Indian Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Mechanical circulatory support bridge for restrictive cardiomyopathy with biventricular and pulmonary failure to cardiac transplantation.","authors":"Sandeep Sainathan, Leonardo Mulinari","doi":"10.1007/s12055-024-01847-x","DOIUrl":"https://doi.org/10.1007/s12055-024-01847-x","url":null,"abstract":"<p><p>We describe a simplified technique for mechanical circulatory support using Berlin EXCOR cannulas in a toddler with restrictive cardiomyopathy and biventricular and respiratory failure as a successful bridge to cardiac transplantation.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 5","pages":"578-581"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963303","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":"Successful implantation and removal of Impella 5.5 device via a 4-mm subclavian artery in an adult patient.","authors":"Athanasios Tsiouris, Charles Mason Coleman, Ashok Kumar Coimbatore Jeyakumar","doi":"10.1007/s12055-024-01856-w","DOIUrl":"https://doi.org/10.1007/s12055-024-01856-w","url":null,"abstract":"<p><p>Recently, the utilization of Impella 5.5, especially in the axillary position, has increased exponentially. The device provides excellent hemodynamic support for patients in cardiogenic shock, as a bridge to recover, transplant, or durable left ventricular device. However, small size arteries remain its main limitation. With a maximum diameter of 19 Fr (6.33 mm), the recommended artery size needed for implantation is 7 mm. In this case, we discuss the successful implantation and removal of the Impella 5.5 device into a patient, with a subclavian artery diameter of 4 mm, whose other short- and mid-term options for mechanical circulatory support were limited.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 5","pages":"587-590"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008876","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":"Intermittent electromechanical dissociation following mitral valve replacement with mechanical valve: a different cause.","authors":"Deepak Gopakumar, Bineesh Kundoly Radhakrishnan, Thomas Koshy, Vivek Velayudhan Pillai","doi":"10.1007/s12055-024-01840-4","DOIUrl":"10.1007/s12055-024-01840-4","url":null,"abstract":"<p><p>We describe the case of a 62-year-old male patient who developed intermittent electromechanical dissociation following mitral valve replacement with papillary muscle resuspension. Clinical examinations and transoesophageal echocardiography were crucial in diagnosing this potentially fatal extrinsic prosthetic valve dysfunction. The culprit was a torn-through pledgeted suture used for papillary muscle resuspension, wedged between the disc occluder and the valve ring. The resuspension sutures were removed and the patient had an uneventful recovery. This case highlights the importance of advanced evaluation and vigilant monitoring in uncovering unusual causes of prosthetic valve dysfunction.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01840-4.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 5","pages":"574-577"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006051","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":"Contralateral metachronous pulmonary carcinoid tumor 7 years after lobectomy.","authors":"Pinar Çağan, Seyedehtina Safaei, Ali Kimiaei, Özlem Yapıcıer, Cemal Asim Kutlu","doi":"10.1007/s12055-024-01858-8","DOIUrl":"10.1007/s12055-024-01858-8","url":null,"abstract":"<p><p>Carcinoid tumors, originating from neuroendocrine cells, are slow-growing tumors that are predominantly found in the gastrointestinal tract and bronchopulmonary system. Surgical resection is the primary treatment for localized tumors. However, the long-term risk of recurrence, including rare cases of metachronous tumors, presents an ongoing clinical challenge. This case report details a 77-year-old male who underwent lobectomy for a pulmonary carcinoid tumor and later developed contralateral recurrence after 7 years, emphasizing the importance of surveillance strategies in such cases.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 5","pages":"591-595"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981812","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":"Polyostotic fibrous dysplasia in an elderly patient involving spine and ribs.","authors":"Pinar Çağan, Seyedehtina Safaei, Ali Kimiaei, Cemal Asim Kutlu","doi":"10.1007/s12055-024-01842-2","DOIUrl":"10.1007/s12055-024-01842-2","url":null,"abstract":"<p><p>Fibrous dysplasia (FD) is a benign skeletal disorder characterized by the replacement of normal bone with fibro-osseous tissue, which often causes bone expansion and deformities. Polyostotic fibrous dysplasia (PFD), involving multiple bones, is uncommon and rarely affects the spine and ribs, with fewer than 40 reported cases in the literature. We present the case of a 65-year-old male who presented with sudden left-sided back pain and left sided ptosis. Imaging revealed extensive FD affecting the cervicothoracic vertebrae and the adjacent ribs. Surgical resection involving thoracotomy and excision of the pathological ribs and spinal lesions was performed. The procedure ensured the preservation of vital structures and achieved complete tumor removal. Surgical resection remains crucial in managing symptomatic PFD of the spine and ribs with the aim of complete tumor removal. Long-term follow-up is essential to monitor recurrence and evaluate patient outcomes.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 5","pages":"569-573"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984904","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":"Clinical experience with the miltonia valve: short-term performance of new bi-leaflet mechanical prosthesis in mitral valve replacement surgery.","authors":"Nitin Kumar Kashyap, Pranay Mehsare, Gaind Kumar Saurabh, Nirupam Chakraborty, Subrat Singha, Minal Wasnik, Sneha Jain","doi":"10.1007/s12055-024-01851-1","DOIUrl":"10.1007/s12055-024-01851-1","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the performance of the Miltonia bi-leaflet mechanical prosthesis for mitral valve replacement (MVR).</p><p><strong>Methodology: </strong>Fifty patients were included in this study who underwent MVR using cardiopulmonary bypass (CPB) and mild hypothermia. After surgery, standard postoperative care was provided. Echocardiography was performed preoperatively, postoperatively at discharge, and at a 6-month follow-up to assess hemodynamic performance and detect adverse events.</p><p><strong>Results: </strong>The mean age was 38.88 ± 9.51 years, with a predominance of female patients. The average hospital stay was 9.6 ± 3.8 days. Before surgery, 88% of patients were in New York Heart Association (NYHA) class III, 8% in class IV, and 4% in class II. Post-surgery, 92% improved to class I, 4% to class II (<i>p</i> < 0.001). Both mean and peak pressure gradients showed significant improvement post-procedure (<i>p</i> < 0.001) and at 6 months (<i>p</i> < 0.001) compared to pre-operative status. At the 6-month follow-up, there were no cases of prosthetic valve endocarditis, structural/non-structural valve deterioration, dysfunction, or paravalvular leaks, with a 4% mortality rate. Four patients were diagnosed with prosthetic heart valve thrombosis (PHVT) during follow-up period of 6 months.</p><p><strong>Conclusion: </strong>The Miltonia valve showed excellent hemodynamic performance and significant improvement in NYHA functional class.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"420-425"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718786","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":"Can partial cardiac denervation reduce postoperative atrial fibrillation following CABG?","authors":"Hamrish Kumar Rajakumar","doi":"10.1007/s12055-025-01929-4","DOIUrl":"10.1007/s12055-025-01929-4","url":null,"abstract":"<p><p>This article provides a critical appraisal of the partial cardiac denervation-postoperative atrial fibrillation (pCAD-POAF) randomized clinical trial, which investigates the effectiveness of partial cardiac denervation in reducing POAF in patients undergoing coronary artery bypass grafting (CABG). The trial demonstrated a significant reduction in POAF incidence in the intervention group compared to the control group. Despite promising results, the study has several limitations, including the exclusion of high-risk patients with advanced comorbidities and a short follow-up period, which restricts the generalizability of the findings. This appraisal examines the trial's strengths, such as its novel approach and statistical design, while addressing areas for improvement. Future research should focus on long-term outcomes, broader patient inclusion, and the incorporation of health-related quality of life assessments.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"493-497"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718784","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":"Branch-first technique with continuous perfusion in aortic arch repair-our initial experience.","authors":"Lalit Kapoor, Dhiraj Barman, Sayyed Azhar Salim Ahmed, Swanand Khapli, Rakesh Gayen, Unmesh Chakraborty","doi":"10.1007/s12055-024-01829-z","DOIUrl":"10.1007/s12055-024-01829-z","url":null,"abstract":"<p><p>The branch-first technique (BFT) for aortic arch replacement eliminates deep hypothermia and global circulatory arrest, reducing cardiopulmonary bypass and ischemic times. We present our initial experience with BFT in such repairs at our centre. Three cases with diverse pathologies have been described where BFT was employed. The technique involves sequential clamping and reconstruction of each supra-aortic trunk (SAT) with continuous perfusion, facilitated by a custom-designed trifurcation graft and a dedicated pump head. Detailed patient profiles, echocardiographic findings, computed tomography (CT) scans and surgical procedures were outlined. BFT was successfully applied in all three, including two with root replacement, without perioperative complications. Mean cardiopulmonary bypass time (CPB) was 211 min, and mean aortic cross-clamp (ACC) time was 101 min. Patients were extubated on the 1st postoperative day with no neurodeficit. No instances of stroke, paresis or other complications were reported during the hospital stay (mean 7 days). Follow-up was uneventful. BFT shows promise in aortic arch replacement surgeries by avoiding unnecessary deep hypothermia, reducing CPB and ACC time. The overall time burden for surgery in arch repair is eliminated along with providing an excellent surgical field, enhancing the ease of operating and consequently resulting in excellent clinical outcomes. While further studies are required, especially with larger cohorts, BFT could become a routine approach for elective and emergency aortic arch procedures.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"474-480"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718781","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":"An impetuous \"HIT\"-sudden blockage of all grafts post CABG.","authors":"Jaytesh Parashar, Ganesh Shivnani, Sumir Dubey, Bhupender Singh Bisht, Nadeem Saifi","doi":"10.1007/s12055-024-01839-x","DOIUrl":"10.1007/s12055-024-01839-x","url":null,"abstract":"<p><p>We report a case of hyperacute multiple graft thrombosis following an uneventful coronary artery bypass graft (CABG) surgery in a 69-year-old female with chronic immune thrombocytopenia (ITP). Detailed evaluation revealed the presence of anti-PF4/heparin antibodies, confirming the diagnosis of heparin-induced thrombocytopenia (HIT). The co-existence of chronic ITP masked the thrombocytopenia typically associated with HIT, complicating the recognition of the thrombotic and hematologic abnormalities. This case emphasizes the importance of promptly discontinuing heparin when HIT is suspected or confirmed. Additionally, maintaining a low threshold for suspecting HIT in patients with ITP undergoing cardiac surgery is crucial, as this complex interplay may increase the risk of severe postoperative complications.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"486-489"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718776","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":"New-onset headache after transcatheter atrial septal defect closure: a systematic review.","authors":"H Shafeeq Ahmed, Sneha Reddy Pulkurthi, Akhil Fravis Dias, Maryam Zahid, Varshini Vishwanatham","doi":"10.1007/s12055-025-01906-x","DOIUrl":"10.1007/s12055-025-01906-x","url":null,"abstract":"<p><strong>Background: </strong>Migraine is a complex neurological disorder marked by severe headache and associated with various systemic symptoms. Atrial septal defect (ASD) closure, a common cardiac procedure, has been linked to the onset of new migraine episodes. This systematic review explores the incidence and management of migraine following transcatheter ASD closure.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in PubMed, Scopus, and CINAHL Ultimate, covering studies from inception to August 2024. The review followed PRISMA guidelines and was registered on PROSPERO (CRD42024578609). Data extraction and risk of bias assessment were systematically performed by independent reviewers.</p><p><strong>Results: </strong>A total of 831 studies were identified out of which 13 were included for the final analysis. The studies encompassed diverse populations globally, revealing varying onset times for migraine post-ASD closure, ranging from as early as 1 day to up to a year. Migraine incidence varied significantly, with several studies noting a higher prevalence in females and some cases showing a familial predisposition typically in the maternal side. The typical methods for ASD closure involved transcatheter approaches. Treatment modalities included non-steroidal anti-inflammatory drugs, calcium channel blockers, and anticoagulants, with some cases experiencing spontaneous resolution of symptoms. Modifications to anti-platelet therapy post-procedure, such as the introduction of clopidogrel along with aspirin, showed significant efficacy in treating and preventing migraine.</p><p><strong>Conclusion: </strong>This review highlights a significant correlation between ASD closure and the onset of migraine, underlining the need for further investigation into preventive strategies and management. These findings suggest a complex interaction between structural heart alterations and migraine pathophysiology.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-01906-x.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"426-440"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718815","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}