ABSTRACT
BACKGROUND: Hyperhomocysteinemia is associated with an increased risk for cardiovascular diseases. The influence of hyperhomocysteinemia on post-operative events, after coronary artery bypass surgery graft, is less studied. METHODS: This cross-sectional study aimed to determine if hyperhomocysteinemia was associated with post-operative complications in patients < 50 years who underwent off-pump coronary artery bypass graft for coronary artery disease. A set of major post-operative complications were considered as primary outcome measures. The independent effect of hyperhomocysteinemia and other risk factors in the incidence of post-operative complications was determined by multivariate analysis. RESULTS: The mean homocysteine levels among the study participants who had post-operative complications were significantly higher than those without post-operative complications (17.37â mmol/L vs. 12.84â mmol/L). On multivariate analysis, hyperhomocysteinemia, diabetes mellitus, and higher body mass index (> 25) were significant predictors of adverse events during the post-operative period. CONCLUSION: Hyperhomocysteinemia was a significant predictor of immediate post-operative adverse events after coronary artery bypass surgery graft. Necessary precautions and management strategies have to be evolved for these high-risk subsets.
Subject(s)
Coronary Artery Bypass, Off-Pump , Coronary Artery Disease , Hyperhomocysteinemia , Humans , Hyperhomocysteinemia/complications , Hyperhomocysteinemia/diagnosis , Hyperhomocysteinemia/epidemiology , Cross-Sectional Studies , Coronary Artery Bypass/adverse effects , Coronary Artery Disease/surgery , Coronary Artery Bypass, Off-Pump/adverse effects , Risk Factors , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Treatment Outcome , Retrospective StudiesABSTRACT
Dunbar syndrome also called as median arcuate ligament syndrome is a rare cause of angina abdominis. Diagnosis can be made with CT angiography or magnetic resonance imaging (MRI). Surgery is the gold standard treatment. This is an instance of Dunbar syndrome who was assessed for abdominal torment and was alluded from gastroenterology department for vascular and surgical intervention.
ABSTRACT
Cardiac lipoma of right atrium is rare. Early surgery is the treatment of choice. We describe a case of giant right atrial wall lipoma, which was resected through mini thoracotomy and its results.