Congenital lobar emphysema is a rare entity presenting in the first month of life. It appears with varying degrees respiratory distress, clinical and radiological evidence over-aeration upper middle lobes, mediastinal shift hypoxia. Its early recognition surgical intervention can be life-saving. Even today, despite advanced diagnostic techniques, pitfalls diagnosis management are not uncommon condition may mistaken for pneumothorax or pneumonia. This report elucidates anesthetic three such...

The objective of this study was to evaluate the effectiveness acute normovolemic hemodilution (ANH) as a sole method reducing allogenic blood requirement in patients undergoing primary elective valve surgery. One hundred eighty eight surgery were prospectively randomized into two groups: Group I (n=100) acted control and II (n=88) autologous removed (10% estimated volume with hemoglobin (Hb) > 12g% 7% when Hb < 12g%) pre-cardiopulmonary bypass (CPB) period for subsequent re-transfusion after...

<b>Context:</b> We hypothesized that reduced oropharyngolaryngeal stimulation with video laryngoscopes would attenuate hemodynamic response to laryngoscopy and intubation. <b>Aim:</b> Comparison of intubation Macintosh (MC) laryngoscope. <b>Setting Design:</b> Superspecialty tertiary care public hospital; prospective, randomized control study. <b>Methods:</b> Sixty adult patients undergoing elective coronary artery bypass grafting (CABG) were randomly allocated three groups 20 each: MC,...

Asymptomatic women with mild aortic stenosis (AS) and normal left ventricular functions can successfully carry pregnancy to term have vaginal deliveries. However, severe AS (valve area <1.0cm2) result in rapid clinical deterioration maternal fetal mortality. So, these patients require treatment of before conception or during preferably the second trimester. In suitable percutaneous balloon valvutomy appears lower risk. It also be used as a palliative procedure allowing deferral valve...

Pulmonary artery (PA) catheter provides a variety of cardiac and hemodynamic parameters. In majority the patients, tends to float in right pulmonary (RPA) than left (LPA). We evaluated location PA with help transesophageal echocardiography (TEE) know incidence its localization. Three views were utilized for this purpose; midesophageal ascending aorta (AA) short-axis view, modified mid esophageal aortic valve long-axis bicaval view.We enrolled 135 patients undergoing elective surgery where...

We report a rare case of tetralogy Fallot (TOF) with left pulmonary artery (LPA) sling tracheal stenosis. The patient underwent successful surgery in one stage involving intracardiac repair TOF, LPA reimplantation and resection stenosis end-to-end anastomosis. doi: 10.1111/jocs.12192 (J Card Surg 2013;28:595–598)

A 22-yr-old woman with the diagnosis of ostium secundum type atrial septal defect (ASD, 4.1 cm) was scheduled to undergo surgical closure ASD. After an uneventful opioid-based induction anesthesia, arterial blood gas analysis revealed oxygen saturation (Sao2) 96.5% (arterial tension, Pao2, 88.7 mm Hg) fractional inspired concentration (Fio2) 0.5. The ASD closed using a pericardial patch standard cardiopulmonary bypass (CPB). post-CPB showed Sao2 80.9% at Fio2 1.0. continued remain between...

The relationship between myasthenia gravis (MG) and other autoimmune disorders like hyperthyroidism is well known. It may manifest earlier, concurrently orafter the appearance of MG. effect treatment on control MG variable. There be resolution or conversely, deterioration symptoms also. We present a patient who was diagnosed to hyperthyroid two half years before myasthenic symptoms. Pharmacotherapy for three months neither improved nor thyroid function tests. Thymectomy resulted in as...

A 36-year-old male patient presented with the complaints of palpitations and breathlessness. Preoperative transthoracic echocardiography (TTE) revealed a bicuspid aortic valve; severe regurgitation dilated left ventricle (LV) mild LV systolic dysfunction (ejection fraction 50%). He was scheduled to undergo valve replacement. History not suggestive infective endocarditis (IE). TTE did demonstrate any perivalvular abscess. Intraoperative transesophageal (TEE) examination using mid-esophageal...

An aberrant right subclavian artery from the descending aorta is almost always reported as an isolated anomaly. We present case of a four-year-old child with anomalous origin aorta, associated ostium secundum atrial septal defect. The patient underwent simultaneous repair both anomalies through median sternotomy, implantation into common carotid artery. believe that sternotomy optimal surgical approach for management these lesions. Other operative approaches are also discussed.

Aneurysm of the left atrial appendage (LAA) is a very infrequent condition. We report case two-year-old child with congenital aneurysm LAA large thrombus in it. He presented an episode seizures left-sided hemiparesis. Diagnosis was based on transthoracic echocardiography and magnetic resonance imaging. The patient successfully treated by surgical resection removal thrombus.

Double-orifice mitral valve (DOMV) is an unusual congenital anomaly characterized by a with single fibrous annulus two orifices or rarely separate annuli opening into the left ventricle.We present first report of patient DOMV supramitral ring (SMR), subaortic membrane (SAM), large ventricular septal defect (VSD) more than 50% aortic override, and severe pulmonary arterial hypertrophy (PAH).This underwent excision SAM, SMR, closure VSD together under cardiopulmonary bypass (CPB).However...

Perioperative management of a patient with Dandy–Walker malformation (DWM) tetralogy Fallot (TOF), patent ductus arteriosus, and pulmonary artery stenosis is great challenge to the anesthesiologist. Anesthetic in such patients can trigger tet spells that might rapidly increase intracranial pressure (ICP), conning even death. The ICP precipitate further brain hypoxia. To avoid an during TOF corrective surgery ventriculo-peritoneal (VP) shunt should be performed before cardiac surgery. We...