Browsing by Author "Yadav, Samir Kumar"
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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 Managing a Rare Major Aortopulmonary Collaterals with Single Ventricle Physiology through Coiling and Cavopulmonary Shunt in a Single Hybrid Setting: A Case Report(Institute of Medicine, 2025) Yadav, Samir Kumar; Bhattarai, Anil; Baral, Ravi; Khakural, PrabhatAbstract We report a case of a 15-year-old female with single ventricle physiology, double outlet right ventricle, situs inversus, and major aortopulmonary collateral arteries (MAPCAs), treated in a single hybrid setting with endovascular coiling of nonessential MAPCAs and Bidirectional Glenn (BDG) procedure. Current guidelines recommend optimizing the pulmonary vascular bed through unifocalization of essential MAPCAs and embolization of nonessential MAPCAs to achieve Cavo pulmonary anastomosis, often via single- or multi-staged approaches. This case demonstrates the feasibility of a hybrid approach for complex CHDs. Keywords: Double Outlet Right Ventricle, Single Ventricle Physiology, Major Aortopulmonary Collateral Arteries, Bidirectional Glenn procedure, Case Report