Publications by authors named "Suman Vyas"

Coronary sinus (CS) defects are rare congenital cardiac anomalies that occur in isolation or with other congenital heart diseases. Persistent left superior vena cava (LSVC) is a relatively common entity that usually drains into the CS, is of no hemodynamic consequence, and is easily diagnosed on echocardiography by a dilated CS and an antegrade flow toward the heart. However, a combination of LSVC and CS defect may reverse its flow direction and CS dilation may be absent.

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What do we call a vascular structure that is in the left pneumopericardial space, drains systemic venous blood, and the total pulmonary venous return, into the right atrium, through a dilated coronary sinus (CS)? Can we preserve the CS drainage while correcting the total anomalous pulmonary venous connection?

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Article Synopsis
  • This study analyzed 492 patients with total anomalous pulmonary venous connection (TAPVC) who underwent surgery between 2009 and 2019, focusing on mortality, morbidity, and outcomes.
  • The results showed that 61.38% of patients were healthy at follow-up, while a significant number experienced postoperative mortality and complications; factors such as age under 1 month, low weight, obstructed TAPVC, and acute kidney injury were linked to higher mortality rates.
  • The study suggests that, despite improved surgical outcomes, ongoing monitoring is crucial to address complications, particularly from pulmonary venous obstruction, and highlights the need for further research on risk factors.
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Cardiomyopathy is an important cause of morbidity and mortality in patients with Duchenne muscular dystrophy (DMD). Early recognition of myocardial involvement and initiation of therapy are important for improved outcomes. Cardiac magnetic resonance imaging (CMR) is a sensitive tool in early detection of myocardial fibrosis in these children.

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