Open AccessTroubleshooting for epileptiform activity during percutaneous transvenous mitral commisurotomy
Author(s) -
Rohini Mayur Balaji,
Manasa Dhananjaya,
Ashwini Thimmarayappa
Publication year - 2019
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_54_18
Subject(s) - medicine , cardiac tamponade , mitral regurgitation , tamponade , pericardiocentesis , percutaneous , stenosis , cardiology , mitraclip , mitral valve , surgery , heart block , electrocardiography
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.