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  1. Article: Right upper lobe pulmonary sequestration masquerading clinically and radiologically as malignancy: a case report.

    Gupta, Ankit / Chetty, Gavin / Hopkinson, David / Rao, Jagan / Chetty, Govind

    Journal of surgical case reports

    2023  Volume 2023, Issue 1, Page(s) rjad022

    Abstract: Bronchopulmonary sequestration is a rare disease in which a non-functional region of pulmonary tissue receives an aberrant vascular supply and lacks normal communication with the tracheobronchial tree. We present the case of a 30-year-old female with a ... ...

    Abstract Bronchopulmonary sequestration is a rare disease in which a non-functional region of pulmonary tissue receives an aberrant vascular supply and lacks normal communication with the tracheobronchial tree. We present the case of a 30-year-old female with a primary complaint of unexplained weight loss and no other additional signs or symptoms. In view of this, computed tomography imaging was ordered, showing a 33HU mass in the right upper lobe. A specialist radiologist reviewed the images and concluded that the most likely differentials were mediastinal lymphoma or thymic malignancy. Video-assisted thoracoscopic surgery was performed, when it was seen that no malignancy was present, but rather a bronchopulmonary sequestration. Histology confirmed the diagnosis; the patient fared well post-operatively. Bronchopulmonary sequestration is a rare pathology, with most cases occurring in the lower lung lobes. This case is highly atypical, due to the lack of clinical features and the lesion radiologically mimicking the appearance of malignancy.
    Language English
    Publishing date 2023-01-31
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjad022
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  2. Article: Successful medical treatment of aortic intramural hematoma (Stanford type B) in a patient with aberrant right subclavian artery: A case report.

    Witharana, Pasan / Sherif, Mohamed / Chetty, Govind / Turner, Douglas

    Radiology case reports

    2022  Volume 17, Issue 8, Page(s) 2657–2660

    Abstract: Intramural Hematoma (IMH) forms part of the acute aortic syndrome, aortic dissection, and penetrating aortic ulcer. It is a life-threatening aortic disease that warrants prompt diagnosis and management. Like aortic dissections, it is classified using the ...

    Abstract Intramural Hematoma (IMH) forms part of the acute aortic syndrome, aortic dissection, and penetrating aortic ulcer. It is a life-threatening aortic disease that warrants prompt diagnosis and management. Like aortic dissections, it is classified using the Stanford classification system as type A (proximal to the origin of the left subclavian artery) and type B (distal to the origin of the left subclavian artery). Patients with type A IMH is generally managed surgically, and uncomplicated type B IMH is managed medically. The right subclavian artery arises typically from the brachiocephalic trunk. Aberrant right subclavian arteries (ARSA) are rare and derive directly from the aortic arch distal to the left subclavian artery. In this case report, a 73-year-old female presented with right-sided chest pain and shortness of breath. On examination, her heart rate was 100 bpm and blood Pressure was 185/85 and her ECG showed sinus rhythm. Following a CT scan, she was found to have a type B Aortic IMH with an ARSA. She was medically managed with vigorous blood pressure control. After a period of intravenous blood pressure treatment, she was treated with oral medication. Her subsequent CT scan showed that the hematoma was stable. She was followed up with MRI scanning 1 year later, which showed complete healing of the aorta with no changes in diameter. This case illustrates the importance of strict blood pressure management and follow-up imaging in patients presenting with type B IMH. It is important to monitor these patients regularly and where blood pressure control alone is not sufficient, further intervention may be required. Even though the complete resolution may be achieved as in this case, these patients will need to be kept under surveillance with repeated scans to monitor for any changes.
    Language English
    Publishing date 2022-05-29
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2022.05.004
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  3. Article ; Online: Managing iatrogenic aortic dissection during primary percutaneous coronary intervention of the left main stem.

    Sherif, Mohamed / Jhala, Hiral / Chetty, Govind

    Journal of cardiac surgery

    2022  Volume 37, Issue 5, Page(s) 1402–1404

    Abstract: Iatrogenic aortic dissection post primary percutaneous coronary intervention (PCI) is rare but yet a serious complication. In this report, we present a case of a 40-year-old lady who had an aortic dissection post PCI which was initially missed by the ... ...

    Abstract Iatrogenic aortic dissection post primary percutaneous coronary intervention (PCI) is rare but yet a serious complication. In this report, we present a case of a 40-year-old lady who had an aortic dissection post PCI which was initially missed by the conventional contrast images and required a gated computerized tomography aortogram to confirm the diagnosis. The patient was managed with strict blood pressure control resulting in complete healing of the dissection after 72 hours of the management. The case illustrates the importance of selecting the correct imaging to make an accurate diagnosis when aortic dissection is suspected and outlines the importance of blood pressure control in treating iatrogenic aortic dissections.
    MeSH term(s) Adult ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/etiology ; Aneurysm, Dissecting/surgery ; Aortography ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Female ; Humans ; Iatrogenic Disease ; Percutaneous Coronary Intervention/adverse effects
    Language English
    Publishing date 2022-02-16
    Publishing country United States
    Document type Case Reports
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.16337
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2221: Show issues Location:
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  4. Article ; Online: Aortic arch replacement with simultaneous antegrade cerebral and systemic perfusion using a single centrifugal pump driven 'split arterial line' extracorporeal circuit design.

    Satchwell, Jack / Friar, Rebecca / Chetty, Govind / Sadeque, Syed / Greco, Renata / Knowles, Patrick / Bowie, James / Beatson, Paul / Colley, Sean

    Perfusion

    2023  , Page(s) 2676591231181848

    Abstract: The ability to provide antegrade cerebral and systemic perfusion simultaneously may negate the requirement for any prolonged period of circulatory arrest during complex aortic arch reconstruction procedures, depending on the cannulation strategy. We ... ...

    Abstract The ability to provide antegrade cerebral and systemic perfusion simultaneously may negate the requirement for any prolonged period of circulatory arrest during complex aortic arch reconstruction procedures, depending on the cannulation strategy. We describe the development and successful implementation of a custom 'split arterial line' extracorporeal circuit configuration to facilitate complex aortic surgery. This circuit design offers a wide range of cannulation and perfusion strategies, is safe, adaptable, simple to manage, and avoids the use of roller pumps for blood delivery, which are associated with deleterious haematological complications during prolonged cardiopulmonary bypass cases. The split arterial line approach has now become the standardised methodology for facilitating complex aortic surgery at our institution.
    Language English
    Publishing date 2023-06-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 645038-6
    ISSN 1477-111X ; 0267-6591
    ISSN (online) 1477-111X
    ISSN 0267-6591
    DOI 10.1177/02676591231181848
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2424: Show issues Location:
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  5. Article ; Online: Successful PCI for Left Main Stem Thrombus on an Open Chest and VA-ECMO.

    Sammut, Mark A / Chetty, Govind / Grech, Ever D

    JACC. Cardiovascular interventions

    2019  Volume 13, Issue 3, Page(s) 394–395

    MeSH term(s) Aged ; Aortic Valve/diagnostic imaging ; Aortic Valve/physiopathology ; Aortic Valve/surgery ; Aortic Valve Stenosis/diagnostic imaging ; Aortic Valve Stenosis/etiology ; Aortic Valve Stenosis/physiopathology ; Aortic Valve Stenosis/surgery ; Bioprosthesis ; Coronary Thrombosis/diagnostic imaging ; Coronary Thrombosis/etiology ; Coronary Thrombosis/physiopathology ; Coronary Thrombosis/therapy ; Extracorporeal Membrane Oxygenation ; Female ; Heart Arrest/diagnosis ; Heart Arrest/etiology ; Heart Arrest/physiopathology ; Heart Arrest/therapy ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation/adverse effects ; Heart Valve Prosthesis Implantation/instrumentation ; Hemodynamics ; Humans ; Percutaneous Coronary Intervention ; Prosthesis Failure ; Sternotomy ; Treatment Outcome
    Language English
    Publishing date 2019-12-11
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2452157-7
    ISSN 1876-7605 ; 1936-8798
    ISSN (online) 1876-7605
    ISSN 1936-8798
    DOI 10.1016/j.jcin.2019.09.005
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6669: Show issues Location:
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  6. Article ; Online: Aortic stenosis presenting with cardiogenic shock. Is there a role for intra-aortic balloon pump use?

    Besis, George / Dimitrakakis, Georgios / Chetty, Govind / Groves, Peter H

    Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese

    2020  Volume 61, Issue 6, Page(s) 447–449

    MeSH term(s) Aortic Valve Stenosis/complications ; Aortic Valve Stenosis/diagnosis ; Aortic Valve Stenosis/surgery ; Cardiac Surgical Procedures ; Heart-Assist Devices ; Humans ; Intra-Aortic Balloon Pumping ; Shock, Cardiogenic/diagnosis ; Shock, Cardiogenic/etiology
    Language English
    Publishing date 2020-03-03
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 2215027-4
    ISSN 2241-5955 ; 1109-9666
    ISSN (online) 2241-5955
    ISSN 1109-9666
    DOI 10.1016/j.hjc.2020.02.004
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6187: Show issues Location:
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  7. Article ; Online: Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement.

    Umran, Sarwar / Chetty, Govind / Sarkar, Pradip K

    International journal of preventive medicine

    2012  Volume 3, Issue 4, Page(s) 295–297

    Abstract: We report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. We present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac ... ...

    Abstract We report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. We present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac valve surgery - the theories and treatments are discussed. A 85 year-old female was admitted under the care of the cardiothoracic team with signs and symptoms of heart failure. Investigations, including cardiac echocardiography and coronary angiography, indicated a critical aortic valve stenosis. Intraoperative right ventricular failure ensued post aortic valve replacement. Subsequent investigations revealed an acute occlusion of the proximal right coronary artery with resultant absence of distal flow supplying the right ventricle. An immediate right coronary artery bypass procedure was performed with resolution of the right ventricular failure. Subsequent weaning off cardiopulmonary bypass was uneventful and the patient continued to make excellent recovery in the postoperative phase. To our knowledge this is one of the few documented cases of intraoperative acute coronary artery occlusion developing during valve surgery. However, surgeons should be aware of the potential for acute occlusion so that early recognition and rapid intervention can be instituted.
    Language English
    Publishing date 2012-05-18
    Publishing country Iran
    Document type Case Reports
    ZDB-ID 2574680-7
    ISSN 2008-8213 ; 2008-7802
    ISSN (online) 2008-8213
    ISSN 2008-7802
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  8. Article ; Online: The short saphenous vein: a viable alternative conduit for coronary artery bypass grafts harvested using a novel technical approach.

    Sarwar, Umran / Chetty, Govind / Sarkar, Pradip

    Journal of surgical technique and case report

    2012  Volume 4, Issue 1, Page(s) 61–63

    Abstract: A multitude of vascular conduits are available to the Cardiac Surgeon performing Coronary Artery Bypass Graft operations. The Internal Mammary Artery, Radial Artery (RA), and the Long Saphenous Vein (LSV) have proven to be excellent conduits, especially ... ...

    Abstract A multitude of vascular conduits are available to the Cardiac Surgeon performing Coronary Artery Bypass Graft operations. The Internal Mammary Artery, Radial Artery (RA), and the Long Saphenous Vein (LSV) have proven to be excellent conduits, especially in the current era of statin usage. However, previous stripping or varicosities of the LSV and calcification of the RA, coupled with the need for multiple vessel grafting, requires an alternative candidate. We describe a novel harvesting technique for bilateral simultaneous Short Saphenous Vein harvest and propose this, often forgotten vein, as a viable alternative conduit.
    Language English
    Publishing date 2012-09-01
    Publishing country India
    Document type Case Reports
    ZDB-ID 2575835-4
    ISSN 0976-2825 ; 0976-2825
    ISSN (online) 0976-2825
    ISSN 0976-2825
    DOI 10.4103/2006-8808.100359
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  9. Article ; Online: Diaphragmatic and intercostal muscle tear after an episode of violent sneezing: spontaneous diaphragmatic injury.

    Karangizi, Alvin H K / Renaud, Steven J / Rao, Jagan N / Chetty, Govind

    The Annals of thoracic surgery

    2013  Volume 96, Issue 1, Page(s) 301–302

    Abstract: Spontaneous diaphragmatic injuries are rare, accounting for approximately 1% of all diaphragmatic injuries. We report a case of a 69-year-old male with a concurrent lower respiratory tract infection who sustained diaphragmatic and intercostal muscle ... ...

    Abstract Spontaneous diaphragmatic injuries are rare, accounting for approximately 1% of all diaphragmatic injuries. We report a case of a 69-year-old male with a concurrent lower respiratory tract infection who sustained diaphragmatic and intercostal muscle injuries after an episode of violent sneezing. To our knowledge, this is the first reported case of spontaneous diaphragmatic injury after sneezing.
    MeSH term(s) Aged ; Diagnosis, Differential ; Diaphragm/injuries ; Diaphragm/surgery ; Hemothorax/diagnostic imaging ; Hemothorax/etiology ; Hemothorax/surgery ; Humans ; Intercostal Muscles/injuries ; Intercostal Muscles/surgery ; Male ; Pneumothorax/diagnostic imaging ; Pneumothorax/etiology ; Pneumothorax/surgery ; Rupture, Spontaneous ; Sneezing ; Thoracotomy/methods ; Tomography, X-Ray Computed
    Language English
    Publishing date 2013-07
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2012.11.034
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 252: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  10. Article ; Online: A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms.

    Solodkyy, Andriy / Shalhoub, Joseph / Chetty, Govind / Briffa, Norman P

    International journal of surgery case reports

    2012  Volume 3, Issue 7, Page(s) 311–313

    Abstract: Introduction: Whilst the incidence of CAA has been reported as up to 5%, giant CAA (>2cm) is rare.: Presentation of case: We present a rare case of 3cm×4cm giant coronary artery aneurysm (CAA) in the context of aorto-iliac aneurysmal disease, treated ...

    Abstract Introduction: Whilst the incidence of CAA has been reported as up to 5%, giant CAA (>2cm) is rare.
    Presentation of case: We present a rare case of 3cm×4cm giant coronary artery aneurysm (CAA) in the context of aorto-iliac aneurysmal disease, treated by staged open surgical repair.
    Discussion: Abdominal aortic aneurysm (AAA) and CAA share risk factors and aetiological mechanisms, therefore should be considered, particularly when CAA is diagnosed in the first instance.
    Conclusions: Surgical intervention for diagnosed giant CAA appears to be the treatment of choice in the reported literature, with the order of intervention when AAA co-exists remaining a point for debate.
    Language English
    Publishing date 2012-03-29
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN (online) 2210-2612
    DOI 10.1016/j.ijscr.2012.03.023
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