Balaji, Rohini MayurDhananjaya, ManasaThimmarayappa, Ashwini2019-12-022019-12-022019-07Balaji Rohini Mayur, Dhananjaya Manasa, Thimmarayappa Ashwini. Troubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy. Annals of Cardiac Anaesthesia. 2019 Jul; 22(3): 318-3200971-9784http://imsear.searo.who.int/handle/123456789/185831Percutaneous 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.Cardioemboliepileptiform activityfentanyllocal anesthetic systemic toxicitypercutaneous transvenous mitral commisurotomyJournal ArticleIndiaDepartment of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India