Gnanavelu Ganesan

While syphilis and pulmonary embolism are well known with the eponym of “The Great Masquerader,” atrial myxoma should also be given the eponym due to its variable presentations and frequent misdiagnosis. Myxoma is the most common primary tumor of the adult heart, which is silent and is discovered incidentally. We would like to present three consecu...

Prosthetic valve thrombosis (PVT) is a rare but dreadful complication of mechanical prosthetic valves. Even though mechanical valves in pulmonary position are rarely implanted, obstruction by thrombosis warrants rapid diagnostic assessment and treatment. Transthoracic echocardiography plays an important role than transesophageal echocardiography be...

Quadricuspid pulmonary valve (QPV) is a rare congenital cardiac malformation which is notable for its asymptomatic behavior. With only a few hundred cases reported in literature, its clinical significance is not exactly known, although many authors have placed its implications on the Ross procedure. We report a case of QPV which was detected on rou...

Left ventricle—right atrial communication could be congenital (Gerbode defect) or acquired as a complication of surgery or infective endocarditis and leads to volume overloading of pulmonary circulation. Two types, direct and indirect types are known depending on the involvement of septal tricuspid leaflet. Transcatheter closure of this defect is f...

Dynamic left ventricular outflow (LVOT) obstruction has been classically described in patients with hypertrophic cardiomyopathy (HCM). The hypertrophy of the basal septum and systolic anterior motion of the mitral valve leaflet (SAM) cause dynamic LVOT obstruction. In addition, HCM also shows speckled appearance of myocardium and LVOT obstruction i...

Hypothermia is an uncommon condition in a tropical country like India. It can present with various characteristic features on electrocardiogram (ECG). This is a case report of a 50-year-old male with hypothermia who presented with an abnormal ECG. Based on the clinical and ECG features, hypothermia was diagnosed and treated successfully.

The close relationship between pleural space and pericardial space and the dependence of their pressure kinetics are well known. This study evaluates the effects of increased intra pleural pressure due to pleural effusion on cardiovascular system. Forty patients above the age of 12 who had massive unilateral/bilateral pleural effusion due to non-ca...

Diastolic function is preserved in most physiological high output states but is deranged in most pathological high output states. Tissue doppler has revolutionised the assesment of diastolic dysfuntion particularly in high output states

Left atrial thrombus in the presence of diseased mitral valve and atrial fibrillation is a well known entity. But it is very rare to occur in the presence of normal mitral valve apparatus. We report the case of a 36 year old female who presented with left atrial ball valve thrombus and normal mitral valve apparatus and underwent surgery. This patie...

Isolated noncompaction of ventricular myocardium (INVM) is a genetic cardiomyopathy due to abnormal arrest in endomyocardial embryogenesis between fetal 5th and 8th week. Noncompaction of right ventricle alone is rare. Here we present one such case where a young man presented with progressive right heart failure and atrial fibrillation. Subsequent...

Acute and rapidly reversible left ventricular dysfunction may be triggered by various psychological and physical insults. This entity is now well known as stress cardiomyopathy or Takotsubu cardiomyopathy. Suicidal hanging involves intense emotional outburst and the act of hanging is an extreme physical stress. We report a case of rapidly reversibl...