Sunil Panwar - Academia.edu (original) (raw)

Papers by Sunil Panwar

Comparison of the effects of a cell saver and low-dose aprotinin on blood loss and homologous blood usage in patients undergoing valve surgery

Journal of Cardiothoracic and Vascular Anesthesia, 2001

... Deepak K Tempe MD a , Amit Banerjee MCh a , Sanjula Virmani MD a , Navneet Mehta DA a , Sunil... more ... Deepak K Tempe MD a , Amit Banerjee MCh a , Sanjula Virmani MD a , Navneet Mehta DA a , Sunil Panwar MCh a , AS Tomar MD a , DKS Ghambeer MD a and M Nigam MCh Corresponding Author Contact Information , a. ...

The Annals of Thoracic Surgery, 2012

Surgical success for the combination of truncus arteriosus with unbalanced atrioventricular septa... more Surgical success for the combination of truncus arteriosus with unbalanced atrioventricular septal defect is limited. A low incidence and a poor understanding of these lesions, along with a dismal outcome, have made comfort care a common option. We report our experience with initial successful palliation of this combined lesion in two patients.

Minimally Invasive Coronary Artery Bypass Surgery

Asian Cardiovascular and Thoracic Annals, 1996

A potentially more effective means of surgical treatment for single vessel coronary artery diseas... more A potentially more effective means of surgical treatment for single vessel coronary artery disease has evolved with the development of a minimally invasive technique for surgical myocardial revascularization. We describe the case of a 43-year-old male with a history of proximal left anterior descending coronary artery stenosis. He underwent angioplasty for recurrence of the stenosis and consented to minimally invasive coronary artery bypass grafting. This technique greatly reduces the postoperative morbidity and minimizes complications of the surgery. The technique is probably a more definitive treatment than angioplasty or medical strategies.

The Journal of Thoracic and Cardiovascular Surgery, 2017

Objectives: To determine the value of surgery for infective endocarditis (IE) in patients on hemo... more Objectives: To determine the value of surgery for infective endocarditis (IE) in patients on hemodialysis by comparing the nature and invasiveness of endocarditis in hemodialysis and nonhemodialysis patients and their hospital and long-term outcomes, and identifying risk factors for time-related mortality after surgery. Methods: From January 1997 to January 2013, 144 patients on chronic hemodialysis and 1233 nonhemodialysis patients underwent valve surgery for IE at our institution. Propensity matching identified 99 well-matched hemodialysis and nonhemodialysis patient pairs for comparison of outcomes. Results: Staphylococcus aureus infection was more common in hemodialysis patients than in nonhemodialysis patients (42% vs 21%; P <.0001), but invasive disease was similar in the 2 groups (47%; P ¼ .3). Hospital mortality was 13% and 5-year survival was 20% for hemodialysis patients, 20% below that expected in a general hemodialysis population but 15% above that of hemodialysis patients treated nonsurgically for IE. For matched patients, hospital mortality was 13% for hemodialysis patients versus 5.1% for nonhemodialysis patients (P ¼ .05), and survival at 1 and 5 years was 56% versus 83% and 24% versus 59%, respectively (P < .004). Use of an arteriovenous graft for dialysis access (P ¼ .01) and preoperative placement of a pacemaker (P < .0001) were risk factors for late mortality in hemodialysis patients. For matched patients, freedom from reoperation was similar in the hemodialysis and nonhemodialysis groups (P >.9). Conclusions: Intermediate-term survival after surgery for IE in hemodialysis patients is substantially worse than that in nonhemodialysis patients, but only slightly worse than that in the general hemodialysis population and substantially better than that in hemodialysis patients with IE treated nonsurgically, supporting continued surgical intervention for IE. (