Indian Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Central venous catheter malposition into the left lower pulmonary vein: remove or redirect?","authors":"Thanigai Arasu, Komal Tamildasan, Abhinav Singh Chauhan, C Sumadhu, Joshna Valaji","doi":"10.1007/s12055-024-01817-3","DOIUrl":"10.1007/s12055-024-01817-3","url":null,"abstract":"<p><p>Ultrasound is the standard procedure for central venous catheterization, but despite its use, malposition of the catheter tip can still occur. We are reporting a case where the catheter tip was malpositioned into the left lower pulmonary vein in a patient with a total anomalous pulmonary venous connection. It is crucial to maintain a high index of clinical suspicion to promptly identify and manage malpositioned catheters. Once identified, it is important to decide on whether to retain or redirect the catheter with the appropriate clinical context.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01817-3.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"362-364"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457887","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":"Surgery for foreign body retrieval from airway after failed bronchoscopy intervention-a decade-long experience.","authors":"Haroon Shakir, Gopal Karunanithy Jaikaran, Ezhil Nambi Sundaramoorthy, Kathirvel Balasubramani, Naveen Elangovan, Krishnan Ganapathy Subramaniam, Dhruva Sharma","doi":"10.1007/s12055-024-01845-z","DOIUrl":"10.1007/s12055-024-01845-z","url":null,"abstract":"<p><strong>Background: </strong>Foreign body aspiration is a critical surgical emergency among pediatric patients, carrying a substantial risk of mortality and contributing significantly to respiratory distress in children. Timely intervention by experts is crucial to mitigating cumulative morbidity. This study aims to evaluate the efficacy of bronchotomy as a secure alternative following unsuccessful attempts at bronchoscopic foreign body retrieval.</p><p><strong>Methods: </strong>A retrospective review of 21 instances involving bronchotomies and resections carried out following unsuccessful bronchoscopic foreign body extraction was conducted between June 2013 and March 2022. The posterolateral thoracotomy approach was employed for surgical interventions.</p><p><strong>Results: </strong>A total of 21 cases underwent bronchotomy and resectional procedures, with a retrospective follow-up spanning 10 years. Patient ages ranged from 1 to 12 years, predominantly affecting the left lung. Bronchotomy was chosen as the intervention in 85% (18 cases) of instances. The incision was extended towards the foreign body in 8 cases involving the right bronchus and in 13 cases for the left bronchus. Late presenters commonly exhibit hemoptysis. Objects retrieved ranged from pen caps and whistles to metal balls. All enrolled cases underwent preoperative bronchoscopy.</p><p><strong>Conclusion: </strong>This study underscores the significance of rigid bronchoscopy as the diagnostic and primary intervention for foreign body aspirations in pediatric cases. Bronchotomy emerges as a secure and effective alternative. Retained foreign bodies causing endobronchial obstruction with stasis necessitate resection, while bronchotomy is a safe procedure for non-retrievable foreign bodies without structural changes.</p><p><strong>Graphical abstract: </strong></p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01845-z.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"281-287"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457969","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":"Intrathoracic left subclavian artery aneurysm: a cause of vocal cord palsy.","authors":"Rajarao Nudurupati, Utkarsh Sanghavi, Devvrat Desai, Jignesh Kothari","doi":"10.1007/s12055-024-01816-4","DOIUrl":"10.1007/s12055-024-01816-4","url":null,"abstract":"<p><p>Intrathoracic subclavian artery aneurysms are very rare. They can be congenital or acquired and cause compressive symptoms like hoarseness of voice due to vocal cord palsy. Prompt diagnosis and early surgical treatment via aneurysmorrhaphy can lead to complete resolution of symptoms.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"358-361"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457924","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":"Transcatheter aortic valve implantation in young.","authors":"Om Prakash Yadava","doi":"10.1007/s12055-025-01899-7","DOIUrl":"10.1007/s12055-025-01899-7","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"257-263"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457974","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":"Uniportal robotic thoracic surgery - an early Indian experience.","authors":"Ajay Narasimhan, Manimaran Samidurai, Narasimhan Raghupathi, Ganapathy Arumugam Chandrasekaran","doi":"10.1007/s12055-024-01862-y","DOIUrl":"10.1007/s12055-024-01862-y","url":null,"abstract":"<p><strong>Introduction: </strong>Thoracic surgery has been conventionally performed via thoracotomy over many years. However, over the past few decades, lung surgery has evolved from open to minimally invasive surgery. Our robotic thoracic surgery programme started in October 2022. Since we were already performing uniportal video-assisted thoracic surgery (Uniportal VATS), we found it difficult to get oriented to the multi-port approach. So we decided to perform uniportal robot-assisted thoracic surgery (URATS). This article represents our initial experience in URATS.</p><p><strong>Methods: </strong>We analysed the data of people who underwent URATS at our hospital. Twenty-one patients were included in this study. This was a retrospective study. Out of the 21 patients, 14 patients underwent surgery for benign conditions and 7 patients underwent surgery for malignancy. Thirteen patients underwent lobectomy, 1 patient underwent segmentectomy, 3 patients underwent wedge resection, 3 patients underwent mediastinal mass excision, and 1 patient underwent bronchogenic cyst excision. Out of the lobectomy group, 6 patients had benign conditions, the other 6 being operated for malignancy. All surgeries were performed by a single console surgeon using the da Vinci Xi robotic platform and the same assistant at the bedside.</p><p><strong>Results: </strong>There was no conversion to a multiport robotic thoracic surgery or thoracotomy in our series. The average console time for the entire study group was 177.9 min. The average instrument active time for the entire study group was 130.5 min. The median instrument count per case in our study was 4. The average console time for lobectomy was 231.53 min. The average instrument active time for lobectomy was 174 min.</p><p><strong>Conclusions: </strong>We conclude that, in appropriate patients, Uniportal RATS can be a safe and feasible alternative to other minimally invasive techniques in both benign and malignant conditions.</p><p><strong>Graphical abstract: </strong></p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01862-y.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"288-293"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457976","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":"Anomalous left circumflex artery origin in aortic root surgery.","authors":"Chellasamy Rajeev Thilak, Mohammed Idhrees, Kishore Ravi, Arumugam Arunkumar, Bashi Vellayikodath Velayudhan","doi":"10.1007/s12055-024-01808-4","DOIUrl":"10.1007/s12055-024-01808-4","url":null,"abstract":"<p><p>The anomalous origin of the left circumflex artery (LCx) from the right coronary sinus is one of the most common coronary anomalies. However, it presents a significant technical challenge during aortic root surgery. This case report describes a patient with a bicuspid aortic valve, anomalous circumflex artery origin, severe aortic stenosis and moderate aortic regurgitation, and aneurysms in the ascending aorta and aortic root. We addressed this through the Bentall procedure, utilizing the combined coronary button technique for a safe and successful management approach.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01808-4.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"343-345"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457820","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 variant of dual left anterior descending artery: Type VI-B.","authors":"Damandeep Singh, Aprateem Mukherjee, Sanjeev Kumar, Satyavir Yadav","doi":"10.1007/s12055-024-01838-y","DOIUrl":"10.1007/s12055-024-01838-y","url":null,"abstract":"<p><p>We report a case of 52-year-old male with chest pain where computed tomography coronary angiography (CTCA) demonstrated rare variant of dual left anterior descending artery (LAD) with anomalous origin and intramyocardial trans septal course of long LAD and normally arising shorter LAD from left main coronary artery terminating in proximal interventricular groove. We propose that this anatomy represents a new variant of dual LAD (Type VI-B). Our case highlights the role of CTCA in identifying such variant anatomy which can attribute to patients' symptoms and guide further management.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"365-366"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457877","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":"Catamenial hemothorax: a perplexing tale of unilateral hemothorax.","authors":"Parvathy Priya Yoganadhan, Ratish Radhakrishnan, Akash Babu, Ruby Elizabeth Elias","doi":"10.1007/s12055-024-01791-w","DOIUrl":"10.1007/s12055-024-01791-w","url":null,"abstract":"<p><p>The clinical entity in which functional endometrial tissue is present in the thoracic cavity causing various clinical manifestations is called thoracic endometriosis syndrome (TES). Catamenial hemothorax (CHt) is a clinical manifestation of TES characterized by recurrent hemothorax which occurs during each menstrual cycle. The establishment of a correlation between menstrual cycle and clinical features is necessary for the diagnosis. We report a case of CHt in a 36-year-old female who presented with recurrent right-side pleural effusion.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"318-320"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457901","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":"Unusual arrangement of mirror-image dextrocardia with viscero-atrial situs solitus, with morphological right atrium anterior and to the right of the morphological left atrium - diagnosis and surgery of associated defects.","authors":"Tarun Shetty, Balaji Aironi","doi":"10.1007/s12055-024-01812-8","DOIUrl":"10.1007/s12055-024-01812-8","url":null,"abstract":"<p><p>In this case report, we have described a novel variant of mirror-image dextrocardia associated with viscero-atrial situs solitus, and not inversus, and the embryological basis for this presentation. The use of a pericardial baffle to correct the underlying intracardiac defects and the importance of confirming the anteroposterior relations of the atria, and not just their left-right relations, while deciphering the anatomy of dextrocardia.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"354-357"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457978","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":"Perioperative utilization of angiotensin receptor-neprilysin inhibitor in patients with heart failure with reduced ejection fraction undergoing coronary artery bypass grafting-a narrative review.","authors":"Manoj Durairaj, Kaushal Pandey, Rajneesh Malhotra, Ritwik Raj Bhuyan, Vijyant Devenraj, Arunkumar Ulaganathan, Abhay Singh Walia, Mohd Azam Haseen, Debasish Sahu, Madhav Kumar, Sangram Keshari Behera, Atul Kumar Gupta, Sanjay Kumar, Chandan Ray Mohapatra, Sanjay Jain, Ambrish Khatod, Tushar Kumar, Neeraj Kumar Sharma, Amrutraj Nerlikar, Soumya Ranjan Mahapatra, Lingraj Nath","doi":"10.1007/s12055-024-01890-8","DOIUrl":"10.1007/s12055-024-01890-8","url":null,"abstract":"<p><p>Heart failure with reduced ejection fraction (HFrEF) is frequently observed in patients undergoing coronary artery bypass grafting (CABG), and it significantly increases the risk of postoperative death while exerting a crucial influence on the recovery process following the surgical intervention. HFrEF is one of the prevalent risk factors for early readmission in patients who underwent CABG. Angiotensin receptor-neprilysin inhibitor (ARNI) has been recognized as a critical medical therapy in the management of HFrEF; however, its efficacy and safety have yet to be corroborated in the context of CABG. Therefore, this opinion document developed by a group of cardiothoracic and vascular surgeons in India focuses on the utilization of ARNI for patients with HFrEF, including those undergoing or having undergone CABG. These opinions based on clinical experience include perioperative use of ARNI; postoperative initiation of ARNI; strategies for addressing challenges such as hyperkalemia, hypotension, and renal dysfunction; and initiation of other foundational medical therapies in HFrEF management in the context of CABG.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"308-313"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457933","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}