Publications by authors named "Amit Tripathy"
Background & Aim: Sternotomy remains a commonly used technique to access the heart for cardiac surgery worldwide. To date, there is no clear consensus on the single superior sternal closure technique. Patient-specific factors such as osteoporosis, diabetes, old age, body habitus influence a surgeon's choice in this matter as do techniques commonly used during the training period and used in the current workplace.
View Article and Find Full Text PDFObjectives: New technologies for the treatment of Aortic Stenosis are evolving to minimize risk and treat an increasingly comorbid population. The Sutureless Perceval Valve is one such alternative. Whilst short-term data is promising, limited mid-term outcomes exist, until now.
View Article and Find Full Text PDFComparing the patency of the left internal mammary in single, sequential, and Y grafts.
J Thorac Cardiovasc Surg
January 2024
Article Synopsis
- The study compares angiographic patency among three types of left internal mammary artery (LIMA) graft configurations: single, sequential, and Y grafts.
- Results showed that single grafts had the highest patency rates, with 3.7% failure in segments, compared to sequential (9%) and Y grafts (6.2%).
- Female patients and those with sequential grafts have lower patency rates for the initial segments of the LIMA, suggesting a preference for single grafts when possible, while Y grafts may be useful when arterial options are limited.
Article Synopsis
- The Ross procedure is a heart surgery that is usually not done on older patients, but this study looks at how older patients (50 and up) do compared to younger patients after the surgery.
- The study followed 96 patients from both age groups and found that both had similar chances of surviving for 15 years after the surgery.
- It turns out that older patients had good results, with very few needing additional surgeries, so healthy older patients should also be considered for this operation.
Repair of ventricular septal rupture after acute myocardial infarction remains a surgical challenge. Several techniques for the closure of these defects have been described. This report discusses an infarct exclusion technique modified from the one described by Tirone David and associates.
View Article and Find Full Text PDFNarrow mitral annulus is a common situation faced in adult patients. Choice of prosthetic valve in such cases is unclear. There are reported experiences with supra-annular mitral valve, Manouguian technique, "chimney technique" with mechanical valve and Melody valve, the latter two being in children.
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