A5009111580- Aortic Disease and Treatment Approaches
- Cardiac Structural Anomalies and Repair
- Infective Endocarditis Diagnosis and Management
- Cardiac Valve Diseases and Treatments
- Cardiac tumors and thrombi
- Trauma Management and Diagnosis
- Cardiac Imaging and Diagnostics
- Aortic aneurysm repair treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Congenital Heart Disease Studies
- Infectious Aortic and Vascular Conditions
- Vascular anomalies and interventions
- Transplantation: Methods and Outcomes
- Cardiac Arrest and Resuscitation
- Coronary Interventions and Diagnostics
- Coronary Artery Anomalies
- Vascular Procedures and Complications
- Myasthenia Gravis and Thymoma
- Cardiovascular Function and Risk Factors
- Thermal Regulation in Medicine
- Quality and Safety in Healthcare
- Organ Transplantation Techniques and Outcomes
- Sarcoma Diagnosis and Treatment
- Restraint-Related Deaths
- Cardiac and Coronary Surgery Techniques
Papworth Hospital NHS Foundation Trust
2024
Leeds Teaching Hospitals NHS Trust
2013-2023
Leeds General Infirmary
2007-2020
Expro (United Kingdom)
2018
University of Leeds
2018
Post Graduate Institute of Medical Education and Research
2000-2015
Government Medical College and Hospital
2014
Government Medical College and Hospital
2014
Hy-Line (United States)
2004
RELX Group (Netherlands)
2004
For patients with severe aortic stenosis and coronary artery disease, the completely percutaneous approach to valve replacement revascularization has not been compared standard surgical approach.The prospective SURTAVI trial (Safety Efficiency Study of Medtronic CoreValve System in Treatment Severe, Symptomatic Aortic Stenosis Intermediate Risk Subjects Who Need Valve Replacement) enrolled intermediate-risk from 87 centers United States, Canada, Europe between June 2012 2016. Complex disease...
Context: A quality patient diagnosis and clinical management are largely depending upon the availability of reliable medical diagnostic equipment. However, in Indian scenario, lack preventive maintenance, nonavailability technology spare parts, required funds for maintenance mainly responsible failure equipment hence, their proper utilization. Aims: This study was focused to find out deficiency utilization coefficient (UC) various factors causing under-utilization these Materials Methods:...
Type 2 diabetes (T2D) is associated with an increased risk of left ventricular dysfunction after aortic valve replacement (AVR) in patients severe stenosis (AS). Persistent impairments myocardial energetics and blood flow (MBF) may underpin this observation. Using phosphorus magnetic resonance spectroscopy cardiovascular resonance, study tested the hypothesis that AS T2D (AS-T2D) would have impaired as reflected by phosphocreatine to ATP ratio (PCr/ATP) vasodilator stress MBF compared...
A 66 year old woman presented in extremis with symptoms and clinical radiological signs of simultaneous obstruction superior vena cava middle lobe right lung secondary to compression by a massive benign anterior mediastinal cyst. Excision the cyst at median sternotomy resulted complete resolution all symptoms. This report is unusual on account a) concomitant presence syndromes caused because its sheer size producing these structures b) after removal Benign cysts are unknown cause either two...
Surgery is often required for acute infective endocarditis (IE) to repair or replace damaged heart valves. Traditionally, long courses of antibiotic treatment have been prescribed after surgery active IE fear infecting newly implanted/repaired valves, but the need this, in present era enhanced antimicrobial stewardship, has questioned. In our institution, choice and duration therapy tailored individual patients by a multidisciplinary team with an interest IE. The influence postoperative on...
A purified 200-kDa antigenic fraction from Leishmania donovani axenic amastigotes was evaluated by ELISA for the detection of antibody response in visceral leishmaniasis (VL) patients, post kala-azar dermal (PKDL) patients and controls, diagnosis leishmaniasis. positive to amastigote soluble antigen (LASA) found 29 (96·6%) 30 (100%) confirmed VL respectively, use ELISA. However, only 1 (10%) out 10 PKDL had detectable while all exhibited an immune LASA. Therefore, follow-up (post treatment)...
We describe sole direct innominate cannulation for arterial return establishing both cardiopulmonary bypass and selective antegrade cerebral perfusion in the repair of acute type A dissection compare it with femoral, axillary, aortic apical cannulations. believe has all advantages right axillary none its disadvantages. It can be used patients whom artery is not dissected, obstructed, calcified or otherwise diseased.
A 56 year old Caucasian man presented with sudden loss of consciousness while driving and was found to have an 11 cm Haughton D type left cervical aortic arch aneurysm normal brachiocephalic branching descending thoracic laterality but considerable tortuosity redundancy arch. The arose between the common carotid artery subclavian artery. It compressed stretched artery, pulmonary trunk vagus, recurrent laryngeal phrenic nerves caused extreme deviation trachea, severely compromising tracheal...
A 61 year old man presented with diffuse large B cell lymphoma of the skin back shoulder which was excised and treated chemotherapy (CHOP regime) in 1998. He complete remission till he 2002 extranodal marginal zone parotid gland for underwent superficial parotidectomy radiotherapy. continued 2006 when recurrent pericardial effusion tamponade. At median sternotomy, drained, an anterior pericardiectomy done a left posterior window made, enlarged hard paraaortic lymph node excised. Histology,...
An innominate truncal dissection and rupture into the right pleural cavity with massive hemothorax is initial presentation in this 66-year-old lady type A of aorta complicated by coronary ostial avulsion inferior STEMI. She underwent supracoronary interposition graft replacement ascending hemiarch, trunk saphenous vein bypass grafting artery successfully. Innominate following aortic practically unknown has not been described before absence rupture. secondary to other pathologies presents...
A single left coronary artery with right arising from either main stem (LMS) or anterior descending (LAD) circumflex (Cx) is an extremely rare anomaly. This the first report of separate origins proximal and distal RCA LAD arteries respectively in a patient artery. 57 year old presented unstable angina severe stenotic disease Cx underwent urgent successful quadruple bypass grafting. The anomalies terms their origin, number distribution are reviewed.
Traditionally, the management of type B aortic dissection has been domain vascular surgeons. Timing and intervention still generate debate. We sought to review our early experience with treatment this condition based on a hybrid approach following an multi-disciplinary team meeting involving close cooperation between cardiac surgeons, interventional radiologists, anesthetists, anesthetists. Four patients (age 41-56 years; 3 males; 1 female) underwent arch surgery through approach: one...
Chronic encapsulated mediastinal abscess is an unusual complication of previous open heart surgery. We report on the case a 79 year old male who presented with epigastric fistulization anterior 12 years after redo aortic valve replacement for prosthetic endocarditis. The and its complex branching tracts cutaneous fistula were excised completely except thin longitudinal strip ascending aorta which formed part posterior wall infected tract. This was covered transposed greater omentum based...
The incidental finding of thymic tumors during thoracic surgery has been reported. Meticulous management planning is necessary if such tumor found a cardiac operation. We describe rare case asymptomatic invasive malignant thymoma discovered incidentally routine elective coronary artery bypass grafting in 48-year-old male. Total thymectomy and enbloc excision with adjacent involved pericardium, pleura, phrenic nerve was performed. This followed by quadruple adjuvant radiotherapy. patient made...
Trauma is the third most common cause of death in West. In US, approximately 90,000 deaths annually are traumatic nature and over 75% casualties from blunt trauma due to chest injuries. Cardiac injuries rib fractures following extremely rare. We report unusual case a patient who fell height presented with haemopericardium haemothorax as result left ventricular lingular lacerations was sucessfully operated upon.
Ascending aorta pseudoaneurysm (AAPA) is an uncommon complication following replacement of the ascending with a prosthetic graft, carry high risk rupture, and warrant urgent intervention. The open surgical procedure "gold standard" care not always favorable, as reoperations are technically more difficult or patient's general condition doesn't allow proceeding. Case discussed 80-year-old male patient who presented worsening cough hemoptysis. He underwent 10 years ago. Computed tomography (CT)...