Najla Bahloul, Wala Ben Kridis, Ilhem Yangui, Rahma Gargouri, Rim Khmekhem, Tahia Boudawara, Afef Khanfir, Samy Kammoun
{"title":"Breast metastasis from lung cancer.","authors":"Najla Bahloul, Wala Ben Kridis, Ilhem Yangui, Rahma Gargouri, Rim Khmekhem, Tahia Boudawara, Afef Khanfir, Samy Kammoun","doi":"10.1007/s12055-025-01943-6","DOIUrl":"https://doi.org/10.1007/s12055-025-01943-6","url":null,"abstract":"<p><p>Breast metastases from cancers of extra-mammary origin are rare. Their frequency is estimated at 0.4 to 6% of all malignant breast tumors. There have been only a few published cases of mammary metastases from bronchopulmonary cancers. Lung cancer metastasis to the breast is an extremely rare clinical presentation, with an incidence of just 0.2-1.3%. To the best of our knowledge, our case represents the first one described in North Africa. Clinicians should take into account the potential diagnosis of metastatic lung cancer when discovering a breast nodule in patients of lung cancer.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1099-1101"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682515","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":"Extracorporeal membrane oxygenation as a bridge to lung transplantation following paraquat poisoning.","authors":"Sowmya Kantimathinathan, Paul Ramesh Thangaraj, Thirugnanasambandan Sunder, Madhan Kumar Kuppuswamy, Selvi Chinnasamy, Kalimuthu Balasubramanian Sriraman, Emmanuel Manohar Rajasingh","doi":"10.1007/s12055-024-01893-5","DOIUrl":"https://doi.org/10.1007/s12055-024-01893-5","url":null,"abstract":"<p><p>Paraquat poisoning contributes to nearly 14.4% of the total poisoning cases in southern India. When ingested, it leads to renal and liver damage. It accumulates in alveolar cells and through reactive oxygen species damage, it can lead to pulmonary fibrosis. Once pulmonary fibrosis is established, the ensuing respiratory failure is irreversible. The previously reported duration of extracorporeal membrane oxygenation (ECMO) to support the respiratory function in paraquat poisoning, as a bridge to lung transplantation, ranged between 1 and 2 days. We demonstrate the use of long-term awake veno-venous (VV) ECMO in two patients (70 and 67 days), after paraquat poisoning as a bridge to lung transplantation. We describe the advantages of awake ECMO in patients requiring extended ECMO support mainly in the form of nutritional, physical, and psychiatric rehabilitation. This is of importance in these patients, and awake ECMO provides an excellent method to achieve an optimum physical status prior to lung transplantation.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1027-1032"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682520","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}
Gurpreet Singh, Thomas Francis, Hamzah Kamarulzaman, Abdul Muiz Jasid, Mohamad Arif Muhammad Nor
{"title":"Extracorporeal oxygenation for airway rescue: veno-venous ECMO in critical tracheal stenosis management: a single-centre case series.","authors":"Gurpreet Singh, Thomas Francis, Hamzah Kamarulzaman, Abdul Muiz Jasid, Mohamad Arif Muhammad Nor","doi":"10.1007/s12055-025-01942-7","DOIUrl":"https://doi.org/10.1007/s12055-025-01942-7","url":null,"abstract":"<p><p>Managing life-threatening airway obstruction, such as critical tracheal stenosis, poses a significant challenge. Veno-venous extracorporeal membrane oxygenation (VV ECMO) offers an important lifeline by providing extracorporeal gas exchange and stabilizing patients for definitive airway procedures. This study presents four cases of severe tracheal stenosis successfully managed with VV ECMO. The cases include a young male with a retropharyngeal mass, a pregnant woman with a mediastinal mass leading to tracheal and superior vena cava obstructions, a female patient with large anterior mediastinal mass, and an elderly male with metastatic adenocarcinoma causing critical airway narrowing. VV ECMO allowed for safe tracheal stenting and biopsies to be performed. The outcomes were favorable, with patients weaned off ECMO as early as 6 h post-procedure and extubated within days post-ECMO termination. VV ECMO ensures effective oxygenation during high-risk airway interventions where conventional methods might fail. It acts as a bridge to definitive procedures such as tracheal stenting in which conventional airway strategies such as intubation is not a viable option. Advanced imaging such as image intensifiers has been described in our series to be an important tool for VV ECMO cannulation as compared to transthoracic echocardiography alone. Percutaneous cannulation strategies are also something to ponder upon. Although ECMO poses risks such as bleeding, thrombosis, and infection, its benefits cannot be denied in these groups of patients. VV ECMO is undeniably an indispensable tool in managing severe airway obstructions in which the conventional airway management techniques are inadequate. Further studies are warranted to refine ECMO protocols and expand its applications in airway crises.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1086-1091"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682521","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":"Parvovirus in cardiac transplant: our experience.","authors":"Vidur Bansal, Ashish Madkaiker, Pratik Manek, Hemang Gandhi, Mrugesh Prajapati, Visharad Trivedi, Sunil Ninama, Venkata Mukunda M, Chirag Doshi","doi":"10.1007/s12055-025-01933-8","DOIUrl":"https://doi.org/10.1007/s12055-025-01933-8","url":null,"abstract":"<p><p>Parvovirus B19 (PB19) infections can result in substantial morbidity in transplant recipients. Reports of PB19 infection following cardiac transplantation are clinically significant, despite their rarity. During the post-transplantation period, they typically present as refractory anemia.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1081-1085"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682528","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}
Ahmed Magdy Elmezayen, Ahmed Osama, Taha Bin Esmael, Ahmed Mousa, Ayman Amer, Amal Said Elbendary, Hatem Naase
{"title":"The efficacy of autologous blood patch pleurodesis for prolonged air leak after anatomical lung resection.","authors":"Ahmed Magdy Elmezayen, Ahmed Osama, Taha Bin Esmael, Ahmed Mousa, Ayman Amer, Amal Said Elbendary, Hatem Naase","doi":"10.1007/s12055-025-01938-3","DOIUrl":"https://doi.org/10.1007/s12055-025-01938-3","url":null,"abstract":"<p><strong>Background: </strong>Prolonged air leak (PAL) is a well-known issue that frequently results in extended hospitalization following pulmonary lobectomy. There have been many suggestions for preventing air leaks, but no one method has yet achieved definitive success. The purpose of this research was to determine the efficacy of autologous blood patch pleurodesis (ABPP) to treat PAL.</p><p><strong>Methods: </strong>This retrospective study was conducted on 60 patients aged ≥ 18 years, involving both sexes, with PAL after pulmonary lobectomy. Patients were categorized into two groups: group A received ABPP for PAL, and group B did not receive ABPP.</p><p><strong>Results: </strong>Group A had a significantly lower invasive procedure rate than group B (<i>P</i> = 0.023). The incidence of reoperation was not significantly different between the two groups. Ten (33.33%) patients in group B required computed tomography (CT) scans to identify the residual air pockets, of whom six (20%) patients treated with bronchoscopy and CT-guided chest drain insertion in the residual air pocket. The mean ± standard deviation (SD) of chest tube removal after surgery was 7.77 ± 1.52 days in group A and 9.53 ± 3.48 days in group B (<i>P</i> = 0.014). Group A had a significantly shorter hospital stay after surgery than group B (<i>P</i> < 0.05). In linear regression, the amount of blood used was an independent predictor of chest tube removal after surgery (<i>P</i> = 0.003), while age, smoking, global initiative for obstructive lung disease, diabetes mellitus, and the Charlson comorbidity index were not.</p><p><strong>Conclusions: </strong>ABPP is a prompt, safe, and successful method to treat post-lobectomy PAL, which shortens the time patients spend in the hospital and allows for the early removal of chest tubes.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"997-1002"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682553","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":"Huge aortic arch aneurysm presenting with subacute cough: a case report.","authors":"Naoki Yamamoto, Koji Onoda","doi":"10.1007/s12055-025-01915-w","DOIUrl":"https://doi.org/10.1007/s12055-025-01915-w","url":null,"abstract":"<p><p>A 74-year-old Asian female patient with a history of hypertension and dyslipidemia presented with a subacute dry cough of one month duration. Chest radiography revealed mediastinal enlargement and contrast-enhanced computed tomography revealed a huge saccular aortic arch aneurysm compressing the left lung and protruding to the anterior chest wall. Open surgical intervention using a frozen elephant trunk was successfully performed to treat the aortic aneurysm, and the cough improved completely with aneurysm sac shrinkage six months postoperatively. This case report describes an uncommon presentation of thoracic aortic aneurysm and its outcomes following surgical intervention.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1044-1047"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682522","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}
Yusuf Inanc, Deniz Piyadeoglu, Merih Kalamanoglu Balci, Cemal Asim Kutlu
{"title":"Pericardial patch tracheobronchoplasty for airway stenosis due to relapsing polychondritis.","authors":"Yusuf Inanc, Deniz Piyadeoglu, Merih Kalamanoglu Balci, Cemal Asim Kutlu","doi":"10.1007/s12055-025-01904-z","DOIUrl":"https://doi.org/10.1007/s12055-025-01904-z","url":null,"abstract":"<p><p>Relapsing polychondritis is a rare autoimmune disorder characterized by recurrent inflammation in cartilaginous tissue, leading to progressive deformation and impaired function. Involvement of the laryngo-tracheobronchial tree is common and contributes significantly to the disease's morbidity and mortality. Currently, medical management dominates, and bronchoscopic interventions offer limited satisfactory results. Notably, no surgical management approach for tracheobronchial tree involvement in relapsing polychondritis has been reported in the literature. In this paper, we present a case of sequential tracheoplasty and bilateral bronchoplasty as a novel surgical approach for managing relapsing polychondritis affecting the tracheobronchial tree.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1036-1039"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682530","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":"India and Indian cardiothoracic surgery: an insider brief 40-year perspective.","authors":"Carlos-Alberto Mestres","doi":"10.1007/s12055-025-02009-3","DOIUrl":"10.1007/s12055-025-02009-3","url":null,"abstract":"<p><p>The Indian Association of Cardiovascular-Thoracic Surgeons is a mature organization that has had an unprecedented growth in the past four decades. The <i>Indian Journal of Thoracic and Cardiovascular Surgery</i> is the official publication, its visible face. It has undergone substantial changes in organization and structure and has recently been given an impact factor of 0.7. This contribution is a quick individual view of a surgeon exposed to the reality of India and Indian cardiothoracic surgery during the past four decades.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1118-1120"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682524","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}
Mohammed Idhrees, Rajeev Thilak, Kishore Ravi, Arun Kumar, Bashi Velayudhan
{"title":"Aortic root reconstruction in acute type A aortic dissection - a simplified technique preserving aortic root geometry.","authors":"Mohammed Idhrees, Rajeev Thilak, Kishore Ravi, Arun Kumar, Bashi Velayudhan","doi":"10.1007/s12055-025-01959-y","DOIUrl":"https://doi.org/10.1007/s12055-025-01959-y","url":null,"abstract":"<p><p>Stanford type A aortic dissection (TAAD) poses significant challenges in cardiovascular surgery, particularly concerning the stabilization of the dissected layers. In selected patients, conserving the aortic root with stabilization of the dissected flap may be feasible. The major concern in such patients include, obliteration of the false lumen, prevention of bleeding and competence of aortic valve. We describe a modified technique wherein the aortic root is conserved negating all the above concerns. To the best of our knowledge, this technique has not been described earlier.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-01959-y.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1114-1117"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682512","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":"Sutureless aortic valve replacement with patent vein grafts post coronary artery bypass grafting.","authors":"Hari Govind Varma, Azhar Sayyed, Dhiraj Barman, Susovan Halder, Rakesh Gayen, Lalit Kapoor","doi":"10.1007/s12055-025-01903-0","DOIUrl":"https://doi.org/10.1007/s12055-025-01903-0","url":null,"abstract":"<p><p>A 73-year-old gentleman who had previously undergone a coronary artery bypass grafting (CABG) presented with moderate to severe aortic stenosis (AS). A computed tomography (CT) angiogram revealed patent grafts. The CT images were studied to check the feasibility for a sutureless aortic valve implantation which he underwent. His postoperative period was uneventful and he was discharged on the 5th postoperative day. This case report shows that sutureless aortic valve implantation is feasible and has excellent results in a patient who has a patent left internal thoracic artery (LITA) and saphenous vein grafts.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1048-1050"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682538","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}