Searched for: person:abrols1000
in-biosketch:true
Complete thrombosis of a bioprosthetic mitral valve and left atrium in a patient on venoarterial extracorporeal membrane oxygenation with favorable outcome [Case Report]
Hall, James; Khilkin, Michael; Abrol, Sunil
Intra-cardiac thrombosis is a potentially devastating complication of extracorporeal membrane oxygenation (ECMO) mechanical circulatory support. We present here a patient who suffered complete thrombosis of a fresh mitral prosthesis and left atrium in the setting of ECMO with aortic insufficiency who was treated with repeat valve replacement and thrombectomy. To our knowledge, she is the only patient in the reported literature to have survived this complication.
PMCID:11202332
PMID: 38926882
ISSN: 1749-8090
CID: 5733202
Outcomes by cannulation methods for venovenous extracorporeal membrane oxygenation during COVID-19: AÂ multicenter retrospective study
Saeed, Omar; Stein, Louis H; Cavarocchi, Nicolas; Tatooles, Antone J; Mustafa, Asif; Jorde, Ulrich P; Alvarez, Chikezie; Gluck, Jason; Saunders, Paul; Abrol, Sunil; De Anda, Abe; Goldstein, Daniel J; Silvestry, Scott
In a multicenter, retrospective analysis of 435 patients with refractory COVID-19 placed on V-V ECMO, cannulation by a single, dual-lumen catheter with directed outflow to the pulmonary artery was associated with lower inpatient mortality.
PMID: 35191553
ISSN: 1525-1594
CID: 5190082
Cardiac tamponade in COVID-19 patients: Management and outcomes [Case Report]
Hakmi, Hazim; Sohail, Amir; Brathwaite, Collin; Ray, Beevash; Abrol, Sunil
IMPORTANCE/OBJECTIVE:Cardiac tamponade requiring emergent intervention is a possible complication of coronavirus disease 2019 (COVID-19) infection. Favorable clinical outcomes are possible if timely management and drainage are performed unless ventricular failure develops. OBSERVATION/METHODS:Cardiac tamponade in COVID-19, based on the limited reported cases, seems to be more common among middle-aged men with observed complications in black and ethnic minorities. Prognosis is worse amongst patients with concomitant ventricular failure. DESIGN AND METHODS/METHODS:This is a case series of three COVID-19 patients complicated by cardiac tamponade, requiring surgical intervention at a single institution in New York. INTERVENTION/METHODS:Pericardial window, Pericardiocentesis. OUTCOME/RESULTS:One patient had recurrence of cardiac tamponade with hemorrhagic component but fully recovered and was discharged home. Two patients developed cardiac tamponade with concomitant biventricular failure, resulting in death. CONCLUSION AND RELEVANCE/UNASSIGNED:Cardiac tamponade with possible concomitant biventricular failure can develop in COVID-19 patients; incidence seems to be highest at the point of marked inflammatory response. Concomitant ventricular failure seems to be a predictor of poor prognosis.
PMID: 32790006
ISSN: 1540-8191
CID: 4556582
Post Traumatic Pseudoaneurysm of Left Anterior Descending Artery Presenting as Acute Coronary Syndrome [Case Report]
Biswas, Saptarshi; Hristov, Boris; Kinthala, Sudhakar; Abrol, Sunil
Penetrating cardiac injuries are highly lethal and carry high mortality rate. Both blunt and penetrating cardiac injuries in patients who survive are known to present with well-known sequelae that often appear days to weeks after the initial insult. In the literature there have been documented cases of cardiac injury induced myocardial infarction, ventricular aneurysms, valvular dysfunction and even fistulous tracts between the coronary vessels and chamber. Although the most commonly injured vessel is the left anterior descending (LAD) coronary artery, traumatic injuries to the left coronary artery result in early death in the majority of cases. We present a unique case of LAD pseudo aneurysm and stenosis presenting as acute coronary syndrome (ACS) months after the initial penetrating cardiac injury successfully managed by stenting. There are only few isolated case reports of coronary artery pseudoaneurysm following penetrating chest trauma published in English literature.
PMCID:6469910
PMID: 31019641
ISSN: 1923-2829
CID: 3854152
One-stage repair using a frozen elephant trunk technique for acute type A intramural hematoma with an ulcer-like projection in the dilated proximal descending aorta [Case Report]
Ikeda, Shinichiro; Kumar, Sathappan; Abrol, Sunil
PMID: 28736842
ISSN: 1540-8191
CID: 3381182
Aorto-right ventricular fistula from iatrogenic rupture of the right coronary ostia following percutaneous coronary intervention
Ikeda, Shinichiro; Kumar, Sathappan; Abrol, Sunil
PMID: 28485114
ISSN: 1540-8191
CID: 3380832
Selective use of the intra-aortic filter in high-risk cardiac surgical patients leads to better postoperative outcomes
Chiba, Shintaro; Janjua, Fatima; Schulhoff, Nancy; Homel, Peter; Kumar, Sathappan; Golek, Zigmunt; Abrol, Sunil; Jacobowitz, Israel J; Vaynblat, Mikhail
PMID: 28186286
ISSN: 1873-734x
CID: 2518002
Adult Onset Dysphagia: Right Sided Aortic Arch, Ductus Diverticulum, and Retroesophageal Ligamentum Arteriosum Comprising an Obstructing Vascular Ring
Sinha, Ankur; Raheja, Hitesh; Namana, Vinod; Abrol, Sunil; Kamholz, Stephan; Shetty, Vijay
A 49-year-old African American male patient with no past medical history was admitted because of 3 months of difficulty swallowing solid and liquid foods. He had constant retrosternal discomfort and appeared malnourished. The chest radiograph revealed a right sided aortic arch with tracheal deviation to the left. A swallow study confirmed a fixed esophageal narrowing at the level of T6. Contrast enhanced Computed Tomography (CT) angiogram of the chest and neck revealed a mirror image right aortic arch with a left sided cardiac apex and a prominent ductus diverticulum (measuring 1.7 × 1.8 cm). This structure extended posterior to and indented the mid esophagus. A left posterolateral thoracotomy was performed and the ductus diverticulum was resected. A retroesophageal ligamentum arteriosum was found during surgery and divided. This rare combination of congenital anatomical aberrations led to severe dysphagia in our patient. Successful surgical correction in the form of resection of the ductus diverticulum and division of the retroesophageal ligamentum arteriosum led to complete resolution of our patient's symptoms.
PMID: 28396805
ISSN: 2090-6404
CID: 3380752
Risk Factors Predictive of Unfavorable Distal Aortic Remodeling After Surgical Repair of Acute Type A Aortic Dissection [Meeting Abstract]
Gupta, Aashih; Vechvitvarakul, Suttatip; Hoque, Mohammed; Ruggiero, Maryanne; Shih, Michael; Shiferson, Alexander; Crooke, Gregory; Drapkin, Jefferson; Shin, Max; Abrol, Sunil; Jacob, Theresa; Rhee, Robert
ISI:000382224900105
ISSN: 0741-5214
CID: 3386312
Carotid blowout syndrome: endovascular management of acute hemorrhage with tapering overlapped covered stents [Case Report]
Farivar, Behzad S; Lee, Dong H; Khalil, Ahmed; Abrol, Sunil; Flores, Lucio
Carotid blowout is a rare fatal complication most commonly observed in head and neck cancer patients, especially after radiation therapy. Traditional surgical approaches carry extremely high morbidity and mortality rates. We present a case of acute hemorrhage from extracranial carotid artery in a 64-year-old man with history of total laryngectomy, tracheostomy, and chemoradiotherapy for laryngeal cancer. Tumor was noted to be encasing and eroding into the internal and common carotid artery with a large soft tissue neck defect. Hemorrhage was successfully controlled employing 3 Viabahn covered stents of increasing diameter in the internal and common carotid artery in an overlapping fashion under local anesthesia. Deployment of tapering overlapped covered stents in common and internal carotid artery may safely be performed to obtain endovascular control of active hemorrhage in a hostile neck.
PMID: 25038316
ISSN: 1615-5947
CID: 3377302