Labaid Cardiology Journal Vol 07 issue 1-2

2. BANGLADESH
JOURNAL OF CARDIOLOGY
EDITORIALBOARD
CHIEF PATRON
Dr. A. M. Shamim
CHAIRMAN, EDITORIAL COMMITTEE
Dr. Abduz Zaher, FRCP
EDITORIAL BOARD
Dr. A. K. Miah, PhD
Dr. A. P. M. Sohrabuzzaman, FCPS
Dr. Reyan Anis, FRCP
Dr. Arun Kumar Sharma, FACC
Dr. Md. Elias Ali, MD
Dr. Lutfor Rahman, MS
Dr. Md. Lokman Hossain, MS
Dr. Mahbubul Islam, DA
Dr. A. H. M. Abul Monsur, D Card
EDITOR
Dr. Baren Chakraborty, FRCP
ASSISTANT EDITOR
Dr. Mahbubor Rahman, FRCP
Dr. Fahmida Zaman, FACC
CHIEF EXECUTIVE
Dr. (Brig Gen) Manzoor A. Mollah (Retd.)
SECRETARY, PUBLICATION COMMITTEE
Al-Emran Chowdhury
EDITORIAL STAFF
Kuddus Hawladar Nipun
Md. Mizanur Rahman
ADDRESS OF CORRESPONDENCE
Editor, Bangladesh Journal of Cardiology, Labaid Cardiac Hospital, House 1, Road 4, Dhanmondi, Dhaka 1205, Bangladesh
Tel : 88-02-8610793-8, 9670210-3, Fax : 880-02-9615497, Mobile : 01819425302, E-mail : baren_chakraborty@yahoo.com

3. 707-711
719-723
712-715
716-718
724-736
737-741
742-750

4. 751-755
756-761
762-765
766-769
770-774
775-777

8. Table-1
Table-3
Table-2
Figure-1

9. Figure-2
Table-4

18. Patient A after treatment CXR of Patient A, CXR showing cardiomegalyFigure-1 Figure-2

19. Causes of Dilated Cardiomyopathy : Factors Identified as Causes of Myocardial Damage
Category Of Factors
Bacterial infections
Rickettsia
Parasites
Fungi
Neuromuscular disorders
Nutritional factors
Collagen vascular diseases
Hematological diseases
Coronary artery diseases
Drugs
Endocrine diseases
Metabolic disorders
Malformation syndromes
Coxsackie virus B, human immunodeficiency virus, echovirus, rubella, varicella, mumps, Epstein-Barr
virus, cytomegalovirus, measles, polio
Diphtheria, Mycoplasma, tuberculosis, Lyme disease, septicemia
Psittacosis, Rocky Mountain spotted fever
Toxoplasma, Toxocara, Cysticercus
Histoplasma, coccidioidomycoses, Actinomyces
Duchenne or Becker muscular dystrophies, Friedreich ataxia, Kearns-Sayre syndrome, other
muscular dystrophies
Duchenne or Becker muscular dystrophies, Friedreich ataxia, Kearns-Sayre syndrome, other
Kwashiorkor, pellagra, thiamine deficiency, selenium deficiency
Rheumatic fever, rheumatoid arthritis, systemic lupus erythematosus, dermatomyositis, Kawasaki disease
Thalassemia, sickle cell disease, iron deficiency anemia
Anomalous left coronary artery from pulmonary artery, infarction
Anthracycline, cyclophosphamide, chloroquine, iron overload
Hypothyroidism, hyperthyroidism, hypoparathyroidism, pheochromocytoma, hypoglycemia
Glycogen-storage diseases, carnitine deficiency, fatty acid oxidation defects, mucopolysaccharidoses
Cri-du-chat (cat-cry) syndrome
Table-1

20. ECG of Patient A, ECG showing normal sinus rhythm and LVHFigure-3

21. Echocardiography of Patient A, Echocardiography showing dilated LV and poor LV function.Figure-4

24. ECG on the day of admission showing widespread ST segment depression in both inferior and anterior leads (arrows).Figure-1

25. Coronary angiogram, anterior posterior (AP) view
showing 80-90% stenosis of left main (LM) coronary
artery involving ostium and mid part (arrow).
Coronary angiogram, LAO caudal view showing
critical ostial stenosis of LM coronary artery
(arrow).
Coronary angiogram, left anterior oblique
(LAO) cranial view showing critical LM coronary
stenosis with 30-40% stenosis at mid part of left
anterior descending artery (LAD), (arrows).
Coronary angiogram, LAO view showing
normal non dominant right coronary artery
(RCA) (arrow)..
Figure-2 Figure-4
Figure-3 Figure-5

26. ECG 2 years after CABG, appears normal.Figure-6

30. x-ray chest-huge cardiomegally
Non coronary sinus is hugely dilated with a
perforation in apex
Right atrium was opened ,about 4cm long
vegetation was found, was attached to the
connecting site of Non coronary aneurysmal sinus
Huge right atrial and right ventricular enlargement
Double ended pledgeted horizontal mattress suture was
applied to aneurysmal area around the perforation
excised vegetation
Figure-1
Figure-3
Figure-5
Figure-2
Figure-4
Figure-6

31. Double ended pledgeted horizontal mattress
suture was applied around the perforation site
in Right atrium
PTFE patch closure of aneurismal part of
Non coronary sinus
PTFE patch closure of aneurismal part of Non
coronary sinus
Figure-7
Figure-8
Figure-9

33. Angiographic view showing normal LM, about 70 to
75% narrowing of mLAD, 95% stenosis of d LCxFigure-1

34. Stent in m LAD before inflation
LM stenting covering dissection
Deployment of stent in mLADFigure-2
Figure 4 & 5
Figure-3

35. Expanded deployed stent in LM
Longitudinal stent collapse
After stenting flap seen in LM
Collapse stent in LM and deployed stent in mLAD
Figure-6
Figure-8
Figure-7
Figure-9

38. Almost normal RCA with TPM
Run of suction catheter
Antegrate flow after suction
Total Occlusion of mid left main
Figure-1
Figure-3
Figure-4
Figure-2

39. POBA done IABP for cardiogenic shock
POBA and dottering Slow flow
Figure-5 Figure-7
Figure-6 Figure-8

40. Slow flow disappeared
Normalisation of coronary flow after PCI
Total occlusion of LM before PCIFigure-9
Figure-10
Figure-11

43. After left subclavian puncture wire failed to advanced into right atrium due to PLSVC
PPI lead into right ventricle making a circular loop
into right atrium (AP view)
PPI lead into right ventricle (LAO view)
Figure-1 & 2
Figure-3 Figure-4

44. PPI lead into right ventricle (RAO view)Figure-5