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

The effect of the extent of the stent graft coverage of the aorta on the remodeling of the distal false lumen after thoracic endovascular aortic repair for non-traumatic type IIIB dissections. 非外伤性IIIB型夹层胸椎血管内主动脉修复术后主动脉支架覆盖范围对远端假腔重构的影响

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-04-12 DOI: 10.1007/s12055-025-01936-5

Vineeta Ojha, Kartik Ganga Ponnuswamy, Priya Jagia, Pradeep Ramakrishnan Reddy, Sanjeev Kumar

{"title":"The effect of the extent of the stent graft coverage of the aorta on the remodeling of the distal false lumen after thoracic endovascular aortic repair for non-traumatic type IIIB dissections.","authors":"Vineeta Ojha, Kartik Ganga Ponnuswamy, Priya Jagia, Pradeep Ramakrishnan Reddy, Sanjeev Kumar","doi":"10.1007/s12055-025-01936-5","DOIUrl":"10.1007/s12055-025-01936-5","url":null,"abstract":"We aimed to evaluate the effect of length of stent-graft coverage of the aorta on the remodeling of the distal false lumen (DFL) to the stented segment (in the uncovered aorta) after thoracic endovascular aortic repair (TEVAR) for acute complicated non-traumatic type IIIB aortic dissections. Retrospective analysis of 25 consecutive patients (mean age 48 years, 19 males), who underwent TEVAR with a single device and whose 1-year follow-up computed tomography (CT) data was available, was performed. There was no significant difference between the percentage of distal false lumen thrombosis or false lumen volume post procedure between those who had < 50% length coverage (n = 11) versus those who had = / > 50% length coverage (n = 14) of aorta (p = 0.665 and 0.571, respectively). The percent length of aortic coverage showed a negative linear correlation with change in the DFL-thrombosis post-TEVAR (r = - 0.603, p = 0.001); however, it did not correlate with change in the DFL-volume (r = - 0.07, p = 0.84). From the data in our study, it appears that false lumen thrombosis decreases as the length of stent graft increases at 12 months, contrary to current knowledge. Further studies are required to confirm such an observation.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1003-1006"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682552","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

Ectopic intracardiac liver tissue masquerading as a right atrial myxoma. 伪装成右心房黏液瘤的异位心内肝组织。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-03-19 DOI: 10.1007/s12055-024-01884-6

Purvang Ashit Shah, Logeshwaran Manickam, Ravindra Setty, Nisheena Raghavan, Devi Prasad Shetty, Kenneth Xavier Da Silva

引用次数: 0

Let us drive light out! 让我们把光赶走吧！

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-07-08 DOI: 10.1007/s12055-025-02029-z

Om Prakash Yadava

引用次数: 0

Pediatric David procedure for aneurysmally dilated ascending aorta in Loeys-Dietz syndrome. Loeys-Dietz综合征升主动脉动脉瘤性扩张的儿科David手术。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-04-05 DOI: 10.1007/s12055-025-01937-4

Pankaj Aggarwal, Uday Tej Rajupalem, Ramswaroop Sain, Parag Barwad, Rajarajan Ganesan, Venkata Prem Kumar Sangamala

{"title":"Pediatric David procedure for aneurysmally dilated ascending aorta in Loeys-Dietz syndrome.","authors":"Pankaj Aggarwal, Uday Tej Rajupalem, Ramswaroop Sain, Parag Barwad, Rajarajan Ganesan, Venkata Prem Kumar Sangamala","doi":"10.1007/s12055-025-01937-4","DOIUrl":"https://doi.org/10.1007/s12055-025-01937-4","url":null,"abstract":"Loeys-Dietz syndrome (LDS) is a rare congenital disorder that necessitates surgical intervention for a dilated ascending aorta. This case report details a case involving a 3-year-old patient diagnosed with Loeys-Dietz syndrome, presenting with a significantly dilated ascending aorta and severe aortic insufficiency, alongside various connective tissue anomalies associated with the syndrome. Intraoperative assessment revealed severe dilatation of the aortic root and ascending aorta. The aortic valve was tricuspid. Given the valve's near-normal anatomy, a valve-sparing root replacement (VSRR) was preferred; the David procedure (reimplantation) using a 22-mm Dacron tube graft was performed. The patient is presently in a satisfactory condition, 11 months post-operatively. This case exemplifies the successful surgical correction of an aneurysmally dilated ascending aorta through the preservation of the native valve, thereby minimizing the risk of subsequent surgical intervention. Nevertheless, regular follow-up evaluations remain essential.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1076-1080"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682529","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

Breast metastasis from lung cancer. 肺癌的乳腺转移。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-04-14 DOI: 10.1007/s12055-025-01943-6

Najla Bahloul, Wala Ben Kridis, Ilhem Yangui, Rahma Gargouri, Rim Khmekhem, Tahia Boudawara, Afef Khanfir, Samy Kammoun

引用次数: 0

Extracorporeal membrane oxygenation as a bridge to lung transplantation following paraquat poisoning. 体外膜氧合作为百草枯中毒后肺移植的桥梁。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-02-08 DOI: 10.1007/s12055-024-01893-5

Sowmya Kantimathinathan, Paul Ramesh Thangaraj, Thirugnanasambandan Sunder, Madhan Kumar Kuppuswamy, Selvi Chinnasamy, Kalimuthu Balasubramanian Sriraman, Emmanuel Manohar Rajasingh

{"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":"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.","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}

引用次数: 0

Extracorporeal oxygenation for airway rescue: veno-venous ECMO in critical tracheal stenosis management: a single-centre case series. 体外氧合用于气道抢救：严重气管狭窄治疗中的静脉-静脉ECMO：单中心病例系列。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-04-14 DOI: 10.1007/s12055-025-01942-7

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":"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.","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}

引用次数: 0

Parvovirus in cardiac transplant: our experience. 心脏移植中的细小病毒：我们的经验。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-04-14 DOI: 10.1007/s12055-025-01933-8

Vidur Bansal, Ashish Madkaiker, Pratik Manek, Hemang Gandhi, Mrugesh Prajapati, Visharad Trivedi, Sunil Ninama, Venkata Mukunda M, Chirag Doshi

引用次数: 0

The efficacy of autologous blood patch pleurodesis for prolonged air leak after anatomical lung resection. 自体血贴胸膜固定术治疗解剖肺切除术后长时间漏气的疗效观察。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-04-21 DOI: 10.1007/s12055-025-01938-3

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":"Background: 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.Methods: 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.Results: Group A had a significantly lower invasive procedure rate than group B (P = 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 (P = 0.014). Group A had a significantly shorter hospital stay after surgery than group B (P < 0.05). In linear regression, the amount of blood used was an independent predictor of chest tube removal after surgery (P = 0.003), while age, smoking, global initiative for obstructive lung disease, diabetes mellitus, and the Charlson comorbidity index were not.Conclusions: 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.Graphical abstract: ","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}

引用次数: 0

India and Indian cardiothoracic surgery: an insider brief 40-year perspective. 印度和印度心胸外科：内部人士40年的简要展望。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-08-01 Epub Date: 2025-07-04 DOI: 10.1007/s12055-025-02009-3

Carlos-Alberto Mestres

引用次数: 0