (OP-CABG).Materials and methods: A prospective, randomized controlled study was conducted on 110 patients undergoing OP-CABG. Patients were classified into two groups after reaching the intensive care unit (ICU). Group M was started on magnesium (Mg) infusion at 750 mg/h for 3 days after an initial bolus dose of 1.5 g of magnesium sulfate, to target a serum magnesium level of 1.5 to 2 mmol/L. The control group (Group C) did not receive any infusion. The incidence of POAF, magnesium values, duration of ICU stay, number of patients who required pharmacotherapy and cardioversion, and maximum vasoactive-inotropic score (VIS max) were recorded. A P <.05 was taken as statistically significant.Results: 104 patients were analyzed. The incidence of POAF (19.2% vs 1.9%, P = .008) and the number of patients requiring pharmacotherapy other than magnesium (15.4% vs 1.9%, P = .0310) were significantly higher in group C. Mean of peak magnesium values (1.624 ± 0.136 vs 0.710 ± 0.147, P < .001) was significantly higher in Group M. The number of patients requiring cardioversion (P = .618), duration of ICU stay (P = .121), and the VIS max (P = .360) were not significantly different between groups.Conclusion: Postoperative continuous magnesium infusion after a bolus was effective in preventing POAF in patients undergoing OP-CABG by maintaining serum magnesium levels (1.5-2 mmol/).","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 3","pages":"273-279"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590313","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: 0

Embracing the 'NORCA' Revolution: From Operating Room 'Marathon' to Cathlab 'Sprints'. 拥抱“NORCA”革命：从手术室“马拉松”到Cathlab“冲刺”。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_153_25

Devarakonda V Bhargava, Mukul Kapoor

引用次数: 0

Multimodal Analgesia in Cardiothoracic Procedure: Opioid and Non-opioid Pharmacology for Pain Management: Part 1. 心胸手术中的多模式镇痛：阿片类药物和非阿片类药物治疗疼痛：第1部分。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_215_24

Himani V Bhatt, Dhruv Patel, Dillon Rogando, Jordan Abrams, Ali Shariat

引用次数: 0