Background: Intra-cardiac mass, particularly myxoma operation is common at NICVD .Its frequency is about 1-2% among all operations done here. The main aim of this study was to analyze the different aspects of this tumour and its surgery on 62 patients operated over last three years (2015-2017). Methods: It is a retrospective study .The data were collected over a period of 03 years (2015-2017) For this I studied the ward admission register, OT and ICU registers ,ICU flow charts, talked with the respective unit doctors to collect my data. Then the data were analyzed manually and by computer. Results: Age range of the patients were from 7.5 years to 65years with a mean±SD (36.94±13.99). Male and female patient ratio were M:F=1:1.81.Myxoma were more common in the 4th and 5th decade of life in this study population .Preoperative time delay for operation after hospital admission was 9±2.12days.All the operations were done as an elective procedure rather urgent or emergency procedure. Post operative mortality was around 12.90% among these patients. The causes of high mortality following myxoma operation were Low Output Syndrome, Congestive Heart Failure , Cerebral stroke and septicaemia. Conclusion: Myxoma operation is common in NICVD. Most of our patients were dealt as a routine procedure. Their features and surgical procedure were similar with a little difference among the neighbouring countries. Our post operative outcome was a little bit worse (12.90% mortality) over the mentioned period. We need to find out the causes and to take care of these patients to reduce mortality in future. Bangladesh Heart Journal 2018; 33(2) : 85-89

Arrow injury in the neck with subsequent pseudoaneurysm formation of the brachiocephalic artery is an uncommon type of injury in our country. Initially it was a punctured wound in the neck which was simply repaired. About 13 days after the initial injury patient came back to hospital with severe respiratory distress and backache for which emergency tracheostomy was needed. This simple puncture wound subsequently developed haematoma in the neck and two pseudoaneurysms at distal brachiocephalic artery. CT angiogram was very helpful to confirm the diagnosis. Correct referral to tertiary hospital like National Institute Cardiovascular Diseases (NICVD) ,prompt diagnosis, definitive treatment of the injury and subsequent aggressive postoperative management saved the life of this young tailor. DOI: http://dx.doi.org/10.3329/cardio.v7i1.20802 Cardiovasc. j. 2014; 7(1): 58-62

A 36 years old married female with children from a district of Bangladesh had been suffering from mitral stenosis with atrial fibrillation ( AF) with left atrial (LA) thrombus & active pulmonary tuberculosis under anti-TB drugs. She presented with shortness of breath ( SOB), blood mixed sputum & right lower limb pain for 14 days which was later diagnosed as thromboembolism with acute limb ischemia. LA clot was removed by open heart surgery. Three masses of clots were removed, one ball thrombus, another irregular mass taking the shape of LA appendage and the other is a mixture of old and fresh thrombus. Patient underwent mitral valve replacement (MVR). One side of the irregular thrombus showed the impression of a human face (? Ghost). Histopathology confirmed them as thrombi. Patient was discharged home on the 8th post operative day. DOI: http://dx.doi.org/10.3329/cardio.v5i1.12283 Cardiovasc. j. 2012; 5(1): 120-122