Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure

A 12-year-old boy presented with bicuspid aortic valve, severe aortic regurgitation, and dilated dysfunctional left ventricle in heart failure. He underwent aortic valve replacement with a 23 mm TTK Chitra heart valve prosthesis (tilting disk). He was gradually weaned off milrinone and noradrenaline...

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Autores principales: Bhargava, Devarakonda Venkata, Gopalakrishnan, Arun, Nair, Krishna Kumar Mohanan, Dharan, Baiju S., Sivasubramonian, Sivasankaran, Tharakan, Jaganmohan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284491/
https://www.ncbi.nlm.nih.gov/pubmed/37706395
http://dx.doi.org/10.4103/aca.aca_194_21
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author Bhargava, Devarakonda Venkata
Gopalakrishnan, Arun
Nair, Krishna Kumar Mohanan
Dharan, Baiju S.
Sivasubramonian, Sivasankaran
Tharakan, Jaganmohan
author_facet Bhargava, Devarakonda Venkata
Gopalakrishnan, Arun
Nair, Krishna Kumar Mohanan
Dharan, Baiju S.
Sivasubramonian, Sivasankaran
Tharakan, Jaganmohan
author_sort Bhargava, Devarakonda Venkata
collection PubMed
description A 12-year-old boy presented with bicuspid aortic valve, severe aortic regurgitation, and dilated dysfunctional left ventricle in heart failure. He underwent aortic valve replacement with a 23 mm TTK Chitra heart valve prosthesis (tilting disk). He was gradually weaned off milrinone and noradrenaline in the intensive care. Echocardiography showed severe left ventricular dysfunction with an ejection fraction of 24%. The radial pulse was regular and of normal volume but exactly half that of the heart rate. Evaluation of the rhythm and echocardiography revealed an interesting hemodynamic phenomenon with double alternans.
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spelling pubmed-102844912023-06-22 Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure Bhargava, Devarakonda Venkata Gopalakrishnan, Arun Nair, Krishna Kumar Mohanan Dharan, Baiju S. Sivasubramonian, Sivasankaran Tharakan, Jaganmohan Ann Card Anaesth Case Report A 12-year-old boy presented with bicuspid aortic valve, severe aortic regurgitation, and dilated dysfunctional left ventricle in heart failure. He underwent aortic valve replacement with a 23 mm TTK Chitra heart valve prosthesis (tilting disk). He was gradually weaned off milrinone and noradrenaline in the intensive care. Echocardiography showed severe left ventricular dysfunction with an ejection fraction of 24%. The radial pulse was regular and of normal volume but exactly half that of the heart rate. Evaluation of the rhythm and echocardiography revealed an interesting hemodynamic phenomenon with double alternans. Wolters Kluwer - Medknow 2023 2023-04-03 /pmc/articles/PMC10284491/ /pubmed/37706395 http://dx.doi.org/10.4103/aca.aca_194_21 Text en Copyright: © 2023 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Bhargava, Devarakonda Venkata
Gopalakrishnan, Arun
Nair, Krishna Kumar Mohanan
Dharan, Baiju S.
Sivasubramonian, Sivasankaran
Tharakan, Jaganmohan
Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure
title Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure
title_full Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure
title_fullStr Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure
title_full_unstemmed Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure
title_short Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure
title_sort pancycle aortic incompetence and double alternans in pediatric heart failure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284491/
https://www.ncbi.nlm.nih.gov/pubmed/37706395
http://dx.doi.org/10.4103/aca.aca_194_21
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