Publications by authors named "Jayashree Mishra"
Retrieval of embolized ductal stents from the pulmonary or systemic circulation can be challenging. Most children benefit from surgical shunts in such scenarios. Although early retrieval is advised, stents lodged in the peripheral pulmonary tree can be inaccessible, making the removal complicated.
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- Hematopoietic stem cell transplantation for primary immunodeficiency disorders has improved significantly since 1968, with long-term survival rates in India (62.5% to 75%) being lower than those in high-income countries (90%).
- This study analyzed data from a charitable hospital on 21 pediatric patients who underwent transplantation between March 2019 and March 2022, focusing on infections, immune recovery, and survival rates.
- Results showed a median age of 3 years at transplantation, with high engraftment success (94%) and a 95% overall survival rate at one year, demonstrating effective immune reconstitution and minimal serious complications.
Article Synopsis
- The study investigates the outcomes of children with heart disease and young adults with congenital heart disease who contracted COVID-19, revealing limited existing data on this topic.
- It involved 94 patients from 24 pediatric cardiac centers in India, where a significant proportion were asymptomatic for COVID-19, yet the in-hospital mortality rate for COVID-19-positive cases was 27.1%, highlighting a drastic increase compared to COVID-negative cases.
- Key risk factors identified for mortality included the severity of illness at admission and belonging to a lower socioeconomic class, emphasizing the need for targeted prevention and management strategies for these vulnerable populations.
Background: COVID-19 pandemic has disrupted pediatric cardiac services across the globe. Limited data are available on the impact of COVID.19 on pediatric cardiac care in India.
View Article and Find Full Text PDFPeripherally inserted central catheter (PICCs) are popular means of long-term intravenous access in oncology patients. Fracture and embolization are rare but potentially serious complications. Here we present an unusual fracture of the PICC line in a 9-year-old boy with Ewing's sarcoma with embolization to the right ventricle (RV) and right pulmonary artery (RPA) which was retrieved percutaneously by trans-catheter snare assisted retrieval.
View Article and Find Full Text PDFIntrapericardial diaphragmatic hernia after median sternotomy for cardiothoracic procedures is a rare complication. We describe an interesting case of diaphragmatic hernia in a 6-month-old girl presenting as cardiac tamponade, 4 months after an arterial switch operation. The diaphragmatic defect was iatrogenic and emphasizes the danger of inadvertent diaphragmatic injury during cardiac operations.
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