Annuloplasty for Aortic Regurgitation in Infantile Takayasu Arteritis: A Case Report

2017 ◽  
Vol 11 (4) ◽  
pp. NP31-NP33 ◽  
Author(s):  
Laura Linnemeier ◽  
Richa Sharma ◽  
Nayan Srivastava ◽  
Mark Turrentine
Keyword(s):  
Aortic Regurgitation ◽  
Takayasu Arteritis ◽  
Surgical Intervention ◽  
Clinical Status ◽  
Rare Occurrence ◽  
Coronary Aneurysms ◽  
Life Threatening ◽  
Aneurysm Occlusion ◽  
Life Threatening Complication ◽  
Valve Sparing

Aortic regurgitation (AR) is a life-threatening complication of Takayasu arteritis (TA). Takayasu arteritis is a large-vessel vasculitis with a predominance in young adolescent and adult females. Inflammation involves the aorta and its major branches resulting in arterial dilatation, stenosis, aneurysm, occlusion, and thrombosis formation. Pediatric TA cases have been reported to also cause severe complications such as coronary aneurysms, retinopathy, and hypertension due to renovascular stenosis. In this report, we present a rare occurrence of infantile TA with severe AR requiring surgical intervention after failing medical therapy. Due to the patient’s age and clinical status, a valve-sparing aortic annuloplasty with aortoplasty was performed.

scholarly journals Takayasu Arteritis: From Diagnosis to a Life-Threatening Complication

2018 ◽  
Author(s):  
Filipa Cordeiro ◽  
Sofia Silva Carvalho ◽  
Fernando Salvador ◽  
Alberto Ferreira ◽  
J. Ilidio Moreira
Keyword(s):  
Takayasu Arteritis ◽  
Life Threatening ◽  
Life Threatening Complication

scholarly journals Transcatheter closure of post myocardial Infarction ventricular septal rupture with the Amplatzer Septal occluder

2021 ◽  
Vol 18 (2) ◽  
pp. 65-68
Author(s):  
Chandra Mani Adhikari ◽  
Manish Shrestha ◽  
Birat Timalsina ◽  
Amrit Bogati ◽  
Madhu Rokka ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Surgical Intervention ◽  
Transcatheter Closure ◽  
Amplatzer Septal Occluder ◽  
Ventricular Septal Rupture ◽  
Surgical Closure ◽  
Amplatzer Device ◽  
Life Threatening ◽  
Life Threatening Complication

Ventricular septal rupture is a rare yet life threatening complication of acute myocardial infarction. Surgical closure is the treatment of choice however despite surgical intervention mortality remains high.  Transcatheter closure of ventricular septal rupture has emerged as a new alternative strategy which is less invasive potentially allowing early hemodynamic stabilization. We report a case of a 60-year-old male with post infarction ventricular septal rupture who was treated with percutaneous closure using an Amplatzer device at Shahid Gangalal National Heart Centre, Nepal. 

Cardiac Catheterization

2018 ◽  
Author(s):  
Erica P. Lin ◽  
Andreas W. Loepke ◽  
Emad B. Mossad
Keyword(s):  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Situational Awareness ◽  
Anesthetic Management ◽  
Physical Space ◽  
Rare Occurrence ◽  
Major Life ◽  
Catheterization Laboratory ◽  
Life Threatening ◽  
Life Threatening Complication

Cardiac catheterization plays an increasing role in the management of pediatric and adult patients with congenital heart disease. These days, the catheterization laboratory often also functions as a satellite operating room with hybrid capabilities that involve both the surgeons and interventional cardiologists. Delivering anesthesia in this environment is challenging, and the physical space is limited. Exposure to ionizing radiation increases in proximity to the patient during fluoroscopy. Furthermore, the medical complexity of the patient population cared for in this setting continues to broaden, as a wider range of interventions becomes available. In order to plan the safest anesthetic management, it is imperative for anesthesiologists to have a firm understanding of each patient’s physiology and how it will be affected by both the sedation/anesthesia and the proposed procedure. Teamwork and situational awareness are essential, as are anticipation and preparation for the rare occurrence of a major, life-threatening complication.

scholarly journals Conservative management of bronchopulmonary artery perforation without associated haemothorax occurring at thoracentesis: a case report

2010 ◽  
Vol 92 (5) ◽  
pp. e69-e72
Author(s):  
Yao-Tsung Chuang ◽  
Teng-Fu Tsao ◽  
Chun-Hung Su ◽  
Ming-Cheng Lin
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Surgical Management ◽  
Conservative Management ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Arterial Embolisation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Pulmonary Artery Perforation

Puncture or laceration of the pulmonary, intercostal, or peripheral vessels is an uncommon, but potentially life-threatening, complication of thoracentesis, which has been reported to result in severe haemothorax in 75% of patients. Damage to these vessels typically requires surgical intervention or intra-arterial embolisation. We report the successful non-surgical management of an unusual case of pulmonary artery perforation without concomitant haemothorax in an 82-year-old man who underwent thoracentesis.

scholarly journals Emergency Ileal Conduit Bleeding from Peristomal Varices due to Portal Hypertension

2017 ◽  
Vol 11 (1) ◽  
pp. 48-50
Author(s):  
Christian Löhmann ◽  
Christoph Sparwasser ◽  
Carsten Hackenbroch ◽  
Andreas Martinschek
Keyword(s):  
Portal Hypertension ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Ileal Conduit ◽  
Massive Bleeding ◽  
Rare Occurrence ◽  
Know How ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Tract Infections

An ileal conduit is a frequently used urinary diversion following cystectomy. Common complications include urinary tract infections, hydronephrosis due to stenosis of ureter and hernias. Hemodynamic-relevant bleeding from the conduit is a very rare occurrence. We report on a patient with massive bleeding from her ileal conduit due to intra-abdominal varices and portal hypertension and its diagnostic and therapeutic management by varices sclerotherapy. Even though bleeding from the conduit is very rare, the urologist should know how to manage this life-threatening complication.

scholarly journals Leukemoid reaction in chronic myelomonocytic leukemia patients undergoing surgery: perioperative management recommendations

2019 ◽  
Vol 3 (7) ◽  
pp. 952-955 ◽  
Author(s):  
Ami B. Patel ◽  
Erin M. Pettijohn ◽  
Sameem M. Abedin ◽  
Evan Raps ◽  
Michael W. Deininger
Keyword(s):  
Molecular Mechanisms ◽  
Perioperative Management ◽  
Surgical Intervention ◽  
Chronic Myelomonocytic Leukemia ◽  
Leukemoid Reaction ◽  
Key Points ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Management Recommendations ◽  
Myelomonocytic Leukemia

Key Points CMML patients comprise an elderly and frail patient population with comorbidities that often require surgical intervention. Postsurgical leukemoid reaction, a life-threatening complication in CMML patients, may be driven by molecular mechanisms.

scholarly journals Rare case of postoperative mediastinitis following thyroidectomy

2021 ◽  
Vol 17 (1) ◽  
pp. 52-55
Author(s):  
In Soo Cho ◽  
Moo Hyun Lee ◽  
Jihyoung Cho
Keyword(s):  
Esophageal Perforation ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Fluid Collection ◽  
Unusual Complication ◽  
Anterior Neck ◽  
Life Threatening ◽  
Additional Imaging ◽  
Life Threatening Complication ◽  
Cervical Esophageal Perforation

Descending necrotizing mediastinitis (DNM) is a life-threatening complication secondary to oropharyngeal abscesses, cervical esophageal perforation, or neck infections spreading along the fascial planes into the mediastinum. Post-thyroidectomy surgical site infection is a highly unusual complication that is typically localized around the incision, but may be propagated into the mediastinum, causing DNM. We encountered a case of this rare complication after thyroidectomy. The patient was a 33-year-old woman who was admitted to our center for left hemithyroidectomy. The surgery was performed without any intraoperative events. However, she later developed fever, hypotension, and tachycardia. Imaging revealed deep neck emphysema and focal pneumomediastinum with infiltration in the anterior neck and mediastinum with abscess formation. Additional imaging at 7 days postoperatively revealed reduced fluid collection deep in the neck with minimal changes in fluid collection in the mediastinum. Esophageal perforation was excluded via an esophagogram, which lead to the conclusion that the infection may have been caused by open thyroidectomy. The patient was treated with prompt medical and surgical intervention. After treatment, she was discharged from the hospital with no further complications. We present our case report as well as a literature review of the diagnosis and treatment of this disease.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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