Indian Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"AI in scientific writing-where do we draw the line?","authors":"Pradeep Narayan","doi":"10.1007/s12055-026-02214-8","DOIUrl":"10.1007/s12055-026-02214-8","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"575-576"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672853","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":"Esophagopericardial fistula: a late complication of liver stereotactic body radiation therapy.","authors":"Katarina Sabol, Tomislav Bečejac, Pave Markoš, Nikolina Tutić, Larisa Čmelak, Ivan Martinez, Hrvoje Barić, Dubravko Jalšovec","doi":"10.1007/s12055-025-02154-9","DOIUrl":"10.1007/s12055-025-02154-9","url":null,"abstract":"<p><p>Esophagopericardial fistula (EPF) is an extremely rare, life-threatening condition that can develop following certain treatments. This case represents, to our knowledge, the first reported case of an EPF as a late complication of stereotactic body radiation therapy (SBRT) for liver metastases. It emphasizes the need for collaborative and individualized management strategies, particularly in the context of post-radiation tissue changes. A female patient in her late sixties, with a history of colon adenocarcinoma, previously treated with SBRT for liver metastases, presented with signs of cardiac tamponade. A multislice computed tomography (MSCT) scan confirmed EPF, and a multidisciplinary board was assembled to manage the patient. Initial management involved urgent pericardial drainage and vancomycin irrigation, followed by an endoscopic placement of a fully covered self-expandable esophageal metal stent. After the intervention, the patient's clinical condition significantly improved. The stent remained in place and maintained a stable position during a 6-month follow-up period. Given the rarity and diverse etiologies of EPF, it is essential to manage each case individually, taking into account prior interventions and the patient's healing capacities. Our experience highlights the importance of prompt hemodynamic stabilization, restoration of anatomical integrity, and a tailored approach to each patient. Specifically, permanent stent retention may be justified when radiation-impaired healing is present. Although EPF will remain uncommon, adherence to these principles, implemented through a multidisciplinary approach, can optimize outcomes when this severe complication does occur.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"667-671"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672810","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":"Transesophageal migration of a turban pin with left ventricular myocardial penetration.","authors":"Sanketh Edem, Tsering Sangdup, Krishna Prasad Gourav, Akshay Kheni, Naveen Deep Kaur, Raghuveer Choudhury","doi":"10.1007/s12055-025-02144-x","DOIUrl":"10.1007/s12055-025-02144-x","url":null,"abstract":"<p><p>Ingestion of sharp metallic objects is associated with perforation and, rarely, migration into the mediastinum or heart. Migration of a pagri (turban) pin into the left ventricle (LV) has not been previously reported. A 20-year-old Sikh male presented with dysphagia after swallowing two turban pins. He was hemodynamically stable and radiographs demonstrated two metallic foreign bodies. Endoscopic removal retrieved one pin, but the second was not visualized. High-resolution non-contrast computed tomography (CT) revealed the residual pin tracking from the esophagus to the pericardium near the LV apex. Echocardiography confirmed its presence within the myocardium, associated with a small localized hemopericardium but no tamponade. Through a left anterolateral mini-thoracotomy in the 6th intercostal space, a 4-cm pin was extracted from the LV epicardial surface. The pericardium was left open, a pleural drain placed, and the patient extubated on the table. He received broad-spectrum antibiotics (ceftriaxone and vancomycin). The drain was removed on day 2 and he was discharged on day 3. Follow-up echocardiography was normal. This case highlights the importance of multimodality imaging when a sharp ingested foreign body is not recovered endoscopically. Timely surgical removal via limited thoracotomy can achieve excellent outcomes even in rare instances of myocardial penetration.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"649-652"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672806","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":"Poured from the chalice of myth, pumped by the logic of science: a genealogy of cardiac symbolism and knowledge.","authors":"Vasileios Leivaditis, Georgios Mavroudes, Nikolaos Baikoussis, Francesk Mulita, Elias Liolis, Levan Tchabashvili, Konstantinos Tasios, Andreas Antzoulas, Efstratios Koletsis, Manfred Dahm","doi":"10.1007/s12055-025-02161-w","DOIUrl":"10.1007/s12055-025-02161-w","url":null,"abstract":"<p><p>The heart has long occupied a unique position at the intersection of mythology, philosophy, and medicine. In ancient Greek thought, it was regarded not merely as an anatomical structure but as the seat of emotion, intelligence, and vitality. This article traces the evolving conceptualization of the heart from its mythopoetic roots in Hellenic mythology and literature to its re-interpretation within early philosophical discourse and proto-medical frameworks. Through an interdisciplinary approach, we explore how symbolic understandings of the heart informed early medical theories, culminating in the foundational works of Hippocrates, Aristotle, and Galen. We further examine the enduring metaphorical significance of the heart in modern cardiology, particularly in psychosomatic and neurocardiological models that echo ancient intuitions. By uncovering the layered genealogy of cardiac symbolism and function, this study highlights how historical perspectives continue to influence contemporary clinical paradigms. Ultimately, the heart remains not merely a biological organ but a palimpsest of cultural meanings, bridging the domains of myth, medicine, and metaphysical thought.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"631-648"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672670","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":"An intracoronary cardioplegia technique.","authors":"Mehmet Ali Sahin, Erkan Kuralay","doi":"10.1007/s12055-025-02168-3","DOIUrl":"10.1007/s12055-025-02168-3","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"686-688"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672797","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":"Correction to: Sex differences late after tetralogy of Fallot repair: a systematic review and meta‑analysis.","authors":"Charis Qing Ying Tan, Emma Gardiner, Alison Zhu, David Ray Andrews, Jelena Saundankar","doi":"10.1007/s12055-026-02189-6","DOIUrl":"10.1007/s12055-026-02189-6","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1007/s12055-025-02127-y.].</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"684-685"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672786","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":"Balloon-expandable vs. self-expandable transcatheter aortic valve implantation in bicuspid aortic valve stenosis: a meta-analysis of observational studies.","authors":"Arun Kumar Maloth, Tanish Baweja, Aliyanoor Shaikh, Sumin Thapa, Soumyadeep Das, Gurusha Jangid, Rebecca Maria Varghese, Muhammad Muneeb Khawar, Wodwentzky Lefranc, Olga Lopez, Theresa Allagoa, Sahithi Kantamaneni, Parvathy Ajith, Asraf Hussain, Muneeb Khawar","doi":"10.1007/s12055-025-02111-6","DOIUrl":"10.1007/s12055-025-02111-6","url":null,"abstract":"<p><strong>Purpose: </strong>If patients with bicuspid aortic valve (BAV) stenosis are high-risk candidates for traditional open-heart surgery, they can be treated with transcatheter aortic valve replacement (TAVR). The purpose of this study is to understand the effects of balloon-expandable valves (BEVs) and self-expandable valves (SEVs) as they are used in TAVR on patients with BAV stenosis.</p><p><strong>Methods: </strong>We searched the databases PubMed, Embase, Cochrane, and ScienceDirect from their inception until January 2025. An odds ratio (OR) and corresponding 95% confidence interval (CI) were determined for every outcome, with statistical significance at <i>p</i>-value < 0.05. Random-effects models were used for studies with high heterogeneity (<i>I</i> ² > 50%), and fixed-effects models for low heterogeneity (<i>I</i> ² ≤ 50%).</p><p><strong>Results: </strong>Nine observational studies were included. There was no significant difference found for the following outcomes: procedural death, 30-day mortality, 1-year all-cause mortality, annulus rupture, acute kidney injury, stroke, and moderate/severe paravalvular leak between BEV and SEV.Still, having a BEV was associated with a lower risk of needing a pacemaker or requiring second valve surgery.</p><p><strong>Conclusion: </strong>From this analysis, it seems that BEVs may provide better results than SEVs in terms of reducing the need for a pacemaker and a second valve in patients with BAV stenosis treated with TAVR. The number of deaths and serious complications was about the same for the two valves. Additional randomized controlled trials are needed to study both the lasting effects and the factors that shape these results.</p><p><strong>Prospero id: </strong>CRD420251003387.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-02111-6.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"619-630"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672814","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":"Interpreting a rare co-presentation of PTEN (phosphatase and tensin homolog) mutation and severe pediatric aortopathy.","authors":"Maria Elisa Martini Albrecht, Maurício Paiva, Paul Salvador Morales, Stevan Krieger Martins, Gustavo Yano Callado, Nathalie Jeanne Bravo-Valenzuela, Edward Araujo Júnior","doi":"10.1007/s12055-026-02191-y","DOIUrl":"10.1007/s12055-026-02191-y","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"689-690"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672243","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":"Management and outcomes of tracheobronchial injuries post-esophagectomy.","authors":"Syed Nusrath, Asiel Christopher, Sarvanan Rajamanickam, Yogesh Vashist, Subramanyeshwar Rao Thammineedi, Sujith Chyau Patnaik, Baskaran Dhanapal, Nalukurthi Naga Venkata Ranjit Kumar, Sri Siddhartha Nekkanti","doi":"10.1007/s12055-025-02158-5","DOIUrl":"10.1007/s12055-025-02158-5","url":null,"abstract":"<p><p>Tracheobronchial injuries (TBI) are rare but potentially life-threatening complications of esophagectomy, with significant morbidity and mortality. This narrative review examined the incidence, risk factors, diagnostic methods, and management strategies for TBI following esophagectomy. A PubMed search was conducted for relevant studies published between 1978 and 2024 using terms related to tracheal injury and esophagectomy. Forty-five articles met the inclusion criteria. The incidence of TBI ranged from 0.4 to 3.5% in transhiatal esophagectomy (THE) and 0 to 2.67% in transthoracic esophagectomy (TTE). Identified risk factors included dense tumor adhesions, neoadjuvant chemoradiation, blunt esophageal dissection, and double-lumen endotracheal tube use. Diagnosis was primarily via bronchoscopy and imaging. Small, stable injuries were managed conservatively, while larger defects required surgical repair, often with muscle flap or synthetic reinforcement. Early intraoperative recognition and repair are key to improving outcomes, but mortality is high in cases of delayed diagnosis. This review emphasizes the importance of meticulous surgical technique, vigilant intraoperative monitoring, and individualized treatment strategies to minimize complications in high-risk patients.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"608-618"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672570","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":"Pulmonary valve replacement with a sutureless bioprosthesis.","authors":"Igor Vendramin, Enrico Spagna, Sandro Sponga, Arianna Semeraro, Ugolino Livi, Uberto Bortolotti, Andrea Lechiancole","doi":"10.1007/s12055-025-02143-y","DOIUrl":"10.1007/s12055-025-02143-y","url":null,"abstract":"<p><p>Sutureless bioprostheses are frequently used for aortic valve replacement (AVR), but their use for pulmonary valve replacement (PVR) has rarely been reported so far. We have recently observed a patient with aortic valve stenosis and dilatation of the ascending aorta in whom a high transpulmonary valve gradient was found due to severe dysplasia of the pulmonary valve PVR was performed with a Perceval sutureless bioprosthesis, along with aortic valve and ascending aorta replacement. This case stimulated a review of the literature to evidence similar cases previously published. Besides the present case, four other patients have been reported in the literature of PVR with a sutureless bioprosthesis. Clinical and technical details are reported, underlining the main differences in device implantation compared toe AVR. The present review confirms that PVR with a sutureless bioprosthesis is safe and feasible, with excellent results in various clinical scenarios, and it may be considered a valid alternative to transcatheter techniques.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"42 5","pages":"653-656"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672692","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}