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   2015| April-June  | Volume 16 | Issue 2  
    Online since June 23, 2015

 
 
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ART AND MEDICINE
Animal-assisted therapy
Rachel Hajar
April-June 2015, 16(2):70-71
DOI:10.4103/1995-705X.159228  PMID:26240739
  3,693 138 -
CASE REPORTS
A rare case of recurrent pacemaker allergic reaction
Muhammed Shittu, Pooja Shah, Walid Elkhalili, Addi Suleiman, Hamid Shaaban, Pradip A Shah, Fayez Shamoon
April-June 2015, 16(2):59-61
DOI:10.4103/1995-705X.159222  PMID:26240735
Allergic reactions to pacemaker device components are uncommon. However, when they occur, they usually mimic pacemaker infection, which results in multiple device replacements and increased morbidity burden. Here we present a 40-year-old female with pacemaker insertion due to complete heart block and who had multiple device replacements because of allergic sensitivity to various pacemaker component-encasing materials, confirmed by allergic testing to these materials. She had complete resolution of her symptoms after replacement with gold-plated device, to which she was not allergic.
  2,221 97 2
Recurrent hemorrhagic pericardial effusion and tamponade due to filariasis successfully treated with ivermectin and albendazole
Santosh Kumar Sinha, Amit Goel, Mohit Sachan, Sameer Saraf, Chandra Mohan Verma
April-June 2015, 16(2):53-55
DOI:10.4103/1995-705X.159220  PMID:26240733
Filariasis presenting with pericardial effusion with tamponade is rare. We report a case of a 30-year-old female who was admitted with severe dyspnea and chest pain since 2 days. Echocardiogram showed massive pericardial effusion with tamponade. Pericardial fluid aspiration drained 1.2 L of hemorrhagic fluid. Cytology examination revealed microfilaria of Wuchereria bancrofti. She was treated with diethyl carbamazine and discharged. Six weeks later, she presented again with massive pericardial effusion with cardiac tamponade. Pericardiocentesis was done. Cytology examination revealed microfilaria of W. bancrofti. This time she was treated with ivermectin and albendazole and cured. Hemorrhagic effusion resolved completely. Though relatively uncommon, tropical diseases must always be considered in the etiological diagnosis of recurrent pericardial effusion.
  2,035 114 -
ORIGINAL ARTICLE
Prevalence of chronic kidney disease and the incidence of acute kidney injury in patients with coronary artery disease in Mumbai, India
Pavan Malleshappa, Bharat V Shah
April-June 2015, 16(2):47-52
DOI:10.4103/1995-705X.159219  PMID:26240732
Background and Objective: To determine the prevalence of chronic kidney disease (CKD) and incidence of acute kidney injury (AKI) in patients with coronary artery disease (CAD) demonstrated on coronary angiography. Materials and Methods: Totally, 125 patients admitted to Lilavati Hospital and Research Centre, Mumbai, with CAD were included in the study. Results: Left anterior descending artery was the major vessel involved (40%), followed by a circumflex artery (21.6%). 49 out of 125 (39.2%) were found to have underlying CKD. 69% (34) of these CKD patients developed AKI. 21 out of 34 patients who developed AKI required hemodialysis. Only 47.1% (16 out of 34) of CKD patients had complete recovery, 29% had partial recovery, and 23% had no recovery of their renal function from AKI. Statistically significant number of patients in CKD group had no recovery from AKI as compared to non-CKD group (23.5% vs. 0%). Conclusion: Our study concludes that there is a very high prevalence of CKD (39.2%) in patients with CAD and AKI is a very important complication (38.4%) in these patients. Considering such a high prevalence of CKD, nephrology referral must be considered in patients with abnormal urinalysis, spot urinary protein to creatinine ratio and in patients whose creatinine clearance is <60 ml/min.
  1,976 150 1
CASE REPORTS
Symptomatic coronary cameral fistula
Prashant Nagpal, Ashish Khandelwal, Sachin S Saboo, Gunjan Garg, Michael L Steigner
April-June 2015, 16(2):65-67
DOI:10.4103/1995-705X.159225  PMID:26240737
Coronary cameral fistula is a rare entity and is characterized by an abnormal communication between coronary artery and a cardiac chamber. It is usually congenital and asymptomatic in majority of patients. If symptomatic the patients usually present in childhood. We present a case of 45-year-old male who presented with anginal chest pain and dyspnea on exertion for last 1 year. His exercise treadmill test was positive for ischemic changes and ECG-gated contrast enhanced CT was done for further evaluation. CT showed a large right coronary artery to right atrium fistula. It also ruled out any coronary atherosclerosis as reason for chest pain and ischemic symptoms on exercise treadmill test. The fistula was successfully closed by surgery and there was resolution of chest pain and dyspnea.
  1,932 124 4
Percutaneous closure of an aortic prosthetic paravalvular leak with device in a patient presenting with heart failure
Altug Osken, Ercan Aydin, Ramazan Akdemir, Huseyin Gunduz
April-June 2015, 16(2):56-58
DOI:10.4103/1995-705X.159221  PMID:26240734
Paravalvular leaks (PVLs) are a well-recognized complication of prosthetic valve replacement. Perivalvular prosthetic regurgitation causes significant morbidity and is associated with high perioperative mortality if open surgical repair is required. PVLs manifest with symptoms of congestive heart failure, hemolysis, or in most cases, the combination of both. In recent years, the development of imaging and device techniques significantly shortened the duration of fluoroscopy and procedure success was achieved. Percutaneous transcatheter closure of PVLs with a specific device causes symptomatic improvement. We present a case of transcatheter closure of aortic paravalvular insufficiency with amplatzer duct occluder 2 device.
  1,922 121 -
Primary synovial cell sarcoma of the heart: A rare case
Anil Sharma, Sunil Dixit, Mohit Sharma, Neeraj Sharma, Omeshwar Sharma
April-June 2015, 16(2):62-64
DOI:10.4103/1995-705X.159223  PMID:26240736
A synovial sarcoma (also known as malignant synovioma) is a rare form of cancer that usually occurs near the joints of the arm, neck, or leg. It is one of the soft tissue sarcomas. Primary cardiac neoplasms are rare. Most common site for synovial sarcoma is lower limb. Synovial sarcoma of the heart is extremely rare. Occurrence of synovial sarcoma at extra synovial site is very uncommon. It is two times common in right side heart than left side so left side synovial sarcoma is rarest of rare, only very limited cases are reported. Here, we report a case of primary synovial cell sarcoma of the left side of the heart in a 26-year-old female. She presented with dyspnea and weakness only. She was operated for left-sided mass covering mitral valve; further histo-pathology revealed the mass as synovial cell sarcoma. In Indian scenario, this type of rare case needs documentation.
  1,936 97 1
A PICTURE IS WORTH A THOUSAND WORDS
Surgical retrieval of embolized atrial septal defect closure device in right ventricle
Monish S Raut, Jasbir Singh Khanuja, Sushant Srivastava, CM Mittal
April-June 2015, 16(2):68-69
DOI:10.4103/1995-705X.159227  PMID:26240738
  1,772 82 1
HISTORY OF MEDICINE
Stem cell timeline
Andy Coghlan
April-June 2015, 16(2):72-73
DOI:10.4103/1995-705X.159230  PMID:26240740
  1,534 57 1
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