Indian Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"A case of autoimmune haemolytic anaemia associated with mediastinal teratoma.","authors":"Muralidhara Yadiyal Baregundi, Prajjwal Bansal, Bhushan Chandrahasa Shetty","doi":"10.1007/s12055-024-01773-y","DOIUrl":"10.1007/s12055-024-01773-y","url":null,"abstract":"<p><p>Autoimmune hemolytic anemia (AIHA) secondary to mediastinal teratoma is a very rare clinical entity. They can be primary or secondary to any infections, malignancy, etc. Yet at times, there could be a delay in the diagnosis. Here we present a rare presentation of mediastinal teratoma and probably this is the first from India, based on our literature review using PubMed and Scopus as search engines with MeSH (Medical Subject Headings) words \"mediastinal teratoma AND India AND hemolytic anemia.\" A 26-year-old male with cough and effort intolerance was diagnosed with AIHA which was triggered by a mediastinal teratoma. He had difficulty in preprocedural blood transfusion due to incompatibility which needed high-dose methylprednisolone to suppress the immune system. Due to prior usage of pulse steroids, we had the challenge of ruling out hematological malignancy, which was done by bone marrow examination and positron emission tomography (PET) scan of the whole body. AIHA resolved completely with open thoracotomy and excision of the tumor.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 2","pages":"203-205"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004243","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":"Patient-centred newer testing methods for major cardiac disorders.","authors":"Rahul Kumar, Sudhahar Tamizhan, Anshuman Darbari, Manisha Naithani, Saloni Malik, Nisha Yadav, Ankit Saini","doi":"10.1007/s12055-024-01850-2","DOIUrl":"10.1007/s12055-024-01850-2","url":null,"abstract":"<p><p>Testing methods of detecting various cardiac biomarkers play a significant influence in determining and treating cardiac-related conditions and ultimate prognosis. With the increasing global prevalence of cardiac disease, the importance of rapid testing methods in diagnosis and management has grown tremendously. The point-of-care testing (POCT) method is a potential biochemical diagnostic technique that may overcome the issue of delayed laboratory results, particularly in regions with limited access to advanced laboratory equipment or resource-constrained. Point-of-care (POC) diagnostics are also a user-friendly method and may be easily utilised by laboratory personnel and other healthcare professionals with fundamental basic training in remote areas where specialised laboratories may be challenging to access. Another recent development is of various biosensors with incorporation of artificial intelligence (AI) technology to give early test results that may enable immediate clinical decisions, thereby enhancing the patient's health outcomes. This narrative review has been done with the aim of enhancing knowledge for current POCT methods, their diagnostic role in major cardiac ailments, comparison with other standard methods with ongoing clinical trials, and future developments. Information for this review article has been gathered and compiled by searching major databases on the internet with recent clinical trials and assessed on the Scale for the Assessment of Narrative Review Articles (SANRA) to present here.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01850-2.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 2","pages":"167-174"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004674","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":"Descriptive statistics for cardiothoracic surgeons: part 2 - the foundation of data interpretation.","authors":"H Shafeeq Ahmed","doi":"10.1007/s12055-024-01855-x","DOIUrl":"10.1007/s12055-024-01855-x","url":null,"abstract":"<p><p>Descriptive statistics are essential for summarizing and interpreting clinical data in cardiothoracic surgery. Understanding measures of central tendency and dispersion, such as mean, median, range, variance, and standard deviation, provides insights into patient outcomes and surgical effectiveness. Confidence intervals offer a range for population parameters, enhancing decision-making precision. Data visualization tools like histograms, box plots, and scatter plots illustrate distributions and relationships. Interpreting tables and figures accurately, recognizing biases, and evaluating statistical validity are crucial for applying research findings to clinical practice. These statistical tools ultimately support evidence-based practice and ensure informed decision-making by clinicians.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"89-110"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828322","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":"Cardiovascular and airway consideration in pediatric thoracic anterior mediastinal mass.","authors":"Pavan Kumar Dammalapati","doi":"10.1007/s12055-024-01798-3","DOIUrl":"10.1007/s12055-024-01798-3","url":null,"abstract":"<p><p>Mediastinal tumors are common neoplasms among the pediatric population. The symptoms may be due to the direct compression effects on the surrounding structures or \"B\" like symptoms of specific lymphomas or due to paraneoplastic syndrome. The cardiovascular and respiratory consequences of the compression effects along with the unique physiological nature of the pediatric airway place the anesthesiologist in a difficult situation and face a new situation called \"can intubate-cannot ventilate.\" This clinical scenario is not rare, with physicians commonly being confronted with similar situations in patients with severe bronchospasm. This entity has not been incorporated in any of the difficult airway algorithms. But the mediastinal tumors differ from bronchospasm because they cause physical external compression of the airway. This review will bring the readers the common anterior mediastinal tumors in pediatrics, the physiological differences in the pediatric airway in relation to the compression effects of the mediastinal tumors, and the management aspects of the different surgical aspects of the tumor.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"45-52"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828316","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":"Intraoperative thrombus formation in the artificial tube graft in a fenestrated extracardiac Fontan procedure-to trust our eyes or instincts?","authors":"Varikkara Krishna Narayanan Nayanar, Nithin Krishna Vikraman, Greeshma Sudarsanan, Mamatha Munaf","doi":"10.1007/s12055-024-01821-7","DOIUrl":"10.1007/s12055-024-01821-7","url":null,"abstract":"<p><p>Appearance of a thrombus in the graft intraoperatively during Fontan surgery is not reported and warrants careful evaluation. Our patient was an 18-year-old lady who underwent fenestrated extracardiac Fontan surgery. Intraoperatively, transesophageal echocardiography revealed an echogenic structure inside the conduit. Whether it was an artifact or a thrombus was debated and ruled in favor of an echocardiographic artifact owing greatly to the absence of any reported cases of intraoperative Fontan conduit thrombus. The patient had an uneventful recovery though as a team we are convinced that it is most likely a thrombus, in retrospect. The absence of similar cases in literature and the significant potential consequences of the event make this case worthy of discussion.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01821-7.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"114-117"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828411","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 implementation that facilitates bleeding control in thoracic surgery: tamponing with tranexamic acid.","authors":"Eylem Yentürk, Ahmet Sami Bayram","doi":"10.1007/s12055-024-01864-w","DOIUrl":"10.1007/s12055-024-01864-w","url":null,"abstract":"<p><p>Bleeding control is one of the most vexing complications in the thoracic surgery. Tranexamic acid is the most used antifibrinolytic nowadays. We present a new implementation which can easily and effectively control the pulmonary artery branch bleeding during lung resection. Compressing the bleeding area with tranexamic acid-impregnated gauze ball, which was not seen in the literature before, provided bleeding control. On the other hand, a chance to prepare for other surgical techniques for hemostasis was seized. We think that the implementation we present will be useful in thoracic surgery due to the ease of implementation and low cost.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01864-w.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"118-119"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828361","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":"'No-touch' or 'soft-touch' vein graft harvesting for CABG.","authors":"David P Taggart","doi":"10.1007/s12055-024-01846-y","DOIUrl":"10.1007/s12055-024-01846-y","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"4-6"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828413","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":"Pneumoperitoneum after placement of the temporary pacing wires: transverse colon injury at the base of a diverticulum.","authors":"Ivo Gasparovic, Panagiotis Artemiou, Stefan Durdik, Erika Drangova, Michal Hulman","doi":"10.1007/s12055-024-01790-x","DOIUrl":"10.1007/s12055-024-01790-x","url":null,"abstract":"<p><p>We present the successful management of a patient presenting with pneumo-peritoneum early after surgery due to transvere colon injury after placement of the temporary pacing wires. The patient was asymptomatic, underwent computed tomography, the temporary pacing wires were removed and he was managed conservatively.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"77-79"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828416","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":"Do we need to 'unionize' in healthcare?","authors":"Om Prakash Yadava","doi":"10.1007/s12055-024-01874-8","DOIUrl":"10.1007/s12055-024-01874-8","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"1-3"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828410","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":"No-touch technique for saphenous vein graft harvesting in coronary artery bypass surgery safely improves graft patency: a meta-analysis of randomized controlled trials.","authors":"Tri Wisesa Soetisna, Ahmad Muslim Hidayat Thamrin, Mahardika Budjana Sutan Ilham, Marko Darmawan, Faris Maulana Irfan, Vicky Supit, Sugisman, Dudy Arman Hanafy, Amin Tjubandi, Dicky Aligheri Wartono, Wirya Ayu Graha","doi":"10.1007/s12055-024-01788-5","DOIUrl":"10.1007/s12055-024-01788-5","url":null,"abstract":"<p><strong>Objective: </strong>The no-touch (NT) technique for saphenous vein graft (SVG) harvesting has been gaining popularity as several trials have shown its superiority in maintaining graft patency. However, this technique's clinical outcome and safety are still disputed and the results vary widely. The aim of this meta-analysis of randomized controlled trials (RCTs) was to assess the effectiveness and safety of this method.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were conducted for this systematic review and meta-analysis. A comprehensive search of the literature was carried out with Embase, Scopus, and PubMed databases. The articles underwent extensive evaluation and analysis.</p><p><strong>Results: </strong>Six RCTs comparing the NT and conventional (CON) techniques were included. Primary outcomes were measured using graft occlusion. Graft failure rates and clinical outcomes including major adverse cardiac and cerebrovascular events (MACCE), all-cause death, myocardial infarction, repeat revascularization, and leg wound complications were evaluated as secondary outcomes. The NT technique significantly decreased graft occlusion (risk ratio (RR) = 0.58; 95% confidence interval (CI) = 0.46 to 0.72; <i>p</i> < 0.001) and failure (RR = 0.65; 95% CI = 0.54 to 0.77; <i>p</i> < 0.001). Safety analysis also showed no significant risk difference for clinical outcomes, and although significantly higher, leg complications in the NT technique are minor and avoidable.</p><p><strong>Conclusion: </strong>The NT technique increases long-term graft patency with no significant risk difference for clinical outcomes compared to the CON technique. However, the leg wound complications are significantly higher in the NT technique compared to the CON technique.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"7-17"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828414","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}