Browsing by Author "Misra, M"

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    Atypical presentation of bilateral phrenic nerve palsy and its unusual recovery after coronary artery bypass grafting.
    (THORACIC AND CARDIOVASCULAR SURGEON, 2006) Duara, R; Sarma, AK; Sinha, PK; Ashalatha, R; Misra, M
    Bilateral phrenic nerve paralysis after coronary artery bypass surgery in a 47-year-old female patient is reported. This became evident on the 5th post-extubation day and mimicked acute coronary syndrome and led to difficulty in diagnosis. The patient required re-intubation and mechanical ventilation for only 6 days. The diagnosis of clinical and radiological abnormalities suggestive of bilateral phrenic nerve dysfunction was assisted by fluoroscopy, measurement of needle electromyography, and phrenic nerve motor conduction studies. The patient was followed up postoperatively for 14 weeks with complete regression of the neuropathy one month after surgery. An awareness of this complication should lead to improved care and successful postoperative management of patients.
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    Entrapped catheter in the left ventricular posterior venous radicle of the coronary sinus in a case of hemianomalous pulmonary venous connection of left pulmonary veins to coronary sinus
    (INTERNATIONAL JOURNAL OF CARDIOLOGY, 2007) Krishnakumar, N; Misra, M; Dora, S; Bohora, SR
    A 25-year old acyanotic lady with unclear pulmonary venous drainage and a dilated coronary sinus was catheterized. Left pulmonary veins drained into coronary sinus in a left pulmonary vein angiogram done through the coronary sinus with a National Institute of Health 7F catheter. After the angiogram, the catheter got entrapped in a coronary sinus tributary and could be removed only by surgery. The left pulmonary veins were rerouted into the left atrium by unroofing the coronary sinus. Surgery is the treatment of choice for entrapped catheters when the primary condition itself merits surgical correction. (c) 2006 Elsevier Ireland Ltd. All rights reserved.