Biatrial drainage of right superior vena cava with left superior vena cava: A diagnostic conundrum [Case Report]
Bhansali, Suneet; Cohen, Roi B; Halpern, Dan; Saharan, Sunil; Saric, Muhamed; Kumar, T K Susheel; Mosca, Ralph S
Multivalvular Endocarditis With Abscess: A Wild Goose Chase
Abuso, Stephanie; Rubin, Lily; Geraghty, Brian; Hoque, Tasneem; Better, Donna; Kumar, T K Susheel; Small, Adam; Halpern, Dan; Weisenberg, Scott; Fiorito, Theresa M
We report a case of Streptococcus mutans multivalvular infective endocarditis complicated by aortic root abscess and septic emboli in a 19-year-old male with a bicuspid aortic valve. This case illustrates the progression of untreated subacute bacterial endocarditis and highlights the importance of ongoing clinical suspicion for infective endocarditis in patients with underlying valvular defects.
Tricuspid atresia with absent pulmonary valve: A rare form of single ventricle
Naik, Ronak; Makadia, Luv D; Ramirez, Michelle; Crawford, Maya T; Ahmad, Latifah; Kumar, T K Susheel
Tricuspid atresia with an absent pulmonary valve is a rare congenital cardiac defect. Although extensive pathological reviews have been published in the past, there are only a handful of cases that have been successfully palliated to the stage of Fontan. We hereby describe the successful management of one such case and review the surgical strategies described in the literature.
Elevated Levels of Urinary Biomarkers TIMP-2 and IGFBP-7 Predict Acute Kidney Injury in Neonates after Congenital Heart Surgery
RamÃrez, Michelle; Chakravarti, Sujata; Busovsky-McNeal, Melissa; McKinstry, Jaclyn; Al-Qaqaa, Yasir; Sahulee, Raj; Kumar, T K Susheel; Li, Xiaochun; Goldberg, Judith D; Gefen, Ashley M; Malaga-Dieguez, Laura
Norwood modification for hypoplastic left heart and right aortic arch [Case Report]
Kumar, T K Susheel; Williams, David; Scheinerman, Joshua; Bhansali, Suneet; Ramirez, Michelle; Chakravarti, Sujata; Crawford, Maya; Mosca, Ralph
Commentary: Sound clinical judgment: The sine qua non for good patient outcomes! [Editorial]
Kumar, T K Susheel
Aortic migration of Amplatzer Piccoloâ„¢ ductal Occluder
Minocha, Prashant K; Sutton, Nicole; Crawford, Maya T; Williams, David; Ramirez, Michelle; Chakravarti, Sujata; Mosca, Ralph; Kumar, T K Susheel
We present the case of a 4-month-old, former 23-week premature baby who underwent patent ductus arteriosus device closure in the cardiac catheterisation lab with an Amplatzer Piccoloâ„¢ device at 12 weeks of life. This was complicated by late migration of the device into the aorta resulting in severe obstruction and requiring surgical intervention.
Commentary: Awareness: The First Step to Change [Editorial]
Kumar, T K Susheel
Aortic migration of Amplatzer Piccolo (TM) ductal Occluder
Minocha, Prashant K.; Sutton, Nicole; Crawford, Maya T.; Williams, David; Ramirez, Michelle; Chakravarti, Sujata; Mosca, Ralph; Kumar, T. K. Susheel
Giant mediastinal teratoma in a young infant: a case report [Case Report]
Howell, Raelina S; Magid, Margret S; Kuenzler, Keith A; Kumar, T K Susheel
Background/UNASSIGNED:Giant mediastinal tumors in the pediatric population can pose unique challenges for resection such as cardiovascular collapse on induction of anesthesia and injury to surrounding structures that may be compressed, displaced, or invaded by the mass. Principles that must be borne in mind during removal of giant mediastinal masses include: appropriate cross-sectional imaging to define extent of mass; airway control during induction of anesthesia; a multidisciplinary collaborative approach including cardiothoracic surgery; preparation for urgent sternotomy; plan for peripheral cannulation to institute cardiopulmonary bypass if needed; preservation of neurovasculature structures during dissection; complete resection whenever possible. While complete resection is desirable and results in an excellent prognosis, it may not be achievable especially if the tumor encases coronary arteries, and it is acceptable to leave small amounts of tumor behind. Case Description/UNASSIGNED:Here we present a case describing surgical management of a giant mediastinal teratoma in a two-month-old female. The patient was found to have a large mediastinal mass during workup for cough and noisy breathing. She underwent preoperative echocardiogram demonstrating normal cardiac function followed by uncomplicated, open resection of the mass. Conclusions/UNASSIGNED:Giant mediastinal tumors give rise to unique challenges for resection in small infants. The principles of airway control, preparation for urgent sternotomy, preparation for peripheral cardiopulmonary bypass cannulation, and preservation of neurovasculature during dissection must be borne in mind.