This case report concerns a 10-year-old boy who previously underwent a Senning operation for transposition of the great arteries with an intramural course of the coronary arteries. The patient had recurrent episodes of atrial tachycardia with 1:1 atrioventricular conduction that caused, in combination with dysfunction of the systemic right ventricle, hemodynamic instability. Unresponsive to ant...

Rupture of pseudoaneurysms is rare but can be life-threatening complications of acute or chronic pancreatitis, usually due to enzymatic digestion of vessel walls crossing peripancreatic fluid collections. We report the case of a 40 year-old female, with multisystemic lupus and anticoagulated for prior thrombotic events, admitted for probable cyclosporine-induced acute pancreatitis. Hemodynamic ...

Spontaneous hemoperitoneum is described as the presence of blood in the peritoneal cavity that is not associated with traumas. The phenomenon can be idiopathic or related to spontaneous rupture of either known or unknown pathology [1]. The cause of nontraumatic spontaneous hemoperitoneum can be classified as vascular, hematological, hepatic, splenic, gynecological, and inflammatory or coagulati...

Introduction: We present a case of a 37-yearold female who suffered an iatrogenic tear of the trachea following a non-traumatic intubation for an uncomplicated, elective cesarean section under general anesthesia. Case Report: Fifty minutes after extubation, the patient developed hemodynamic instability and respiratory distress, which required reintubation, and the trachea was surgically repaire...

Splenic artery aneurysms are unusual clinical conditions that may be ruptured resulting into adverse health outcomes. Pregnancy, portal hypertension and atherosclerosis are conditions that predispose to the formation of splenic artery aneurysms. A rare case of a previously healthy man referred to our department by his general practitioner complaining of acute abdominal pain is presented. During...

The adult patients of tetralogy of Fallot often present with high hemoglobin levels. High hemoglobin and hematocrit on cardiopulmonary bypass (CPB) are associated with increased hemolysis, plasma free hemoglobin, renal dysfunction or failure, postoperative bleeding, exploration for bleeding, and increased requirement of allogeneic blood and blood products. Despite the presence of high hemoglobi...

Takotsubo cardiomyopathy often presents to the cardiac catheterization laboratory masquerading as acute ST-elevation myocardial infarction (STEMI). Some of these patients present in shock secondary to dynamic left ventricular outflow tract (LVOT) obstruction. The typical patient is an elderly, hypertensive female with sigmoid deformity of the intraventricular septum. The management of hemodynam...

We describe a singular case of both ischemic and traumatic complication, referring to use of new devices used for endovascular approach, in the same patient. One is a hemostatic closure device (Angio-Seal® St. Jude Medical) and the other is a catheter for percutaneous rotational and aspiration thrombectomy (Rotarex® Straub Medical). We discuss indication to use these devices in severely ill pat...

In critically ill intubated patients, assessment of adequacy of ventilation relies on measuring partial pressure of arterial carbon dioxide (PaCO2), which requires invasive arterial blood gas analysis. Alternative noninvasive technologies include transcutaneous CO2 (tPCO2) and end-tidal CO2 (EtCO2) monitoring. We evaluated accuracy of tPCO2 and EtCO2 monitoring in a porcine model of acute lung ...

BACKGROUND Hemodynamic instability is frequent in brain-dead patients and may result, in part, from absolute or relative adrenal insufficiency. Corticosteroid supplementation is widely used to restore hemodynamic stability in septic shock and to reduce the time of shock resolution. The authors verified that supplementation with hydrocortisone may enhance hemodynamic stability in brain-dead pati...