Determination of Positivity of Computed Tomographic Angiography in Poorly Visualized Left Anterior Descending Artery on Conventional Angiography.

Objective: To determine the positivity of CT angiography in visualization of poorly visualized left anterior descending artery (LAD) on conventional angiography for decision of its surgical revascularization.

Study Design: Descriptive study.

Place And Duration Of Study: Department of Cardiac Surgery, Faisalabad Institute of Cardiology, Faisalabad, from July 2014 to March 2015.

Severe hypocalcaemia following coronary artery bypass grafting due to hypoparathyroidism.

A 55 years old man was extubated on first postoperative day following coronary artery bypass grafting at 7:30 am. The same day at 5 pm, he became drowsy but arousable only on painful stimuli with severe generalized hypertonia and bilateral upgoing plantars. He was reventilated and a provisional diagnosis of cerebrovascular accident was made.

Clinical outcome of double valve repalcement with or without small aortic prosthesis.

Objective: To determine the effect of aortic prosthesis size on clinical outcome of patients undergoing double cardiac valve replacement (DVR).

Study Design: A quasi-experimental study.

Place And Duration Of Study: Cardiac Surgery Department, Punjab Institute of Cardiology, Lahore, Pakistan, from February 1996 to December 2008.

Functional tricuspid regurgitation in rheumatic heart disease: surgical options.

Objectives: In this study, we compare the follow-up results of two types of tricuspid valve repair and review the results of no repair in moderately severe tricuspid regurgitation (TR) along with mitral valve replacement or mitral and aortic valve replacement.

Patients And Methods: This prospective follow-up study, carried out on 106 consecutive patients, was conducted at the Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, from September 1994 through August 2008. The patients were divided into three groups: suture bicuspidization, 36 (34%); modified De Vega's repair, 47 (44.

Biatrial myxoma and atrial septal defect.

Myxomas are rarely associated with congenital cardiac anomalies. We report a case of a young female presenting with symptoms of atrial myxoma but having co-existing ASD visualized on 64 slice multidetector computed tomography (MDCT) prior to cardiac surgery. Patient had a successful resection of biatrial myxoma and ASD repair.

A surgical report of Bland White Garland syndrome.

We report a 22-year-old mother of 2 who presented to us with exertional chest pain for 3 years. On coronary angiography she was diagnosed to be suffering from Bland White Garland syndrome (BWGS). She had a giant and grossly tortuous right coronary artery (RCA) forming collaterals with the left coronary artery (LCA), which was draining into the pulmonary artery (PA).

Aniticoagulation in patients following prosthetic heart valve replacement.

Purpose: To identify optimum international normalized ratio (INR) levels and required warfarin doses and anticoagulation-related complications in patients following mechanical prosthetic valve replacement.

Materials And Methods: Five hundred and seven patients were prospectively followed up for 10 years (2008.5 patient-years).

Three pregnancies with mechanical heart valve and no follow-up in 10 years.

Anticoagulation and proper INR (International Normalized Ratio) monitoring is essential for patients having mechanical heart valves; it is vital in these patients in order to prevent lethal complications such as valve thrombosis and systemic embolism. In pregnancy, it becomes even more important as pregnancy itself is a hypercoagulable state. This report describes a female patient having undergone mitral valve replacement with a Starr Edward metallic prosthesis.