Dr Sushrut Potwar

Consultant Cardiac Surgeon

[Dr Sushrut Potwar @DocCTVS]

#RAMyxoma
Primary cardiac tumors are rare
Incidence 200 cases per million (0.02%) to 0.5–1 case per million population per year globally

Atrial Distribution:
Left atrium - 75% to 80% of all cardiac myxomas
Right atrium- 8% to 15%

[Dr Sushrut Potwar @DocCTVS]

Upper ministernotomy AVR
Purse string cannulation is not the difficult part
It’s deairing
Paediatric defibrillator paddles are useful
Venting via root and RSPV keep LV empty till return of temperature and sinus rhythm
TEE is a must

[Dr Sushrut Potwar @DocCTVS]

Why young #Indians <40 are prone to heart attacks

Heart disease develops 10 yrs younger in Indians vs West

Causes
Higher lipoprotein A
Small dense LDL
High carb diet
Hyperhomocysteinemia

Air pollution (#Delhi living like smoking 20 cigs/day)

Poor sleep
Smoking
#Diabetes

[Dr Sushrut Potwar @DocCTVS]

#bentallsurgery

#pectusexcavatum

#Marfan
Stj 4.2 cms

Deep pericardial sutures
Help pull the heart higher
Rigid sternum-manubriosternal junction
Retrograde sterntomy

[Dr Sushrut Potwar @DocCTVS]

#RedoMVR
Initial surgery Bioprosthetic Hancock 25 mm
Degenerated leaflets
Wanting to conceive
Redo Sorin 29 mm

[Dr Sushrut Potwar @DocCTVS]

Upper mini sternotomy AVR

4th space entry

Incision below supra sternal notch

Drain below xiphi tunneled retrosternally

#minimallyinvasiveheartsurgery

[Dr Sushrut Potwar @DocCTVS]

Harvesting the LIMA without breach of pleura
A different feeling

[Dr Sushrut Potwar @DocCTVS]

Quadriceps muscle strength is single strongest predictor of all cause mortality in men above 45 years

Isometric exercise produces significant reduction in BP

#fitness

[Dr Sushrut Potwar @DocCTVS]

@DrAyubaD Air fluid level
? abscess

[Dr Sushrut Potwar @DocCTVS]

@visrane Why did the whole thing have to be video recorded and action could have been taken without public display if the doctor concerned was wrong
But threatening a public servant , intimidation and mockery in front of colleagues could have been avoided
Strict No No

[Dr Sushrut Potwar @DocCTVS]

@soreabg Sounds a lot like Bombay in May & June of last year, all wards were covid in majority of hospitals, all consultants medical, surgical were managing ICUs,Covid wards .Routine surgical work was down to a trickle,only emergency. Patients too were delaying surgery for fear of hosptls

[Dr Sushrut Potwar @DocCTVS]

@dr_arthroplasty 🙂🙂

[Dr Sushrut Potwar @DocCTVS]

@dr_arthroplasty @mybmc @MSF_USA @TheDoctors Thank you
At present home quarantined since Wednesday
🙂

[Dr Sushrut Potwar @DocCTVS]

"SOCIAL DISTANCING" The AML & PML way
#heartsurgery #rheumatic #congenital #mitralvalve #valves #heartdisease https://t.co/U2RnSpquID

[Dr Sushrut Potwar @DocCTVS]

@hvanspall @igeorge1975 Human history is littered with instances of killings in name of God,Religion,Colour,Nationality and 100 years from now I guess we wont change.Humanity is failing at flattening the curve but the virus is winning in flattening us and our so called differences
#COVID #CoronaVirus

[Dr Sushrut Potwar @DocCTVS]

@NewsHour Just when you thought it's getting better its started getting worse.India in early April we thought we were safe due to warm weather, endemic malaria, HCQ,Bcg vaccine,higher immunity due to repeated infections. But covid laid to rest all our conspiracy theories
#covid #NewYork

[Dr Sushrut Potwar @DocCTVS]

@GChadHughesMD @PaulMahoneyMD Great video , thanks for sharing. Hadn't seen a TAVR being https://t.co/7x6MEh4rdm made it look easy .

[Dr Sushrut Potwar @DocCTVS]

@PeterASinger @WHO Though really wish they were nimble while catching the early signs of this pandemic, telling the world exactly what this was from the start,would have saved many lives..Late start better than no start .

[Dr Sushrut Potwar @DocCTVS]

@IHamamsy Beaten down but not defeated

[CTSNet @ctsnetorg]

COVID-19: Chest Drains With Air Leak – The Silent ‘Super Spreader’? https://t.co/Bl8X9fganQ #tssmn #Thoracic #COVID19