Dipesh Pradhan

Isolated interrupted aortic arch in 42-year-old adult—case report

Interrupted aortic arch (IAA) is a rare congenital anomaly characterized by a complete luminal and anatomical interruption between the ascending and descending thoracic aorta. It is usually detected in the perinatal period or during infancy, but a very few cases have been reported in adults. Here, we present the case of a 42‐year‐old man who visited our hospital for arterial hypertension and in whom IAA was diagnosed with echocardiography and confirmed by computed tomography angiography.

An unusual case of myocardial noncompaction involving both ventricles—Case report

Noncompaction of ventricular myocardium (NCVM) is a rare congenital cardiomyopathy characterized by numerous excessively prominent trabeculations and intertrabecular recesses in the myocardium without any other cardiac structural abnormality. Transthoracic echocardiography is the imaging modality of choice for diagnosing NCVM. Although this disease commonly affects the left ventricle, the right ventricle or both ventricles can rarely be affected. We report the case of an 18‐year‐old male patient with NCVM involving both ventricles.

Clinical Significance of ST Segment Elevation in Posterior Leads V7, V8 and V9 in Patients with Acute Inferior Wall Myocardial Infarction

Objectives: The aim of the study was to assess the role of ST segment elevation in the Posterior leads V7, V8, and V9 for the diagnosis of acute posterior wall infarction and the identification of infarct related artery (IRA) in patients with acute inferior wall MI. Background: The posterior wall infarction is difficult to diagnose through standard 12 lead ECG alone, especially in the acute setting. Methods: In our retrospective study, 121 patients (101 male, 20 female) with an inferior acute MI, were included. They were divided into two groups according to the presence (Group A: mean age 60.00±10.05 years) or absence (Group B: mean age 57.65 ± 12.86 years) of ST segment elevation in leads V7, V8, V9. Complete demographic data were recorded in all subjects, the infarct size was estimated by CPK MB, left ventricular function was assessed by echocardiographically and infarct related artery patency was evaluated by coronary angiography. Results: Group A patients had a higher frequency of Left cirucumflex occlusion than group B patients (n=33, 27.3% vs. n=4, 3.3%, p=0.0001). Group A had a more extensive infarction, as is shown by CPK MB values (90.12 ± 33.42 vs 45 ± 38.28, P= 0.0001) but with no difference in left ventricular ejection fraction. Conclusion: ST segment elevation in posterior leads helps to diagnose left circumflex artery as a culprit IRA in an acute inferior wall MI with extensive infarct area involving posterolateral walls.

Clinical significance of thin cytology and HPV DNA test in diagnosing cervical disease

Abstract Objectives: To evaluate the sensitivity and accuracy of the HPV DNA test in conjunction with Thinprep cytology test as a screening method of human papillomavirus (HPV)