Background: Annular dilation is the most typical nding in Mitral regurgitation and annuloplasty with a prosthetic ring is common to various techniques described in literature Mitral valve repair in rheumatic heart disease possesses various technical difculties with no general consensus on the ideal annuloplasty ring. This study describes our experience and results with a semirigid annuloplasty ring (CE physio II ring) in a predominant rheumatic population. This is a retrospectiv Methods: e study using data including 23 patients who underwent mitral valve repair at Vardhman Mahavir Medical College and Safdarjung hospital, New Delhi, between July 2018 to April 2022. Patients were followed up to a mean of 19.3 10.6 months with a minimum follow-up period of 6 months. The mean age was Results: 30.5 15.3 years. The majority of patients, 78.3% (18) had rheumatic heart disease. 82.6% (19) of patients belonged to NYHA class I/II. The results in our study with CE physio II ring are excellent with 91.3% patients free from signicant MR (grade 2). 72% of the patients had improved or preserved Left ventricular function with a decrease in mean LVEF by 2.4% which was statistically insignicant(P>0.05). There was 0 operative or early mortality in our study. The semiexible CE physio II ring provides Conclusions: excellent results in both short and midterm outcomes in terms of freedom from recurrence of signicant MR with preservation of left ventricular function.
Background: Carotid Body tumours (CBTs) are rare neuroendocrine tumours. Due to their proximity to vital structures including major vessels and cranial nerves, Surgical excision requires meticulous dissection and any injury to major vessels requires prompt repair. This study aimed to review our experience with the surgical management of Carotid Body Tumours. A Methods: retrospective study was performed on 20 patients who underwent excision of carotid body tumours at Vardhaman Mahavir Medical college and Safdarjung hospital, New Delhi between January 2003 to June 2022. Demographic data describing the presentation, preoperative and intraoperative details, and postoperative complications reported were tabulated and descriptive statistical analysis was done A total of 20 Results: patients were operated on. Complete resection was possible in all the patients. Vascular injury occurred in only 2 patients which were repaired promptly. Cranial nerve injury was reported in only 1 patient which resolved on follow-up. There was no incidence of stroke or recurrence. Conclusions: Periadventitial Excision is the treatment of choice for carotid body tumours and is a safe and effective procedure with minimal intraoperative and postoperative complications.
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