Indian Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Surgical comparison of two cases of esophageal carcinoma with cirrhosis of the liver.","authors":"Donghui Zhu","doi":"10.1007/s12055-025-01917-8","DOIUrl":"https://doi.org/10.1007/s12055-025-01917-8","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1121-1122"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682536","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":"Birt-Hogg-Dubé syndrome presenting as recurrent secondary spontaneous pneumothorax: VATS.","authors":"Sumit Bangeria, Belal Bin Asaf, Sukhram Bishnoi, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Arvind Kumar","doi":"10.1007/s12055-025-01934-7","DOIUrl":"https://doi.org/10.1007/s12055-025-01934-7","url":null,"abstract":"<p><p>Birt-Hogg-Dubé syndrome is a rare autosomal dominant inherited condition, occurring due to mutations in folliculin gene and is characterized by skin lesions, renal tumors, and pulmonary cysts, which can lead to recurrent pneumothorax. The present report discusses the case of a 35-year-old male presenting with a history of left-sided recurrent pneumothorax, and diagnosed with Birt-Hogg-Dubé syndrome after screening for mutation in folliculin gene. The patient experienced two episodes of spontaneous pneumothorax, both of which were managed by intercostal drainage. However, the third episode was managed using percutaneous needle thoracocentesis, and the patient was subsequently referred for surgical management. Imaging revealed presence of bilateral pulmonary cysts and left-sided pneumothorax. Video-assisted thoracoscopic surgery identified multiple bullae and blebs, which were managed by multiple wedge resections followed by complete parietal pleurectomy to prevent recurrence. Postoperatively, the patient showed complete resolution of pneumothorax and 1 month x-ray showed complete chest expansion. The present case underscores the importance of video-assisted thoracoscopic surgery in management of Birt-Hogg-Dubé syndrome patients presenting with recurrent pneumothorax.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1092-1095"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682514","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":"Endobronchial metastasis of fibrosarcoma successfully managed via rigid bronchoscopy.","authors":"Feride Yaman, Alara Abu Saadeh, Houssam Eddine Youcefi, Seyedehtina Safaei, Ali Kimiaei, Pinar Çağan, Cemal Asim Kutlu","doi":"10.1007/s12055-024-01883-7","DOIUrl":"https://doi.org/10.1007/s12055-024-01883-7","url":null,"abstract":"<p><p>This case report describes a 60-year-old female with a history of high-grade epithelioid myxofibrosarcoma, initially diagnosed in the right gluteal region. After resection, she experienced a recurrence at the same site, treated with radiotherapy. Fifteen months post-diagnosis, she developed pulmonary metastasis, confirmed by positron emission tomography-computed tomography (PET-CT). Surgical resection of the nodules via video-assisted thoracoscopic surgery (VATS) showed clear margins. Three months later, the patient presented with respiratory distress and rapidly deteriorated due to a mass occluding the right main bronchus, leading to complete lung collapse. Emergency bronchoscopy successfully excised the mass, revealing intact bronchial architecture. Following the procedure, she began treatment with larotrectinib, resulting in significant clinical improvement and enhanced lung aeration on follow-up imaging. This case highlights the importance of monitoring for airway obstruction in malignancy patients and the effectiveness of bronchoscopy in managing such complications.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1023-1026"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682519","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":"Modern statistical techniques for cardiothoracic surgeons: Part 8-Bayesian analysis and beyond.","authors":"H Shafeeq Ahmed","doi":"10.1007/s12055-025-01941-8","DOIUrl":"https://doi.org/10.1007/s12055-025-01941-8","url":null,"abstract":"<p><p>Bayesian analysis is a statistical approach that updates the probability of a hypothesis as new evidence emerges, combining prior knowledge with observed data to produce posterior probabilities. It is particularly useful in adaptive clinical trials and hierarchical modeling, offering flexibility and dynamic decision-making. Machine learning (ML), on the other hand, leverages algorithms to analyze complex patterns in large datasets, providing predictive insights for risk assessment and personalized treatment. Techniques such as deep learning and clustering enhance diagnostic accuracy and treatment optimization. Together, Bayesian methods and ML have the potential to revolutionize cardiothoracic research by integrating prior knowledge with data-driven analytics.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 8","pages":"1102-1113"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682527","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":"Short-term outcomes of off-pump vs. on-pump coronary artery bypass grafting in left main coronary artery disease: a systematic review and meta-analysis.","authors":"Lucas Nogueira Pansani, Pedro Emanuel de Paula Carvalho, Douglas Gewehr, Maurizio Taramasso, Giullia Burkhardt, Lara Almeidinha, Rafael Ayala, Martin Tobias Robert Grapow","doi":"10.1007/s12055-025-01907-w","DOIUrl":"10.1007/s12055-025-01907-w","url":null,"abstract":"<p><strong>Background: </strong>The efficacy and safety of off-pump relative to on-pump coronary artery bypass grafting (CABG) in patients with left main coronary artery disease (LMCAD) remain unclear.</p><p><strong>Objectives: </strong>Conduct a meta-analysis assessing the outcomes following CABG comparing off-pump CABG vs. on-pump CABG.</p><p><strong>Methods: </strong>MEDLINE, Cochrane, and Embase were examined for randomized controlled trials (RCTs) and observational studies that communicated outcomes after off-pump vs. on-pump CABG in patients with LMCAD. Odds ratios (OR) with 95% confidence intervals (CI) were pooled with a random-effects model. Cochrane recommendations for quality assessment and risk of bias were performed. This study was registered in the PROSPERO platform, ID: CRD42023451467.</p><p><strong>Results: </strong>One RCT and 17 observational studies with 16,848 patients were included, 6735 (40.0%) of whom underwent off-pump CABG. In patients with LMCAD undergoing CABG, off-pump CABG was associated with a lower incidence of all-cause mortality (OR 0.52, 95% CI 0.38-0.71; <i>p</i> < 0.001), acute renal dysfunction (OR 0.40; 95% CI 0.27-0.59; <i>p</i> < 0.001), postoperative use of intra-aortic balloon pump (IABP) (OR 0.38; 95% CI 0.22-0.64; <i>p</i> < 0.01), and wound infection (OR 0.66; 95% CI 0.48-0.9; <i>p</i> = 0.01). There was no difference between the groups for myocardial infarction (OR 0.81; 95% CI 0.59-1.11; <i>p</i> = 0.193), stroke, or transitional ischemic attack (TIA) (OR 0.64; 95% CI 0.38-1.06; <i>p</i> = 0.085). The number of grafts per patient was also lower in the off-pump CABG group (mean deviation (MD) -0.32; 95% CI -0.50 to -0.14; <i>p</i> < 0.001). After a mean follow-up of 38.1 months, no significant difference in all-cause mortality incidence was observed between the two techniques (OR 0.72; 95% CI 0.30-1.74; <i>p</i> = 0.47). This underscores that the reduction in mortality rates was primarily driven by short-term outcomes.</p><p><strong>Conclusion: </strong>In this meta-analysis with 16,848 patients with LMCAD undergoing CABG, off-pump CABG was associated with lower rates of all-cause mortality, acute renal dysfunction, IABP use, and wound infection compared with on-pump CABG.</p><p><strong>Graphical abstract: </strong>On-pump versus off-pump CABG in patients with LMCAD.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-01907-w.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"852-862"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325552","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":"The transformative power of mentorship in my journey as a heart transplant surgeon.","authors":"Manoj Durairaj","doi":"10.1007/s12055-025-01955-2","DOIUrl":"https://doi.org/10.1007/s12055-025-01955-2","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"830-842"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325558","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":"Prevention of bleeding from the pulmonary artery during thoracoscopic lobectomy: can we achieve a rapid and less traumatic vascular control?","authors":"Dario Amore, Dino Casazza, Umberto Caterino, Pasquale Imitazione, Cristiano Cesaro","doi":"10.1007/s12055-025-01960-5","DOIUrl":"10.1007/s12055-025-01960-5","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"970-972"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325549","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":"Investigation of sentinel lymph nodes using SPECT/CT and perioperative gamma assay combined with immunohistochemistry in non-small cell lung cancer patients undergoing lung resection.","authors":"Pinar Çağan, Ali Kimiaei, Seyedehtina Safaei, Fikri Okan Falay, Cemal Asim Kutlu","doi":"10.1007/s12055-025-01924-9","DOIUrl":"10.1007/s12055-025-01924-9","url":null,"abstract":"<p><strong>Purpose: </strong>Accurate mediastinal staging is crucial for treatment planning and prognostication in patients with non-small cell lung cancer (NSCLC). Sentinel lymph node (SLN) detection using single-photon emission computed tomography/computed tomography (SPECT/CT) is a promising technique for improving the precision of mediastinal staging. In this study, we aimed to identify the lymph nodes that the tumor will invade based on the lobe in which it exists by determining the lobar drainage pathways. Additionally, we share our experience with the SLN procedure for NSCLC.</p><p><strong>Methods: </strong>The study included twenty NSCLC patients with N0, N1, or N2 stages, scheduled for surgery and showing no lymph node or distant metastasis on positron emission tomography/computed tomography (PET/CT). Radiopharmaceutical injection around the tumor preoperatively was followed by SPECT/CT visualization. Lymph nodes were counted using a gamma probe post-mediastinal dissection. Evaluation included histopathological analysis of SLNs identified by SPECT/CT and gamma probe, using hematoxylin and eosin and immunohistochemical staining.</p><p><strong>Results: </strong>After postoperative pathological examinations, metastases were found in other mediastinal, hilar, or intrapulmonary lymph nodes without involving the SLN in six patients (30%). Metastasis to the SLN was detected in only two patients (10%). Immunohistochemical staining with cytokeratin revealed SLN metastasis in three patients (15%). The skip metastasis was detected in five patients (25%). Additionally, three patients (15%) experienced pneumothorax post transthoracic radiopharmaceutical injection, which did not require intervention, and one patient (5%) had hemoptysis.</p><p><strong>Conclusion: </strong>We propose that enhancing SLN detection in NSCLC can aid surgeons in selectively sampling lymph nodes that are either invaded or are at risk of invasion without sacrificing the accuracy of mediastinal staging.</p><p><strong>Clinical trial registration: </strong>Not applicable. This manuscript does not report on or involve the use of any clinical trials.</p><p><strong>Graphical abstract: </strong></p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-01924-9.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"874-881"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325548","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 accessory left renal vein draining into the left ovarian.","authors":"Vedat Yaman, Sevtap Arslan","doi":"10.1007/s12055-025-01909-8","DOIUrl":"10.1007/s12055-025-01909-8","url":null,"abstract":"<p><p>We present an extremely rare vascular variation in which the accessory left renal vein (LRV) draining the lower pole of the left kidney drains into the left ovarian vein (LOV). A 35-year-old woman underwent a contrast-enhanced computed tomography (CT) of the abdomen with the clinical symptom of abdominal pain. Unexpectedly, an accessory LRV draining into the LOV was noted. Otherwise, the CT scan was unremarkable. Here we report a case of an accessory LRV draining into the LOV which has not been previously reported in the literature. Recognition and reporting of this anatomic variation is of paramount importance before the surgical or endovascular procedures involving the left kidney, left ovary, and retroperitoneum.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"947-950"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325539","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":"Energy drinks-the cardiac 'plot twist': <i>…and a lot more to the story!</i>","authors":"Om Prakash Yadava","doi":"10.1007/s12055-025-02012-8","DOIUrl":"10.1007/s12055-025-02012-8","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"823-825"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325544","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}