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   2015| July-September  | Volume 16 | Issue 3  
    Online since September 4, 2015

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Cardiovascular impact of eating disorders in adults: A single center experience and literature review
Muhammad Rizwan Sardar, Andrea Greway, Michael DeAngelis, Erin O’Malley Tysko, Shawn Lehmann, Melinda Wohlstetter, Riti Patel
July-September 2015, 16(3):88-92
DOI:10.4103/1995-705X.164463  PMID:27326349
Eating disorders have multiple medical sequelae, including potentially life-threatening cardiovascular complications. This article describes our cardiology practice experience of treating adults with eating disorders in the outpatient setting and documents baseline cardiac findings in this complex patient population. We describe our findings in patients across the spectrum of eating disorders; past studies have generally focused on anorexia only. This article also includes a review of the current literature on cardiovascular complications associated with disordered eating.
  14,051 135 4
Angiographic enigma: A single coronary artery with the right coronary artery originating from the distal left circumflex artery
Satyajit Singh, Sanat Kumar Sahoo, Mahendra Prasad Tripathy, Giridhari Jena
July-September 2015, 16(3):104-106
DOI:10.4103/1995-705X.164465  PMID:27326353
An isolated single coronary artery (SCA) is a rare anomaly. A SCA originating from the left sinus of Valsalva is even rarer than one arising from the right. Most patients with a congenital coronary artery anomaly are asymptomatic. Herein, we report an extremely uncommon variant, where the right coronary artery arose from the distal segment of the left circumflex artery with slow coronary flow leading to myocardial ischemia.
  3,094 119 1
Potential risk factors for surgical site infection after isolated coronary artery bypass grafting in a Bahrain Cardiac Centre: A retrospective, case-controlled study
Ahmed Abdulaziz Abuzaid, Mahmood Zaki, Habib Al Tarief
July-September 2015, 16(3):79-84
DOI:10.4103/1995-705X.164457  PMID:27326347
Objective: The purposes of this study were to determine the incidence of surgical site infections (SSI) and associated risk factors in patients undergoing isolated coronary artery bypass grafting (CABG) in our cardiac center during a 2-year period. Materials and Methods: Retrospective case–control analysis for 80 patients who underwent isolated cardiac surgery CABG. These patients were divided into the SSI study group (n = 40) and the noninfected control group (n = 40). Eight potential perioperative risk variables were compared between the two groups using univariate logistic regression analysis. Results: Univariate analysis was carried out for eight potential risk factors. The risk factors found to be significant were: Impaired estimated glomerular filtration rate (P = 0.011) and impaired left ventricular ejection fraction (P = 0.015). However, Factors found to have no significant influence on the incidence of SSIs were: Perioperative length of hospital stay (days), urgency of surgery, use of bilateral internal mammary artery (BIMA) grafting, prolonged cardiopulmonary bypass duration, elevated body mass index. Conclusions: Patients with comorbidities of impaired renal function and/or impaired left ventricular systolic function are at high risk of developing SSI. There appears to be a relationship between SSIs in CABG patients and impaired renal or LV function (low ejection fraction). CABG with BIMA grafting could be performed safely even in diabetics. Future studies should consider further scrutiny of these and other factors in relation to SSIs in a larger surgical population.
  3,055 141 3
A life of accomplishment
Rachel Hajar
July-September 2015, 16(3):75-75
  2,912 91 -
Anomalous left anterior descending coronary artery arising from pulmonary artery in a 63 year-old male patient: Case report and literature review
Montasser Y Ismail, Mohammed I Nassar, Mohammed A Hamad
July-September 2015, 16(3):98-103
DOI:10.4103/1995-705X.164461  PMID:27326352
To present a case of a rare congenital coronary anomaly in an adult patient, which was not reported before in Palestine, review the literature, and compare with previously reported cases.
  2,886 103 4
Atrial papillary fibroelastoma: A stranger in a strange place
Imran Haider, Hameem Kawsar, Himad Khattak, Muhammad Siddiqui
July-September 2015, 16(3):96-97
DOI:10.4103/1995-705X.164460  PMID:27326351
Papillary fibroelastoma (PFE) is the most common primary tumor of cardiac valves and predominantly located on the left side. Its origin from non-valvular endocardium is extremely rare. We describe a case of an 81-year-old Caucasian male who presented with a mobile right atrial mass at the junction of right atrial wall and superior vena cava (SVC). Initially it was thought to be a thrombus and the patient was treated with anti-coagulation therapy without any change in size of the mass. Surgical excision was performed to establish the diagnosis and histopathology confirmed the diagnosis of PFE. In conclusion, this case is unique due to location of the tumor and its attachment with superior vena cava. Physicians should consider this unusual location of PFE in the differential diagnoses of an intra-atrial mass.
  2,718 74 1
Art and healing
Rachel Hajar
July-September 2015, 16(3):116-117
DOI:10.4103/1995-705X.164456  PMID:27326357
  2,695 80 -
Right sinus of valsalva aneurysm with rupture into the interventricular septum and into the left ventricle
Humberto Morais, Telmo Martins
July-September 2015, 16(3):114-115
DOI:10.4103/1995-705X.164469  PMID:27326356
  2,636 99 3
Beware of venous anomalies in young patients with sick sinus syndrome: A report of two cases of sick sinus syndrome with systemic venous anomalies
Shanmuga Sundaram Rathakrishnan, Tamilarasu Kaliappan, Rajendiran Gopalan
July-September 2015, 16(3):107-110
DOI:10.4103/1995-705X.164458  PMID:27326354
We report two young patients with symptomatic sick sinus syndrome admitted for permanent pacemaker implantation (PPI). On evaluation with echocardiography, one of them was found to have persistent left superior vena cava and venography showed absent right superior vena cava also. He underwent PPI with leads inserted via left superior vena cava, coronary sinus, right atrium and right ventricle. The other patient was incidentally found to have interrupted inferior vena cava with azygos continuation while being planned for temporary pacemaker implantation. She underwent successful PPI. We would like to stress the importance of having a high suspicion for these systemic venous anomalies in patients presenting with sick sinus syndrome especially at young age. If we could diagnose preoperatively, we can avoid on table surprises.
  2,427 77 1
Native valve candida endocarditis complicating pregnancy after abdominal surgery
P Saphina, CA Mansoor, A Jemshad, Mohthash Musambil
July-September 2015, 16(3):111-113
DOI:10.4103/1995-705X.164459  PMID:27326355
Candida endocarditis is an emerging infectious disease, usually involving patients with intravascular prosthetic devices, and associated with substantial morbidity and mortality. A 28-year-old primigravida at 32 weeks of gestation was admitted with low-grade fever and lower abdominal pain for 2 weeks. She had undergone open appendicectomy 2 months before admission. Echocardiogram showed a pedunculated 24 mm × 21 mm mass attached to the undersurface of anterior mitral leaflet near the tip and moderate mitral regurgitation. Repeated blood cultures showed growth of nonalbicans candida. She was immediately started on liposomal amphotericin and was taken up for surgery, but despite all efforts she succumbed to her illness.
  2,182 65 2
Left ventricular non-compaction with multiple ventricular septal defects
Nagaraja Moorthy, Sandeep Jain, Zafar Neyaz, Sunil Kumar, Pravin K Goel
July-September 2015, 16(3):93-95
DOI:10.4103/1995-705X.164467  PMID:27326350
Left ventricular non-compaction (LVNC) is a congenital cardiomyopathy characterized by deep ventricular trabeculations thought to be due to an arrest of myocardial morphogenesis. Integration of various cardiac imaging modalities such as echocardiography, cardiac computed tomography and cardiac magnetic resonance imaging help in the diagnosis of this rare clinical entity. We describe a child with rare variant of LVNC with predominant involvement of interventricular septum resulting in multiple ventricular septal defects.
  2,052 113 -
Remembering Floyd D. loop, M.D.
Hajar A Hajar Albinali
July-September 2015, 16(3):76-78
  2,058 76 -
Angiographic findings after supplementation with Heracleum persicum extract: Results of a randomized controlled trial
Yunes Panahi, Bahram Pishgoo, Amirhossein Sahebkar
July-September 2015, 16(3):85-87
DOI:10.4103/1995-705X.164462  PMID:27326348
Background: Heracleum persicum is a common dietary spice with several traditional medicinal properties important for cardiovascular health including antioxidant, hypolipidemic, and anti-inflammatory effects. This study explored the effects of supplementation with H. persicum fruit on the angiographic findings of patients with minimal coronary artery disease (CAD). Methods: Subjects who were diagnosed with <50% stenosis in any of their coronary arteries by angiography were selected for this trial and randomly assigned to H. persicum hydroalcoholic fruit extract (n = 15; 300 mg/day) or placebo (n = 12) for 6 months. At the end of the trial, participants underwent a second coronary angiography in order to evaluate the progression of their disease. Results: Posttrial angiography did not reveal any improvement in the number of stenosed vessels after consumption of H. persicum extract versus placebo (P > 0.05). Similarly, there was no significant difference between the study groups in terms of disease progression and chest pain score (P > 0.05). Conclusions: The present results do not support any clinically significant benefit of supplementation with H. persicum extract on the angiographic findings of in patients with minimal CAD.
  2,001 104 2
Plants, prayers and plague: Wellcome MS. 335
Alice Laforet
July-September 2015, 16(3):118-121
DOI:10.4103/1995-705X.164474  PMID:27326358
  1,520 65 -