Editorial Board Member VZ CV
Vipin Zamvar MBBS, MS, DNB(CTh), FRCS (CTh)
Consultant Cardiothoracic Surgeon,
Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh
Visiting Professor in Department of Cardiothoracic Surgery,
Kasturba Medical College, Manipal, India. (Dec 2016 to date).
Educational Qualifications
MBBS Grant Medical College Bombay, 1988
MS Bombay University, 1991
FRCS Royal College of Physicians and Surgeons of Glasgow, 1992
DNB (CTh) National Board of Examinations, New Delhi, 1994
FRCS (CTh) Intercollegiate Board, Royal College of Physicians and Surgeons of Glasgow (1998)
FRCS (Eng) Royal College of Surgeons of England ad eundem (2012)
Roles
1) Lead clinician for Audit in the Cardiothoracic Directorate (2003 to present).
2) Lead Clinician for the “Quality Improvement Programme” in Cardiothoracic Surgery (2004 to 2018).
3) Marker for Discretionary Point Applications in Lothian NHS Trust (2004 to 2019)
4) Examiner for the MRCS, RCPS Glasgow (2004 to present) and RCS England (2010 to 2012)
5) Appraisal of surgical colleagues (2015 to present)
6) Royal College of Surgeons of England Representative on Consultant Appointment Panels (2010 to present)
7) External Adviser for Consultant Appointments in CT Surgery by the Academy of Medical Royal Colleges and Faculties in Scotland (Sept 2018 onwards).
8) Examiner for FRCS(CTh) Joint Intercollegiate Examination (2018 to present)
Roles/Responsibilities (Past)
9) Member of the “Scottish Cardiac Surgery Register Steering Group”. We published the annual cardiac surgical register which is a record of all cardiac surgical activity in Scotland (available on the web).
10) Member of Lothian Research Ethics Committee (2005 to 2011)
11) Member of the “Cardiac Surgery and Percutaneous Interventions Working Group” in the “National Clinical Dataset Development Programme”. We defined all the data elements that need to be captured on a routine basis for cardiology and cardiac surgery patients. After a period of public consultation, the data definitions were accepted by the NHS QIS (Quality Improvement Scotland). (2009-2010)
12) Member of the “Coronary Heart Disease National Audit Programme, Clinical Audit Steering Group”. This group oversees all the audit programmes in Coronary Heart Disease in Scotland. (2006 to 2010)
13) Member of the “NHS QIS Chest Pain/Angina Pathways Project Group” (2008) We developed Chest pain pathways for adoption all over Scotland.
14) Member of the “Lothian Coronary Heart Disease Managed care network data and quality assurance steering group”. (2008 to 2010)
15) Expert Member “Health Technology Assessment on the clinical and cost effectiveness of erythropoietin (NHS QIS)” Report published 2007.
Editorial Activities
1) Editor-in-Chief “Journal of Cardiothoracic Surgery” (since 2006). This is a peer-reviewed, international cardiothoracic journal, published by Springer. Articles published in this journal are archived in Medline, PubMed and other major databases. (2019 Data: 2 year Impact Factor 1.47; 5 year Impact Factor 1.40; SNIP 0.88; SCImago Journal Rank 0.58) (Usage 784,566 downloads from Journal website).
2) Member of the Editorial Board “Heart Surgery Forum”. This is a peer reviewed, cardiac surgical journal, indexed in PubMed. (www.hsforum.com)
3) Academic Editor of PLOS One, (Appointed January 2019)
4) Editor of “Physician” Nov 2014, June 15, Nov 2018.
I have reviewed articles for the following journals:
1) American Journal of Medicine
2) Annals of Thoracic Surgery
3) BMC Cardiovascular Disorders
4) BMJ
5) European Journal of Cardiothoracic Surgery
6) Heart
7) Heart Surgery Forum
8) Interactive Journal of Cardiovascular and Thoracic Surgery
9) Journal of Cardiothoracic Surgery
I have reviewed project grant applications for “Chest, Heart and Stroke”; and for “British Heart Foundation (2019)”
1) I was a member of the Off-Pump CABG Expert Group, sponsored by the ISMICS (International Society of Minimally Invasive Cardiac Surgery). We performed a meta-analysis of 37 randomised controlled trials comparing off-pump and on-pump coronary artery bypass graft surgery, and based on this formulated a consensus statement on off-pump CABG. This consensus statement was published in the inaugural issue of “Innovations” in 2005.
A second meta-analysis was performed in May 2013, and published in Innovations in 2015.
2) Member of programme committee for the ISMICS meeting, New York, 2005; and Boston 2014, Berlin 2015.
3) Member of Organising Committee SCTS Annual Meetings (2010 to 2016).
4) Member of the Programme Committee of the WSCTS Annual Meetings (Split 2013, Geneva 2014, Cape Town 2016, Astana 2017, Sofia 2019)
5) Chairman of the 25th Annual Meeting of the World Society of Cardiothoracic Surgeons, Edinburgh, September 2015.
Research
The following are some of the research projects I have been involved with:
1) CORONARY: CABG Off or On Pump Revascularization Study. Principal Investigator. This is an international multicentre trial comparing off-pump versus on-pump coronary artery surgery. The primary endpoint is survival at 5 years. Funded by NIH and MRC. Recruitment completed. Follow-up Ongoing. (Results published in NEJM)
2) Arterial Revascularisation Trial (ART): Principal Investigator. This is a BHF/MRC funded international, multicentre, randomised trial comparing bilateral versus single internal mammary artery grafting in coronary revascularisation. The primary endpoint is survival at 10 years. I have recruited (and operated on) 217 patients for this trial. Details of the trial and recruitment are available at www.cteu.org/projects/ART/main.htm. Final results published in New England Journal of Medicine; Jan 2019.
3) Neurocognitive impairment after CABG: Randomised controlled trial: (Principal Investigator) Assessment of serum cerebral injury markers (S100b and NSE) and neurocognitive impairment in patients undergoing CABG for multi-vessel disease: comparison of off-pump and on-pump techniques.
Funding obtained from Welsh Office for Research and Development.
We randomized 60 patients with 3 vessel disease to off-pump or on-pump CABG surgery. Neurocognitive assessment was performed preoperatively, and at 1 week and 6 weeks after surgery. S-100b and NSE were also measured at various time frames in the perioperative period. We found significantly less neurocognitive impairment after off-pump CABG. The levels of serum cerebral injury markers were also lower in the off-pump CABG group. This study was published in the BMJ in November 2002.
4) TITRE2: Randomised trial comparing two transfusion thresholds in post-CABG patients. Principal investigator.
5) EMPIRE: Co-Investigator. This was a single-centre, randomized Phase III trial comparing Elafin vs placebo. Recruitment (target 80 patients) completed in Sept 2013. Published in Heart (2015). Co-investigator.
6) EVARREST Trial: Principal Investigator, European Coordinator. This was an Industry-sponsored Randomised Comparative Phase III Study evaluating the safety and effectiveness of EVARREST Fibrin sealant patch as an adjunct to hemostasis during cardiovascular surgery.
7) Mini-Mitral Trial: Principal Investigator. This is a randomized trial comparing two surgical approaches (conventional sternotomy versus mini-thoracotomy) for mitral valve repair. Funded by NIHR.
8) VIOLET Trial: Principal Investigator This is a multi-centre randomized trial comparing thoracotomy versus VATS Lobectomy for Lobectomy for Lung Cancer.
9) PROMPT 2 Study: Principal Investigator. This is a multi-centre randomized trial comparing the effect of propofol in cardioplegia versus placebo. Recruitment to start after the end of the Covid Pandemic.
10) TISORB (Ticagrelor Cytosorb Hemadsorption) Study: Principal Investigator. This Industry sponsored study is a prospective, open, multicenter, single-arm study to demonstrate the feasibility of CytoDSorb 300 mL device to remove Ticagrelor intra-operatively in patients on Ticagrelor requiring Urgent/Emergent cardiac surgery. Recruitment to start after the end of the Covid Pandemic.
Miscellaneous Academic Roles:
1) Member of the Guideline Writing Group: SIGN Guideline : “Management of Stable Angina”. Published by the Scottish Inter-Collegiate Guidelines Network, March 2018
3) REQUEST Registry: Independent Assessor for adjudication of Serious Adverse Events (2018).
4) PROMPT2 Study: Member of the Trial Steering Committee. (2018)
5) Member of Data Safety Monitoring Board for RCT comparing a new haemostat versus Floseal. (2015-16)
6) Member of Biomedcentral Editorial Advisory Group (2011 to 2013)
Books and Book Chapters
1) Book: Cardiology in a Heart Beat: (2015) A Vaswani, HJ Khaw, S Dougherty, V Zamvar, CC Lang. Published by Scion Publishing. This is a textbook for Undergraduate students, and is on the preferred reading list for Medical Students of Edinburgh University. It is available for sale on Amazon, and all major medical booksellers in the UK.
2) Book Chapters:
Panvascular Medicine (2nd Edition) Published 2014. Section Editor : Coronary Artery Disease: Surgical Management.
Author of following book chapters
1) Anatomy of Coronary Arteries: M Yates, V Zamvar
2) Indications of Coronary Artery Bypass Surgery : K Shaikhrezai, M Khorsandi, V Zamvar
3) Conduits used in Coronary Artery Surgery : J Smelt, V Zamvar
4) Operative Techniques: Coronary Artery Bypass Graft Surgery : S Papaspyros, V Zamvar
5) Complications of Coronary Artery Bypass Grafting Surgery : M Khorsandi, K Shaikhrezai, V Zamvar
3) Section Editor for “Technical Aspects of CABG” section in “Textbook of CABG Surgery”. Being prepared for publication in 2020.
4) In Press: Book Chapter: Quality Improvement in CABG Surgery: M Gaudino, V Zamvar, R Prager. (Textbook of CABG Surgery).
Publications
1) Ten year outcomes after off-pump versus on-pump coronary artery bypass grafting : Insights from the Arterial Revascularisation Trial. Taggart DP, Gaudino MF, Gerry S, Gray A, Lees B, Sajja LR, Zamvar V, Flather M, Benedetto U, ART Investigators. J Thorac Cardiovasc Surg. 2020 Feb 19. Pii;S0022-5223(20)30427-X(EPub ahead of print)
2) Effect of atrial pacing on post-operative atrial fibrillation following coronary artery bypass grafting: Pairwise and network meta-analyses. Ruan Y, Robinson NB, Naik A, Silva M, Hameed I, Rahouma M, Oakley C, Di Franco A, Zamvar V, Girardi LN, Gaudino M. Int J Cardiol 2020 Mar 1;302:103-107.
3) Study Protocol for Video assisted thoracoscopic lobectomy versus conventional Open Lobectomy for Lung Cancer, a UK multicentre randomised controlled trial with an internal pilot (the VIOLET Study). Lim E, Batchelor T, Shackcloth M, Dunning J, <cGonigle N, Brush T, …. VIOLET Trialists. BMJ Open 2019 Oct 14;9(10):e029507
4) The novel use of oral antibiotic monotherapy in prosthetic valve endocarditis caused by Finegoldia magna: a case study. Chien S, Gorban D, Koutsogianiddis CP, Ravishankar R, Kamath G, Zamvar V. J Cardiothorac Surg. 2019; Sept 18;14(1):170
5) Bilateral versus Single Internal-Thoracic-Artery Grafts at 10 years. Taggart DP, Benedetto U, Gerry S, Altman DG, Gray AM, Lees B, Gaudino M, Zamvar V, et al. N Engl J Med 2019;380(5):437-46.
6) Incidence and Clinical Implications of Intraoperative bilateral internal thoracic graft conversion: Insights from the Arterial Revascularisation Trial. Benedetto U, Altman DG, Flather M, ….. Arterial Reavascularization Trial Investigators. J Thorac Cardiovsc Surg 2018; 155(6):2346-55
7) Safety of Perioperative Aprotinin Administration During Coronary Artery Bypass Graft Surgery: Insights from the ART (Arterial Revascularization Trial) Benedetto U, Altmann DG, Gerry S, ………., Arterial Reavascularization Trial Investigators. J Am Heart Assoc. 2018 Mar 3;7(5).
8) Myocardial Inflammation, injury and infarction during on-pump coronary artery bypass graft surgery. Alam SR, Stirrat C, Spath N, Zamvar V, Pessotto R, Dweck M, ……….., Henriksen PA. Journal of Cardiothoracic Surgery 2017; 12: 115
9) The Zamvar Pericardial Fold. Zamvar V. Journal of Cardiothoracic Surgery 2017; 12(1):84
10) Extra-Corporeal Membrane Oxygenation for Refractory Cardiogenic Shock after Adult Cardiac Surgery: A systematic Review and Meta-Analysis” Khorsandi M, Dougherty S, Bouamra O, …., Zamvar V. Journal of Cardiothoracic Surgery 2017;12(1):55
11) Sudden Death in a Diver: A Diagnostic Conundrum” Dougherty S, Khorsandi M, Adelbai M, Zamvar V, Francis M. Wilderness and Environmental Medicine 2017;28(3):225-9
12) Randomized Trial for Bilateral versus Single Internal Thoracic Artery Grafts. Taggart DP, Altman DG, Gray AM, …..ART Investigators. N Engl J Med 2016;375(26): 2540-9.
13) Extracorporeal Life Support for Refractory Cardiac Arrest from Accidental Hypothermia: A 10-year Experience in Edinburgh. Khorsandi M, Dougherty S, ……, Zamvar V.. J Emerg Med. 2016;52(2):160-8
14) Five-Year Outcomes after Off-Pump or On-Pump Coronart Artery Bypass Grafting. Lamy A, Lanas Z, ….. CORONARY Investigators. N Engl J Med. 2016 Dec 15; 375(24);2359-2368.
15) A 20-year multicenter outcome analysis of salvage mechanical circulatory support for refractory cardiogenic shock after cardiac surgery. Khorsandi M, Dougherty S, Sinclair A, Zamvar V, …J Cardiothorac Surg, 2016; 11 (1): 151.
16) Are lower levels of red blood cell transfusion more cost-effective than liberal levels after cardiac surgery? Findings from the TITRE2 randomised controleed trial. Stokes EA, Wordsworth S, et al; TITRE2 Investigators. BMJ Open 2016 Aug 1: 6(8) e011311.
17) Advanced mechanical circulatory support for post-cardiotomy cardiogenic shock: a 20-year outcome analysis in a non-transplant unit. Khorsandi M, Shaikhrezai K, Prasad S, Pessotto R, Walker W, Berg G, Zamvar V. J Cardiothorac Surg 2016 Feb 18; 11(2) : 29
18) ISMICS Consensus Conference and Statements of Randomized Controlled Trials Off-Pump Versus Conventional Coronary Artery Bypass Surgery. Puskas JD, Martin J, ……, Zamvar V. Innovations 2015; Jul-Aug;10(4): 219-29.
19) Perioperative elafin for ischaemia-reperfusion injury during coronary artery bypass graft surgery: a randomized-controlled trial. Alam SR, Lewis SC, Zamvar V, …… Henriksen PA. Heart 2015;101(20):1639-45.
20) Liberal or restrictive transfusion after cardiac surgery. Murphy GJ, Pike K, Roger CA, Titre2 Investigators. N Engl J Med 2015; 372(11) 997-1008.
21) How to make an aortic root simulator at home. Shaikhrezai K, Khorsandi M, Brackenbury ET, Prasad S, Zamvar V, Butler J, Berg G. J Cardiothorac Surg 2015; 10:18.
22) The Utility of Additive EuroSCORE, RIFLE and AKIN Staging scores in the prediction and Diagnosis of Acute Kidney Injury after Cardiac Surgery. Duthie FA, McGeehan P, Hill S, Phelps R, Kluth DC, Zamvar V, Hughes J, Ferenback DA. Nephron Clin Pract 2014; 128(1-2): 29-38.
23) Left Ventricular Hypertrophy with strain and aortic stenosis. Shah AS, Chin CW, Vassiliou V, Cowell SJ, Doris M, Kwok TC, Semple S, Zamvar V, White AC, McKillop G, Boon NA, Prasad SK, Mills NL, Newby DE, Dweck MR. Circulation 2014; 130(18):1607-16.
24) Coronary Artery Bypass Grafting in high-Risk patients randomized to off- or on-Pump surgery: a randomized controlled trial (the CRISP trial). Rogers CA, Pike K, Campbell H, Reeves BC, Angelini GD, Gray A, Altman DG, Miller H, CRISP Investigators. Health Technol Assess 2014; 18(44): 1-157.
25) Kidney Function after off-pump or on-pump coronary artery bypass graft surgery: a randomized clinical trial. Garg AX, Devereaux PJ, Yusuf S, …Lamy A, CORONARY Investigators. JAMA 2014;311(21):2191-8.
26) The efficacy of video-assisted thoracoscopic surgery lung biopsies in patients with Interstitial Lung Disease: a retrospective study of 66 patients. Morris D, Zamvar V. J Cardiothorac Surg 2014;9:45.
27) Transcatheter Aortic Valve Implantation: from fantasy to reality. Shaikhrezai K, McWilliams B, Brackenbury ET, Prasad S, Yan TD, Pessotto R, Zamvar V, Berg G. J Cardiothoracic Surg 2014;9:43.
28) Forced Expiratory Volume in One Second predicts length of stay and in-hospital mortality in patients undergoing cardiac surgery: A Retrospective cohort study. PLOS ONE. 2013 May 28;8(5):e64565
29) Effects of off-pump and on-pump coronary artery bypass grafting at 1 year. N Engl J Med 2013; 368(13):1179-88. Lamy A, Devereaux PJ, e t al, CORONARY Investigators
30) Middle Lobe syndrome associated with major haemoptysis. Shaikhrezai K, Khorsandi M, Zamvar V. J Cardiothorac Surg 2013, Apr15; 8(1) 84.
31) “Radial Artery versus Saphenous Vein as conduits in coronary arterysurgery: Comparison of intermediate to long-term outcomes” Rajdeep Bilkhu, Anne Ewing, Vipin Zamvar. Physician Nov 2012; Vol1; Issue 1.
32) Off-pump or On-pump coronary artery bypass grafting at 30 days. N Engl J Med 2012;366:1489-97 Lamy A et al, CORONARY Investigators.
33) Perioperative and long-term outcomes following aortic valve replacement: a population cohort study of 4124 consecutive patients. McLean RC, et al. Eur J Cardiothorac Surg 2011;40: 1508-14.
34) Hazards of tube thoracostomy in patients on a ventilator. Shaikhrezai, K, Zamvar V. J Cardiothorac Surg 2011;6:39
35) Asessment of EuroSCORE in patients undergoing Aortic Valve Replacement. Skipper NC, Matingal J, Zamvar V. J Card Surg 2011;26(2): 124-9.
36) Randomised trial to compare bilateral vs single internal mammary coronary artery bypass grafting: 1 year results of the Arterial Revascularisation Trial (ART) Taggart DP et al, ART Investigators. Eur Heart J 2010;20:2470-81
37) Extraskeletal Ewing’s Sarcoma presenting as mediastinal mass. Halliday J, Soon SY, Monaghan H, Walker W, Zamvar V. Ann Thorac Surg 2010; 90(3):1016-7.
38) They also serve who only stand and wait. Zamvar V. J Thorac Cardiovasc Surg. 2010;139:798-9.
39) Editorial: Social deprivation and poor prognosis after cardiac surgery. Denvir MA, Zamvar V. BMJ 2009;338:721-2.
40) Platypnoea-orthodeoxia syndrome: A rare complication following right pneumonectomy. K Bhattacharya, R Birla, D Northridge, V Zamvar. Annals of Thoracic Surgery 2009;88:2018-9.
41) Mechanical prosthetic valve dysfunction causing pulsus alternans leading to intermittent electromechanical dissociation: a case report and literature review. V Kaur, MN Robertson, V Zamvar. Journal of Cardiac Surgery 2007;22(6):528-32.
42) Welcome to Journal of Cardiothoracic Surgery. V Zamvar, D Taggart. Journal of Cardiothoracic Surgery 2006;1:1.
43) Off-Pump versus Conventional Coronary Artery Bypass Grafting: A Meta-Analysis and Consensus statement from the 2004 ISMICS Consensus. John Puskas, Davy Cheng, …..V Zamvar. Innovations 2005:1:1-27.
44) Management of blunt thoracic aortic injury. O Nzewi, R Slight, V Zamvar. Eur J Endovasc Surg 2005: 1: 18-27.
45) “Off-pump” repair of a postangioplasty coronary artery bleed. L Devey, T Shaw, V Zamvar. J Card Surg 2005;20(3): 281-3.
46) Editorial: Reporting Systems for Cardiac Surgery. V Zamvar. BMJ. 2004 Aug 21;329(7463):413-4.
47) Editorial: Patency in Off-Pump Coronary Artery Bypass Graft Surgery. V Zamvar. Heart Surgery Forum 2004;7(3):214-5.
48) No time to train the surgeons: Choosing trainees carefully may be the solution. (Letter) V Zamvar. BMJ 2004;328(7448):1134-5.
49) Recommendations for the proper placement of the deep pericardial retraction suture in off-pump coronary artery surgery. V Zamvar. Annals of Thoracic Surgery. Ann Thorac Surg. 2004 Sep;78(3):1130-1.
50) Off-pump Coronary Artery Bypass (OPCAB) surgery reduces morbidity and risk-stratified mortality. Local and national comparisions: Initial UK multi-centre analysis of early clinical outcomes. S Al-Ruzzeh, G Asimakopoulus, ….. V Zamvar,…. et al. Circulation 2003;108 Suppl 1:II 1-8.
51) The Left Anterior Descending Artery is the best recipient. V Zamvar, R Sivaprakasam. J Thorac Cardiovasc Surg 2003;126(3):923.
52) Validation of four different risk stratification systems in patients undergoing Off-Pump Coronary Bypass Surgery (OPCAB): A UK multi-centre analysis of 2,223 patients. S Al-Ruzzeh, G Asimakopoulus, ……..V Zamvar, ……et al. Heart 2003; 89(4): 432-5
53) Neurocognitive Impairment after Cardiac Surgery. V Zamvar. Biomedicine and Pharmacotherapy 2003;57(3): 452.
54) Proximal Coronary Stenoses following antegrade cardioplegia administration via the coronary ostia. (Follow On Comment). V Zamvar, A Madhavan, ENP Kulatilake. European Journal of Cardiothoracic Surgery. 2003; Vol 23
55) Neurocognitive outcome in Coronary Artery Bypass Graft Surgery: Comparison of the off-pump and the on-pump techniques: A prospective randomized study. V Zamvar, J Hall, D Williams, C Cann, K Young, N Payne, S Karthikeyan, J Dunne. BMJ 2002; Vol 325(7375): 1268 - 71.
56) Clinical Outcomes after Coronary Artery Bypass Graft Surgery: Comparision of Off-Pump and On-Pump Techniques. V Zamvar, A Madhavan, ENP Kulatilake, EG Butchart. Heart Surgery Forum 2002; Vol 5(2): 109-13.
57) Blood Use in Cardiac Surgery. V Zamvar, N Payne. BMJ 2002; 325(7365): 655.
58) Traumatic Aortic Transection: Images in Vascular Medicine. V Zamvar, L Devey. Vascular Medicine 2002; Volume 7(3): 247-8.
59) Pulmonary Blastoma: Medium Term Results from a Regional Centre. A Zaidi, V Zamvar, A Gibbs, F Macbeth, ENP Kulatilake, EG Butchart Annals of Thoracic Surgery, 2002; Vol 73(5): 1572-5.
60) Iatrogenic Candidal Infection of a Mediastinal Foregut Cyst following EUS-FNA. A Ryan, V Zamvar, S Roberts. Endoscopy 2002; Vol 34(10): 838-41.
61) Coronary Sinus Injury after Internal Cardiac Massage. V Zamvar, A Zaidi, A Madhavan. The Internet Journal of Thoracic and Cardiovascular Surgery. 2002; Vol 5(1).
62) Proximal Coronary Stenoses following antegrade cardioplegia administration via the coronary ostia. V Zamvar, A Madhavan, ENP Kulatilake. European Journal of Cardiothoracic Surgery. 2002; Vol 22(1): 143.
63) Neurocognitive impairment after Aortic Valve Replacement. V Zamvar, B Falase, S Webster. European Journal of Cardiothoracic Surgery 2001; Vol 20(4): 889-90.
64) Juxtacardiac Costal Osteochondroma presenting as a haemothorax. K Buchan, V Zamvar, KM Mandana, ENP Kulatilake. European Journal of Cardiothoracic Surgery 2001; Vol 20(1): 208-10.
65) Bleeding from the Lung Surface: A unique complication of off-pump CABG. V Zamvar, I Deglurkar, F Abdullah, NU Khan. The Heart Surgery Forum 2001;Vol 4(2): 172-3.
66) Techniques for finding the Intramyocardial Left Anterior Descending Coronary Artery. V Zamvar, RAM Lawson. Annals of Thoracic Surgery 1995;Vol 60(5): 1457.
67) Techniques for finding the Intramyocardial Left Anterior Descending Coronary Artery. (Follow On Comment) V Zamvar, RAM Lawson. Annals of Thoracic Surgery 1996;Vol 62.
68) Use of Large Sized Aortic Homograft Conduits in Right Ventricular Outflow Tract Reconstruction. M Tolan, V Zamvar, JL Monro, et al. Journal of Heart Valve Disease. 1995;Vol 4(6): 660.
