ABSTRACT
ABSTRACT: The occurrence of pulmonary artery thrombus in association with rheumatic mitral stenosis is a rare complication. Pulmonary artery thrombus formation may worsen pulmonary artery pressures, and this may precipitate acute right heart failure. The possible mechanisms behind pulmonary artery thrombus formation during mitral valve replacement surgery could be acute coagulopathy following surgery, the presence of chronic pulmonary thromboembolism, or chronic atrial fibrillation. We report an unusual case of pulmonary artery thrombus in a patient with rheumatic MS which was diagnosed with transoesophageal echocardiography after MVR.
Subject(s)
Delayed Diagnosis , Echocardiography, Transesophageal , Heart Valve Prosthesis Implantation , Mitral Valve , Pulmonary Artery , Thrombosis , Humans , Heart Valve Prosthesis Implantation/adverse effects , Pulmonary Artery/diagnostic imaging , Echocardiography, Transesophageal/methods , Thrombosis/diagnostic imaging , Thrombosis/etiology , Mitral Valve/surgery , Mitral Valve/diagnostic imaging , Mitral Valve Stenosis/surgery , Female , Rheumatic Heart Disease/complications , Rheumatic Heart Disease/surgery , Pulmonary Embolism/etiology , Pulmonary Embolism/diagnostic imaging , Middle AgedABSTRACT
Presence of intraoral pathology especially in neonates poses a great challenge during airway management. Epignathus is a rare form of teratoid tumour that arises from the oropharyngeal region. We hereby report a case of a 7-day-old neonate who presented with feeding difficulty secondary to swelling arising from the hard palate. Surgical excision was decided to overcome feeding difficulty and to enable the child to thrive better. In view of anticipated difficult airway, the child was induced with sevoflurane, maintaining spontaneous breathing and intubated with Airtraq optical laryngoscope size 0. The further intraoperative and postoperative period was uneventful.
