Unusual bronchial foreign body.

We present an unusual case of bronchial foreign body in an adult who presented with bronchiectasis more than two decades later. The patient was unaware of his accidental aspiration of the foreign body, and the final diagnosis was made intraoperatively.

Lung biopsy in diffuse interstitial lung disease (simple technique).

A simple, safe, easily reproducible and quick method of taking lung biopsy in diffuse interstitial lung disease is described.

Persistent Left Superior Vena Cava With Absent Right Superior Vena Cava and Bicuspid Aortic Valve: A Case Report and Review of Literature.

Persistent left superior vena cava with absent right superior vena cava is a rare congenital anomaly with few cases reported to date. To the best of our knowledge, the current case is the first one to be reported from New Zealand. The condition may present difficulties in central venous catheterization, pacemaker electrode insertion and cannulation during cardiopulmonary bypass.

Successful Surgical Treatment of a Septuagenarian with Anomalous Right Coronary Artery from the Pulmonary Artery with an Eleven Year Follow-Up: Case report and review of literature.

An anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a very rare coronary artery anomaly with only 98 cases reported in literature till date. We report the oldest surgically treated patient and the fourth ever septuagenarian with this anomaly diagnosed ante-mortem with an eleven year follow-up. The literature on this anomaly was reviewed and discussed to highlight the clinical implications.

Complication of warfarin therapy presenting as empyema.

A number of risk indices have been formulated in an attempt to predict risk of a major hemorrhage in an individual on warfarin therapy. No single index to date is able to reliably predict this risk in an individual patient. Although most warfarin related hemorrhages are gastrointestinal or intracranial in origin this case represents a particularly rare entity of a major hemorrhage presenting as an encysted empyema.

Off-pump coronary artery bypass grafting through left antero-lateral thoracotomy (thora-cab) - case report and review of literature.

We report the first case of off-pump complete myocardial revascularization through antero-lateral thoracotomy (Thora-CAB) in Middle-East. 69 year old gentleman having angina pectoris for last three years with severe double vessel disease involving the left anterior descending artery (95% proximal lesion) and the circumflex system (80% mid circumflex lesion with significant osteal disease in obtuse marginal) and insignificant disease in right coronary artery with moderate left ventricular impairment underwent Thora-CAB. Post-operatively, he had minimal pain, quick symptomatic improvement and no complications.