Aorto-carotid bypass for orthostatic mediated hypoperfusion transient ischaemic attacks: A case report.

Introduction And Importance: Aorto-carotid bypass is a rare procedure. It is reported to be performed for management of cerebral malperfusion in the setting of supra-aortic branch vessel disease. Malperfusion requiring a bypass is largely secondary to dissection or vasculitis.

Association between post-sternotomy tracheostomy and deep sternal wound infection: a retrospective analysis.

Background: Tracheostomy has traditionally been used as a means of facilitated mechanical ventilation in patients requiring respiratory management following cardiac surgery. However in the clinical setting, the advantages of tracheostomy has been questioned by concerns surrounding evidence of its association with increased risk of deep sternal wound infections (DSWI). The present study sought to evaluate retrospectively our experience with post-sternotomy tracheostomy among cardiac surgery patients and association with DSWI.

Successful use of pre and post-operative ECMO for pulmonary endarterectomy, mitral valve replacement and myomectomy in a patient with chronic thromboembolic pulmonary hypertension and hypertrophic cardiomyopathy.

As a salvage strategy, extracorporeal membrane oxygenation (ECMO) permits the recovery of end-organ perfusion, whilst allowing the surgeon time for patient reassessment and surgical planning. We report upon the first known case in which VA ECMO was instituted as peri-operative supportive therapy for a young patient, in-extremis, with surgically correctable Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Hypertrophic Cardiomyopathy (HOCM).

Tricuspidization of quadricuspid aortic valve.

A 65-year-old woman presented with New York Heart Association class II-III symptoms, no overt signs of heart failure, and echocardiographic findings of a quadricuspid aortic valve, Hurwitz type C, with severe aortic regurgitation, dilated left ventricle (7 cm), and moderate left ventricular dysfunction (45%). She subsequently underwent tricuspidization of the valve at the level of the abnormal commissure with subcommissural annuloplasty. At her 6-week follow-up visit, the patient was in New York Heart Association class I, with reduction of left ventricular diastolic dimensions, trace aortic regurgitation, and good mobility of the leaflets.

Maternal nutritional status & practices & perinatal, neonatal mortality in rural Andhra Pradesh, India.

Background & Objective: Despite a vast network of primary health centres and sub-centres, health care outreach in rural parts of India is poor. The Dangoria Charitable Trust (DCT), Hyderabad, has developed a model of health care outreach through trained Village Health and Nutrition Entrepreneur and Mobilisers (HNEMs) in five villages of Medak district in Andhra Pradesh, not serviced by the Integrated Child Development Scheme (ICDS) of the Government of India. Impact of such a link worker on perinatal/ neonatal mortality has been positive.