Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy
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Date
2019-07
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
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.
Description
Keywords
Cardioemboli, epileptiform activity, fentanyl, local anesthetic systemic toxicity, percutaneous transvenous mitral commisurotomy
Citation
Balaji Rohini Mayur, Dhananjaya Manasa, Thimmarayappa Ashwini. Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy. Annals of Cardiac Anaesthesia. 2019 Jul; 22(3): 318-320