Annals of Cardiac Anaesthesia最新文献

{"title":"The Role of Acetaminophen Use in Acute Kidney Injury Prevention in Cardiac Surgery.","authors":"Luis E Ciconini, Victor Perim, Theodoro Beck, Mauren F Carbonar, Mazpa M Ejikem, Ahmed Zaky, Javier Neyra, Andre F Gosling","doi":"10.4103/aca.aca_250_25","DOIUrl":"10.4103/aca.aca_250_25","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"657"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163896","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":"Bentall Procedure in a Patient with Loeys-Dietz Syndrome: A Case Report.","authors":"Dheeraj Arora, Supriya Chaudhary, Rajesh Madavathazathil Gopalakrishnan, Sameer Bhate","doi":"10.4103/aca.aca_317_25","DOIUrl":"10.4103/aca.aca_317_25","url":null,"abstract":"<p><strong>Abstract: </strong>Loeys-Dietz syndrome (LDS) is a rare autosomal dominant connective tissue disorder characterized by aggressive aortopathy, craniofacial anomalies and systemic involvement. Rapid aortic root dilatation and valvular dysfunction mandate an early surgical intervention. We report a case of 15-year-old boy with LDS, rapidly progressive aortic root dilatation and severe aortic regurgitation (AR) who underwent successful Bentall procedure. The case highlights the need of early detection, multidisciplinary involvement and meticulous anesthetic care.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"622-626"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164740","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":"Refraction Artifact Mimicking Duplication of Central Venous Catheter during Transesophageal Echocardiographic Examination.","authors":"G N Chennakeshavallu, Sruthi Sankar, M S Saravana Babu","doi":"10.4103/aca.aca_49_26","DOIUrl":"10.4103/aca.aca_49_26","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"673-674"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164977","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":"Women's Representation in Cardiac Anesthesiology Publications: A Multi-journal Retrospective Analysis.","authors":"Ashutosh Kaushal, Soumya Thakur, Anuj Jain, Nikhil Nair, Shivanya Singh, Sweta Kumari","doi":"10.4103/aca.aca_143_26","DOIUrl":"10.4103/aca.aca_143_26","url":null,"abstract":"<p><strong>Introduction: </strong>Gender disparities in academic medicine persist despite increasing female enrollment. Cardiac anesthesiology, a predominantly male subspecialty, may reflect systemic inequities. India contributes substantially to cardiac anesthesiology literature, yet the representation of Indian women within this global scholarly output remains uncharacterized.</p><p><strong>Materials and methods: </strong>Retrospective cross-sectional study of four cardiac anesthesiology journals, January 2020 to January 2026. All articles published in the Annals of Cardiac Anaesthesia, Journal of Cardiothoracic and Vascular Anesthesia, Seminars in Cardiothoracic and Vascular Anesthesia, and cardiac anesthesia section of Anesthesia and Analgesia analyzed. Author gender was determined by first-name analysis spanning 45 countries, supplemented by institutional verification.</p><p><strong>Statistical analysis: </strong>Chi-square tests were used to compare gender proportions across authorship positions, journals, and article types. The Cochran-Armitage trend test was used to assess linear temporal trends in female authorship over the study period. P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Among 5,138 articles representing 22,829 author positions, women comprised 28.4% overall (F: M ratio 1:2.52). Female representation declined progressively from second authors (31.9%) to corresponding authors (22.5%) (P < 0.001). Indian women represented 26.4% of Indian first authors and 18.1% of Indian corresponding authors, both significantly lower than non-Indian counterparts (P = 0.009 and P = 0.001, respectively). Notably, Indian female first authorship showed a significant upward trend from 19.2% (2020) to 35.6% (2024) (Z = -3.65,P < 0.001).</p><p><strong>Conclusion: </strong>Significant gender disparities persist across cardiac anesthesiology publications globally, specifically among Indian authors. The pronounced underrepresentation of Indian women in corresponding authorship, despite an encouraging upward trend in first authorship, highlights compounded systemic barriers.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"564-569"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165776","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":"An Extremely Rare Association of the Giant Right Atrium with Uncorrected Tetralogy of Fallot in an Adolescent Male Patient.","authors":"Arupratan Maiti, Amrita Guha","doi":"10.4103/aca.aca_333_25","DOIUrl":"10.4103/aca.aca_333_25","url":null,"abstract":"<p><strong>Abstract: </strong>Uncorrected tetralogy of Fallot (TOF) can be associated with widespread abnormalities, but the giant right atrium (RA) is an extremely rare one. The giant RA can cause additional problems causing atrial arrythmias, thromboembolism, and compression of adjacent structures. Tricuspid regurgitation is common with annular dilatation. In symptomatic cases, reduction atrioplasty is recommended. Sternotomy should be careful to avoid damage to the giant RA. In asymptomatic cases, anticoagulation should be carried out. We report a rare case of uncorrected TOF associated with the giant RA and got successfully treated with surgery.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"634-637"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163497","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":"Reply to Letter: Revascularization and Risk Prediction in Coronary Artery Disease Patients Undergoing Carotid Endarterectomy: Interpreting Associations with Caution.","authors":"V Krishna Narayanan Nayanar, M S Saravana Babu","doi":"10.4103/aca.aca_353_25","DOIUrl":"10.4103/aca.aca_353_25","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"658-659"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164475","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":"Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography.","authors":"Nicholas Paul Suraci, Tiffany Lim, Maisie Jackson","doi":"10.4103/aca.aca_357_25","DOIUrl":"10.4103/aca.aca_357_25","url":null,"abstract":"<p><strong>Abstract: </strong>Characterized by unexpected hypoxia, hypotension, or hemodynamic collapse, bone cement implantation syndrome (BCIS) is a rare complication of orthopedic surgeries. During the process of utilizing cement to aid in prosthetic implantation, increased intramedullary pressure can lead to embolization of mixed contents (cement, fat, air,) into the heart. By mechanical obstruction and inflammatory response, BCIS can lead to catastrophic cardiovascular collapse. Herein, we present an 81-year-old man with grade three BCIS with pulseless electrical activity during a left hip arthroplasty with the aid of transesophageal echocardiography.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"627-629"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165181","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":"Comparative Efficacy of Pecto-Intercostal Facial Plane Block vs Transversus Thoracic Facial Plane Block Combined with Rectus Sheath Block for Post-Sternotomy Analgesia: A Prospective Randomized Controlled Trial.","authors":"Priya Gupta, Ravikanth Pula, Venu Polapally, Sunanda Gooty, Varsha Krosuri, Nagarjuna Thakur, Ramachandran Gopinath","doi":"10.4103/aca.aca_112_26","DOIUrl":"10.4103/aca.aca_112_26","url":null,"abstract":"<p><strong>Background: </strong>Ultrasound-guided facial plane blocks are central to enhanced recovery after cardiac surgery (ERACS) protocols, yet evidence comparing pecto-intercostal facial plane block (PIFB) and transversus thoracic facial plane block (TTPB) with rectus sheath block (RSB) remains limited.</p><p><strong>Methods: </strong>This prospective, randomized, controlled trial enrolled 100 adult patients (ASA II-III) undergoing elective median sternotomy at a tertiary care hospital in South India. Patients received standardized general anesthesia and were randomized to bilateral PIFB or TTPB (20 mL 0.25% bupivacaine + 4 mg dexamethasone per side) with RSB after cardiopulmonary bypass. The primary outcome was 24-hour postoperative fentanyl consumption. Secondary outcomes included visual analog scale (VAS) pain scores at 0, 3-, 6-, 12-, and 24-hours post-extubation, rescue analgesia, extubation timing, ICU/hospital stay, and complications.</p><p><strong>Results: </strong>A total of 96 patients completed analysis (PIFB: n = 47; TTPB: n = 49). Mean 24-hour fentanyl consumption was 267.23 ± 92.54 µg (PIFB) vs 297.18 ± 88.09 µg (TTPB), mean difference - 29.95 µg (95% confidence interval: -66.60 to 6.70; P = 0.108). VAS scores showed no significant between-group differences (P > 0.05). Rescue analgesia rates were similar, with 84% and 90% not requiring additional opioids. Four PIFB patients (8%) stayed intubated >24 hours due to cardiac issues, vs none in the TTPB group (P = 0.121).</p><p><strong>Conclusion: </strong>This trial found no significant difference in opioid consumption or pain scores between PIFB + RSB and TTPB + RSB for post-sternotomy analgesia. Both techniques were safe within ERACS protocols. Larger noninferiority trials are needed before establishing equivalence or recommending one technique over another.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"577-586"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164118","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":"Superior Vena Cava Syndrome and its Anesthetic Management: A Narrative Review.","authors":"Pruthi Gegal, Sah Sarita, Taj K Yaseen, Dey Ankita, Samagh Navneh, Paliwal Umesh Shashank, Grewal Anju","doi":"10.4103/aca.aca_364_25","DOIUrl":"10.4103/aca.aca_364_25","url":null,"abstract":"<p><strong>Abstract: </strong>Superior vena cava syndrome (SVCS) is a disease condition caused by intrinsic occlusion or extrinsic compression of the superior vena cava and can lead to significant morbidity and mortality. This narrative review discusses various perioperative challenges in patients with SVCS, which include airway edema, difficult venous access, hemodynamic instability, risks of cardiovascular collapse, and at-risk extubation; therefore, individualized anesthetic strategies tailored to the severity of obstruction are essential. Anesthetic management of SVCS requires a multidisciplinary, patient-specific approach to optimize outcomes. Proper assessment, structured intraoperative planning, and intensive postoperative monitoring are crucial for providing safe anesthetic care in these high-risk patients.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":" ","pages":"471-480"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760332","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":"Management of Non-cardiac Surgery in an Elderly Patient with Uncorrected Double Inlet Left Ventricle: Utility of the Pulse Contour Analysis-Based Cardiac Output Monitor.","authors":"Jun Honda, Yuki Yamazaki, Takayuki Hasegawa, Yoshie Noji, Satoki Inoue","doi":"10.4103/aca.aca_266_25","DOIUrl":"10.4103/aca.aca_266_25","url":null,"abstract":"<p><strong>Abstract: </strong>Double inlet left ventricle (DILV) is a rare congenital heart disease that usually requires surgical treatment in childhood but can survive to old age untreated under certain conditions. In such patients, general anesthesia management requires an understanding of their unique hemodynamics and pathophysiology, along with the ability to maintain these conditions. In this case, long-term survival was possible due to the maintenance of an appropriate pulmonary-systemic blood flow balance achieved by pulmonary artery stenosis (PS), necessitating anesthesia management that preserved this balance. We report a case of non-cardiac anesthesia in an untreated adult patient with DILV, where systemic vascular resistance (SVR) monitoring and anesthesia management using remimazolam were employed to maintain stable circulatory control.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"29 4","pages":"618-621"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163983","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}