These two very different but high risk patient populations have very different survival rates. At a time where regulatory agencies demand more and more with regards to transplant outcomes, we think the transplant community has to reflect on whether allocation justice and fair access to transplant are respected if we start allocating organs based on outcomes.
Shahid Gangalal National Heart Centre does about 1200 cardiac operations per year. Valve Surgery especially for rheumatic valves comprises about half of the operations performed every year. Over 1500 valve surgeries have already been performed in the centre since 2002 till date. We present our experience on triple valve surgery.
Disorders affecting the scapula can lead to significant limitations in arm movement and pain. Scapular winging is a rare, painful, and debilitating condition that leads to limited functional abilities of the upper limb. This condition can be caused by multiple etiologies, most commonly lesions to the long thoracic nerve (serratus anterior weakness) and spinal accessory nerve (trapezius weakness). Other less common types may be caused by lesions affecting the dorsal scapular nerve. These neurological lesions produce characteristic and distinct types of scapular winging or dyskinesis. This chapter reviews the various types of scapular winging and discusses their evaluation, diagnosis, and management options.
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