No abstract

Takotsubo cardiomyopathy is characterized by transient left ventricular dysfunction in the absence of atherosclerotic disease. A 63yr old female with multiple autoimmune disorders was admitted to intensive care unit with severe hypotension and hypoxic respiratory failure following total thyroidectomy. During her evaluation, her 2D echocardiogram showed good basal contractions with severe mid and apical hypokinesia and an ejection fraction of 35%. Her coronary angiogram showed normal epicardial coronaries and evidence of apical ballooning suggestive of TCM. Its recognition is important for prognostic evaluation and treatment considerations. Furthermore, the relationship between autoimmunity and TCM needs to be evaluated further.

The expanding realm of minimally invasive surgery incorporate specific anaesthetic challenges. This report transcribes the anaesthetic technique for the first successful Transoral Endoscopic Thyroidectomy (TOET) performed in Sri Lanka using 3-dimensional (3D) endoscopy at National Hospital of Sri Lanka.

Loss of a guide wire in the venous system is a dreaded complication following central venous catheter insertion. Removal can be even more challenging in a patient with haemodynamic instability, acute kidney injury and thrombocytopenia. We report a case of successful removal of a retained guide wire lodged in the superior vena cava using correctly timed interventional radiology.