Publications by authors named "Deepak Kumar Satsangi"

16 Publications

  • Page 1 of 1

Primary intracardiac leiomyoma arising from cardiomyocyte progenitors at the right ventriculoseptal interface: case report with literature review.

Cardiovasc Pathol 2017 May - Jun;28:46-50. Epub 2017 Mar 9.

Department of Cardiothoracic and Vascular Surgery, GIPMER, JLN Marg, New Delhi 110002, India. Electronic address:

Primary cardiac neoplasms are rare and are usually benign myxomas and rhabdomyomas. Cardiac leiomyomas are usually seen as a part of the spectrum of intravenous leiomyomatosis or benign metastasizing leiomyoma. De novo occurrence of primary intracardiac leiomyomas (PICL) is a rarity. Herein we describe a 14-year-old boy presenting with intermittent dyspnea for 2 years, with a large right ventricular mass suggestive of myxoma on transthoracic echocardiography, without any extracardiac lesions. Histology and immunohistochemistry of the tumor excised under cardiopulmonary bypass confirmed a PICL arising at the cardiomyocyte-smooth muscle septal interface. A review of existing literature highlights an increased incidence in young patients and an overwhelming right ventricular anatomical predilection. Abnormalities in the multipotent cardiac progenitor cells of the second heart field may provide a potential microenvironment for the histogenesis of PICL.
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http://dx.doi.org/10.1016/j.carpath.2017.03.002DOI Listing
December 2017

Management of iatrogenic RV injury - RV packing and CPB through PTFE graft attached to femoral artery.

Ann Pediatr Cardiol 2015 Jan-Apr;8(1):53-5

Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India.

Cardiac injuries during repeat sternotomy are rare. While undergoing debridement for chronic osteomyelitis (post arterial septal defect closure), a 4-year-old girl sustained significant right ventricular (RV) injury. Bleeding from the RV was controlled by packing the injury site, which helped in maintaining stable hemodynamics till arrangements were made for instituting cardiopulmonary bypass (CPB). Since the femoral artery was very small and unsuitable for direct cannulation, a polytetrafluoroethylene (PTFE) graft sutured end-to-side to the femoral artery was used for establishing CPB. The injury was successfully repaired.
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http://dx.doi.org/10.4103/0974-2069.149520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322403PMC
February 2015

Glycemic control in cardiac surgery: rationale and current evidence.

Ann Card Anaesth 2014 Jul-Sep;17(3):222-8

Department of Cardio-Vascular and Thoracic Surgery, Apollo Gleaneagles, Kolkata, West Bengal, India.

Studies in cardiac surgical patients have shown an association of hyperglycemia with increased incidences of sepsis, mediastinitis, prolonged mechanical ventilation, cardiac arrhythmias and longer intensive care and hospital stay. There is considerable controversy regarding appropriate glycemic management in these patients and in the definition of hyperglycemia and hypoglycemia or the blood sugar levels at which therapy should be initiated. There is also dilemma regarding the usage of "tight glycemic control" with studies showing conflicting evidences. Part of the controversy can be explained by the differing designs of these studies and the variable definitions of hyperglycemia and hypoglycemia.
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http://dx.doi.org/10.4103/0971-9784.135873DOI Listing
September 2015

Right aortic arch with isolation of the left innominate artery in a case of double chamber right ventricle and ventricular septal defect.

Ann Pediatr Cardiol 2014 May;7(2):148-51

Department of Cardio Thoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India.

Herein, we report an unusual case of right aortic arch with isolation of the left innominate artery in a case of double chamber right ventricle with ventricular septal defect. The blood supply to the innominate artery was by a collateral arising from the descending aorta. The embryological development of this anomaly can be explained by the hypothetical double aortic arch model proposed by Edwards with interruption of the arch at two levels.
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http://dx.doi.org/10.4103/0974-2069.132500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070208PMC
May 2014

Entrapped Catheter across the Fossa Ovalis in an Adult with Pulmonary Stenosis - A Case Report of Surgical Relief.

Int Cardiovasc Res J 2014 Jan 1;8(1):30-2. Epub 2014 Jan 1.

Department of Cardiovascular and Thoracic Surgery, GB Pant Hospital, New Delhi, India.

Percutaneous pulmonary balloon valvuloplasty as a procedure of choice in adults has been established since the last three decades. Even though the complications are rare, they are scarcely reported in the literature. We report such a case in an adult female patient of severe pulmonary valular stenosis in whom, entrapped catheter across the fossa ovalis was noted in chest x-ray and echocardiogram following unsuccessful percutaneous pulmonary balloon valvuloplasty. Our case emphasizes this rare complication and its successful surgical outcome.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987453PMC
January 2014

Single stage repair of tetralogy of fallot associated with left pulmonary artery sling and tracheal stenosis.

J Card Surg 2013 Sep 30;28(5):595-8. Epub 2013 Jul 30.

Department of Cardiovascular and Thoracic Surgery, G B Pant Hospital, New Delhi, India.

We report a rare case of tetralogy of Fallot (TOF) with left pulmonary artery (LPA) sling with tracheal stenosis. The patient underwent successful surgery in one stage involving intracardiac repair of TOF, LPA reimplantation and resection of tracheal stenosis with end-to-end anastomosis.
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http://dx.doi.org/10.1111/jocs.12192DOI Listing
September 2013

Sinus of Valsalva aneurysm with left anterior descending coronary aneurysm.

J Card Surg 2012 Sep;27(5):611

Department of Cardio-Thoracic & Vascular Surgery, G B Pant hospital, New Delhi, India.

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http://dx.doi.org/10.1111/j.1540-8191.2012.01512.xDOI Listing
September 2012

Pyramid heart: uncommon sequel of a common disease.

J Cardiovasc Med (Hagerstown) 2015 Jan;16 Suppl 1:S31-2

aDepartment of CTVS, G.B. Pant Hospital, New Delhi bDepartment of Anatomy, Tagore Medical College, Chennai cDepartment of Cardiology, GB Pant Hospital, New Delhi, India.

A 40-year-old woman presented 19 years after ring-annuloplastyfor rheumatic mitral regurgitation. Long-standing rheumatic heartdisease resulted in an unusual finding on her chest radiograph.
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http://dx.doi.org/10.2459/JCM.0b013e328358cc56DOI Listing
January 2015

Double outlet right ventricle with single coronary artery.

Cardiovasc Pathol 2013 Jan-Feb;22(1):112. Epub 2012 May 1.

Department of CTVS, GB Pant Hospital, New Delhi 110002, India.

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http://dx.doi.org/10.1016/j.carpath.2012.03.003DOI Listing
May 2013

Left main coronary artery atresia with tetralogy of Fallot: a novel association.

J Thorac Cardiovasc Surg 2012 Sep 12;144(3):e87-9. Epub 2012 Apr 12.

Department of CTVS, G. B. Pant Hospital, New Delhi, India.

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http://dx.doi.org/10.1016/j.jtcvs.2012.03.037DOI Listing
September 2012

Left atrial primary B cell lymphoma presenting with mitral regurgitation.

J Card Surg 2012 May 5;27(3):300-3. Epub 2012 Mar 5.

Cardiovascular and Thoracic Surgery, GB Pant Hospital, Delhi, India.

Primary cardiac lymphoma (PCL) is an extremely rare diagnosis. We present a case of a 38-year-old immunocompetent female who presented with dyspnea on exertion and chest pain and the echocardiography revealed a mass in the left atrium (LA) causing moderate mitral regurgitation and mimicking a left atrial myxoma. The patient was managed with excision of the mass and mitral valve replacement followed by chemotherapy. The histopathology revealed B-cell non-Hodgkin lymphoma (NHL) with tumor cells showing immunoreactivity with CD20 and negative for CD45RO.
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http://dx.doi.org/10.1111/j.1540-8191.2011.01416.xDOI Listing
May 2012

Autograft mitral valve replacement: a new technique.

Thorac Cardiovasc Surg 2012 Jul 3;60(5):356-7. Epub 2012 Jan 3.

Department of Cardiothoracic and Vascular Surgery, G. B. Pant Hospital, New Delhi, India.

We describe a new technique wherein we have used the Ionescu Ross Wooler stent for housing the pulmonary autograft. We believe that this technique is easy and reproducible and offers many advantages over the previously described techniques.
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http://dx.doi.org/10.1055/s-0031-1295579DOI Listing
July 2012

Cardiac myxomas: experience over one decade.

J Card Surg 2011 Jul;26(4):355-9

Department of CTVS, GB Pant Hospital, New Delhi, India.

Background: This single-center study reviews our experience with cardiac myxomas over the past decade.

Methods: Sixty-two patients (23 male) with median age 38 years (range: 8 to 69 years) underwent excision of primary or recurrent cardiac myxomas between 2000 and 2009. Patients were evaluated with echocardiography preoperatively and annually postoperatively. Follow-up is current for all survivors (range 13 months to 10 years).

Results: Fifty-two patients had left atrial myxomas, seven right atrial, two biatrial, and one right ventricular. Three cases were familial. Maximum number of myxomas in a single patient was four. Symptom duration ranged from two to eight months. Two early deaths were due to low cardiac output and embolic cerebrovascular accident; one late death was due to a noncardiac cause. Actuarial survival was 96.8 ± 1.8% at 10 years. Most patients were asymptomatic following surgery. No sporadic, multiple, or biatrial myxomas recurred. Recurrence occurred in two familial cases, both with single, left atrial myxoma. Freedom from reoperation was 98.4 ± 1.3% at five years and 96.8 ± 1.8% at 10 years.

Conclusions: Biatrial involvement or multiplicity of myxomas does not mandate recurrence. Surgical excision has excellent overall survival and freedom from reoperation rates, but annual follow-up including echocardiographic surveillance is recommended as familial cases tend to recur. 
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http://dx.doi.org/10.1111/j.1540-8191.2011.01271.xDOI Listing
July 2011

Cardiac myxoma: echocardiography may not suffice!

J Thorac Cardiovasc Surg 2011 Aug 31;142(2):453-4. Epub 2011 Mar 31.

Department of CTVS, G.B. Pant Hospital, New Delhi, India.

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http://dx.doi.org/10.1016/j.jtcvs.2011.02.031DOI Listing
August 2011

Aortic pseudoaneurysm following valve replacement.

J Card Surg 2011 Mar 22;26(2):219-20. Epub 2010 Dec 22.

Department of CTVS, G.B. Pant Hospital, New Delhi, India.

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http://dx.doi.org/10.1111/j.1540-8191.2010.01177.xDOI Listing
March 2011

Stentless valves versus stented bioprostheses at the aortic position: midterm results.

J Thorac Cardiovasc Surg 2008 Oct 24;136(4):943-7. Epub 2008 Jul 24.

Department of Cardiothoracic and Vascular Surgery, GB Pant Hospital, Maulana Azad Medical College, New Delhi, India.

Objective: Our aim was to compare stentless and stented bioprostheses. Clinical outcomes, hemodynamic performance, and postoperative left ventricular mass regression were the principal outcomes assessed.

Methods: Sixty-two patients were recruited for the study. Our protocol was to consider all patients older than 55 years for bioprostheses, and also younger patients were implanted with a bioprosthesis if they wanted to avoid anticoagulation. Patients selected for bioprostheses were randomly assigned to receive stentless (group A) and stented (group B) bioprostheses, depending on the treating unit. Patients in groups A and B were further divided into subgroups I and II based on left ventricular ejection fractions of 50% or greater and less than 50%, respectively.

Results: At 18 +/- 3 months postoperatively, the effective orifice area was greater in group A versus group B. Left ventricular ejection fraction, left ventricular mass index, functional class, and mean gradient were similar in patients of subgroup I (left ventricular ejection fraction >50%) from both groups. However, there was a significant difference between all except mean gradient in patients of subgroup II (left ventricular ejection fraction <50%) from both groups. Also, in the patient subgroup implanted with valves of less than 19 mm (group A, 4 patients; group B, 3 patients), there was a significant difference in left ventricular mass index and mean gradient.

Conclusion: In patients with left ventricular impairment or a small aortic annulus, stentless bioprostheses might allow for greater improvement in left ventricular function postoperatively.
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http://dx.doi.org/10.1016/j.jtcvs.2008.06.016DOI Listing
October 2008
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