Indian Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Descriptive statistics for cardiothoracic surgeons: part 2 - the foundation of data interpretation.","authors":"H Shafeeq Ahmed","doi":"10.1007/s12055-024-01855-x","DOIUrl":"10.1007/s12055-024-01855-x","url":null,"abstract":"<p><p>Descriptive statistics are essential for summarizing and interpreting clinical data in cardiothoracic surgery. Understanding measures of central tendency and dispersion, such as mean, median, range, variance, and standard deviation, provides insights into patient outcomes and surgical effectiveness. Confidence intervals offer a range for population parameters, enhancing decision-making precision. Data visualization tools like histograms, box plots, and scatter plots illustrate distributions and relationships. Interpreting tables and figures accurately, recognizing biases, and evaluating statistical validity are crucial for applying research findings to clinical practice. These statistical tools ultimately support evidence-based practice and ensure informed decision-making by clinicians.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"89-110"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular and airway consideration in pediatric thoracic anterior mediastinal mass.","authors":"Pavan Kumar Dammalapati","doi":"10.1007/s12055-024-01798-3","DOIUrl":"10.1007/s12055-024-01798-3","url":null,"abstract":"<p><p>Mediastinal tumors are common neoplasms among the pediatric population. The symptoms may be due to the direct compression effects on the surrounding structures or \"B\" like symptoms of specific lymphomas or due to paraneoplastic syndrome. The cardiovascular and respiratory consequences of the compression effects along with the unique physiological nature of the pediatric airway place the anesthesiologist in a difficult situation and face a new situation called \"can intubate-cannot ventilate.\" This clinical scenario is not rare, with physicians commonly being confronted with similar situations in patients with severe bronchospasm. This entity has not been incorporated in any of the difficult airway algorithms. But the mediastinal tumors differ from bronchospasm because they cause physical external compression of the airway. This review will bring the readers the common anterior mediastinal tumors in pediatrics, the physiological differences in the pediatric airway in relation to the compression effects of the mediastinal tumors, and the management aspects of the different surgical aspects of the tumor.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"45-52"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative thrombus formation in the artificial tube graft in a fenestrated extracardiac Fontan procedure-to trust our eyes or instincts?","authors":"Varikkara Krishna Narayanan Nayanar, Nithin Krishna Vikraman, Greeshma Sudarsanan, Mamatha Munaf","doi":"10.1007/s12055-024-01821-7","DOIUrl":"10.1007/s12055-024-01821-7","url":null,"abstract":"<p><p>Appearance of a thrombus in the graft intraoperatively during Fontan surgery is not reported and warrants careful evaluation. Our patient was an 18-year-old lady who underwent fenestrated extracardiac Fontan surgery. Intraoperatively, transesophageal echocardiography revealed an echogenic structure inside the conduit. Whether it was an artifact or a thrombus was debated and ruled in favor of an echocardiographic artifact owing greatly to the absence of any reported cases of intraoperative Fontan conduit thrombus. The patient had an uneventful recovery though as a team we are convinced that it is most likely a thrombus, in retrospect. The absence of similar cases in literature and the significant potential consequences of the event make this case worthy of discussion.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01821-7.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"114-117"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'No-touch' or 'soft-touch' vein graft harvesting for CABG.","authors":"David P Taggart","doi":"10.1007/s12055-024-01846-y","DOIUrl":"10.1007/s12055-024-01846-y","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"4-6"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new implementation that facilitates bleeding control in thoracic surgery: tamponing with tranexamic acid.","authors":"Eylem Yentürk, Ahmet Sami Bayram","doi":"10.1007/s12055-024-01864-w","DOIUrl":"10.1007/s12055-024-01864-w","url":null,"abstract":"<p><p>Bleeding control is one of the most vexing complications in the thoracic surgery. Tranexamic acid is the most used antifibrinolytic nowadays. We present a new implementation which can easily and effectively control the pulmonary artery branch bleeding during lung resection. Compressing the bleeding area with tranexamic acid-impregnated gauze ball, which was not seen in the literature before, provided bleeding control. On the other hand, a chance to prepare for other surgical techniques for hemostasis was seized. We think that the implementation we present will be useful in thoracic surgery due to the ease of implementation and low cost.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01864-w.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"118-119"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pneumoperitoneum after placement of the temporary pacing wires: transverse colon injury at the base of a diverticulum.","authors":"Ivo Gasparovic, Panagiotis Artemiou, Stefan Durdik, Erika Drangova, Michal Hulman","doi":"10.1007/s12055-024-01790-x","DOIUrl":"https://doi.org/10.1007/s12055-024-01790-x","url":null,"abstract":"<p><p>We present the successful management of a patient presenting with pneumo-peritoneum early after surgery due to transvere colon injury after placement of the temporary pacing wires. The patient was asymptomatic, underwent computed tomography, the temporary pacing wires were removed and he was managed conservatively.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"77-79"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do we need to 'unionize' in healthcare?","authors":"Om Prakash Yadava","doi":"10.1007/s12055-024-01874-8","DOIUrl":"10.1007/s12055-024-01874-8","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"1-3"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The midterm outcomes of coronary artery bypass grafting for adult anomalous origin of the left coronary artery from the pulmonary artery.","authors":"Gowtham Thakut, Utkarsh Sanghavi, Ishan Gohil, Jignesh Kothari","doi":"10.1007/s12055-024-01739-0","DOIUrl":"10.1007/s12055-024-01739-0","url":null,"abstract":"<p><p>Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease. It presents as myocardial infarction in children; however, the presentation may vary between asymptomatic to progressive heart failure and also death. As a result, diagnosis in living adults is extremely rare. Different techniques have been mentioned for management of ALCAPA presenting in adults. In our retrospective case study, we present two adults, one male and one female, aged 33 and 49 years, respectively, who underwent transpulmonary direct closure of ALCAPA with left internal thoracic artery anastomosis to the left anterior descending artery and saphenous venous graft to obtuse marginal (OM) major, under standard cardiopulmonary bypass, thus forming a two-coronary system. On 5-year follow-up, both patients were doing well on echocardiography with good biventricular function, and follow-up computed tomography (CT) coronary angiography was carried out showing patent grafts. Therefore, establishment of a two-coronary system in adult ALCAPA can be considered as one of the gold standard treatments. In adult ALCAPA, coronary artery bypass grafting (CABG) is superior to other techniques in terms of alleviation of symptoms, survival, procedural ease, and improvement of left ventricular (LV) function.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"61-65"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No-touch technique for saphenous vein graft harvesting in coronary artery bypass surgery safely improves graft patency: a meta-analysis of randomized controlled trials.","authors":"Tri Wisesa Soetisna, Ahmad Muslim Hidayat Thamrin, Mahardika Budjana Sutan Ilham, Marko Darmawan, Faris Maulana Irfan, Vicky Supit, Sugisman, Dudy Arman Hanafy, Amin Tjubandi, Dicky Aligheri Wartono, Wirya Ayu Graha","doi":"10.1007/s12055-024-01788-5","DOIUrl":"https://doi.org/10.1007/s12055-024-01788-5","url":null,"abstract":"<p><strong>Objective: </strong>The no-touch (NT) technique for saphenous vein graft (SVG) harvesting has been gaining popularity as several trials have shown its superiority in maintaining graft patency. However, this technique's clinical outcome and safety are still disputed and the results vary widely. The aim of this meta-analysis of randomized controlled trials (RCTs) was to assess the effectiveness and safety of this method.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were conducted for this systematic review and meta-analysis. A comprehensive search of the literature was carried out with Embase, Scopus, and PubMed databases. The articles underwent extensive evaluation and analysis.</p><p><strong>Results: </strong>Six RCTs comparing the NT and conventional (CON) techniques were included. Primary outcomes were measured using graft occlusion. Graft failure rates and clinical outcomes including major adverse cardiac and cerebrovascular events (MACCE), all-cause death, myocardial infarction, repeat revascularization, and leg wound complications were evaluated as secondary outcomes. The NT technique significantly decreased graft occlusion (risk ratio (RR) = 0.58; 95% confidence interval (CI) = 0.46 to 0.72; <i>p</i> < 0.001) and failure (RR = 0.65; 95% CI = 0.54 to 0.77; <i>p</i> < 0.001). Safety analysis also showed no significant risk difference for clinical outcomes, and although significantly higher, leg complications in the NT technique are minor and avoidable.</p><p><strong>Conclusion: </strong>The NT technique increases long-term graft patency with no significant risk difference for clinical outcomes compared to the CON technique. However, the leg wound complications are significantly higher in the NT technique compared to the CON technique.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"7-17"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel technique of monocuspid reconstruction of pulmonary valve in children requiring transannular patch for right ventricular outflow tract relief during tetralogy of Fallot surgery.","authors":"Raj Benedict, Rhazane Nalluri, Vasudev Vemala","doi":"10.1007/s12055-024-01849-9","DOIUrl":"10.1007/s12055-024-01849-9","url":null,"abstract":"<p><p>Tetralogy of Fallot (TOF) repair involves the placement of a transannular patch (TAP) to relieve right ventricular outflow tract (RVOT) obstruction. TAP results in free pulmonary regurgitation (PR) after surgery. PR is responsible for most of the long-term complications in patients with operated TOF. To overcome this problem of PR we describe a novel method of monocusp reconstruction of the pulmonary valve using autologous pericardium in children requiring TAP. Newly created monocusp pulmonary valves reduce PR, help in faster recovery from surgery, and reduce long-term issues associated with repaired TOF.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01849-9.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"83-88"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}