Department of CTVS

 56 years old male from Cuttack  Date of admission  Date of surgery  Date of death  Diagnosis: coronary artery disease; post inferior wall MI, severe mitral regurgitation, mild aortic regurgitation, NYHA class V, mild LV dysfunction, poorly controlled diabetic

 Admitted to EMR on with severe breathlessness, sweating, cough x 9 days  Not a known hypertensive, known diabetes x 12 years  At admission in LVF, shock, shifted to ICU, stabilized, intubated and ventilated, supportive care given, Nephrology consult taken for azotemia  CAG done on (mild 30% LAD lesion, 100% RCA lesion, LCx normal)

 Still on mechanical ventilator, unable to extubate, recurrent LVF, persistent azotemia  on emergency CABG with mitral valve replacement done  Weaned off CPB with difficulty with high inotropic support and IABP support, shifted in unstable condition  Deteriorated and died at 5 AM on

 11 months old male baby from Puri  Date of admission  Date of surgery:  Date of death:  Diagnosis: Congenital acyanotic heart disease; partial AV canal defect, large perimemrnaous ventricular septal defect, ostium primum ASD, large PDA, severe PAH

 Admitted for cough, fever, vomiting x 2 months  Stabilised, treated with antibiotics, persistent mild cough, cath could not be done  VSD closure, PDA ligation and ASD closure done on  Shifted to ICU in stable condition, developed tachy-arryhthmia (resistant VT) in immediate post-op period, deteriorated quickly and died at 10PM same day

 49 year old male from Baripada  Date of admission:  Date of surgery:  Date of death:  Diagnosis: Rheumatic valvular heart disease, severe MR, mild MS, moderate AS, moderate AR, single vessel CAD, diabetic, CRF, NYHA class V, in atrial fibrillation with fast rate

 Admitted to EMR with chest pain, sweating and breathlessness since same day morning  Admitted, stablised, sugars controlled, shifted to CT-ICU for AF with fast rate on , put on non-invasive ventilation  DVR with CABG done on , shifted to CT-ICU in unstable condition  Persistent acidosis, low BP, low urine output despite IABP and high inotropic support  Died on at 11:45 PM