Publications by authors named "Sudheer K Arava"

Partial cavopulmonary shunt is an established procedure for patients with abnormal right ventricular (RV) physiology. Late failure of the Glenn shunt is usually due to further progression of the primary disease process. However, there may be surprises, as in our patient.

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  • Cardiac myxomas are the most common benign tumors of the heart, typically appearing as oval masses on the interatrial septum and can cause embolic episodes that require urgent treatment.
  • In a case study, a middle-aged woman experienced an acute ischemic stroke and was found to have a complex cystic mass in her left atrium, which was initially difficult to diagnose due to overlapping imaging characteristics with other conditions.
  • Surgical removal of the cystic mass was performed to confirm it as a cardiac myxoma and to prevent serious complications like stroke and hemodynamic issues, marking it as a rare case of this tumor variant.
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  • Recent studies on the histopathology of erythema nodosum leprosum (ENL) are lacking, which this research aims to address by describing its histopathological characteristics.
  • A total of 125 biopsies were analyzed, revealing various infiltration patterns with the most common being a well-defined dermal infiltrate, observed in over half of the samples, along with varying degrees of subcutaneous tissue involvement.
  • The findings highlighted the presence of immune cells like neutrophils and foamy histiocytes, with some cases showing acid-fast bacilli using specific staining techniques, although limitations included the retrospective nature of the study which hindered comparisons with clinical characteristics.
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Background: Infective endocarditis (IE) predominantly involves the cardiac valves. Timely diagnosis and initiation of therapy significantly reduce morbidity and mortality. Infective endocarditis presenting as a large left ventricular outflow tract (LVOT) mass is an atypical manifestation that provides significant challenges to the treating team.

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Data are limited on the genetic profile of primary ciliary dyskinesia (PCD) from developing countries. Here, we report one of the first study on genetic profile of patients with suspected PCD from India. In this prospective cross-sectional study, we enrolled 162 children with suspected PCD.

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Introduction: Immunostaining criteria for p16 positivity in oropharyngeal squamous cell carcinoma have been laid down by College of American Pathologists (CAP) and the American Society of Clinical Oncology (ASCO). The staining should be of moderate to strong intensity seen in 70 percent of the tumor cells. Recent studies have pointed out that a small minority of cases are missed using p16 as the surrogate marker at above mentioned cut off.

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Objective: Diabetic cardiomyopathy (DC) is one of the severe secondary complications of diabetes mellitus in humans. Vinpocetine is an alkaloid having pleiotropic pharmacological effects. The present study is designed to investigate the effect of vinpocetine in DC in rats.

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  • Tufted angioma and kaposiform hemangioendothelioma are benign vascular tumors often found in infants and young children.
  • A 5-month-old baby had a rare vascular neoplasm in the pericardial cavity and skin, initially mistaken for infective pericarditis with cellulitis.
  • The infant showed remarkable improvement after treatment with oral prednisolone and sirolimus, with skin lesions shrinking and pericardial effusion resolving in 8 weeks, emphasizing the need for a collaborative medical approach.
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Diphtheria is a life-threatening infectious disease caused by . Although the disease is seen infrequently in the postvaccination era, sporadic cases continue to occur. Cardiac involvement, in the form of myocarditis, is the most serious manifestation of diphtheria and is the most common cause of mortality in these patients.

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Vitamin D deficiency is common and linked to poor prognosis in pulmonary arterial hypertension (PAH). We investigated the differential effect of basal vitamin D levels in monocrotaline (MCT) induced PAH in normal and vitamin D deficient (VDD) rats. Rats were fed a VDD diet and exposed to filtered fluorescent light to deplete vitamin D.

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Pregestational diabetes (PGDM) leads to developmental impairment, especially cardiac dysfunction, in their offspring. The hyperglycemic microenvironment inside the uterus alters the cardiac plasticity characterized by electrical and structural remodeling of the heart. The altered expression of several transcription factors due to hyperglycemia during fetal development might be responsible for molecular defects and phenotypic changes in the heart.

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Background: Non-cultured epidermal cell suspension (ECS) and hair follicle cell suspension (HFCS) are well-established methods of surgical treatment of stable vitiligo.

Aims: The aim of the present study was to compare the laboratory indicators and clinical efficacy of ECS and HFCS in the treatment of stable vitiligo.

Methods: This was a single centre, open-labeled randomized trial.

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Chronic exposure to silica is a recognized health hazard. Manifestations of pulmonary and extrapulmonary silicosis are well described. Secondary pulmonary arterial hypertension and pericardial involvement are described, but myocardial involvement has not been reported.

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Objectives: To study the histopathology of patients dying of COVID-19 using post-mortem minimally invasive sampling techniques.

Methods: This was a single-center observational study conducted at JPNATC, AIIMS. Thirty-seven patients who died of COVID-19 were enrolled.

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Background: Cardiovascular diseases are the leading cause of death globally, and they are causing enormous socio-economic burden to the developed and developing countries. Allyl Methyl Sulfide (AMS) is a novel cardioprotective metabolite identified in the serum of rats after raw garlic administration. The present study explored the cardioprotective effect of AMS on thoracic aortic constriction (TAC)-induced cardiac hypertrophy and heart failure model in rats.

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In the present study, we aimed to evaluate the effect of Sirt1, Sirt3 and combined activation in high fructose diet-induced insulin resistance rat heart and assessed the cardiac function focusing on mitochondrial health and function. We administered the Sirt1 activator; SRT1720 (5 mg/kg, i.p.

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Misdiagnosed PAS confirmed at medicolegal autopsy Pulmonary artery sarcoma (PAS) is a rare disease and usually indistinguishable from acute or chronic thromboembolic disease of the pulmonary arteries. We present a case of pulmonary artery sarcoma in a 54-year-old male, who was clinically misdiagnosed as pulmonary thromboembolism. The patient died of disease; however, the actual diagnosis of PAS was made after a medicolegal autopsy.

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  • Vitiligo is a skin condition that causes loss of pigment, leading to white patches, and leukotrichia refers to the white hair associated with these patches; repigmentation of leukotrichia is essential for cosmetic improvement.
  • In a study of 20 patients with stable vitiligo and leukotrichia, two procedures were compared over a 9-month follow-up to assess the effectiveness of hair follicle cell suspension (HFCS) versus epidermal cell suspension (ECS) in promoting repigmentation.
  • The results showed that while ECS had a higher mean number of cells transplanted and slightly better repigmentation outcomes for both leukotrichia and vitiligo patches, the differences compared to HF
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Allylmethylsulfide (AMS) is a novel sulfur metabolite found in the garlic-fed serum of humans and animals. In the present study, we have observed that AMS is safe on chronic administration and has a potential antihypertrophic effect. Chronic administration of AMS for 30 days did not cause any significant differences in the body weight, electrocardiogram, food intake, serum biochemical parameters, and histopathology of vital organs.

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Purpose: A review study on the biochemistry of epilepsy showed that in epileptic patients, serum glucose and cholesterol concentrations are low, sodium is unaffected, potassium increases, glucose is high and mild hypocalcemia. We have conducted a biochemical study on sudden unexpected death in epilepsy (SUDEP) cases in an attempt to establish the characteristic biochemical values to diagnose these deaths.

Methods: This was a hospital based case-control study done at All India Institute of Medical Sciences, New Delhi for one year.

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