This cross sectional prospective study was carried out in the Department of Otolaryngology- Head & Neck Surgery, Tairunessa Memorial Medical College Hospital (TMMCH), Boardbazar, Gazipur, Bangladesh in a period of 12 months from 01.01.2012 to 31.12.2012 among those complaining hearing loss attending in ENT OPD. The aim of the study was to find out pattern and causes of hearing loss. Two hundred cases of hearing impaired people were taken and the data were collected by interviewing the cases as per questionnaire from history, examinations & investigation reports. The commonest type of hearing loss was conductive type. In the right ear 114 cases (63.33%) of conductive type of deafness, 36 cases (20%) of mixed type of deafness and 30 cases (16.67%) of sensorineural type of deafness. In the left ear 106 cases (61.62%) of conductive type of deafness, 40 cases (23.25%) of mixed type of deafness and 26 cases (15.13%) of sensorineural type of deafness. This study showed that females (58%) were mostly affected than males (42%) and garments workers (45%) were commonest group of people. From this study we got both ears were involved by disease process in 76% of the patients and only right ear was 14% and only left ear was 10%. The commonest cause of hearing loss is chronic suppurative otitis media. The ear diseases are common in our country but its diagnosis is usually delayed, till then certain amount of hearing loss has occurred. So awareness, early diagnosis and proper treatment are needed to improve the situation. DOI: http://dx.doi.org/10.3329/akmmcj.v5i2.21125 Anwer Khan Modern Medical College Journal Vol. 5, No. 2: July 2014, Pages 9-13

Pericardial effusion defines the presence of an abnormal amount and/or character of fluid in the pericardial space. It can be acute or chronic and caused by a variety of local and systemic disorders, or it may be idiopathic. Pericardial effusion can be relieved by medical treatment, pericardiocentesis through a needle with or without echocardiographic guidance, or by surgical procedures, such as subxiphoid pericardial tube drainage, by creating a pericardial window through a left anterior thoracotomy, or by video assisted thoracoscopic surgery (VATS) Subxiphoid pericardial window drainages were done on 35 patients with symptomatic pericardial effusion in the Department of cardiac surgery, BSMMU, from February, 1995 through July, 2009, and were all included in this retrospective observational study. The inclusion criteria were an established diagnosis of pericardial effusion confirmed by history, physical findings and transthoracic echocardiography, hemodynamic alteration as evidenced by hypotension( systolic blood pressure < 90 mm of Hg), shortness of breath, echocardiographic finding of > 10 mm echo free space with/ without compression of heart, recurrence after pericardiocentesis, haemorrhagic or thick pericardial effusion and malignant pericardial effusion. The exclusion criteria were loculated or post surgical pericardial effusion, effusive constrictive pericarditis or where formal thoracotomy was applied for drainage of effusion. Patients were followed up at one month and three months following the drainage procedure.The age range was from 13 years to 70 years (Mean 47.86 ± SD 15.20 years), 19 (54.28%) were male, 16(45.72%) were female. The symptomatology varied but cardiac and respiratory decompression overwhelmed other symptoms. In this study tuberculosis is the most common cause of pericardial effusion, idiopathic and malignancies are other important causes. Subxiphoid window drainage is an effective process in relieving pericardial effusion and the reaccumulation rate is low.

Mitral stenosis (MS) occurs nearly exclusively as a consequence of rheumatic fever. The rheumatic process evokes the inflammatory changes in the valve endothelium resulting in narrowing of the orifice. Depending upon the severity of the disease, the treatment modality varies and the choice may be either Percutaneous transluminal mitral commissurotomy (PTMC), Closed mitral commissurotomy (CMC), Open mitral commissurotomy or valvuloplasty (OMC) or straight a way mitral valve replacement (MVR) procedure. In this observational study the results of 25 CMC operations done from February ‘09 through September ’09 is presented. A review of results of CMC operations done abroad is also presented. The outcome of this low cost operation for early cases of mitral stenosis is quite satisfactory.Keyword: Rheumatic valvular disease; Closed mitral commissurotomy; immediate outcome DOI: 10.3329/uhj.v6i2.7249University Heart Journal Vol. 6, No. 2, July 2010 pp.78-81

Keywords: Atrial septal defect; on-pump; beating heartOnline: 11 Feb 2010DOI: http://dx.doi.org/10.3329/bmrcb.v35i3.4083Bangladesh Med Res Counc Bull 2009; 35: 113-116

Pulmonary valve replacement for pulmonary regurgitation is a common practise. Pulmonary stenosis relief or after release of right ventricular outflow tract obstruction, progressive pulmonary regurgitation leading to biventricular failure is a big problem. If early pulmonary valve replacement done by homograft or tissue valve then we can overcome this problem. In our case report we have done pulmonary valve replacement by Edward life science Tissue valve for calcified pulmonary valve. And our patient showed a good response after valve replacement. DOI: http://dx.doi.org/10.3329/uhj.v9i1.19514 University Heart Journal Vol. 9, No. 1, January 2013; 54-55