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Sushil Kumar Singh

Publications and source records attributed to Sushil Kumar Singh.

5 recordsLinked to original sources

The 2-bodied continuous cardiac output catheter.

Continuous cardiac output (CCO) pulmonary artery catheters (PACs) are used in cardiac surgical patients for hemodynamic monitoring. This is an invasive technique; therefore, it has well-known mechanical and infectious complications related to its use. Associated problems, more commonly noticed, are catheter malfunctions and malpositions. We present a case in which a CCO catheter appeared to have a double body on radiologic diagnosis. This resulted in extra radiography for rechecking and careful clinical reevaluation of the monitored data.

Adult↗

Multivessel total arterial revascularization via left thoracotomy.

Off-pump coronary artery bypass grafting is now becoming the preferred method of coronary revascularization. The trend is towards complete revascularization, preferably arterial. We are describing here a method of multivessel, total arterial, complete revascularization via an anterolateral thoracotomy approach in 27 patients. There was an average of 3.2 grafts/patient. Angiograms were performed in 9 patients (33.33 %). There were no operative mortalities. None of the patients required conversion to cardiopulmonary bypass or midsternotomy.

Adult↗

Total arterial revascularization on beating heart: experience in 803 cases.

To avoid the deleterious effects of cardiopulmonary bypass, total arterial revascularization was performed on the beating heart, using an Octopus stabilizer, in this prospective study of 803 patients without selection bias. Single-vessel disease was present in 71 (9%) patients, double-vessel disease in 204 (25%), and triple-vessel disease in 528 (66%). An ejection fraction < 30% was found in 127 (16%) cases. Angiography was carried out before discharge in 204 (25%) patients. Grafts included left and right internal mammary arteries and the radial artery. There were 2,661 grafts placed with a mean of 3.31 grafts per patient (range, 1 to 6). Operative mortality was 0.5%. There was no postoperative stroke and few incidences of renal impairment, even in patients with chronic renal failure. Blood transfusion was not required in 558 (69%) patients. Mean hospital stay was 5.6 days. Overall angiographic patency was 98.6%. Total arterial revascularization on the beating heart was found to be safe, effective, and reproducible in almost all patients, with excellent short-term patency rates and minimal morbidity.

Adult↗

Congenital lung hernia.

We report a case of a congenital atraumatic lung hernia who underwent a successful operation.

Child↗