Indian Journal of Thoracic and Cardiovascular Surgery最新文献_第7页

Surgical intervention in an incidentally diagnosed adult ALCAPA in the fourth decade or later-operate or observe? 偶发成人ALCAPA第40年或以后的手术干预——手术还是观察？

IF 0.6

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-18 DOI: 10.1007/s12055-025-02171-8

Sagnik Chakraborty, Vikas Ahlawat, Mohit Rana, Suruchi Ladha, Rakesh Varma, Anshika Gulati, Balram Airan

{"title":"Surgical intervention in an incidentally diagnosed adult ALCAPA in the fourth decade or later-operate or observe?","authors":"Sagnik Chakraborty, Vikas Ahlawat, Mohit Rana, Suruchi Ladha, Rakesh Varma, Anshika Gulati, Balram Airan","doi":"10.1007/s12055-025-02171-8","DOIUrl":"https://doi.org/10.1007/s12055-025-02171-8","url":null,"abstract":"Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly with high infantile mortality, if untreated. Survival into adulthood is exceptional and typically depends on extensive inter-coronary collateral circulation. We present a 37-year-old asymptomatic man in whom ALCAPA was discovered incidentally during evaluation for a non-cardiac cerebrovascular event. Imaging revealed global left ventricular hypokinesia, reduced systolic function (ejection fraction 30-35%), and markedly dilated right coronary artery (RCA). Surgical repair was performed with saphenous vein grafting following ostial closure of the anomalous left main coronary artery (LMCA). At 6-month follow-up, the patient remained asymptomatic despite persistent left ventricular dysfunction. While surgery provides definitive restoration of dual coronary perfusion and protection against sudden cardiac death, some patients remain stable without intervention. A risk-stratified approach is therefore warranted, balancing operative risk, collateral circulation, and ischemic burden. Individualized decision-making, guided by multimodal imaging and clinical risk assessment, is essential in this rare but clinically significant anomaly.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 6","pages":"799-805"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147972098","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}

引用次数: 0

Pulmonary valve endocarditis treated with single-leaflet reconstruction using the modified Ozaki technique. 改良Ozaki技术单叶重建治疗肺动脉瓣心内膜炎。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-14 DOI: 10.1007/s12055-025-02169-2

Ankit Katara, Renjith Sreekantan, Vivek Velayudhan Pillai

引用次数: 0

Pediatric autoimmune pancarditis complicated by congenital heart disease: a case of severe multivalvular dysfunction and fibrinous pericarditis. 小儿自身免疫性心包炎合并先天性心脏病：严重多瓣膜功能障碍和纤维性心包炎1例

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-18 DOI: 10.1007/s12055-026-02179-8

Pramod Kumar, Kumar Ratnjeet, Baiju Sasi Dharan, Rajalakshmi Poyuran, Arun Gopalakrishnan

{"title":"Pediatric autoimmune pancarditis complicated by congenital heart disease: a case of severe multivalvular dysfunction and fibrinous pericarditis.","authors":"Pramod Kumar, Kumar Ratnjeet, Baiju Sasi Dharan, Rajalakshmi Poyuran, Arun Gopalakrishnan","doi":"10.1007/s12055-026-02179-8","DOIUrl":"https://doi.org/10.1007/s12055-026-02179-8","url":null,"abstract":"Autoimmune carditis in children is uncommon and often overlooked, particularly in regions where rheumatic fever is endemic. We report the case of a 12-year-old girl who presented with progressive dyspnea, orthopnea, and intermittent fever, ultimately found to have a superior vena cava (SVC)-type sinus venosus atrial septal defect (SV-ASD) with partial anomalous pulmonary venous connection (PAPVC). Her condition was compounded by severe mitral, aortic, and tricuspid regurgitation; moderate pulmonary regurgitation; and moderate pericardial effusion. Laboratory testing suggested an autoimmune inflammatory process, and rapid clinical decline with impending cardiac tamponade necessitated urgent pericardial drainage. Immunosuppressive therapy with corticosteroids, hydroxychloroquine, and mycophenolate mofetil was initiated for presumed autoimmune pancarditis, followed by surgical repair consisting of SV-ASD closure with the Warden technique, rerouting of anomalous pulmonary veins, and multivalvular repair. Histopathology confirmed fibrinous pericarditis with chronic inflammation. The patient improved significantly after surgery, with resolution of pulmonary hypertension and stable mild residual valvular disease. At 1 year, she remained asymptomatic with normalized inflammatory markers. This case highlights how autoimmune inflammation superimposed on congenital heart disease can accelerate hemodynamic compromise and underscores the importance of early recognition, timely immunosuppression, and individualized surgical planning to prevent irreversible cardiovascular damage.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 6","pages":"806-811"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147972193","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}

引用次数: 0

Towards individualised multi-morbidity predictions: a new frontier for AI-enabled diagnostics in thrombotic disease. 迈向个体化多发病预测：血栓性疾病人工智能诊断的新前沿。

IF 0.6

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-04-30 DOI: 10.1007/s12055-026-02219-3

Tim Dong, Gianni D Angelini

引用次数: 0

Outcomes of transcatheter vs. surgical aortic valve replacement in bicuspid aortic valve stenosis: A systematic review and meta-analysis. 经导管与手术主动脉瓣置换术治疗二尖瓣主动脉瓣狭窄的结果：系统回顾和荟萃分析。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-19 DOI: 10.1007/s12055-025-02146-9

Ashesh Das, Aarushi Gupta, Lakshiya Ramamoorthy, Neo Zhong Yi Benjamin, Deepanshu Agrawat, Moitreyo Pandit, M Muneeb Khawar, Chika Chilaka, Delphine Nyirahabimana, Biruk Goraga, Muhammad Abdur Rehman, Meenakshi Reddy Yathindra, Muneeb Khawar

{"title":"Outcomes of transcatheter vs. surgical aortic valve replacement in bicuspid aortic valve stenosis: A systematic review and meta-analysis.","authors":"Ashesh Das, Aarushi Gupta, Lakshiya Ramamoorthy, Neo Zhong Yi Benjamin, Deepanshu Agrawat, Moitreyo Pandit, M Muneeb Khawar, Chika Chilaka, Delphine Nyirahabimana, Biruk Goraga, Muhammad Abdur Rehman, Meenakshi Reddy Yathindra, Muneeb Khawar","doi":"10.1007/s12055-025-02146-9","DOIUrl":"https://doi.org/10.1007/s12055-025-02146-9","url":null,"abstract":"This meta-analysis compared peri-procedural and short-term outcomes of transcatheter aortic valve replacement (TAVR) versus surgical aortic valve replacement (SAVR) in severe bicuspid aortic valve (BAV) stenosis, addressing TAVR's debated efficacy in this context. A systematic search of PubMed, ScienceDirect, and Embase up to January 2025. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a random-effects model. Heterogeneity was assessed with the I2 statistic, with p < 0.05 as significant. 9 observational studies and 1 randomized controlled trial with 148,771 patients (TAVR: 16,584; SAVR: 132,187) were included. TAVR showed lower odds of acute kidney injury (OR = 0.58, 95% CI: 0.35-0.97; p = 0.04), major bleeding (OR = 0.29, 95% CI: 0.12-0.69; p = 0.005), and pulmonary complications (OR = 0.44, 95% CI: 0.34-0.57; p < 0.00001) versus SAVR. However, TAVR increased risks of paravalvular leak (OR = 2.15, 95% CI: 1.20-3.88; p = 0.01) and permanent pacemaker implantation (OR = 2.08, 95% CI: 1.39-3.10; p = 0.0004). No significant differences were noted in in-hospital mortality (OR = 1.04, 95% CI: 0.56-1.94; p = 0.89), stroke (OR = 1.05, 95% CI: 0.86-1.28; p = 0.65), or vascular complications (OR = 0.67, 95% CI: 0.18-2.52; p = 0.55). TAVR reduces risks of acute kidney injury, major bleeding, and pulmonary complications in BAV stenosis but raises paravalvular leak and pacemaker implantation risks compared to SAVR. Mortality and stroke rates are similar. TAVR may suit selected patients, but long-term data is needed.Supplementary information: The online version contains supplementary material available at 10.1007/s12055-025-02146-9.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 6","pages":"742-753"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147972136","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}

引用次数: 0

Experience of heart retrievals in India - lessons learned over a decade. 印度心脏回收的经验——十多年来的教训。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-17 DOI: 10.1007/s12055-025-02172-7

Sandeep Sinha, Abhishek Potnis, Ashish Gaur, Neeraj Kamat, Rohit Bunage, Abhishek Rathod, Talha Meeran, Anvay Mulay

引用次数: 0

KDIGO criterion and cardiac surgery-associated acute kidney injury: reflections and learnings. KDIGO标准与心脏手术相关急性肾损伤：反思与学习。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-20 DOI: 10.1007/s12055-025-02164-7

Rohan Magoon, Poonam Malhotra Kapoor

引用次数: 0

Modified Cabrol shunt as a bail-out for correction of pediatric symptomatic anomalous origin of the circumflex coronary artery from the left pulmonary artery. 改良Cabrol分流术对小儿左肺动脉旋冠状动脉异常起源的治疗。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-10 DOI: 10.1007/s12055-025-02142-z

Sandeep Sainathan, Rohit Ganduboina

引用次数: 0

Multi-organ infarctions secondary to a cardiac papillary fibroelastoma in early childhood. 儿童早期继发于心脏乳头状纤维弹性瘤的多器官梗死。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-14 DOI: 10.1007/s12055-025-02166-5

Fahad Alfares, Mohammed Alghamdi, Abdulrahman Alkanhal, Abdullah N Alhuzaimi, Abdullah S Al-Jarallah, Khaled Alhawri, Osama Alrusayni, Abdulrahman Almesned, Mazin Domi, Mohamad-Hani Temsah

引用次数: 0

Robotic assisted-coronary artery bypass grafting (CABG): as safe as CABG, but is recovery better? 机器人辅助冠状动脉旁路移植术（CABG）：与CABG一样安全，但恢复更好吗？

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-06-01 Epub Date: 2026-04-21 DOI: 10.1007/s12055-026-02215-7

Luke J Rogers, Enoch Akowuah

引用次数: 0