scholarly journals Difficult weaning from cardiopulmonary bypass after surgical VSD closure: An unusual rare case

2020 ◽  
Author(s):  
Mohammad Mahdavi ◽  
Sanaz Asadian ◽  
Hossein Shahzadi ◽  
Mahdi Daliri ◽  
Nahid Rezaeian ◽  
...  
2019 ◽  
Vol 12 (7) ◽  
pp. e229741 ◽  
Author(s):  
Alexandra Drucker ◽  
Chong Zhou ◽  
Siven Seevanayagam ◽  
Laurence Weinberg

Cowden syndrome (CS) is a rare disorder characterised by multiple non-cancerous, tumour-like growths called hamartomas. The syndrome is associated with the development of cancer of the breast, endometrium, kidneys, skin and rarely the brain. We report a rare case of symptomatic cardiac haemangioma in a patient with CS. A 54-year-old woman with CS presented with dyspnoea and orthopnoea in the setting of cardiac tamponade. Echocardiography revealed a large haemopericardium and tamponade physiology, secondary to a pericardial mass. The patient underwent urgent cardiopulmonary bypass with removal of the mass. Histopathology confirmed a benign cavernous haemangioma. We postulate that tumours involving the heart/pericardium may be an additional manifestation of CS. This case further highlights the necessity to consider pericardial/cardiac manifestations in patients with hamartomatous syndromes who present with cardiorespiratory symptoms, so that opportunistic investigation and treatment may be instituted.


2001 ◽  
Vol 92 (2) ◽  
pp. 291-298 ◽  
Author(s):  
Francis Bernard ◽  
André Denault ◽  
Denis Babin ◽  
Caroline Goyer ◽  
Pierre Couture ◽  
...  

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 7
Author(s):  
Muhammad Ajmal ◽  
Sridhar Reddy ◽  
Ranjith Shetty ◽  
Toshinobu Kazui ◽  
Kapildeo Lotun

Currently, transcatheter aortic valve replacements within degenerated surgical bioprosthetic aortic valves (valve in valve) are increasing in frequency with studies supporting their safety and efficacy. We present the rare case of a patient requiring a second transcatheter bioprosthetic aortic valve placed within a previously placed degenerated transcatheter aortic valve, which was implanted in a degenerated surgical bioprosthetic aortic valve. The procedure was performed using a percutaneous cardiopulmonary bypass with TandemLife for hemodynamic support.


2001 ◽  
pp. 291-298 ◽  
Author(s):  
Francis Bernard ◽  
Andr?? Denault ◽  
Denis Babin ◽  
Caroline Goyer ◽  
Pierre Couture ◽  
...  

2008 ◽  
Vol 22 (4) ◽  
pp. 616-624
Author(s):  
Praveen Kumar Neema ◽  
Sethuraman Manikandan ◽  
Amit Ahuja ◽  
Baiju S. Dharan ◽  
Sanjay Gandhi ◽  
...  

2016 ◽  
Vol 101 (3) ◽  
pp. 1176-1178 ◽  
Author(s):  
Ahmad Y. Sheikh ◽  
Mastaneh Ahmadi-Kashani ◽  
Vibha Mohindra ◽  
Allison Friedenberg ◽  
Sharmila B. Pramanik ◽  
...  

2015 ◽  
Vol 18 (4) ◽  
pp. 143
Author(s):  
Hiromu Kehara ◽  
Tamaki Takano ◽  
Kazunori Komatsu ◽  
Takamitsu Terasaki ◽  
Kenji Okada

We discuss a rare case of an ascending aorta pseudoaneurysm fistulating into the right atrium following prior aortic and mitral valve replacement. Transthoracic echocardiography and computed tomography revealed a pseudoaneurysm of the ascending aorta attached to the right atrium with fistulous communication. The pseudoaneurysm arose from the center of the former aortotomy. Emergency remedian sternotomy was performed without aneurysmal injury and with exposure of the left femoral artery and femoral vein. Aneurysmal resection and ascending aorta repair were performed without complication. Exposing peripheral vessels, and initiating cardiopulmonary bypass only after reentry, might be effective in resternotomy to approach ascending aorta pseudoaneurysms.<br /><br />


Perfusion ◽  
2019 ◽  
Vol 34 (6) ◽  
pp. 490-494 ◽  
Author(s):  
Yan Zhang ◽  
Ronghua Zhou

Malignant hyperthermia is a well-known but potentially lethal disorder which is triggered by volatile anesthetics and depolarizing muscle relaxants. Early diagnosis and treatment could save lives. However, during cardiac surgery, hypothermia and cardiopulmonary bypass make the diagnosis of malignant hyperthermia extremely difficult than other surgeries. We report a case of almost-certain malignant hyperthermia, according to the clinical grading scale, in a patient undergoing on-pump coronary artery bypass grafting surgery. The patient underwent difficult weaning from cardiopulmonary bypass until intra-aortic balloon pump and temporary cardiac pacemaker had been implanted. Although dantrolene and corresponding treatments were administered recently, the patient died 12 days after surgery because of acute kidney failure and cardiac arrest. Therefore, it is important for us to previously recognize some specific signs of malignant hyperthermia during cardiopulmonary bypass to avoid severe outcomes.


Aorta ◽  
2018 ◽  
Vol 06 (03) ◽  
pp. 088-091
Author(s):  
Vladimir Shlomin ◽  
Yury Didenko ◽  
Igor Drozhzhin ◽  
Petr Puzdriak ◽  
Pavel Bondarenko ◽  
...  

AbstractThe authors present a clinical case of a 44-year-old male patient with a chronic giant aortic arch pseudoaneurysm with a diameter of 136 × 72 mm. The open resection of false aneurysm was accomplished without artificial circulation. Repair was performed with temporary ascending-to-descending and brachiocephalic bypass without cardiopulmonary bypass.


1998 ◽  
Vol 6 (2) ◽  
pp. 135-137
Author(s):  
Sandeep Shrivastava ◽  
Shipra Shrivastava ◽  
Kurur Sankaran Neelakandhan

We report a rare case of congenital saccular aneurysm of the right cervical aortic arch in a 16-year-old girl. There were no branches arising from the aortic arch but 3 branches arose from the ascending aorta: the left innominate artery, the right common carotid artery, and the right subclavian artery. The aneurysm was successfully repaired with a plasma-preclotted woven Dacron interposition graft during profound hypothermic cardiopulmonary bypass without total circulatory arrest.


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