ABSTRACT: A 6-year-old child sustained blunt abdominal trauma leading to formation of infrarenal aortic pseudoaneurysm eroding the vertebra
with impairment of blood flow in bilateral lower limbs (absent bilateral femoral pulsations) and paraplegia. Resection of
aneurysm was done alongwith reconstruction of aorta and iliac arteries with expended Poly-Tetra-Flouro-Ethylene (e PTFE) patch.
Right common iliac artery was directly anastomosed to left common iliac artery establishing good flow to bilateral lower limbs.
The child made a good recovery and has started to walk after 3 months follow up.
Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 25(2):80-82.
ABSTRACT: ObjectivesIn this prospective randomized trial, we compared tilting disc medtronic hall valve with bileaflet valves St. Jude and ATS
valve for Hemodynamic Performance in the early post-operative period.
MethodsBetween December, 2007 and January 2009, 85 patients were randomized to undergo Mitral Valve Replacement with or without aortic
valve replacement with either medtronic hall tilting disc valve or St. Jude or ATS bileaflet valve. Echocardiography was used
to compare the hemodynamic performance (transvalvular mean diastolic gradient and in-vivo valve area) in the early post-operative
period. The two groups were not significantly different with respect to age, sex, New York Heart Association (NYHA) Class,
Left Ventricular ejection fraction, incidence and severity of mitral stenosis or insufficiency and preservation of subvalvular
ResultsComparison of echocardiographic hemodynamic parameters obtained at the time of discharge from hospital demonstrated no significant
differences between the prosthesis with valve size greater than or equal to 25mm. However, for small size mitral prosthesis
23mm mean diastolic pressure gradients were less in bileaflet St. Jude Valve and effective orifice area was also larger.
ConclusionsBoth tilting disc (Medtronic hall) and bileaflet valves (St. Jude Medical, ATS) give equally good results for large size valves.
But in case of small size valves (23mm). Bileaflet St. Jude mitral valve gave better results in terms of large effective orifice
area and less gradient across the valve.
Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 25(2):52-55.
ABSTRACT: A large chest wall hydatid cyst extending into the thoracic cavity and causing atelectasis of part of right lung is reported.
Presenting symptoms were chest pain and swelling chest wall. Computed tomographic Scan led to diagnosis of chest wall hydatid
cyst extending into the thorax. On thoracotomy, cyst was found to originate from chest wall with extension into the thoracic
cavity without infiltration of lung parenchyma and with collapse of underlying lobe of the lung. Multiple cysts were enucleated
along with resection of part of rib. Post-operative recovery was uneventful.
Key wordsThoracotomy-Hydatid cyst-Chest wall
Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 26(1):41-42.
Journal of cardiothoracic and vascular anesthesia 12/2011; 25(6):1104-5. · 1.06 Impact Factor
ABSTRACT: We report a rare case of a 25-year-old asymptomatic female who was referred for evaluation of a cardiac murmur. She had recent history of treatment for pulmonary tuberculosis. On investigation, she was diagnosed with left ventricular pseudoaneurysm (PSA) likely secondary to rupture of myocardial tubercular abscess. She was operated successfully for the left ventricular PSA and was discharged from the hospital in a good condition.
Echocardiography 03/2010; 27(3):329-31. · 1.24 Impact Factor