WelcomeFebruary 24, 2020    
 
 
 

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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES

Case History :

24 year old slender young man, long known to have congenital heart disease with moderate exercise limitation by fatigue, can walk 2-3 blocks on the flat and can can climb 3 floors slowly and he is on no medications. On examination Marked cyanosis and clubbing. Saturation 68% BP 110/60 mmHg, Pulse 70/minute and regular with normal JVP. Marked left parasternal impulse. Grade 4 very long ESM ULSB. Second sound single and loud.

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Investigation Reports :

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Discussion :

This patient did go to cardiac surgery. The large VSD was closed with a patch. A 25 mm Hancock valved conduit was placed between the sub pulmonary left ventricle and the pulmonary artery. And ASD was closed with a suture. Complete heart block occurred with induction of anesthesia. An epicardial dual chamber pacemaker was inserted. Patient improved later and gradient across his conduit was 16 mmHg.

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