Recurrent Bilateral Lower Motor Neuron Type of Facial Palsy with Hearing Impairment: Hyperphosphatemic Familial Tumoral Calcinosis.

Hyperphosphatemic familial tumoral calcinosis (HFTC) presents with varied neurological manifestations that have been reported in the literature like facial palsy, vision and hearing impairment, stroke, and headache. In this article, we reported a 12-year-old girl child patient with recurrent facial weakness with bilateral hearing impairment and multiple ulcerative lesions on lower limbs and elbows. On examination, she had lower motor neuron (LMN) facial palsy with conductive hearing loss.

Assessment of diagnostic accuracy of SanketLife - A wireless, pocket-sized ECG biosensor, in comparison to standard 12 lead ECG in the detection of cardiovascular diseases in a tertiary care setting.

Background: The SanketLife is a low cost, portable, pocket sized 12 lead ECG mechanised by SanketLife app running on compatible iOS and Android phones that connect wirelessly via Bluetooth technology to the device.

Objective: The current study was conducted to assess the diagnostic accuracy of SanketLife ECG in comparison to standard 12 lead ECG (GE-2000) in detection of cardiovascular diseases.

Research Design And Methods: This was a prospective diagnostic test accuracy trial conducted in outpatient settings of a tertiary cardiac care centre in India.

Maternal and Neonatal Outcome in Mothers with Gestational Diabetes Mellitus.

Introduction: Gestational diabetes mellitus (GDM) is common and is accompanied with other comorbidities. Challenges to treatment exist at our institute as it serves women with low income. This study assessed the burden of comorbidities and the outcome of GDM.

Blood pressure control and acceptability of perindopril and its fixed dose combinations with amlodipine or indapamide, in younger patients with hypertension.

Objective: Recent hypertension guidelines recommend initiation of treatment with a fixed dose combination of two drugs for more effective and quicker blood pressure control. Few of these have been assessed for efficacy and acceptability. This study examines the short term blood pressure control and acceptability of perindopril, with or without its fixed dose combinations (FDC) with amlodipine and Indapamide in younger patients.

Cerebral Embolization During AF Ablation -Pathophysiology, Prevention and Management.

Catheter based ablation therapy has evolved as an invaluable tool in the management of symptomatic patients with atrial fibrillation (AF). The procedure of AF ablation requires instrumentation in the systemic circulation predisposing to various concerns that can result in systemic embolization. We will describe the reported incidence of these events and refer to the various pathophysiologic explanations for their occurrence.

A clinically masked normotensive aortic coarctation.

A rare variety of aortic coarctation in which both the left subclavian and aberrant right subclavian arteries arose at the coarcted segment is described. Clinically this case was misleading since pulse volume and the blood pressure in all four limbs were equal and chest radiograph was lacking classical features of coarctation of aorta. Multi slice CT aortogram typically demonstrated the relationship of major aortic arch branches.

Anaesthetic management of closed mitral valvotomy for severe mitral stenosis with traumatic kyphoscoliosis.

A 42-year-old male patient with rheumatic mitral stenosis was posted for percutaneous transluminal mitral commissurotomy. He had associated traumatic kyphoscoliosis and osteoarthritis of hip and knee joints, causing severe permanent flexion of these joints. This position caused technical difficulty in approach to the femoral vessels.

Pseudo-atrial flutter/fibrillation in Parkinson's disease.

We report a case of an elderly male with Parkinson's tremor whose electrocardiogram (ECG) simulated atrial flutter/fibrillation. We also highlight the difficulty in correctly identifying a tremor-induced ECG artifacts due to the diverse range of possible electrocardiographic patterns presented by patients with this condition.

Intracardiac thrombi in acute myeloid leukemia: an echocardiographic and autopsy correlation.

Two-dimensional echocardiography is the primary diagnostic imaging modality for the evaluation of cardiac masses. We describe an adult male suffering from acute myeloid leukemia who was detected to have right atrial and right ventricular mass on echocardiography. Based on the clinical data metastasis, coincidental primary cardiac tumor, vegetation, and thrombi were considered as possible differential diagnosis.

Angiolymphoid hyperplasia with eosinophilia presenting as a giant axillary artery aneurysm.

Angiolymphoid hyperplasia with eosinophilia (ALHE) is an unusual vascular tumor most frequently located in the superficial head and neck. Noncutaneous localization of this pathology in large arteries presenting as a pulsatile mass is extremely rare. We describe an adult male with a giant left axillary artery tumor secondary to ALHE.

Aneurysm of all 3 sinuses of valsalva causing coronary insufficiency.

A 35-year-old woman presented with chest pain and easy fatigability. Transthoracic echocardiography demonstrated an unruptured aneurysm involving all 3 sinuses of Valsalva. Successful surgical repair was undertaken, without the need for aortic valve replacement or coronary artery bypass.

Spontaneous asymptomatic coronary artery dissection in a young man.

Spontaneous coronary artery dissection (SCAD) is a rare condition that most often presents as acute coronary syndrome or sudden cardiac death. Here we present the case of a young man of 25 years, who had remained asymptomatic in spite of SCAD. This case highlights the fact that spontaneous dissections can occur at a young age and can involve more than one coronary artery, without producing clinical symptoms.

Giant mediastinal thymolipoma simulating cardiomegaly.

Thymolipomas are rare anterior mediastinal tumors composed of mature adipose tissue and benign thymic tissue and they may rarely simulate cardiomegaly on chest radiograph. We report an adult male who presented with progressive dyspnea of 2 months' duration. Clinical examination was unremarkable.

Traumatic diaphragmatic hernia-our experience.

Objective: To review our experience in the management of traumatic diaphragmatic hernia.

Materials And Methods: The records of all patients operated for diaphragmatic hernia between January 1998 and October 2008 at S.D.

Balloon mitral valvotomy in patients with mitral stenosis and left atrial thrombus.

Objectives: To evaluate the safety and efficacy of balloon mitral valvotomy (BMV) in symptomatic rheumatic mitral stenosis (MS) patients with left atrial (LA) thrombus and to address the technical issues.

Background: LA thrombus in patients with MS has long been regarded as a contraindication for BMV. There are few reports of BMV in presence of LA appendage (LAA) thrombus and reports of BMV in presence of LA body thrombus are still rare.

Rare presentation of unruptured sinus of valsalva aneurysm involving all three sinuses.

A patient aged 35yrs presented with the complaint of exertional breathlessness, chest pain and palpitations of 6 months duration. She was not a known diabetic or hypertensive. CVS and RS systems examination did not reveal any positive findings.

A patient with aneurysms of both aortic coronary sinuses of Valsalva obstructing both ventricular outflow tracts.

Congenital unruptured aneurysms affecting both the right and left sinuses of Valsalva are extremely rare. To the best of our knowledge, there has been only one previously documented case. We report here a patient presenting with congestive cardiac failure who also had unruptured aneurysms of both the right and left sinuses of Valsalva.

Radiofrequency catheter ablation of atrioventricular nodal reentry tachycardia in a patient with inferior vena cava anomaly.

Curative radiofrequency catheter modification of the slow pathway is the recommended therapy for patients suffering from recurrent symptomatic atrioventricular nodal reentry tachycardia. This is usually performed via femoral vein and the inferior vena cava (IVC). Presence of venous occlusion or complex venous anomaly involving the IVC may preclude this approach.

The challenge produced by familial homozygous hypercholesterolemia when treating premature coronary arterial disease in the young.

Background: Familial hypercholesterolemia is a monogenic, autosomal dominant disorder caused by mutations in the LDL receptor gene. Familial homozygous hypercholesterolemia results when both the alleles have the defective mutation. It is characterized by cutaneous and tendinous xanthomas, premature corneal arcing, and is associated with an increased risk of coronary arterial disease.