Kallol Dasbaksi - Academia.edu (original) (raw)
Papers by Kallol Dasbaksi
Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediast... more Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediastinal teratomas. This report describes the management of a rare case of a benign cystic intrapulmonary teratoma in the left upper lobe in a 26-year-old lady, which was successfully treated by lobectomy, with no recurrence after 4 years of follow-up.
International Journal of Contemporary Medical Research [IJCMR], Dec 1, 2019
Introduction: Surgical approaches to closure of post myocardial infarction ventricular septal def... more Introduction: Surgical approaches to closure of post myocardial infarction ventricular septal defect (PIVSD) are associated with high morbidity and mortality. Timing of intervention for its closure remains controversial. Several studies advocate early operative intervention, after diagnosis of PIVSD but these are associated with high mortality. However, the strategy of delayed closure around 14 to 20 days or higher has been advocated in certain subsets of patients who can be stabilized from cardiogenic shock (CS) with pharmacological means with or without temporary mechanical circulatory support (tMCS). This helps to allow tissue fibrosis around PIVSD which increases the chance of operative success. Results of 5 such patients in whom surgery was moderately delayed, and 2 in whom early operation were performed are reported in this paper. Material and methods: Between May 2012 to April 2016, 7 consecutive patients of PIVSD had operative closure under cardio pulmonary bypass in our hospital. 5 patients had diuretic and inotrope responsive CS and had delayed closure of PIVSD within 12 to 20 days, while 2 with severe CS, who were supported preoperatively with tMCS like intra aortic balloon pump (IABP), had early closure within 72 hours. Patient data of these seven subjects were retrospectively collected, and the current status of the survivors was ascertained by out patient follow up. Results: 4 of 5 patients from delayed surgery group with small PIVSD survived while 1 patient had early mortality due to severe right ventricular dysfunction post operatively resulting in LCOS. 1 patient out of the 2 early surgery group with a large PIVSD survived while the other patient with a small PIVSD and an extensive MI had early post operative mortality. 1 had from late surgery group had delayed mortality after 3 years. 4 patients are living at present. Conclusion: We advocate delayed elective repair of PIVSD, in patients with CS who responded to aggressive conservative management maintaining hemodynamic stability, to allow inflammatory state to subside. In those patients with severe CS, additional rescue therapy with temporary mechanical circulatory support is needed to prevent further deterioration of systemic perfusion. If the severe CS is due to high left to right shunt rather than infarct size, prognosis after repair of PIVSD is better than in patients with CS due to extensive myocardial damage.
Global Anesthesia and Perioperative Medicine, 2015
We present a rare case of management of accidental transection of superior vena cava (SVC) during... more We present a rare case of management of accidental transection of superior vena cava (SVC) during a right sided pneumonectomy for a tuberculous destroyed lung in an eighteen year old girl. While dissecting the right pulmonary artery (RPA) in a densely adherent and grossly distorted field for a planned right pneumonectomy, the SVC got transected resulting in torrential hemorrhage and severe hypotension. The ragged ends of the SVC were clamped. Fluids and inotropes were directly transfused into the right atrium (RA) which was exposed by opening the pericardium. Soon, the mean arterial pressure (MAP) could be stabilized around 50 mm Hg which had dropped to 25 mm Hg. To protect the brain from effects of increased intra cranial venous hypertension (ICVH) due to SVC clamping, the head end of the table was elevated, injection thiopentone (1000 mg) was given directly into RA and the head was wrapped with ice bags. Since the cut ends of the SVC was far apart and ragged, we could not bring them together for an end to end anastomosis. After heparinisation, a SVC to RA veno atrial (VA) shunt using venous cannulae was made and the SVC remained clamped for 20 minutes. With the establishment of the shunt, MAP increased to 80mm Hg. Pneumonectomy was completed. Since no graft could be procured, the upper end of the SVC was anastomosed end to end with the cut end of the RPA and the lower end of SVC towards the RA was closed. Post operative recovery was uneventful and the girl is doing well 6 years after the procedure. Angiograms have shown a patent SVC to RPA anastomosis with a substantial retrograde flow through the intact azygos vein (AzV).
International Journal of Contemporary Medical Research [IJCMR], Dec 1, 2019
Introduction: Traumatic diaphragmatic rupture was once only reported in post mortem findings. But... more Introduction: Traumatic diaphragmatic rupture was once only reported in post mortem findings. But due to better advanced trauma and life support services and increased survival of the trauma patients, these are now diagnosed with increasing frequency. The purpose of this study was to present our experience with its different mechanisms of rupture and its management. The aim of this retrospective study was to evaluate manifestations of effects of diaphragmatic rupture after thoraco-abdominal trauma, and to discuss their epidemiology, diagnosis, nature and treatment with an aim to impart comprehensive timely management to reduce morbidity and mortality. Material and methods: It is the report of combined experience of the authors on 18 patients with traumatic diaphragmatic rupture with (TDR) or without traumatic diaphragmatic hernia (TDH) treated in two Medical College Hospitals in Kolkata, from 1998 to 2019, and a retrospective analysis was performed. 9 patients who presented with severe injury with features of internal injury were operated early and 9 with non severe injury were operated later. Results: Out of 18 patients, 14 had history of blunt trauma and 4 had history of penetrating trauma. 4 patients with penetrating together with 5 with blunt injury were included in the severe group and had undergone early surgery due to suspected internal injuries. Out of these 9 patients, 5 patients having TDR and 1 having TDH died due hemorrhage and / or sepsis with a mortality of 33.33. TDH was diagnosed by imaging studies in 9 patients in non severe group while 1 was diagnosed intra operatively in the severe group. Conclusions: Though priority of a blunt or a penetrating trauma patient involves resuscitation and early surgery when indicated, careful understanding of mechanism of injury can guide the emergency surgeon to suspect and examine the diaphragm for any TDR to prevent further complication. In addition to X rays computer tomographic study when available becomes helpful in preoperative planning of surgery for closure of TDR or TDH.
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Surgery Case Reports, 2015
Hydatid disease in human beings, as in all intermediate hosts, manifest as hydatid cyst (HC). It ... more Hydatid disease in human beings, as in all intermediate hosts, manifest as hydatid cyst (HC). It is an important cyclozoonotic disease, endemic in various sheep and cattle raising areas of the world, including India. The tapeworm commonly involved is Echinococcus granulosus. HC can occur almost anywhere in the body, most common organs being liver and lungs, and are usually solitary. In 25% of cases combination of liver HC with HC in other extra pulmonary locations are found. Cardiac HCs comprise of 0.5-2% of all HC cases. Within the heart, HCs are usually situated in the left or right ventricle and rarely found in the peri-cardium. Pericardial HC does not produce symptoms and is often painless and silent, until the cysts grow to a large size over the years, when the usual complications develop, such as cyst rupture, cardiac compression, atrial fibrillation, and even sudden death. We describe the case of a 39 year old house wife, of rural origin, with proximity to livestock, who had an asymptomatic pericardial HC along with a symptomatic hepatic HC. She clinically presented with an abdominal lump for one year with recent onset of abdominal pain for 1 month, when radiological imaging confirmed the diagnosis of an unruptured hepatic HC and a pericardial HC. The patient recovered after pericardiectomy along with excision of the HC over the left ventricle and enucleation of hepatic HC, by thoracoabdominal approach. She is doing well after 5 years of followup without recurrence.
International Journal of Contemporary Medical Research [IJCMR]
Introduction: Tumors of the heart represent an exceedingly rare entity in cardiac surgery and lit... more Introduction: Tumors of the heart represent an exceedingly rare entity in cardiac surgery and literature regarding management and outcome is less in comparison to other fields of cardiac surgery. 12 years of our experience in both diagnosis and optimal surgical treatment of this small but rare collection of patients was formed into a detailed analysis of patient prognosis, mean survival and risk of tumor relapse matched to the corresponding pathology. The overall objective of the present study was a thorough characterization of both primary cardiac tumor or tumor like mass and secondary malignant tumor mass in cardiac chambers, their nature as well as age and gender distribution and management. Material and methods: 17 patients with cardiac tumors, who underwent open-heart surgery at Medical College and Hospitals, Kolkata, for tumor excision between 2007 and 2019 were analyzed retrospectively. Mean follow-up was from 11 to 1 years. Results: There were 2 males and 15 female patients ranging in age from 7 years to 60 years, median age being 47 years. 12 of these tumors were primary left atrial myxoma, 2 were right atrial myxoma, 1 was right ventricular fibroma, 1 was intravenous extension into right atrium of renal cell carcinoma and 1 was multiple inflammatory pseudo tumors in left ventricle. Overall operative survival was 88.3%. Operative mortality was 11.7%. Conclusion: Cardiac tumors remain challenging in the clinical setting. Early operation is recommended after echocardiographic diagnosis as such patients can have sudden death or severe cardiac failure during preoperative waiting period. Follow up should be maintained based upon the histopathological diagnosis.
International Journal of Contemporary Medical Research [IJCMR]
Introduction: It is not uncommon in patients, having rheumatic mitral and aortic valve disease, t... more Introduction: It is not uncommon in patients, having rheumatic mitral and aortic valve disease, to undergo mitral valve replacement with aortic valve replacement that is, double valve replacement (DVR) operation who often have severe cardiac dysfunction optimized with medical management before surgery. In this retrospective study we investigated 60 such patients, who underwent DVR operation with either conventional cold blood cardioplegia with St Thomas 2 solution (STH), or del Nido cardioplegia (DN) over five years and compared the effects of the two types of cardioplegia during perioperative and postoperative period with simultaneous comparative study between changes of cardiac performances in the patients with larger left ventricle as compared to those with less enlarged ones. Material and methods: For this retrospective study, the data of 60 patients of DVR over five years, in Medical College, Kolkata, India, were retrieved for study. The cases were placed into 2 groups: STH and DN according to cardioplegia used during DVR. Demographic, echocardiographic, and several perioperative and postoperative data of the two groups of patients, were collected. Differences between perioperative behaviour between STH and DN groups and post operative changes in the echocardiographic parameters between predominantly mitral stenosis (MS) and mitral regurgitation (MR) patients, were analyzed. Results: The aortic cross clamp (CC) and cardiopulmonary bypass (CPB) time in both predominant MS and MR patients was shorter in the DN than the STH groups. There was less arrhythmia, less inotropic and ventilator support in the DN group. There was 10% mortality in the series with majority being in the STH and MR predominant patients. Postoperative improvement of LVEF, reduction of LVIDS and LVIDD were also observed in MS predominant in comparison to MR predominant patients after DVR in both STH and DN groups. Conclusion: Use of DN has been found to have a better outcome and survival when compared to STH cardioplegia solution. DVR could reversely remodel depressed hearts with relatively smaller LV volume and restore LV function of relatively smaller LV of predominant MS patients better in comparison to MR predominant patients with relatively dilated hearts.
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery, 2011
We present this rare case of a 24 year old male who was knocked down by a slowly backing truck wh... more We present this rare case of a 24 year old male who was knocked down by a slowly backing truck when the rear wheels climbed on to the right side of the abdomen and on hearing the shouts of people rolled forwards causing a partial run over injury. He was resuscitated and treated conservatively. An X Ray Chest done 24 h later
Indian Journal of Thoracic and Cardiovascular Surgery, 2009
Carcinoma of the esophagus can coexist with significant Coronary Artery Disease (CAD) in the elde... more Carcinoma of the esophagus can coexist with significant Coronary Artery Disease (CAD) in the elderly. A staged approach to the two problems, carrying out Coronary Artery Bypass Grafting (CABG) first followed by cancer resection at two anesthetic settings is a logical way of tackling the conditions. But it lengthens morbidity and increases economic burden. Simultaneous tackling of these two problems,
Asian cardiovascular & thoracic annals, Jan 4, 2015
Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediast... more Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediastinal teratomas. This report describes the management of a rare case of a benign cystic intrapulmonary teratoma in the left upper lobe in a 26-year-old lady, which was successfully treated by lobectomy, with no recurrence after 4 years of follow-up.
Annals of Vascular Diseases, 2014
Infected internal jugular vein (IJV) thrombus is rare and is sometimes seen in association with j... more Infected internal jugular vein (IJV) thrombus is rare and is sometimes seen in association with jugular vein catheterization and rarely with suppurative upper aero-digestive tract infection. We describe a very rare association of left Infected Internal jugular vein thrombus with an infected arterio-venous fistula in the left elbow region created for dialysis access in a renal failure patient. The infected arterio-venous fistula was addressed surgically by excision and a reverse saphenous vein graft was placed between proximal and distal brachial artery just above it's bifurcation. The patient was put on i.v Clindamycin and Metronidazole for six weeks. Patient recovered uneventfully.
Indian Journal of Thoracic and Cardiovascular Surgery, 2004
Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediast... more Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediastinal teratomas. This report describes the management of a rare case of a benign cystic intrapulmonary teratoma in the left upper lobe in a 26-year-old lady, which was successfully treated by lobectomy, with no recurrence after 4 years of follow-up.
International Journal of Contemporary Medical Research [IJCMR], Dec 1, 2019
Introduction: Surgical approaches to closure of post myocardial infarction ventricular septal def... more Introduction: Surgical approaches to closure of post myocardial infarction ventricular septal defect (PIVSD) are associated with high morbidity and mortality. Timing of intervention for its closure remains controversial. Several studies advocate early operative intervention, after diagnosis of PIVSD but these are associated with high mortality. However, the strategy of delayed closure around 14 to 20 days or higher has been advocated in certain subsets of patients who can be stabilized from cardiogenic shock (CS) with pharmacological means with or without temporary mechanical circulatory support (tMCS). This helps to allow tissue fibrosis around PIVSD which increases the chance of operative success. Results of 5 such patients in whom surgery was moderately delayed, and 2 in whom early operation were performed are reported in this paper. Material and methods: Between May 2012 to April 2016, 7 consecutive patients of PIVSD had operative closure under cardio pulmonary bypass in our hospital. 5 patients had diuretic and inotrope responsive CS and had delayed closure of PIVSD within 12 to 20 days, while 2 with severe CS, who were supported preoperatively with tMCS like intra aortic balloon pump (IABP), had early closure within 72 hours. Patient data of these seven subjects were retrospectively collected, and the current status of the survivors was ascertained by out patient follow up. Results: 4 of 5 patients from delayed surgery group with small PIVSD survived while 1 patient had early mortality due to severe right ventricular dysfunction post operatively resulting in LCOS. 1 patient out of the 2 early surgery group with a large PIVSD survived while the other patient with a small PIVSD and an extensive MI had early post operative mortality. 1 had from late surgery group had delayed mortality after 3 years. 4 patients are living at present. Conclusion: We advocate delayed elective repair of PIVSD, in patients with CS who responded to aggressive conservative management maintaining hemodynamic stability, to allow inflammatory state to subside. In those patients with severe CS, additional rescue therapy with temporary mechanical circulatory support is needed to prevent further deterioration of systemic perfusion. If the severe CS is due to high left to right shunt rather than infarct size, prognosis after repair of PIVSD is better than in patients with CS due to extensive myocardial damage.
Global Anesthesia and Perioperative Medicine, 2015
We present a rare case of management of accidental transection of superior vena cava (SVC) during... more We present a rare case of management of accidental transection of superior vena cava (SVC) during a right sided pneumonectomy for a tuberculous destroyed lung in an eighteen year old girl. While dissecting the right pulmonary artery (RPA) in a densely adherent and grossly distorted field for a planned right pneumonectomy, the SVC got transected resulting in torrential hemorrhage and severe hypotension. The ragged ends of the SVC were clamped. Fluids and inotropes were directly transfused into the right atrium (RA) which was exposed by opening the pericardium. Soon, the mean arterial pressure (MAP) could be stabilized around 50 mm Hg which had dropped to 25 mm Hg. To protect the brain from effects of increased intra cranial venous hypertension (ICVH) due to SVC clamping, the head end of the table was elevated, injection thiopentone (1000 mg) was given directly into RA and the head was wrapped with ice bags. Since the cut ends of the SVC was far apart and ragged, we could not bring them together for an end to end anastomosis. After heparinisation, a SVC to RA veno atrial (VA) shunt using venous cannulae was made and the SVC remained clamped for 20 minutes. With the establishment of the shunt, MAP increased to 80mm Hg. Pneumonectomy was completed. Since no graft could be procured, the upper end of the SVC was anastomosed end to end with the cut end of the RPA and the lower end of SVC towards the RA was closed. Post operative recovery was uneventful and the girl is doing well 6 years after the procedure. Angiograms have shown a patent SVC to RPA anastomosis with a substantial retrograde flow through the intact azygos vein (AzV).
International Journal of Contemporary Medical Research [IJCMR], Dec 1, 2019
Introduction: Traumatic diaphragmatic rupture was once only reported in post mortem findings. But... more Introduction: Traumatic diaphragmatic rupture was once only reported in post mortem findings. But due to better advanced trauma and life support services and increased survival of the trauma patients, these are now diagnosed with increasing frequency. The purpose of this study was to present our experience with its different mechanisms of rupture and its management. The aim of this retrospective study was to evaluate manifestations of effects of diaphragmatic rupture after thoraco-abdominal trauma, and to discuss their epidemiology, diagnosis, nature and treatment with an aim to impart comprehensive timely management to reduce morbidity and mortality. Material and methods: It is the report of combined experience of the authors on 18 patients with traumatic diaphragmatic rupture with (TDR) or without traumatic diaphragmatic hernia (TDH) treated in two Medical College Hospitals in Kolkata, from 1998 to 2019, and a retrospective analysis was performed. 9 patients who presented with severe injury with features of internal injury were operated early and 9 with non severe injury were operated later. Results: Out of 18 patients, 14 had history of blunt trauma and 4 had history of penetrating trauma. 4 patients with penetrating together with 5 with blunt injury were included in the severe group and had undergone early surgery due to suspected internal injuries. Out of these 9 patients, 5 patients having TDR and 1 having TDH died due hemorrhage and / or sepsis with a mortality of 33.33. TDH was diagnosed by imaging studies in 9 patients in non severe group while 1 was diagnosed intra operatively in the severe group. Conclusions: Though priority of a blunt or a penetrating trauma patient involves resuscitation and early surgery when indicated, careful understanding of mechanism of injury can guide the emergency surgeon to suspect and examine the diaphragm for any TDR to prevent further complication. In addition to X rays computer tomographic study when available becomes helpful in preoperative planning of surgery for closure of TDR or TDH.
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Contemporary Medical Research [IJCMR]
International Journal of Surgery Case Reports, 2015
Hydatid disease in human beings, as in all intermediate hosts, manifest as hydatid cyst (HC). It ... more Hydatid disease in human beings, as in all intermediate hosts, manifest as hydatid cyst (HC). It is an important cyclozoonotic disease, endemic in various sheep and cattle raising areas of the world, including India. The tapeworm commonly involved is Echinococcus granulosus. HC can occur almost anywhere in the body, most common organs being liver and lungs, and are usually solitary. In 25% of cases combination of liver HC with HC in other extra pulmonary locations are found. Cardiac HCs comprise of 0.5-2% of all HC cases. Within the heart, HCs are usually situated in the left or right ventricle and rarely found in the peri-cardium. Pericardial HC does not produce symptoms and is often painless and silent, until the cysts grow to a large size over the years, when the usual complications develop, such as cyst rupture, cardiac compression, atrial fibrillation, and even sudden death. We describe the case of a 39 year old house wife, of rural origin, with proximity to livestock, who had an asymptomatic pericardial HC along with a symptomatic hepatic HC. She clinically presented with an abdominal lump for one year with recent onset of abdominal pain for 1 month, when radiological imaging confirmed the diagnosis of an unruptured hepatic HC and a pericardial HC. The patient recovered after pericardiectomy along with excision of the HC over the left ventricle and enucleation of hepatic HC, by thoracoabdominal approach. She is doing well after 5 years of followup without recurrence.
International Journal of Contemporary Medical Research [IJCMR]
Introduction: Tumors of the heart represent an exceedingly rare entity in cardiac surgery and lit... more Introduction: Tumors of the heart represent an exceedingly rare entity in cardiac surgery and literature regarding management and outcome is less in comparison to other fields of cardiac surgery. 12 years of our experience in both diagnosis and optimal surgical treatment of this small but rare collection of patients was formed into a detailed analysis of patient prognosis, mean survival and risk of tumor relapse matched to the corresponding pathology. The overall objective of the present study was a thorough characterization of both primary cardiac tumor or tumor like mass and secondary malignant tumor mass in cardiac chambers, their nature as well as age and gender distribution and management. Material and methods: 17 patients with cardiac tumors, who underwent open-heart surgery at Medical College and Hospitals, Kolkata, for tumor excision between 2007 and 2019 were analyzed retrospectively. Mean follow-up was from 11 to 1 years. Results: There were 2 males and 15 female patients ranging in age from 7 years to 60 years, median age being 47 years. 12 of these tumors were primary left atrial myxoma, 2 were right atrial myxoma, 1 was right ventricular fibroma, 1 was intravenous extension into right atrium of renal cell carcinoma and 1 was multiple inflammatory pseudo tumors in left ventricle. Overall operative survival was 88.3%. Operative mortality was 11.7%. Conclusion: Cardiac tumors remain challenging in the clinical setting. Early operation is recommended after echocardiographic diagnosis as such patients can have sudden death or severe cardiac failure during preoperative waiting period. Follow up should be maintained based upon the histopathological diagnosis.
International Journal of Contemporary Medical Research [IJCMR]
Introduction: It is not uncommon in patients, having rheumatic mitral and aortic valve disease, t... more Introduction: It is not uncommon in patients, having rheumatic mitral and aortic valve disease, to undergo mitral valve replacement with aortic valve replacement that is, double valve replacement (DVR) operation who often have severe cardiac dysfunction optimized with medical management before surgery. In this retrospective study we investigated 60 such patients, who underwent DVR operation with either conventional cold blood cardioplegia with St Thomas 2 solution (STH), or del Nido cardioplegia (DN) over five years and compared the effects of the two types of cardioplegia during perioperative and postoperative period with simultaneous comparative study between changes of cardiac performances in the patients with larger left ventricle as compared to those with less enlarged ones. Material and methods: For this retrospective study, the data of 60 patients of DVR over five years, in Medical College, Kolkata, India, were retrieved for study. The cases were placed into 2 groups: STH and DN according to cardioplegia used during DVR. Demographic, echocardiographic, and several perioperative and postoperative data of the two groups of patients, were collected. Differences between perioperative behaviour between STH and DN groups and post operative changes in the echocardiographic parameters between predominantly mitral stenosis (MS) and mitral regurgitation (MR) patients, were analyzed. Results: The aortic cross clamp (CC) and cardiopulmonary bypass (CPB) time in both predominant MS and MR patients was shorter in the DN than the STH groups. There was less arrhythmia, less inotropic and ventilator support in the DN group. There was 10% mortality in the series with majority being in the STH and MR predominant patients. Postoperative improvement of LVEF, reduction of LVIDS and LVIDD were also observed in MS predominant in comparison to MR predominant patients after DVR in both STH and DN groups. Conclusion: Use of DN has been found to have a better outcome and survival when compared to STH cardioplegia solution. DVR could reversely remodel depressed hearts with relatively smaller LV volume and restore LV function of relatively smaller LV of predominant MS patients better in comparison to MR predominant patients with relatively dilated hearts.
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery, 2011
We present this rare case of a 24 year old male who was knocked down by a slowly backing truck wh... more We present this rare case of a 24 year old male who was knocked down by a slowly backing truck when the rear wheels climbed on to the right side of the abdomen and on hearing the shouts of people rolled forwards causing a partial run over injury. He was resuscitated and treated conservatively. An X Ray Chest done 24 h later
Indian Journal of Thoracic and Cardiovascular Surgery, 2009
Carcinoma of the esophagus can coexist with significant Coronary Artery Disease (CAD) in the elde... more Carcinoma of the esophagus can coexist with significant Coronary Artery Disease (CAD) in the elderly. A staged approach to the two problems, carrying out Coronary Artery Bypass Grafting (CABG) first followed by cancer resection at two anesthetic settings is a logical way of tackling the conditions. But it lengthens morbidity and increases economic burden. Simultaneous tackling of these two problems,
Asian cardiovascular & thoracic annals, Jan 4, 2015
Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediast... more Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediastinal teratomas. This report describes the management of a rare case of a benign cystic intrapulmonary teratoma in the left upper lobe in a 26-year-old lady, which was successfully treated by lobectomy, with no recurrence after 4 years of follow-up.
Annals of Vascular Diseases, 2014
Infected internal jugular vein (IJV) thrombus is rare and is sometimes seen in association with j... more Infected internal jugular vein (IJV) thrombus is rare and is sometimes seen in association with jugular vein catheterization and rarely with suppurative upper aero-digestive tract infection. We describe a very rare association of left Infected Internal jugular vein thrombus with an infected arterio-venous fistula in the left elbow region created for dialysis access in a renal failure patient. The infected arterio-venous fistula was addressed surgically by excision and a reverse saphenous vein graft was placed between proximal and distal brachial artery just above it's bifurcation. The patient was put on i.v Clindamycin and Metronidazole for six weeks. Patient recovered uneventfully.
Indian Journal of Thoracic and Cardiovascular Surgery, 2004