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2-3 collaterals branches present along with right inferior pulmonary vein. All branches draining into inferior venacava are ligated inferiorly and superiorly and divided. Minimally Invasive technique was opted in view of Redo procedure and right anterior thoracotomy incision was done through fourth intercostal space to avoid previous plates of pectus excavatum reconstruction. Percutaneous TAVI or occluder devices is an option as the mortality for open surgical procedure is very high. Approach was antegrade CFA (24 patients) and contralateral crossover (12 patients) using 5F femoral sheath.

To compare the predictive mortality and the observed mortality in our group of patients. Here we present a small study between Jan 2016 To Nov 2017for coronary artery bypass surgery. Coronary cameral fistula is a sizeable communication between a coronary artery, bypassing the myocardial capillary bed and entering a chamber of heart.

Successful treatment often requires a combination of both surgery and long-term antimicrobial therapy. We report here a case of primary pulmonary botryomycosis occurring in a lung cavity. CT Thorax and Abdomen was done and no cysts were noted elsewhere.

Twelve patients (20%) presented with hypertrophic scarring. We are discussing the problem of secondary tricuspid dilatation with or without regurgitation. The question is whether it should be repaired or left untreated.

In Korea, we are experiencing a beginning period of pediatric ventricular assist device treatment. Early experience with pediatric VAD demonstrated successful circulatory support to achieve stable hemodynamics and improvement in functional class. Watchful monitoring is required for pump related complications of VADs.

• Conventional bypass surgery (saphenous vein to ramus and right coronary arteries, and left internal mammary artery to LAD) was also performed.
• Patient recovered well his LV function improved and is asymptomatic and following with us since last 6 months.
• The patient undergone a wedge resection of anterior segment of the right upper lobe through a uniportal VATS acces.
• The systemic perfusion was performed using hypothermic bypass strategy of systemic cooling (280C).
• It most probably has been underdiagnosed as the severity of symptoms can be variable.

Efforts should be taken to make MICS ASD closure available even to the underprivileged patients of the society. 60year old gentleman with Ischemic cardiomyopathy and severe left ventricular dysfunction (LVEF 20%). Refractory to medical therapy with NYHA class IV symptoms. PMHx – hypertensive, chronic kidney disease, insulin DM and in in atrial fibrillation. We achieved hundred percent successes rate in one thousand plus consecutive OPCAB surgeries.

Postoperatively, 3 cases went to radiotherapy in view of being extensive or leaving residual tissue. No case had any long term neurological sequel postoperatively. Paravalvular leak is a complication of aortic valve replacement and has a high morbidity and mortality. We present a patient having paravalvular leak and underwent mechanical prosthetic aortic valve replacement six years ago.

We identified patients who underwent surgery with early-stage EC between 2010 and 2015. We estimated the cumulative incidence function (CIF) for cancer-specific death and other causes of death, and tested the differences by Gray’s test. The Fine and Gray’s proportional subdistribution hazard approach was applied to model CIF. We also built competing risk nomograms based on Fine and Gray’s model. In the wedge resection group, the postoperative 5-year survival in all causes of death was 59.6%, indicating significantly better prognoses in patients with adenocarcinoma aged less than 75 years old. The 5-year survival in the lobectomy group was 77.5%, while the 5-year survival in terms of primary causes of death in the wedge resection and lobectomy groups was 89.3% and 88.0%, respectively.

Arsenicosis is a major problem in many areas of the World including parts of India and Bangladesh. Arsenic (As) is a toxic element present in environment particularly in water. If drinking water or food contains high level of Arsenic, this may be deposited in various tissues in abnormal levels particularly in hair, nail and skin causing damage and health hazards. The susceptibility of myocardium to Arsenic deposition and its adverse effects hasn’t been studied well.

We evaluated the outcomes of emergent cardiopulmonary support with extracorporeal membrane oxygenation (ECMO) to rescue AHD in patients undergoing CA of ES. Surgical myocardial revascularisation in ischemic heart disease patients with severe LV dysfunction can be achieved safely, with significant improvement in LV function and the quality of life. We retrospectively reviewed all computed tomography brain performed between January-2015 and June-2018 for patients with suspected neurological injury after cardiac surgery.

17yrs old female patient presents with complains of exertion dyspnoea for past 6 months. On examination patient had central cyanosis, grade I clubbing, with a wide and fixed split second heart sound. Trans thoracic Echo shows secundum ASD without any evidence of right to left shunt. TEE shows ASD with prominent Eustachian valve, sever TR with ATL prolapse, TRPG 25 mmHg. CATH study shows right to left streaming of IVC blood into LA by prominent Eustachian valve, PA pressure is normal.

The patient under consideration had an uneventful hospital stay followed by complete recovery. The subject had complete symptomatic relief and medicine dependence was significantly reduced. Subclavian artery stenosis can remain asymptomatic or lead to vascular (upper limb claudication) or neurological disorders (vertebro-basilar insufficiency). Subclavian-carotid transposition for the treatment of subclavian artery occlusive disease was first described by Parrot in 1964.

Median drain output in 24 hrs was 90ml for the low flow group as compared to 60 ml for TCA group. Packed cell requirement 440ml median in TCA and 420ml in low flows group. Cross clamp time 103 mins median in TCA group as compared to 88 minutes in low flows group. ICU stay was comparable 100 hours and 73 hours and ventilation time 43 hours and 29 hours for TCA group and low flows group respectively. Approximately half of patients had decreased ventricular function at primary Fontan or TCPC conversion in adult population. Early death was observed in patients with decreased ventricular function but long-term survival was comparable with those with normal ventricular function.

Early diagnosis and complete treatment is the key to proper patient outcome. We present our series of 4 patients operated at our Centre between October 2013 to July 2018. 34 BRACHIAL ARTERY OCCLUSION were treated in emergency operation Contract For Differences Cfds Overview And Examples theatre. Most of which were traumatic thrombus occluding the vessel and some were non traumatic emboli or thrombus. Embolectomy was done in most cases, some cases had traumatic transection with occlusion, they were repaired.