%0 Journal Article
%T Troubleshooting for Epileptiform Activity during Percutaneous Transvenous Mitral Commisurotomy
%A Ashwini Thimmarayappa
%A Manasa Dhananjaya
%A Rohini Mayur Balaji
%J Archive of "Annals of Cardiac Anaesthesia".
%D 2019
%R 10.4103/aca.ACA_54_18
%X 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
%K Cardioemboli
%K epileptiform activity
%K fentanyl
%K local anesthetic systemic toxicity
%K percutaneous transvenous mitral commisurotomy
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639880/