ABSTRACT
The authors present a case of a 49-year-old woman who underwent coronary artery bypass grafting after suffering from an acute coronary syndrome and later developed phlegmasia cerulea dolens with heparin-induced thrombocytopenia (HIT) and HIT thrombosis (HITT).
ABSTRACT
Takotsubo cardiomyopathy also known as transient apical ballooning syndrome or stress induced reversible cardiomyopathy is an increasingly reported syndrome generally characterized by transient systolic dysfunction of the apical and/or mid segment of the left ventricle. It is frequently precipitated by severe stress and clinically mimics an acute ST-elevation myocardial infarction, with angiographically normal coronary arteries. A high index of suspicion is needed to diagnose this syndrome. We describe a patient who developed Takotsubo cardiomyopathy in the post-operative period following vaginal hysterectomy.
Subject(s)
Hysterectomy, Vaginal/adverse effects , Postoperative Complications/etiology , Postoperative Complications/therapy , Takotsubo Cardiomyopathy/etiology , Takotsubo Cardiomyopathy/therapy , Anesthesia, General , Coronary Angiography , Electrocardiography , Female , Humans , Middle Aged , Takotsubo Cardiomyopathy/diagnosisABSTRACT
Patients suffering with significant coronary artery disease undergoing elective noncardiac surgery may benefit by revascularisation prior to noncardiac surgery with high or intermediate risks. Alternatively, combined procedures can be performed. We describe the management of an anaesthetic patient suffering with significant coronary artery disease with left ventricular dysfunction and tumour of the tongue causing difficult intubation.
Subject(s)
Coronary Artery Bypass, Off-Pump , Glossectomy , Anesthesia, General , Anesthesia, Inhalation , Anesthesia, Intravenous , Coronary Angiography , Electrocardiography , Female , Heart Function Tests , Humans , Middle Aged , Myocardial Revascularization , Neoplasm Recurrence, Local , Tongue Neoplasms/complications , Tongue Neoplasms/surgery , Ventricular Dysfunction, Left/complications , Ventricular Dysfunction, Left/surgeryABSTRACT
We describe an unusual case of a young man presenting with calcific constrictive pericarditis. The patient had a history of restrictive cardiomyopathy and pericardial effusion during infancy and received antituberculous treatment. Investigations revealed the presence of thickened pericardium and a thickened calcific constrictive band around the atrioventricular groove posteriorly and over the infundibulum anteriorly. Intraoperatively, the band caused the heart to have a "dumbbell" appearance. A pericardiectomy was performed along with excision of the constricting band. The patient had an uneventful recovery.
