Shyam S Kothari

..4% 8.7%. PTMC provides excellent intermediate-term palliation even in young children with rheumatic mitral stenosis...

..Recurrent hemorrhagic pericardial effusion in children with no identifiable cause is a rare presentation...

..PTMC can be performed in children with ARF without an increase in procedural complications. However, the restenosis rates appear to be higher...

..The aim of this study was to ascertain the clinical course and prognosis of dilated cardiomyopathy in Indian children...

..We report two infants with pulmonary atresia and intact ventricular septum, who were treated by radiofrequency perforation and balloon dilatation...

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..We describe alternative surgical techniques for construction of systemic-to-pulmonary arterial shunts, and propose criterions for their application in selected patients...

..We report a new technique for re-implantation using combined autogenous aortic and pulmonary arterial flaps in situations when a direct connection was not possible...

..We analysed the clinical and echocardiographic data of 50 consecutive children admitted to our centre with infective endocarditis over a five year period to determine the predictors of embolization...

..The purpose of this study was to identify the morphologic characteristics and other risk factors that may predispose patients with mixed totally anomalous pulmonary venous connection to continuing high mortality after surgery...

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..The BT shunt which was clipped during the surgery was found to be patent. The BT shunt was finally closed from the bidirectional Glenn using an Amplatzer vascular plug, resulting in symptom relief...

..An unusual case of a sewing needle in the heart is reported for its rarity. The relevant literature is briefly reviewed...

..The operative mortality rate during the earlier era (1950 to 1979) was high, at 22%. More recently, the mortality rate has approached zero. An individualized surgical approach depending on the type of surgical connections is recommended...

..Manual autotransfusion of blood from aorta into the pulmonary arteries resulted in significant clinical improvement...

..Girls with cardiac defects may not receive equitable care in India, but this has not been systematically studied...

..We describe anomalous origin of the right coronary artery from the left anterior interventricular coronary artery in a 16-year-old female with tetralogy of Fallot, highlighting the rarity and surgical significance of this anomaly...

..The purpose of this investigation was to determine the role of radionuclide studies in evaluating postoperative Fontan hemodynamics and to quantify its diagnostic accuracy...

..Published reports detailing coil embolisation therapy for PAVMs are also discussed...

..9%. We submit that an increased appreciation of various types of mixed totally anomalous pulmonary venous connection may well contribute to improved future surgical management...

..Bockers may be useful in Eisenmenger syndrome, but the safety and efficacy are not proven. The objective of the study was to evaluate the hemodynamic effects and safety of metoprolol in Eisenmenger syndrome...

..We describe here a new device, permitting adjustable ligation of the vertical vein, which permits us to avoid multiple reoperations...

..An individualized management algorithm is recommended...

..However, the cumulative burden of the disease remains high, and sustained efforts for the prevention of rheumatic heart disease are warranted...

..The advantages and disadvantages of Amplater vascular plug for the closure of baffle leak are discussed...

..Interventional closure of the fistula using occluder devices and coils have been rarely reported. We report an easy method of closure of the communication through trans-septal approach using an Amplatzer duct occluder...

..We analysed the clinical and echocardiographic data of 50 consecutive children admitted to our centre with infective endocarditis over a five year period to determine the predictors of embolization...

..The closure was not done. Further investigation led to the diagnosis of primary cardiac amyloidosis...

..We postulate that congestive heart failure occurred because of severe myocardial hypoxia and its elimination resulted in markedly improved cardiac performance...

..Aortic counterpulsation facilitates recovery of systemic ventricular function, and appears to be a reasonable alternative in select instances of cardiac failure in patients with the Fontan circulation...

..The infant was discovered to have a vascular compression of the trachea by the innominate artery, almost serendipitously. He was cured of his symptoms by anterior suspension of the innominate artery...

..The double switch operation is emerging as the procedure of choice for congenitally corrected transposition of the great arteries. However, rhythm disturbances in the postoperative period are rarely discussed...

..The isolated left subclavian artery was reimplanted in one patient. This rare anomaly has clinical and surgical relevance and should be diagnosed by diligent clinical and angiographic evaluation...

..Primary switch, two-stage switch, and Senning operation are the options. Left ventricular retraining prior to arterial switch by ductal stenting may be effective, but the experience is very limited...

..Symptomatic thromboembolic events including stroke occur frequently in patients with mechanical heart valves, particularly among those who are poorly anticoagulated...

..25-11.20, P = 0.018). Contrary to current thinking, adverse events can occur early during fibrinolytic therapy for left-sided PVT. This has important implications for the use of fibrinolysis as first line treatment for left-sided PVT...

..To evaluate the early and medium term results of operations for congenitally corrected transposition of the great arteries (CCTGA) wherein the left ventricle becomes the systemic ventricle...

..In patients with constrictive pericarditis and mitral stenosis, the pulmonary artery wedge pressure does not appear to be a true indicator of the left atrial pressure...

..Patients requiring an intricate intracardiac repair and those with concomitant right heart hypoplasia may be better suited for a Fontan type of repair to reduce the complexity of the procedure...

..We conclude that PTMC is safe and effective in children less than 12 years of age. However, the smaller balloon size than the RBS derived from height may be equally effective and possibly safer...

..Septal course of an anomalous left main coronary artery from right aortic sinus should not always be considered benign...

..Pulmonary toxicity due to amiodarone, as far as we know, has not been reported in children and young adults, and its occurence even in young adults requires wider appreciation...

..Arterial level repair is considered the most appropriate procedure for transposition of the great arteries. This report describes our experience with the arterial switch operation over the past decade...

..Our study was designed to assess the impact of fenestration on the outcome of univentricular repairs...

..The incidence of coronary anomalies was found to be 7.0%; no association was found with these anomalies with any of the other abnormalities detected...

..The child had associated right isomerism and functionally univentricular heart. Awareness of this possibility may avoid a reoperation or even death...

..The present study aimed to assess the impact of inhaled nitric oxide on survival following correction of congenital heart defects with residual pulmonary arterial hypertension...

..Severe pulmonary arterial hypertension appears to be the most important predictor of operative mortality. Severe malnutrition, delayed diagnosis and late referrals possibly contribute to the high mortality...