Browsing by Author "Pillai, Vivek"

Now showing 1 - 3 of 3
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    Ruptured sinus of Valsalva aneurysm: 10-year Indian surgical experience.
    (Asian cardiovascular & thoracic annals, 2011)
    Sinus of Valsalva aneurysm is a rare anomaly with a higher incidence in Eastern than Western populations. Recent improvements in diagnostic techniques have resulted in more patients undergoing surgical repair. Uncorrected, the intracardiac shunts and frequently associated cardiac lesions cause a preventable deterioration in heart function. We retrospectively analyzed the data of 33 patients who underwent repair of ruptured sinus of Valsalva aneurysm from May 2000 to January 2010. The aneurysms originated from the right coronary sinus in 24 patients and from the noncoronary sinus in 9, and ruptured into the right ventricle in 21, right atrium in 10, and left ventricle in 2. Operative procedures included simple plication (1), patch repair (32), and aortic valve replacement (10). There were 3 early deaths. The 30 survivors were followed up for 5.4 2.6 years; all had an improvement in functional class, with superior results in those with no aortic regurgitation. Surgical treatment of ruptured sinus of Valsalva aneurysm has an acceptably low operative risk and good long-term symptom-freedom survival. An early aggressive approach is recommended to prevent worsening symptoms and more extensive disease.
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    Tricuspid Endocarditis with Indirect Gerbode: Septal Translocation of Posterior Leaflet
    (HEART LUNG AND CIRCULATION, 2011)
    Tricuspid valve endocarditis with acquired Gerbode defect is rare and can be quiet challenging to the surgeon, often requiring complex repair procedures. We present a technique for Gerbode shunt closure using pericardial patch and reconstruction of the tricuspid valve by septal translocation of posterior tricuspid leaflet, which resulted in a good and competent tricuspid valve with no residual shunt. (Heart, Lung and Circulation 2011;20:362-364) (C) 2011 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.