Publications by authors named "Sudarshan Kumar Vijay"
Pacing lead dislodgement contributes substantially, to the list of causes of early pacemaker failure. Reel's syndrome is a rare cause of pacemaker failure, resulting from the dislodging of pacing electrodes by manipulation of the pulse generator by the patient. We describe here an intriguing case of pacemaker lead dislodgement by a novel and frequently underdiagnosed mechanism that mimicked the fluoroscopic diagnosis of reel's syndrome.
View Article and Find Full Text PDFRheumatic mitral stenosis (MS) is a well-known entity in the developing world. Though rarely seem, MS can present at a very young age with severe symptoms. We describe here an unusual association of a large perimembranous ventricular septal defect with juvenile rheumatic MS leading to severe pulmonary hypertension and heart failure in a very young child.
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- The mitral valve aneurysm is a rare but serious complication that can arise from infective endocarditis affecting the heart valves.
- A case is discussed where a patient had a ruptured mitral valve aneurysm following healed infective endocarditis of the aortic valve, leading to severe mitral regurgitation.
- Advanced echocardiography techniques were used to accurately diagnose and visualize the aneurysm, which ultimately facilitated a successful surgical repair.
Pacemaker lead induced inferior vena caval thrombosis leading to portal hypertension.
Indian Pacing Electrophysiol J
March 2013
Inferior vena caval thrombosis is an unusual complication of permanent pacemaker implantation. The clinical presentation due to thrombosis depends on the site of thrombus. We have described here a rare case of pacemaker lead associated thrombosis of inferior vena cava, its diagnostic work up and briefly reviewed the existing literature of this uncommon complication.
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- The retrograde approach with collaterals offers a method for treating chronic total occlusions in coronary arteries through percutaneous dilatation.
- The controlled antegrade and retrograde tracking (CART) technique enhances the effectiveness of guidewires in navigating these blockages for successful recanalization.
- A specific case is presented where a left anterior descending artery occlusion was effectively treated using an ipsilateral intraseptal collateral with the reverse CART method.
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- Pericardial lipomas are rare, non-cancerous tumors found in the heart that can cause different symptoms depending on where they grow.
- The case discussed involves a large lipoma that caused serious breathing difficulties (dyspnea) in a patient.
- After extensive testing, the patient had the tumor surgically removed, resulting in a full recovery from symptoms.
Article Synopsis
- Hemitruncus is a rare congenital heart defect, found alone or alongside other heart issues.
- The report details a specific case involving left hemitruncus, tetralogy of Fallot, and a right-sided aortic arch in a patient during their early teens.
- Diagnosis was achieved through echocardiography and confirmed by cardiac catheterization, followed by a successful surgical correction.
Article Synopsis
- The rupture of the sinus of Valsalva is a rare but serious issue that can occur due to infective endocarditis.
- Three-dimensional echocardiography is more effective than two-dimensional echocardiography for accurately identifying the rupture's location and characteristics in patients.
- In this case, 3D echocardiography successfully revealed the rupture in the right ventricle, leading to effective treatment with a transcatheter closure device.
A successful closure of an aneurysmal aorto-right ventricular tunnel (ARVT) in a 16-year-old male patient is reported here. An attempt at device closure had failed in this patient. Diagnosis was confirmed by Doppler echocardiography, 3-dimensional computed tomography, and cardiac catheterization.
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