- Pediatric Cardiothoracic Surgery
Clinical Instructor, Cardiothoracic Surgery
Fellowship: Children's National Medical Center Pediatric Surgery Fellowship (2020) DC
Residency: All India Institute of Medical Sciences (2013) India
Residency: B J Medical College Ahmedabad (2009) India
Medical Education: M. P. Shah Government Medical College (2005) India
- Small and borderline left ventricular outflow tract - a perplexing maladie INDIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 2021
Small and borderline left ventricular outflow tract - a perplexing maladie.
Indian journal of thoracic and cardiovascular surgery
2021; 37 (Suppl 1): 123–30
The left ventricular outflow tract (LVOT) comprises of the subvalvular area, the aortic valve, and the supravalvular region. Obstructive lesion of LVOT is a spectrum with varying levels and degree of obstruction with or without associated hypoplasia of the left ventricle. Decision-making in small and borderline LVOT can be challenging. Imaging modalities such as echocardiography and magnetic resonance imaging and scores based on imaging aid in the decision making in truly borderline cases. Newer treatment strategies like staged left ventricular rehabilitation and hybrid procedure have come to the fore in the past decade or so. Although these do not address small LVOT per se, they delay the decision-making to a more appropriate age. The goal of management in these cases is to achieve a biventricular repair whenever feasible. Several surgical techniques could be employed to achieve this goal. However, it is important to be cognizant of the fact that an overzealous approach to achieve a biventricular repair might be counterproductive. A univentricular palliation could be a safer alternative; especially considering the possibility of a future transplant candidacy.
View details for DOI 10.1007/s12055-020-01122-9
View details for PubMedID 33584029
View details for PubMedCentralID PMC7858724
Spontaneous rupture of a coronary artery fistula presenting with post-exertional syncope and haemopericardium.
Interactive cardiovascular and thoracic surgery
An 8-year-old with a known diagnosis of an asymptomatic coronary artery fistula (CAF) presented with exertional syncope and haemopericardium due to contained rupture of CAF. A transcatheter closure was attempted, but the fistula ruptured again prompting emergency surgical repair. Spontaneous rupture is a catastrophic complication of CAF and warrants a high index of suspicion, timely diagnosis and team management.
View details for DOI 10.1093/icvts/ivaa317
View details for PubMedID 33367810
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