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Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
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Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
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Intractable ventricular fibrillation: post ascending aortic dissection repair.

Ashish Shah1, Nick Ossei-Gerning1

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Cardiovascular Revascularization Medicine : Including Molecular Interventions
|June 9, 2014
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Summary

Aortic dissection repair using BioGlue carries risks. Embolization of this surgical adhesive caused severe heart rhythm problems and instability in a patient.

Keywords:
BioGlueCoronaryEmbolizationStenting

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Area of Science:

  • Cardiovascular Surgery
  • Biomaterials Science
  • Surgical Complications

Background:

  • Ascending aortic dissection is a critical surgical emergency with significant mortality.
  • Biological adhesives are frequently employed to reinforce dissected aortic walls during surgery.

Observation:

  • A case report details a feared complication of biological adhesives: embolization.
  • The surgical glue, BioGlue, embolized into the left main coronary artery.

Findings:

  • Embolization led to refractory ventricular arrhythmia, a life-threatening heart rhythm disturbance.
  • The patient experienced profound hemodynamic instability due to the coronary artery blockage.

Implications:

  • This case highlights the potential risks associated with BioGlue in aortic dissection repair.
  • Awareness and careful technique are crucial to mitigate the risk of BioGlue embolization and its severe consequences.