Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy
Percutaneous transvenous mitral commisurotomy (PTMC) is a frequently used minimally invasive procedure for patients with symptomatic mitral stenosis. However, it is not without complications. Few complications which are distinctive to the procedure are thromboembolism, left-to-right shunts, mitral r...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2019;volume=22;issue=3;spage=318;epage=320;aulast=Balaji |
| _version_ | 1818432923939897344 |
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| author | Rohini Mayur Balaji Manasa Dhananjaya Ashwini Thimmarayappa |
| author_facet | Rohini Mayur Balaji Manasa Dhananjaya Ashwini Thimmarayappa |
| author_sort | Rohini Mayur Balaji |
| collection | DOAJ |
| description | Percutaneous transvenous mitral commisurotomy (PTMC) is a frequently used minimally invasive procedure for patients with symptomatic mitral stenosis. However, it is not without complications. Few complications which are distinctive to the procedure are thromboembolism, left-to-right shunts, mitral regurgitation, cardiac tamponade and complete heart block. We present the case of a 32-year-old female patient scheduled for a PTMC, who had multiple complications during the procedure. She developed cardiac tamponade for which pericardiocentesis and autotransfusion was done. Subsequently she exhibited epileptiform activity for which there was a diagnostic dilemma due to the presence of multiple confounding factors. However, she had a complete recovery without any residual sequelae at the time of discharge. |
| first_indexed | 2024-12-14T16:12:55Z |
| format | Article |
| id | doaj.art-6505e0747ee84e1bbca633a1cac1db6f |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-14T16:12:55Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-6505e0747ee84e1bbca633a1cac1db6f2022-12-21T22:54:57ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842019-01-0122331832010.4103/aca.ACA_54_18Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomyRohini Mayur BalajiManasa DhananjayaAshwini ThimmarayappaPercutaneous transvenous mitral commisurotomy (PTMC) is a frequently used minimally invasive procedure for patients with symptomatic mitral stenosis. However, it is not without complications. Few complications which are distinctive to the procedure are thromboembolism, left-to-right shunts, mitral regurgitation, cardiac tamponade and complete heart block. We present the case of a 32-year-old female patient scheduled for a PTMC, who had multiple complications during the procedure. She developed cardiac tamponade for which pericardiocentesis and autotransfusion was done. Subsequently she exhibited epileptiform activity for which there was a diagnostic dilemma due to the presence of multiple confounding factors. However, she had a complete recovery without any residual sequelae at the time of discharge.http://www.annals.in/article.asp?issn=0971-9784;year=2019;volume=22;issue=3;spage=318;epage=320;aulast=BalajiCardioemboliepileptiform activityfentanyllocal anesthetic systemic toxicitypercutaneous transvenous mitral commisurotomy |
| spellingShingle | Rohini Mayur Balaji Manasa Dhananjaya Ashwini Thimmarayappa Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy Annals of Cardiac Anaesthesia Cardioemboli epileptiform activity fentanyl local anesthetic systemic toxicity percutaneous transvenous mitral commisurotomy |
| title | Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy |
| title_full | Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy |
| title_fullStr | Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy |
| title_full_unstemmed | Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy |
| title_short | Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy |
| title_sort | troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy |
| topic | Cardioemboli epileptiform activity fentanyl local anesthetic systemic toxicity percutaneous transvenous mitral commisurotomy |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2019;volume=22;issue=3;spage=318;epage=320;aulast=Balaji |
| work_keys_str_mv | AT rohinimayurbalaji troubleshootingforepileptiformactivityduringpercutaneoustransvenousmitralcommisurotomy AT manasadhananjaya troubleshootingforepileptiformactivityduringpercutaneoustransvenousmitralcommisurotomy AT ashwinithimmarayappa troubleshootingforepileptiformactivityduringpercutaneoustransvenousmitralcommisurotomy |