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Hydatid infection of the heart is rare and there is always the lethal hazard of cyst perforation. We present an 18-year-old male from Kashmir valley who was admitted to the emergency department of our hospital with fever and chest pain for the last 4 days. Using echocardiography and cardiac tomography (CT), cardiac Echinococcosis was diagnosed. The results of surgical treatment of cardiac Echinococcosis were better than the conservative strategy. Surgical excision was performed. The patient had an uneventful recovery.

Coronary artery stent infection has been reported with both bare metal stent and drug eluting stent and can present as mycotic coronary artery aneurysm, pseudoaneurysm, myocardial abscess, pericarditis or exudative effusion. Infection at the site of coronary stent implantation is rare and is believed to result typically from either direct stent contamination at the time of delivery or transient bacteraemia from access site. Introduction of drug-eluting stent (DES) has led to a marked reduction in the problem of in-stent restenosis across all patient subsets and lesions complexities. Recently, several case reports of pseudoaneurysm formation after DES implantation have been reported in the literature. We describe the successful surgical management of giant mycotic pseudoaneurysm of left anterior descending artery (LAD) presenting as fever of unknown origin. This report illustrates the importance of early detection and prompt management of these rare coronary pseudoaneurysms, which is a highly lethal condition.

The sudden disappearance of peripheral pulse tracing in the post cardiopulmonary bypass period can be an ominous sign of a catastrophic complication in cardiac surgery. It needs to be recognized at the earliest and immediate action should be taken to avoid serious outcome. Here we have described a case of Bentall’s procedure in which the right radial arterial tracing disappeared about 60 minutes post-operatively due to aortic dissection, but was repaired successfully because of early detection. We conclude that following cardiac surgery, one must closely monitor the peripheral pulses. The decrease in amplitude or disappearance of peripheral pulse should be taken seriously. It should be investigated immediately and prompt treatment should be done to save life.

Background: Several recent modifications in technical, operative and perfusion techniques have enabled good operative results and final outcome for patients with aneurysms of the aortic arch. Although surgical procedures for this disease still remain a formidable challenge, availability of improved prosthetic grafts, myocardial protection techniques, brain protection protocols and better blood bank facilities ensure minimal postoperative morbidity and mortality.

Premature coronary artery occlusive disease in familial homozygous hypercholesterolemia might necessitate coronary bypass surgery in children and young adults. Arterial grafts have been shown to be superior to venous grafts in children, with longer patency rates and a better growth potential. Young adults with familial hypercholesterolemia also fare better with internal thoracic grafts, although the benefit of multiple arterial grafts is still unproved in this setting. Surgical angioplasty of the main coronary arteries is another alternative to preserve the precious arterial conduits for future reoperations. Saphenous venous grafts, although inferior, have also been found to have some growth potential and long-term patency, even up to 22 years. The subject of this report is a 12-year-old child with familial homozygous hypercholesterolemia and severe obstructive coronary artery disease who underwent a total arterial revascularization. To the best of our knowledge, this is the first report of total arterial revascularization at this age.

The corporate governance plays a major role in the integrity of businesses and markets and helps in maintaining vitality, growth and stability and leads to increase in economic efficiency. In India SEBI under its listing agreement clause 49 has laid down rules and regulations for effective corporate governance and lot of research has been carried out to evaluate the corporate governance practices of the Indian corporate. At global level Organization for Economic Cooperation and Development (OECD) has also framed principles of corporate governance which are non-binding and intended to assist member and non-member government to evaluate and improve the legal, institutional and regulatory framework of corporate governance. The principles of corporate governance as laid down by OECD can lead to examine the level of disclosure practices to corporate governance at global level of the Indian corporate. Hence, in this study an attempt has been made to examine and evaluate the level of the fulfillment towards the various principles of 30 BSE Sensex companies for the year 2010-11.The analysis reveals that the disclosure practice made by Indian company as per Clause – 49 are to a certain extent capable of meeting the various principles of OECD on Corporate Governance. The Study depicts that the principle on Role of Stakeholders in Corporate Governance has attained greater significance. The principle on Board Responsibilities and Disclosure and Transparency needs to be more emphasised by Indian companies for effective Corporate Governance practice at global level.

Clause 41 of the listing agreement as issued by Securities Exchange Board of India (SEBI) directs the India Inc to comply with the provisions laid down by the board in respect of financial reporting. The board has made special requirement in respect of Interim Financial Reporting (IFR) to prepare and publish interim financial results and limited reviews of interim results by the auditor etc. In this paper an attempt has been made to verify the compliance of guidelines issued by SEBI as regard to interim financial result and put it on a scorecard to measure the level of compliance.

Corporate social responsibility is one aspect of sustainability that defines 'corporate voluntary actions designed to improve social or environmental conditions.' This voluntary action leads to the publication of separate special purpose 'sustainability' reports. Now a day’s corporate seek independent assurance of their sustainability reports as a means to further enhance the credibility of their sustainability efforts. One such assurance provider is the Dow Jones Sustainability Index (DJSI). In order to become a member of the DSJI, corporate are assessed on the opportunities and the risks related to economic, environmental, and social dimensions. In this paper an attempt has been made to identify Asia Pacific sustainability leaders as identified by Dow Jones Sustainability Asia Pacific IndexSM through a corporate sustainability assessment. It was found that none of the Indian companies have ever qualified for a position in this index.

A 25-year-old man presented with a history of breathlessness for the past 2 years. He had a history of operation for Tetralogy of Fallot at the age of 5 years and history suggestive of Rheumatic fever at the age of 7 years. On echocardiographic examination, all his heart valves were severely regurgitating. Morphologically, all the valves were irreparable. The ejection fraction was 35%. He underwent quadruple valve replacement. The aortic and mitral valves were replaced by metallic valve and the tricuspid and pulmonary by tissue valve.

Background Bidirectional Glenn procedure can be performed without cardiopulmonary bypass (CPB) with some advantages. But the effect of high central venous pressure can be detrimental on the brain. This short study was undertaken to see the effect of off pump Glenn on Bispectral index (BIS), a sensitive neuro monitor.