scholarly journals Perioperative Anesthetic Management for Surgical Repair of an Adult with Supracardiac Total Anomalous Pulmonary Venous Communication and Pulmonary Hypertension: A case report and Mini Review

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Vishnu Datt ◽  
Rachna Wadhwa ◽  
Manish Kumar ◽  
Varun Sharma ◽  
Ripon Chaudhary ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiopulmonary Bypass ◽  
Healthcare Workers ◽  
Anesthetic Management ◽  
Single Episode ◽  
Intracardiac Repair ◽  
Clinical Presentations ◽  
Pulmonary Arterial ◽  
Risk Of Exposure ◽  
The Right

The total anomalous pulmonary venous communication [TAPVC] is a rare cyanotic congenital cardiac defect accounting for 1.5-3% of the congenital heart disease, in which pulmonary venous [PV] blood drains directly into the right side of the heart or into the systemic veins. Neonates with obstructive TAPVC may present with cyanosis, metabolic acidosis, respiratory failure, and shock. A subset of patients with unobstructed TAPVC may remain symptoms free and attain adulthood, or present with pulmonary congestion, pulmonary arterial hypertension [PAH]. The anesthetic management of either obstructed TAPVC or unobstructed with PAH can be quite challenging. The described patient is a 23-year male who presented with self – limiting single episode of chest pain, palpitations and dyspnea, diagnosed as supracardiac unobstructed TAPVC with ostium secundum atrial septal defect [OS – ASD] and PAH, who underwent successful intracardiac repair under cardiopulmonary bypass [CPB]. The protocol for the cardiac surgery during the COVID-19 pandemic for perioperative considerations and triage recommendations was strictly followed to reduce the risk of exposure to patients and healthcare workers. The objective of this case report and review is to recognize the spectrum of various clinical presentations in TAPVC, and to describe the diagnosis and perioperative management of TAPVC. Key Words: Adult Supra cardiac TAPVC, unobstructed, PAH, cardiopulmonary bypass, corrective surgery, balanced general anesthesia

scholarly journals The anesthetic management of a venous bullet embolism to the right ventricle - A case report -

2009 ◽  
Vol 56 (3) ◽  
pp. 345
Author(s):  
Sung Yong Park ◽  
Un Jin Ju ◽  
Jin Soo Kim ◽  
Sang Ki Min ◽  
Yong Woo Hong
Keyword(s):  
Case Report ◽  
Right Ventricle ◽  
Anesthetic Management ◽  
The Right

scholarly journals A Case Report of Iatrogenic Pulmonary Artery Injury due to Chest-Tube Insertion Repaired under Cardiopulmonary Bypass

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ciss Amadou Gabriel ◽  
Dieng Papa Adama ◽  
Ba Papa Salmane ◽  
Gaye Magaye ◽  
Diatta Souleymane ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Chest Tube ◽  
Main Pulmonary Artery ◽  
Median Sternotomy ◽  
Posterior Wall ◽  
Ascending Aorta ◽  
Artery Injury ◽  
The Right

The authors presented a case of a 50-year-old patient with multiple trauma who suffered from the inadvertent cannulation of the main pulmonary artery at the second attempt of left chest drainage. Pulmonary artery injury has been suspected because early chest tube production was 2300 mL of blood. CT scan showed injury of the trunk of the pulmonary artery, left hemothorax, and suspect damage of the right branch of the pulmonary artery. That chest tube touched the posterior wall of ascending aorta. Surgical approach was median sternotomy. Exploration showed a perforation of the trunk of pulmonary artery without lesion of the right pulmonary branch and the posterior wall of the ascending aorta. The lesion was repaired under normothermic partial cardiopulmonary bypass. Postoperative period was free of events. Review of the literatures for this rare case report has been done.

scholarly journals Spontaneous fetal femoral fracture: a case report and literature review

2018 ◽  
Vol 46 (3) ◽  
pp. 1282-1287 ◽  
Author(s):  
Mingming Yu ◽  
Dapeng Xu ◽  
Aiguo Zhang ◽  
Jun Shen
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Femoral Fracture ◽  
Femoral Fractures ◽  
Timely Manner ◽  
Left Femur ◽  
X Ray ◽  
Clinical Presentations ◽  
The Right

Spontaneous fetal femoral fractures are uncommon in the paediatric setting. The major clinical presentations of a spontaneous fetal femoral fracture are femoral angulation, shortness of the femur and even a marked fracture line. This case report describes a spontaneous fetal femoral fracture of the right femur, which was detected by routine ultrasonography during the 19th week of gestation in a 24-year-old woman. On routine follow-up visits, the angulation of the right femur in the fetus gradually improved. A caesarean section was undertaken at 39 weeks +5 days of gestation and an X-ray was taken on the second day after birth, which showed that the fracture had healed and the callus had been absorbed. The lengths of the two femurs of the baby were not equal; the right femur was 84 mm, which was 11 mm shorter than the left femur. In cases like this, postnatal follow-up is essential so that an operation can be carried out in a timely manner when the deformity is apparent.

scholarly journals Ultrasound-guided perioperative management of 28-month-old patient with congenital diaphragmatic eventration

2019 ◽  
Vol 7 ◽  
pp. 2050313X1982773
Author(s):  
Hyemin Kang ◽  
Sangmin Lee ◽  
Hyunwoo Park ◽  
Yeojung Kim ◽  
YoungKwon Ko ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Perioperative Management ◽  
Anesthetic Management ◽  
Male Infant ◽  
Lung Ultrasonography ◽  
Ultrasound Guided ◽  
Distal Ulna ◽  
Diaphragmatic Eventration ◽  
The Right

Diaphragmatic eventration is a rare anomaly. When patients with this condition undergo general anesthesia, anesthetic management should be performed with particular care owing to the risk of diaphragmatic rupture. Such a rupture can be perioperatively diagnosed using multiple tools including lung ultrasonography. This case report describes the anesthetic management of a male infant with osteochondroma in the distal ulna, presenting with diaphragmatic eventration on the right side.

scholarly journals Clinical Significance of a Duplicated Palmaris Longus Muscle with One Reversed Muscle: A Case Report

2020 ◽  
Vol 8 (C) ◽  
pp. 177-180
Author(s):  
Adegbenro Omotuyi John Fakoya ◽  
Jordan D'Souza ◽  
Andrea Mary Thomas Kallumadyil ◽  
Tess McClenahan ◽  
Allyson Talaroc ◽  
...  
Keyword(s):  
Case Report ◽  
Anterior Compartment ◽  
Muscle Belly ◽  
Palmaris Longus ◽  
Clinical Presentations ◽  
Longus Muscle ◽  
Palmaris Longus Muscle ◽  
Double Muscle ◽  
Palmar Aponeurosis ◽  
The Right

BACKGROUND: Multiple variations of the palmaris longus (PL) muscle are reported throughout literature and include variations such as double muscle bellies, inversion of muscle belly and tendon, and the absence of the muscle. The muscle functions as a weak flexor of the wrist. It originates from the medial epicondyle of the humerus, projects as a superficial muscle of the anterior compartment of the forearm, lies over the transverse carpal ligament, and inserts into the palmar aponeurosis. CASE REPORT: Routine dissection of the right forearm of a 70-year-old Caucasian male revealed a rare duplicated PL muscle with the medial PL muscle being reversed. The left forearm appeared normal, with no such variations. The cadaver showed no significant pathological findings due to this variation. Innervation and vasculature of the variant muscle appeared normal. CONCLUSION: The PL muscle is highly variable, and clinicians need to be aware of its many possible presentations due to its involvement in surgery, symptomatic clinical presentations, and as an anatomical landmark.

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