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Indore, India

Vamsidhar A.,SVIMS | Rajasekhar D.,SVIMS | Vanajakshamma V.,SVIMS
Indian Heart Journal | Year: 2015

Ruptured sinus of Valsalva aneurysm (SOVA) with multiple communications, ventricular septal defect, and aortic regurgitation are still best treated surgically. We report a case of 30-year-old male with right SOVA, with two communications with right ventricle. Both communications were successfully closed using antegrade and retrograde approaches, respectively. © 2015 Cardiological Society of India. Source

Nandhagopal R.,SVIMS
Southern Medical Journal | Year: 2010

Tuberous sclerosis (TS) is a well-recognized cause of symptomatic seizures, and rarely coexists with acquired lesions such as neurocysticercosis. We present a 6-year-old boy with tuberous sclerosis and a limited form of epileptic spasms who had, in addition, two coexisting cerebral cysticercal cysts. The association was an incidental finding, but the cerebral tubers could be mistaken for perilesional edema of cysticercal cysts, especially if the clinical features of TS were subtle and not carefully looked for. Our case illustrates the diagnostic and therapeutic implications of recognizing the proximate cause of seizures, such as TS, when the incidental finding of cysticercal cysts might confound the clinical picture in endemic areas. © 2010 by The Southern Medical Association. Source

Chandra V.V.R.,SVIMS | Prasad B.C.,SVIMS | Varaprasad G.,SVIMS
Journal of Neurosurgery: Pediatrics | Year: 2013

The authors report a very rare case of tuberculoma involving the ulnar nerve. The patient, a 7-year-old girl, presented with swelling over the medial aspect of her right forearm just below the elbow joint, with features of ulnar nerve palsy, including paresthesias along the little and ring fingers and claw hand deformity. There was a history of trauma and contact with a contagious case of tuberculosis. There were no other signs of tuberculosis. At surgical exploration the ulnar nerve was found to be thickened, and on opening the sheath there was evidence of caseous material enclosed in a fibrous capsule compressing and displacing the nerve fibers. The lesion, along with the capsule, was subtotally removed using curettage, and a part of the capsule that was densely adherent to the nerve fibers was left in the patient. Histopathological examination of the specimen was consistent with tuberculoma. The patient received adequate antitubercular treatment and showed significant improvement. ©AANS, 2013. Source

Prasad B.C.,SVIMS | Vemula R.C.,SVIMS | Varaprasad G.,SVIMS
Indian Journal of Surgery | Year: 2013

We report a case of non missile penetrating spinal injury (NMPSI) caused due to an impaled knife in the lumbar region. The patient was neurologically preserved and presented with the knife blade retained in his back. The wound with the knife in situ was explored, the knife removed and a dural laceration was repaired. The wound healed without evidence for cerebrospinal fluid leakage or infection. © 2010 Association of Surgeons of India. Source

Rajasekhar D.,SVIMS | Vanajakshamma V.,SVIMS | Ranganayakulu K.P.,SVIMS
Acta Cardiologica Sinica | Year: 2016

Iatrogenic aortocardiac fistulae have been described rarely following intracardiac repair. This 28 year-old-male presented to our facility with dyspnea going on 20 days after closure of ventricular septal defect (VSD) and resection of subaortic membrane. A communication was noticed between the aorta and the right ventricle (RV) upon transthoracic echocardiography. Cardiac catheterisation revealed a significant shunt and an aortogram revealed a 6 mm communication between aorta and right ventricle. Percutaneous closure of this defect was attempted under local anaesthesia through right femoral access. An alpha arteriovenous loop was formed despite repeated attempts, hence a retrograde approach for device delivery was considered. An 8mmAmplatzermuscular VSD occluder device was deployed across the defect achieving a complete closure through an 8F delivery sheath. To the best of our knowledge this is the first report of an iatrogenic aorta to RV fistula occurring in a patient following an intracardiac repair which has been successfully treated percutaneously. © 2016, Republic of China Society of Cardiology. All Rights Reserved. Source

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