Annals of Cardiac Anaesthesia最新文献

{"title":"ProtekDuo Cannulation via Right External Jugular Vein: A First in Man Method Description.","authors":"Yuriy Stukov, Mohammad Aladaileh, Mindaugas Rackauskas, Marc O Maybauer","doi":"10.4103/aca.aca_279_25","DOIUrl":"10.4103/aca.aca_279_25","url":null,"abstract":"<p><strong>Abstract: </strong>Individuals requiring transplantation represent the sickest cohort of patients with end-stage lung failure. Commonly, they have multiple comorbidities that carry significant risk for post-transplant recovery. Clinical circumstances, such as widespread clots and vascular thrombosis, require novel approaches in attempt to provide extracorporeal life support. We present a patient, who developed respiratory failure during recovery from bilateral lung transplantation, complicated by internal jugular vein thrombosis and an inferior vena cava filter in situ. She was cannulated with a ProtekDuo via the right external jugular vein due to lack of other patent vessels, representing a first in man method description.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"427-429"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revascularization and Risk Prediction in CAD Patients Undergoing Carotid Endarterectomy: Interpreting Associations with Caution.","authors":"Bhargava V Devarakonda, Sri Sumanth Pelluru, K Vishnu","doi":"10.4103/aca.aca_341_25","DOIUrl":"10.4103/aca.aca_341_25","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"456-457"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434819","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}

{"title":"Rare Right Lung Tumor with Intracardiac Extension: A Case of Successful Multidisciplinary Management.","authors":"Lava K Penumaka, Chitra Rajeswari Thangaswamy, Hemachandren Munuswamy, Sindhu Kashetty","doi":"10.4103/aca.aca_197_25","DOIUrl":"10.4103/aca.aca_197_25","url":null,"abstract":"<p><strong>Abstract: </strong>We present a challenging case of a high-grade spindle cell sarcoma originating in the right lung with intracardiac extension to the left atrium and left ventricle via the pulmonary veins, complicated by aorto-iliac thromboembolism. An 18-year-old male presented with sudden-onset bilateral lower limb weakness, low-grade fever, cough, and breathlessness. Computed tomography imaging revealed a large mediastinal mass with intracardiac extension and an infrarenal aortic thrombus. A multidisciplinary team performed a successful single-stage procedure involving excision of the intracardiac tumor via median sternotomy under cardiopulmonary bypass, right pneumonectomy under total circulatory arrest, and bilateral transfemoral embolectomy. Histopathology confirmed a high-grade spindle cell sarcoma with negative surgical margins. This case highlights the importance of a collaborative team approach, vigilant intraoperative monitoring, and the strategic use of circulatory arrest in managing complex thoracic tumors with intravascular extension.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"408-412"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Albumin in Cardiac Surgery-Associated Acute Kidney Injury: Therapeutic Target or Epiphenomenon?","authors":"Mukul C Kapoor","doi":"10.4103/aca.aca_164_26","DOIUrl":"10.4103/aca.aca_164_26","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"311-313"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harbinger of Difficult Weaning from Cardiopulmonary Bypass in Aortic Valve Replacement Surgery: A Case Report.","authors":"Allan Deepak, Balaji Kuppuswamy, Kirubakaran Davis, Shalom S Andugala","doi":"10.4103/aca.aca_290_25","DOIUrl":"10.4103/aca.aca_290_25","url":null,"abstract":"<p><strong>Abstract: </strong>Failure to wean from cardiopulmonary bypass (CPB) is a rare but critical intraoperative challenge. Common causes include residual structural defects (causing intracardiac shunting, prosthetic valve leaks), left ventricle outflow tract obstruction, ventricular dysfunction, or vasoplegic syndrome. We present the case of a 56-year-old man with severe aortic stenosis who underwent surgical aortic valve replacement. Separation from CPB failed repeatedly due to acute right ventricular dysfunction detected on transesophageal echo. The patient was found to have a congenital anomalous high origin of the right coronary artery (RCA), likely compromised during surgery. Timely recognition and surgical revascularization of the RCA with a saphenous vein graft restored right ventricular function and facilitated successful weaning. This case highlights the importance of intraoperative echocardiography, awareness of anomalous coronary anatomy, and prompt multidisciplinary decision-making in managing difficult separation from CPB.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"430-433"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidewire Obstruction of Centrifugal Pump, in Patient on Extracorporeal Circulatory Support.","authors":"Johannes Bladt Andersen, Henrik Frederiksen Højgaard, Claus Andersen","doi":"10.4103/aca.aca_259_25","DOIUrl":"10.4103/aca.aca_259_25","url":null,"abstract":"<p><strong>Abstract: </strong>This case report tells the story of a 36-year-old overweight male with suspected myocarditis, who goes into cardiac arrest, and is subsequently transported to a heart center for extracorporeal membrane oxygenation. Mechanical support was established and running until distal limb perfusion was attempted. It is suspected that an aspired guidewire of a central venous catheter placed with the Seldinger technique was aspired and eventually obstructed the impeller of the centrifugal pump.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"421-423"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Right Ventricular Pacing Induced Severe Mitral Regurgitation in Atrioventricular Block.","authors":"Richa Soni, Sunder L Negi, Tsering Sangdup, Bhupesh Kumar, K P Gourav, Ira Dhawan, Nishit Santoki","doi":"10.4103/aca.aca_189_23","DOIUrl":"10.4103/aca.aca_189_23","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"442-444"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stent-Related Infective Endocarditis Revealing Aortic Cusp Perforation on Intraoperative TEE: A Case Report Altering Surgical Strategy.","authors":"Rajesh Madavathazathil Gopalakrishnan, Dheeraj Arora, Akhil Diwan","doi":"10.4103/aca.aca_268_25","DOIUrl":"10.4103/aca.aca_268_25","url":null,"abstract":"<p><strong>Abstract: </strong>Coronary stent infective endocarditis (IE) is a rare but serious complication of percutaneous coronary intervention. Extension to adjacent valvular structures, particularly causing cusp perforation of the aortic valve, is exceedingly uncommon. Intraoperative transesophageal echocardiography (TEE) may reveal complications not detected preoperatively, thereby changing surgical plans. We report a patient who underwent coronary angioplasty followed by persistent fever and suspicion of stent infection. Angiography detected stent related left anterior descending artery aneurysm and preoperative plan for stent explantation and revascularization was made. However, on the operating table, intraoperative TEE demonstrated perforation of the right coronary cusp of the aortic valve with severe aortic regurgitation. Surgical strategy was modified to include stent explantation, coronary artery bypass graft (CABG), and aortic valve replacement. The stent specimen showed evidence of infection. The patient's postoperative course was favorable under targeted antibiotic therapy. This case illustrates how intraoperative TEE can uncover unanticipated valvular destruction in stent-related IE and meaningfully alter surgical decision-making. Early recognition, imaging vigilance, and flexibility in surgical planning are essential in management of such rare but high-risk complications.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"424-426"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advantage of Transesophageal Echocardiography Over Transthoracic Echocardiography as an Incidental Finding of Atheroma in the Descending Aorta Changed the Surgical Plan.","authors":"Mamatha Munaf, I Vignesh, Jupi Talukdar, Shrinivas V Gadhinglajkar","doi":"10.4103/aca.aca_315_25","DOIUrl":"10.4103/aca.aca_315_25","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 3","pages":"446-448"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Preincisional Ultrasound Guided Pecto-intercostal Fascial Plane Block with Ropivacaine and Fentanyl in Patients Undergoing Open Heart Surgery by Median Sternotomy - A Prospective Single Blinded Randomized Controlled Study.","authors":"Indira Malik, Geeta Ahlawat, Deepika Budhwar, Sandeep Singh, Manasmita Dalai, Vineet Kumar, Disha Gupta, Naveen Malhotra","doi":"10.4103/aca.aca_269_25","DOIUrl":"10.4103/aca.aca_269_25","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the role of ultrasound (USG) guided Superficial Parasternal intercostal plane block (SPIP)/Pecto-Intercostal Fascial Plane Block (PIFB) on post sternotomy pain and postoperative outcomes in patients undergoing cardiac surgery.</p><p><strong>Methods: </strong>This prospective single-blinded, randomized controlled study was conducted in 75 adult patients of age 18-75 years of ASA II-III undergoing cardiac surgery by median sternotomy. Patients were randomized into three groups with 25 patients in each group. Group I patients did not receive any block. Group II patients received USG guided PIFB with 0.4% ropivacaine+ 25 μg fentanyl on each side. Group III patients received USG guided PIFB with 0.4% ropivacaine+ 50 μg fentanyl. Numeric rating scale (NRS) for pain, Time to extubation, hemodynamic parameters (heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure) and SpO 2 at various time points (T0: at extubation, T1: 2 h, T2: 4 h, T3: 8 h, T4: 16 h, T5: 24 h, T6: 48 h post extubation), cumulative fentanyl consumption and rescue analgesia, post operative nausea vomiting (PONV), time to drain removal, catheter removal, ambulation, length of intensive care unit (ICU), and hospital stay were noted.</p><p><strong>Results: </strong>Group II and III patients as compared to group I showed lower NRS values, shorter time to extubation, drain and catheter removal, early ambulation, stable hemodynamics, less fentanyl consumption and rescue analgesia requirement, less incidence of PONV, early ICU and hospital discharge. Group II and III had comparable results with no significant difference.</p><p><strong>Conclusion: </strong>USG guided SPIP/PIFB provides improved postoperative pain control, reduces the need for perioperative opioids, faster extubation, early ICU and hospital discharge.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":" ","pages":"335-344"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}