Chanaka Rajakaruna
Yale University
SurgeryCardiologyVentilation (architecture)ThoraxSuperior vena cava syndromeCoronary artery diseaseAscending aortaInterrupted aortic archCardiac surgeryCardiopulmonary bypassAortaPercutaneous coronary interventionDescending aortaPersistent truncus arteriosusPulmonary arteryMediastinitisSuperior vena cavaAnesthesiaDiabetes mellitusMedicine
8Publications
5H-index
222Citations
Publications 8
Newest
#1Bijoy G. Rajbanshi (Yale University)H-Index: 3
#2Paris Charilaou (Yale University)H-Index: 14
Last. John A. Elefteriades (Yale University)H-Index: 61
view all 6 authors...
Background The combination of descending aortic aneurysm (DAA) with concomitant coronary artery disease (CAD) is associated with increased morbidity and mortality. We review the surgical management for patients with this combined disease. Methods From January 2000 to January 2014, we performed 268 elective surgeries on the descending or thoracoabdominal aorta. Sixty-six patients (24.7%) had significant CAD. Indications for aortic intervention included thoracoabdominal aortic aneurysm (TAAA) in 2...
1 CitationsSource
#1Chanaka Rajakaruna (Yale University)H-Index: 5
#2Chris A Rogers (UoB: University of Bristol)H-Index: 38
Last. Massimo Caputo (UoB: University of Bristol)H-Index: 37
view all 8 authors...
OBJECTIVES: Off-pump coronary artery bypass (OPCAB) surgery is a technically more demanding strategy of myocardial revascularization compared with the standard on-pump technique. Thoracic epidural anaesthesia, by reducing sympathetic stress, may ameliorate the haemodynamic changes occurring during OPCAB surgery. The aim of this randomized controlled trial was to evaluate the impact of thoracic epidural anaesthesia on intraoperative haemodynamics in patients undergoing OPCAB surgery. METHODS: Two...
10 CitationsSource
#1Paolo M. de Siena (Bristol Royal Hospital for Children)H-Index: 4
#2Chanaka Rajakaruna (Bristol Royal Hospital for Children)H-Index: 5
Last. Massimo Caputo (Bristol Royal Hospital for Children)H-Index: 37
view all 4 authors...
We report a surgical strategy for repairing an interrupted aortic arch (IAA) with truncus arteriosus (TA) by using a reverse subclavian flap and an aorto-pulmonary (A-P) window technique for preserving the pulmonary artery architecture. A 10-day-old neonate with type B IAA and type I TA with echocardiographic evidence of a significant distance between the ascending and descending aorta underwent surgical repair at the Bristol Royal Hospital for Children. The superior part of the arch was reconst...
2 CitationsSource
#1Paolo M. de SienaH-Index: 4
#2Chanaka RajakarunaH-Index: 5
Last. Massimo CaputoH-Index: 37
view all 4 authors...
We report a surgical strategy for repairing an interrupted aortic arch (IAA) with truncus arteriosus (TA) by using a reverse subclavian flap and an aorto-pulmonary (A-P) window technique for preserving the pulmonary artery architecture. A 10-day-old neonate with type B IAA and type I TA with echocardiographic evidence of a significant distance between the ascending and descending aorta underwent surgical repair at the Bristol Royal Hospital for Children. The superior part of the arch was reconst...
#1Chanaka Rajakaruna (BRI: Bristol Royal Infirmary)H-Index: 5
#2Chris A Rogers (BRI: Bristol Royal Infirmary)H-Index: 38
Last. Raimondo Ascione (BRI: Bristol Royal Infirmary)H-Index: 39
view all 5 authors...
Background Surgical case-mix is seriously worsening, and the results of surgical revascularization on high-risk cohorts should be continuously evaluated. This study investigates the influence of diabetes mellitus on the short and midterm outcome in the modern era of coronary surgery. Methods and Results Patients who underwent first-time coronary artery bypass grafting from April 1996 to October 2003 were classified into diabetic and nondiabetic groups. Data were prospectively collected and retro...
99 CitationsSource
#1Raimondo Ascione (BRI: Bristol Royal Infirmary)H-Index: 39
#2Sudath P Talpahewa (BRI: Bristol Royal Infirmary)H-Index: 5
Last. Gianni D. Angelini (BRI: Bristol Royal Infirmary)H-Index: 72
view all 7 authors...
Background We investigated the efficacy of coronary surgery with or without cardiopulmonary bypass in protecting the function of the small intestine, liver, and pancreas. Methods Patients were randomized to off-pump coronary artery bypass grafting (OPCAB) or coronary artery bypass grafting with cardiopulmonary bypass (CABG-CPB). Small intestine function was assessed by differential four sugars (O = methyl-D-glucose, D-xylose, L-rhamnose, and lactulose) permeability and absorption tests. Liver fu...
93 CitationsSource
#1Chanaka Rajakaruna (BRI: Bristol Royal Infirmary)H-Index: 5
#2Chris A Rogers (BRI: Bristol Royal Infirmary)H-Index: 38
Last. Raimondo Ascione (BRI: Bristol Royal Infirmary)H-Index: 39
view all 4 authors...
Objective The study’s objective was to identify predictors of prolonged ventilation and assess clinical and cost implications in patients undergoing cardiac surgery. Methods Patients undergoing cardiac surgery were classified as (1) ventilated less than 96 hours or (2) ventilated 96 hours or more. Multivariate modeling was used to identify predictors of prolonged ventilation and to ascertain the impact of prolonged ventilation on in-hospital mortality and bed occupancy costs and 5-year survival....
79 CitationsSource
#1Simon Bays (BRI: Bristol Royal Infirmary)H-Index: 3
#2Chanaka Rajakaruna (BRI: Bristol Royal Infirmary)H-Index: 5
Last. Anthony Morgan (BRI: Bristol Royal Infirmary)H-Index: 5
view all 4 authors...
Fibrosing mediastinitis is a rare, chronic inflammatory process that can cause superior vena cava syndrome, and can mimic malignancy. We present two cases of this disease where surgical resection was not possible and review the treatment options. q 2004 Elsevier B.V. All rights reserved.
21 CitationsSource