Browsing by Author "Baral, Ravi"
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Publication A Rare Case from Eastern part of Nepal: Young Female with Right-Sided Bovine Aortic Arch with Coarctation of Aorta and Takayasu's Arteritis(Institute of Medicine, Tribhuvan University, 2024) Yadav, Samir Kumar; Bhattarai, Anil; Baral, Ravi; Khakural, Prabhat; Khadka, BibekAbstract: ‘Bovine’ a misnomer term refers to a group of congenital abnormalities of the aorta in which there is aberrant origin of the left common carotid artery. Takayasu's arteritis is a rare, chronic inflammatory disease affecting the walls of the aorta and its main branches leading to stenosis, occlusions, dilatation, and aneurysms of involved vessels. It is rare to find both in a single patient. We present a 20 year young Muslim female from eastern Nepal complaining of pain and weakness of all four limbs, with cold digits for 3 months.Publication Cardiac Myxoma among Patients Undergoing Cardiac Surgery in a Tertiary Care Center: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Khakural, Prabhat; Baral, Ravi; Bhattarai, Anil; Koirala, BhagawanAbstract: Introduction: Heart neoplasms are rare tumors. Myxoma is the commonest primary benign tumor of the heart presenting with features of obstruction, arrhythmia, and embolism. Surgical excision of the tumor is the gold standard of treatment. The aim of the study is to find out the prevalence of cardiac myxoma among all cardiac surgeries operated during the study period. Methods: A descriptive cross-sectional study was done among 3800 patients undergoing surgery for cardiac tumors in a tertiary care center after obtaining approval from the Institutional Review Committee (Reference number- 36/(6-11)E2/077/078). The data was collected retrospectively from August 2012 to August 2020 using convenience sampling method. Statistical analysis was performed using Microsoft Excel 2016. Point estimate at 95% Confidence Interval was calculated along with frequency, percentage, mean and standard deviation. Results: There were 26 (0.68%) (0.42-0.94 at 95% Confidence Interval) myxoma among 3800 cardiac surgeries performed over eight years. The mean age of the patients was 54.76±14.31 (range 17-75) years. Twenty (76.92%) patients were females. The commonest presenting symptom was shortness of breath in 19 (73.07%) patients. En masse excision with the closure of the atrial septal defect was the principal surgical technique. The mean Intensive Care Unit stay and hospital stays were 2.92±1.29 and 6.26±2.61 days respectively. There was no perioperative mortality. Conclusions: Cardiac myxoma was the most common cardiac tumor encountered as in other studies.