Indian Journal of Thoracic and Cardiovascular Surgery最新文献

{"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}

{"title":"Spontaneous, sub-acute right lung torsion: a case report.","authors":"Calixte de La Bourdonnaye, Marion Mauduit, Simon Rouze, Bertrand Richard de Latour","doi":"10.1007/s12055-024-01796-5","DOIUrl":"10.1007/s12055-024-01796-5","url":null,"abstract":"<p><p>Lung volvulus is a rare occurrence and is most commonly seen after thoracic surgery or trauma. They are generally associated with a long, thin hilum, with no parenchymal bridge between the lobes. In non-postoperative situations, pleural effusion or pneumothorax would appear to be mandatory. Spontaneous volvuli are not described, especially sub-acutely. We report the case of a patient with an apparently spontaneous lung volvulus. He presented with long prodromal symptoms of haemoptysis and increasing cough. The computed tomography scan showed a complete volvulus of the right lung with signs of non-perfusion of the upper and middle lobes. The patient was successfully treated with volvulus reduction and bi-lobectomy. Torsion is classically known to thoracic surgeons, but is rarely encountered by other specialists. We describe here a sub-acute lung volvulus, apparently spontaneous, easily treated by a simple surgical procedure.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"325-328"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457964","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 systemic arterial supply to the right lower lobe.","authors":"Rohit Kumar Rathi, Haritha Therese Joseph, Shyam Sundar Rengan, Abhishek Mohan, Preksha Rani, Sabyasachi Bal","doi":"10.1007/s12055-024-01803-9","DOIUrl":"10.1007/s12055-024-01803-9","url":null,"abstract":"<p><p>We present an interesting case of a 17-year-old boy who experienced shortness of breath while playing. He was diagnosed to have an aberrant artery supplying the right lower lobe of the lung arising from the descending thoracic aorta on imaging. Thoracoscopic ligation of the aberrant vessel was done. His recovery was uneventful and symptom free on 6-month follow-up. We have also reviewed the literature on anomalous systemic arterial supply to the basal segment of the lung.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"332-335"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457824","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":"Correlation and causation for cardiothoracic surgeons: part 4-distinguishing relationships in data.","authors":"H Shafeeq Ahmed","doi":"10.1007/s12055-024-01889-1","DOIUrl":"10.1007/s12055-024-01889-1","url":null,"abstract":"<p><p>Correlation indicates a relationship between variables without causation, while causation implies one variable directly influences the other in clinical research. Through various statistical approaches, including Pearson and Spearman correlation coefficients, we can explore the strength of linear and non-linear relationships. Phi coefficient and the point-biserial correlation are other alternative techniques. Scatter plots are used to illustrate correlations in real-world data, guiding surgeons in understanding how variables like experience impact complication rates. Emphasis is placed on recognizing confounding variables, applying appropriate statistical methods, and interpreting results accurately to inform clinical decisions. This paper highlights the importance of evidence-based, data-driven practices in enhancing surgical outcomes.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"371-380"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457916","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":"Osteofibrous dysplasia of the 8th rib: a case report.","authors":"Shaivy Malik, Charanjeet Ahluwalia, Sana Ahuja","doi":"10.1007/s12055-024-01785-8","DOIUrl":"10.1007/s12055-024-01785-8","url":null,"abstract":"<p><p>Osteofibrous dysplasia (OFD) is a rare benign bone lesion primarily affecting the long bones' anterior cortex, commonly observed in adolescents. Typically found in the tibia and fibula, it represents less than 1% of primary bone tumors. While OFD is predominantly seen in the lower extremities, occurrences in ribs, particularly in adult females, are exceptionally rare. Distinguishing OFD from fibrous dysplasia and OFD-like adamantinoma is crucial due to distinct clinical and histopathological features. We illustrate an interesting clinical course of a 28-year-old adult female with monostotic OFD involving the right 8th rib, who was clinically and radiologically suspected to be having fibrous dysplasia (FD). However, histopathological examination assisted in the confirmation of the final diagnosis of OFD. This report presents a case of OFD in the 8th rib of a 28-year-old female, highlighting the diagnostic challenge and emphasizing the importance of accurate diagnosis for appropriate management. The rarity of this presentation underscores the need for further research to elucidate the clinical spectrum and optimal management strategies for OFD in unusual anatomical locations.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"314-317"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457930","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":"Replacement of the systemic tricuspid valve in a patient with corrected transposition of the great arteries, ventricular septal defect, and Eisenmenger syndrome.","authors":"Sergey Valerevich Gorbachevsky, Anton Alekseevich Shmalts, Igor Evgenevich Chernogrivov, Sergey Borisovich Zaets","doi":"10.1007/s12055-024-01802-w","DOIUrl":"10.1007/s12055-024-01802-w","url":null,"abstract":"<p><p>This case report presents a 56-year-old female patient with Eisenmenger syndrome. The diagnosis of corrected transposition of the great arteries with ventricular septal defect (VSD) was established in 1994. Worsening of condition occurred in 2015 and was related to the severe regurgitation on the systemic morphologically tricuspid valve. The main complaints at admission to the Bakoulev Scientific Center for Cardiovascular Surgery in 2017 included fatigue and dyspnea at rest or minimal exercise. The patient was on disability and receiving diuretics. Her condition was considered New York Heart Association (NYHA) class IV. The systemic tricuspid valve demonstrated dilated fibrous annulus as well as thickened and prolapsed leaflets with regurgitation of 3-4 degree. Since regurgitation on the systemic tricuspid valve was considered the main cause of heart failure in the patient with Eisenmenger syndrome, the valve was replaced with the CarboMedics 28-mm mechanical prosthesis, with the VSD left intact. The postoperative period was uneventful. Five and half years after surgery, the patient was in NYHA class II on a specific pulmonary arterial hypertension therapy with no signs of heart failure. The function of the mechanical valve was adequate. Thus, the replacement of the systemic tricuspid valve helped eliminate heart failure and achieve compensation on a specific pulmonary arterial hypertension therapy.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01802-w.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"329-331"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457936","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":"Role of femoral intima-media thickness in risk prediction and assessment of severity of coronary artery disease.","authors":"Atul Kaushik, Surendra Patel, Sourabh Goswami, Pawan Garg, Akhil Dhanesh Goel, Danishwar Meena, Madhusudan Katti, Anupam Das, Rahul Choudhary, Surender Deora, Alok Kumar Sharma","doi":"10.1007/s12055-024-01824-4","DOIUrl":"10.1007/s12055-024-01824-4","url":null,"abstract":"<p><strong>Background/objective: </strong>Atherosclerosis is a systemic multifocal disease which most commonly involves branching points of the large and medium-sized arteries. The carotid intima-media thickness (c-IMT) is an established marker for increased cardiovascular risk and cerebrovascular disease. In this study, we aimed to establish the role of femoral intima-media thickness (FIMT) in predicting cardiovascular risk in angiographically confirmed patients of coronary artery disease (CAD) when compared with apparently healthy patients (having normal coronary angiogram).</p><p><strong>Methods: </strong>A total of 114 consecutive patients presented at our institute with symptoms of CAD who underwent coronary angiogram were included in the study. After the coronary angiogram, patients were divided into three groups, group A having normal coronary angiogram, group B having CAD with a synergy between percutaneous coronary intervention with taxus and cardiac surgery (SYNTAX) score of more than 22, and group C having CAD with a SYNTAX score of 22 or less. The Doppler ultrasound of the bilateral femoral artery in each patient was done 1 day before a coronary angiogram and FIMT was recorded.</p><p><strong>Results: </strong>There was a significant difference (<i>p</i>-value -  < 0.001) found in the mean FIMT in patients with normal coronaries (mean FIMT - 0.49 ± 0.05) and patients having CAD (mean FIMT - 0.73 ± 0.17). The area under the receiver operating characteristic (ROC) curve of mean FIMT in predicting abnormal coronaries was 0.903 (95%CI 0.847-0.958, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The FIMT has a strong correlation with coronary artery disease. With the help of this non-invasive tool, we can diagnose subclinical atherosclerosis and it may contribute to the prevention of CAD and its severe manifestations.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"264-271"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457959","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":"Thoracoscopic management of giant thymolipoma.","authors":"Raghul Maniam, Hariharan Govinddarajan, Vembar Dhanasekarapandian, Raghunath Sambandam Murugan, Sathiyavelu Sekar","doi":"10.1007/s12055-024-01759-w","DOIUrl":"10.1007/s12055-024-01759-w","url":null,"abstract":"<p><p>Thymolipomas are rare benign thymic neoplasms that contribute 2 to 9% of thymic tumors. Surgical excision remains the primary treatment, with video-assisted thoracoscopic surgery (VATS) emerging as a valuable approach. Less than 50 cases of pediatric thymolipomas have been reported, with the youngest case documented at 6 months of age, and fewer than five pediatric cases have been managed using the thoracoscopy approach in the literature. This is India's first report in literature where giant thymolipomas have been excised by the thoracoscopic approach in the pediatric population. Herein, we present two pediatric patients with anterior mediastinal masses, each presenting with distinct clinical features undergoing successful thoracoscopic resections. In case 1, a 9-year-old male child was incidentally diagnosed with giant thymolipoma. Surgical excision was done through the right side by VATS approach and the residual mass through the left by VATS, resulting in an uneventful postoperative course with no recurrence upon 1-year follow-up. In case 2, a 5-year-old female previously diagnosed with giant thymolipoma presented with fatigability. Imaging revealed a massive thymolipoma occupying both hemithoraces. Careful dissection, preservation of vital structures, and successful vascular pedicle management ensured complete excision through a single left thoracic approach, leading to a smooth recovery and absence of mediastinal mass on follow-up X-ray. This case report highlights VATS as a safe and effective management for giant thymolipoma; though it is technically challenging, it is a feasible approach, contributing to improved patient outcomes.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"336-342"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457972","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}