Papers by Dr.pankaj Jariwala
Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging, 2021
Post infarction pericarditis, Dressler's syndrome is a well-recognized condition, but its inc... more Post infarction pericarditis, Dressler's syndrome is a well-recognized condition, but its incidence has decreased in the present interventional era due to early reperfusion strategy. We encountered an unusual association of large pericardial effusion secondary to Dressler's syndrome and intractable ventricular tachycardia that reverted upon pericardiocentesis. We coined a term “electrical tamponade” to describe an electrical storm or high-grade ventricular arrhythmias secondary to pericardial effusion.
Journal of Cardiology Cases, 2022
Indian Journal of Clinical Cardiology, 2022
Renal-artery stenosis/occlusion is the cause of ischemic nephropathy, which is associated with hy... more Renal-artery stenosis/occlusion is the cause of ischemic nephropathy, which is associated with hypertension due to renovascular system involvement. Acute renal failure in patients with bilateral renal artery stenosis can occur for a variety of reasons, including administration of an angiotensin-converting enzyme inhibitor or spontaneous progression of renal-artery stenosis leading to bilateral total occlusion or high-grade stenosis. Rapid diagnosis and prompt treatment are the basis of kidney survival. The root cause of renal-artery occlusion must be elucidated in younger age patients after revascularization, such as Takayasu’s arteritis (TA) or fibromuscular dysplasia. We discuss the case of a preadolescent girl who had bilateral complete renal artery occlusion due to TA and acute kidney injury, needing renal replacement therapy. She had a bailout percutaneous renal intervention to the left renal artery, which resulted in remarkable clinical improvement.
EMJ Interventional Cardiology, 2021
Transcatheter heart valve retrograde migration after transcatheter aortic valve implantation is u... more Transcatheter heart valve retrograde migration after transcatheter aortic valve implantation is unusual. It can occur during the implantation of the aortic transcatheter heart valve, i.e., intra-procedural, or in the first few days following the intervention. Transcatheter valve embolisation and migration soon after deployment typically results from the implantation of a prothesis that was undersized for the annulus, an unreasonably low implantation, or the expulsion of the device following deployment by an excessive ventricular contraction. The presented case highlights the importance of the timing of the complication that has taken place, in this case, intra-procedural, which has become relevant to the research.
IHJ Cardiovascular Case Reports (CVCR), 2021
We present a rare case with simultaneous COVID-19 pneumonia and acute complicated type -B aortic ... more We present a rare case with simultaneous COVID-19 pneumonia and acute complicated type -B aortic dissection (ACTBAD). With strained health services a major procedure endovascular aortic repair (EVAR) was performed. Despite successful EVAR, patient had sudden unexplained cardiac arrest. Procedural mortality is high among COVID-19 infected patients.
Polish Journal of Radiology, 2021
Purpose: Pseudoaneurysms of the common carotid artery secondary to high-velocity fragment injurie... more Purpose: Pseudoaneurysms of the common carotid artery secondary to high-velocity fragment injuries to the head and neck in patients are uncommon lesions. Multi-detector computed tomography angiography should be performed on all patients suffering from high-speed fragment injuries of the head and neck. We share our experience with the endovascular management approach for the closure of 2 separate pseudoaneurysms involving the left common carotid artery. Numerous options for surgical and endovascular treatment of these lesions are available. Endovascular therapy in patients with common carotid artery pseudoaneurysms offers a reliable and non-invasive management option. It helps in the mitigation of its rupture and thromboembolic complications.
IHJ Cardiovascular Case Reports (CVCR), 2021
Wearable devices are commonly used for the remote diagnosis of the arrhythmias worldwide. Apple W... more Wearable devices are commonly used for the remote diagnosis of the arrhythmias worldwide. Apple Watch is being increasingly available in our country, its usefulness was established in a recent COVID-19 pandemic. Healthcare service providers are using more of such remote devices and virtual 'Artificial Intelligence' is gaining more popularity. We report few common electrocardiograms which helped in making diagnosis and could advise patients further therapeutic measure.
EMJ Interventional Cardiology, 2020
Years after coronary artery bypass graft surgery, plaque formation or graft degeneration is a maj... more Years after coronary artery bypass graft surgery, plaque formation or graft degeneration is a major concern. Saphenous vein grafts (SVG) are vulnerable to degeneration and occlusion, leading to poorer long-term disease because of atherosclerotic degeneration. The main mechanism responsible for SVG failure is neointimal hyperplasia and the occluded SVG is treated with percutaneous coronary intervention, mostly with the use of additional protection devices. Graft intervention for the diffuse degeneration of SVG can be performed with the use of suitable hardware without the distal protection device being required. The authors herein report the case of a 63-year-old female who presented with degenerated SVG to the left anterior descending artery with anastomotic stenosis, 6 years after coronary artery bypass graft surgery. She was successfully treated with three ultra-thin sirolimus-eluting stents in SVG to the left anterior descending artery, without the use of any embolic protection d...
IHJ Cardiovascular Case Reports (CVCR), 2021
Indian Journal of Clinical Cardiology, 2021
Simultaneous ST-segment elevation (SST-SE) in anterior and inferior leads in the setting of ST-se... more Simultaneous ST-segment elevation (SST-SE) in anterior and inferior leads in the setting of ST-segment elevation myocardial infarction is often confounding for a cardiologist and further more challenging is the angiographic localization of the culprit vessel. SST-SE can be fatal as it jeopardizes simultaneously a larger area of myocardium. This phenomenon could be due to “one lesion, one artery,” “two lesions, one artery,” “two lesions, two arteries,” or combinations in two different coronary arteries. We have discussed an index case where we encountered a phenomenon of SST-SE and coronary angiography demonstrated “two lesions, one artery” (proximal occlusion and distal critical diffuse stenoses of the wrap-around left anterior descending [LAD] artery) and “two lesions, two (different coronary) arteries” (previously mentioned stenoses of the LAD artery and critical stenosis of the posterolateral branch of the right coronary arteries). We have also described in brief the possible cau...
![Research paper thumbnail of Transcatheter Trans-aortic Retrograde Approach for the Closure of Perimembranous Ventricular Septal Defects using Cocoon [Amplatzer Duct Cccluder I Like] Device – An Initial Experience from a Single Centre](https://attachments.academia-assets.com/89407136/thumbnails/1.jpg)
Journal of Structural Heart Disease, 2019
Aims & Objective: Transcatheter ventricular septal defect (VSD) device closure is usually perform... more Aims & Objective: Transcatheter ventricular septal defect (VSD) device closure is usually performed using the antegrade approach [1-3]. A few case series of a retrograde technique using the Amplatzer duct occluder (ADO) II device have been reported [4, 5]. We aimed to assess the feasibility and safety of a retrograde closure technique using an ADO I like device, which is used for the closure of patent ductus arteriosus (PDA). Methods: Between June 2015 and January 2018, eight consecutive, consenting cases with congenital perimembranous VSDs underwent trans-aortic device closure using an ADO I like device in a single tertiary care center. Results: The median age was 17.1 years (5-32, SD 17.125 years) with 3 males and 5 females. Mean defect size was 6.6 mm (4.5-8.6 mm, SD 6.6125), with a median aortic rim of 3.4 mm (2-5, SD 3.4125). Median Qp/Qs and right ventricular systolic pressure was 1.8 (1.6-2.1, SD 1.825) and 41.3 mm Hg (33-50, SD 41.25) respectively. Median fluoroscopy and procedure times were 13.3 (10.6-15.7, SD 13.275) and 23.5 (18.2-27.2, SD 22.722) minutes respectively. The defects were successfully closed with no residual shunt in all 8 patients (100%). There was no
Indian Heart Journal, 2017
We came across a 54-years-male patient who underwent percutaneous transluminal coronary angioplas... more We came across a 54-years-male patient who underwent percutaneous transluminal coronary angioplasty (PTCA) to the mid segment of the left anterior descending artery (LAD) two weeks back, presented with acute onset of chest discomfort for last 4 h. Electrocardiography showed ST-segment elevation in leads V1 to V6 and I, aVL with reciprocal ST-segment depression in leads II, III, and aVF. Echocardiography showed moderate left ventricular
Indian Heart Journal, 2019
The primary aortic thrombosis (PAT) is an uncommon noncardiac cause of distal peripheral emboliza... more The primary aortic thrombosis (PAT) is an uncommon noncardiac cause of distal peripheral embolization to lower extremities. Also, this condition develops in the absence of extensive atherosclerosis of aorta or abnormal dilatation like aneurysm of the aorta. In most of the cases, there was either no or minimal atherosclerosis of the aorta. The disease can involve any part of the aorta, but in most of the cases, the thoracic aorta below the origin of the left subclavian artery followed by the infrarenal portion of the abdominal aorta was the most common site of involvement. In our case, there was extensive thrombosis starting from the lower part of the thoracic aorta extending across both the renal arteries up to the aortic bifurcation without any underlying aortic pathology or hypercoagulable disease. There are no guidelines for the management of the PAT, but our experience is based on few case series, case reports, and meta-analysis where there are variable success rate using conservative medical management, endovascular procedure, or surgical thrombectomy. Vitamin K antagonist was the drug of choice in all the cases as a part of conservative medical management or used to prevent recurrence after the endovascular or surgical procedure. We present a case of PAT where the use of dabigatran leads to complete resolution and prevented the recurrence of the disease during two-year follow-up, which is the first and unique case report of the literature.
SN Comprehensive Clinical Medicine, 2019
JACC: Cardiovascular Interventions, 2018
Indian Heart Journal, 2016
We describe a case report of a young girl, who presented with symptoms and signs of acute decompe... more We describe a case report of a young girl, who presented with symptoms and signs of acute decompensated heart failure not responding to decongestive therapy. Routine 2D echocardiography revealed a diagnosis of constrictive pericarditis. She underwent pericardiectomy, and etiology of it turned out to be CD20 negative B-cell lymphoblastic primary cardiac lymphoma (PCL). Despite intensive medical and surgical management, it was fatal. PCL is uncommon among cardiac tumors and extremely rare in immunocompetent patients. Constrictive pericarditis is a rare clinical diagnosis and manifestation of pericardial involvement in PCL.
Indian heart journal
A 7-month-old girl with failure to thrive, who, on clinical and diagnostic evaluation [echocardio... more A 7-month-old girl with failure to thrive, who, on clinical and diagnostic evaluation [echocardiography & CT angiography] to rule out congenital heart disease, revealed a rare vascular anomaly called systemic artery to pulmonary venous fistula. In our case, there was dual abnormal supply to the entire left lung as(1) anomalous supply by normal systemic artery [internal mammary artery](2) and an aberrant feeder vessel from the abdominal aorta. Left Lung had normal bronchial connections and normal pulmonary vasculature. The fistula drained through the pulmonary veins to the left atrium leading to 'left-left shunt'. Percutaneous intervention in two stages was performed using Amplatzer vascular plugs and coil embolization to close them successfully. The patient gained significant weight in follow up with other normal developmental and mental milestones.
Annals of cardiac anaesthesia, 2006
Address for Correspondence: Dr. Suresh Babu Kale, Department of Cardiovascular Thoracic Surgery, ... more Address for Correspondence: Dr. Suresh Babu Kale, Department of Cardiovascular Thoracic Surgery, The Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050. Australia. Phone: 0061-408641172, Fax: +61-3-93475258 Email: [email protected] Annals ...
Indian Heart Journal, 2013
Apollo Medicine, 2014
Abstract The association of acute coronary syndrome with any immunological mediated polyradiculop... more Abstract The association of acute coronary syndrome with any immunological mediated polyradiculopathy like Guillain–Barre syndrome is very rare. We report such a rare association of acute myocardial infarction and Guillain–Barre syndrome. Our patient underwent primary angioplasty successfully, but developed respiratory failure while in hospital. While the difficulty in weaning off from ventilator a suspicion of neuromuscular disease was made. The further investigations, including nerve conduction study confirmed a diagnosis of Guillain–Barre syndrome. Despite treatment, the patient died secondary to multi-organ dysfunction. Our case is 4th reported in the literature without use of any thrombolytic agent for such association.
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Papers by Dr.pankaj Jariwala