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Indian Journal of Thoracic and Cardiovascular Surgery最新文献

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Surgical treatment of subclavian artery aneurysm due to fibromuscular dysplasia. 纤维肌肉发育不良所致锁骨下动脉瘤的外科治疗。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-12 DOI: 10.1007/s12055-024-01833-3
Slobodan Tanaskovic, Bojan Vucurevic, Gorica Vidovic, Slobodan Pesic, Milena Jovanovic, Jovan Petrovic
{"title":"Surgical treatment of subclavian artery aneurysm due to fibromuscular dysplasia.","authors":"Slobodan Tanaskovic, Bojan Vucurevic, Gorica Vidovic, Slobodan Pesic, Milena Jovanovic, Jovan Petrovic","doi":"10.1007/s12055-024-01833-3","DOIUrl":"10.1007/s12055-024-01833-3","url":null,"abstract":"<p><p>Subclavian artery aneurysm (SAA) is a rare and potentially life and limb-threatening disease. Fibromuscular dysplasia (FMD) is an idiopathic, segmental, non-atherosclerotic and non-inflammatory disease of the musculature of arterial walls, leading to stenosis of small- and medium-sized arteries. We are presenting a case of surgical treatment of SAA due to FMD with compression symptoms. A 63-year-old woman was admitted due to an 18-mm right SAA. She complained of constant pain in the right shoulder. Due to the significant compression symptoms, risk of rupture, embolization and thrombosis, surgical treatment was indicated. The aneurysm was isolated through the supraclavicular incision and resected with subsequent subclavian artery (SA) reconstruction. Histopathological findings showed FMD, with thickened intima and fibroplasia of the subintimal layer of the arterial wall and luminal nodular formation as a striking feature, with tunica media being atrophic and replaced by fibrous tissue. The postoperative course was uneventful, and after 6 months, the patient was doing well with SA flow well preserved and no more pain in the right shoulder. SAA due to FMD is rare. Surgical treatment in such cases is the preferable treatment option over endovascular, due to the relief of aneurysmal sac compression symptoms on surrounding nerves and structures. In the case of isolated subclavian artery pseudoaneurysm, one should suspect that the cause could be FMD.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"481-485"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718828","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
Regression analysis for cardiothoracic surgeons: part 5-predicting risks and outcomes in surgery. 心胸外科医生的回归分析：第5部分：预测手术风险和结果。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-04-01 Epub Date: 2025-02-05 DOI: 10.1007/s12055-025-01901-2
H Shafeeq Ahmed
{"title":"Regression analysis for cardiothoracic surgeons: part 5-predicting risks and outcomes in surgery.","authors":"H Shafeeq Ahmed","doi":"10.1007/s12055-025-01901-2","DOIUrl":"10.1007/s12055-025-01901-2","url":null,"abstract":"<p><p>Regression analysis is a powerful tool for cardiothoracic surgeons, enabling the prediction of patient outcomes and identification of key risk factors. This article explores the fundamentals of regression, including simple, multiple, and logistic regression models, and their applications in predicting surgical success, recovery times, and complication risks. Ensuring model assumptions are valid, selecting appropriate variables, and interpreting coefficients allows clinicians to make evidence-based decisions. Advanced techniques, such as handling non-linear relationships through polynomial regression and log transformations, are essential when dealing with more complex data. These techniques are critical in clinical research for addressing key research questions.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-01901-2.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"503-514"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718826","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
Giant cell tumor of bone with late-onset lung metastasis and secondary osteosarcomatous transformation. 骨巨细胞瘤伴迟发性肺转移和继发性骨肉瘤转化。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-28 DOI: 10.1007/s12055-024-01837-z
Sana Ahuja, Adil Aziz Khan, Apoorva Kabra, Sufian Zaheer
{"title":"Giant cell tumor of bone with late-onset lung metastasis and secondary osteosarcomatous transformation.","authors":"Sana Ahuja, Adil Aziz Khan, Apoorva Kabra, Sufian Zaheer","doi":"10.1007/s12055-024-01837-z","DOIUrl":"10.1007/s12055-024-01837-z","url":null,"abstract":"<p><p>This case report presents a rare occurrence of a primary giant cell tumor (GCT) of bone with subsequent metastasis to the lung, undergoing osteosarcomatous transformation, with a significant temporal gap of 10 years between the two tumor events. A 32-year-old male initially presented with a primary GCT of the distal femur, which was treated with curettage and adjuvant therapy. Ten years later, he developed pulmonary metastasis, exhibiting features of an osteosarcomatous transformation of the previously diagnosed GCT. This case underscores the importance of long-term surveillance in patients with GCTs and the potential for malignant transformation over time.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"441-446"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718796","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
Right-sided partial anomalous pulmonary venous connection with intact atrial septum and small left atrium: in a dextroverted heart. 右倾心脏伴完整房间隔和小左心房的右侧部分肺静脉连接异常。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-04-01 Epub Date: 2024-09-23 DOI: 10.1007/s12055-024-01825-3
Sandeep Chakraborty, Bharath Veerabhadraiah, Mayank Yadav, Amitabh Satsangi, Milind Padmakar Hote
{"title":"Right-sided partial anomalous pulmonary venous connection with intact atrial septum and small left atrium: in a dextroverted heart.","authors":"Sandeep Chakraborty, Bharath Veerabhadraiah, Mayank Yadav, Amitabh Satsangi, Milind Padmakar Hote","doi":"10.1007/s12055-024-01825-3","DOIUrl":"10.1007/s12055-024-01825-3","url":null,"abstract":"<p><p>Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital heart defect (CHD), with reported incidence between 0.4 and 0.7%. PAPVC with intact atrial septum (IAS) is extremely uncommon, and associated small left atrium (LA) with dilated coronary sinus (CS) is even rarer. We present a case of isolated right-sided PAPVC draining into the right atrium (RA) with bilateral superior vena cavae (SVC) and an intact interatrial septum with dilated coronary sinus and a small diminutive LA, in a dextroverted heart. The patient underwent PAPVC rerouting and LA augmentation via biatrial appendage approaches, through median sternotomy. The patient recovered uneventfully and is doing well on 1-month follow-up.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"459-463"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718827","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
Inferior vena cava leiomyosarcoma in a young woman with autosomal dominant polycystic kidney disease. 年轻女性下腔静脉平滑肌肉瘤伴常染色体显性多囊肾病。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-04-01 Epub Date: 2024-09-06 DOI: 10.1007/s12055-024-01820-8
Suresh Singh, Agil Babu, Kamal Kishor Lakhera, Pinakin Patel, Deeksha Mehta
{"title":"Inferior vena cava leiomyosarcoma in a young woman with autosomal dominant polycystic kidney disease.","authors":"Suresh Singh, Agil Babu, Kamal Kishor Lakhera, Pinakin Patel, Deeksha Mehta","doi":"10.1007/s12055-024-01820-8","DOIUrl":"10.1007/s12055-024-01820-8","url":null,"abstract":"<p><p>Leiomyosarcomas of the inferior vena cava pose a significant clinical challenge due to their rarity and complex vascular involvement. This report discusses a case of a 29-year-old woman with autosomal dominant polycystic kidney disease who experienced recurrent abdominal pain. Imaging revealed a retroperitoneal mass, which surgical exploration identified as originating from the inferior vena cava. Surgical resection and subsequent histopathological analysis confirmed the mass to be a leiomyosarcoma. This case highlights the importance of early detection, multidisciplinary management, and continuous monitoring in treating rare vascular leiomyosarcomas. While it is possible that genetic factors could play a role in the development of both conditions, the presence of both in one patient may simply be coincidental. To establish a genetic association, a larger study involving multiple cases would be required and to develop standardized guidelines for managing these tumors.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"452-455"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718798","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
Much, too much, 'plastic' in life! 生活中有太多太多的“塑料”！
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-04-01 Epub Date: 2025-03-13 DOI: 10.1007/s12055-025-01939-2
Om Prakash Yadava
{"title":"Much, too much, 'plastic' in life!","authors":"Om Prakash Yadava","doi":"10.1007/s12055-025-01939-2","DOIUrl":"10.1007/s12055-025-01939-2","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"385-386"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718812","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
Minithoracotomy versus ministernotomy aortic valve replacement. 小切口与小切口主动脉瓣置换术。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-25 DOI: 10.1007/s12055-024-01815-5
Rong Hui Misté Chia, Pragnesh Joshi
{"title":"Minithoracotomy versus ministernotomy aortic valve replacement.","authors":"Rong Hui Misté Chia, Pragnesh Joshi","doi":"10.1007/s12055-024-01815-5","DOIUrl":"10.1007/s12055-024-01815-5","url":null,"abstract":"<p><strong>Objective: </strong>It is debatable which minimally invasive strategy is better for aortic valve replacement (AVR). This study aims to compare the perioperative outcomes of AVR through right anterior minithoracotomy (RAT) versus ministernotomy.</p><p><strong>Methods: </strong>A series of 162 consecutive patients who underwent minimally invasive AVR (107 RAT and 55 ministernotomy) from August 2013 to May 2022 were evaluated. Primary outcome measured was perioperative mortality. Secondary outcomes measured were operative time, perioperative stroke, and blood loss.</p><p><strong>Results: </strong>Majority of patients were of low operative risk (93.5% vs 89.1%) and overweight/obese (body mass index ≥ 25 kg/m<sup>2</sup>, 76.6% vs 65.5%).No cardiac mortality or major morbidity including stroke was observed in either group. RAT was associated with lower blood loss (mean hemoglobin level at time of hospital discharge, 111.8 g/L vs 104.4 g/L, <i>p</i> = 0.02). There was no statistical difference in transfusion rates between the groups (11.2% vs 14.5%, <i>p</i> = 0.6).In isolated AVR, operative time was slightly shorter with ministernotomy (median bypass time, 123 minutes in RAT vs 113 minutes in ministernotomy, <i>p</i> = 0.02). There was a statistically significant decline in both cross-clamp (<i>p</i> = 0.005) and bypass time (<i>p</i> = 0.004) over the study period.</p><p><strong>Conclusions: </strong>Both minimally invasive AVR methods produced good clinical results. No significant difference was observed in mortality or stroke with either technique. RAT AVR may be preferred over ministernotomy due to its sternal-sparing effect despite being a slightly longer operation while one of the advantages of ministernotomy is easy allowance for concomitant procedures.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 4","pages":"411-419"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718810","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
A reproducible step-by-step approach to the surgical repair of the Rheumatic mitral valve. 一种可重复的一步一步的方法来手术修复风湿性二尖瓣。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-03 DOI: 10.1007/s12055-024-01857-9
Rajeshwara Krishna Prasad Adluri
{"title":"A reproducible step-by-step approach to the surgical repair of the Rheumatic mitral valve.","authors":"Rajeshwara Krishna Prasad Adluri","doi":"10.1007/s12055-024-01857-9","DOIUrl":"10.1007/s12055-024-01857-9","url":null,"abstract":"<p><p>The rheumatic mitral disease represents a complex progressive disorder that affects young adults and causes severe morbidity and mortality. Valve replacement with a mechanical valve has been the traditional treatment for these patients. Valve replacement increases longevity but necessitates several lifestyle changes. Improved understanding of the pathophysiology of the disease and standardization of mitral repair techniques, renewed interest is now generated in repairing these complex valves. We review the existing evidence for the repairing rheumatic mitral valve and propose a practical and systematic approach to repair the valve to ensure higher success rates.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-024-01857-9.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"299-307"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457883","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
Mitral valve replacement in Kartagener's syndrome. 二尖瓣置换术治疗Kartagener综合征。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 Epub Date: 2024-08-28 DOI: 10.1007/s12055-024-01810-w
Nikhil Dixit, Mahaadev Dixit, Abhishek Joshi, Amrut Nerlikar, Prashantha Mb, Avinash Londhe
{"title":"Mitral valve replacement in Kartagener's syndrome.","authors":"Nikhil Dixit, Mahaadev Dixit, Abhishek Joshi, Amrut Nerlikar, Prashantha Mb, Avinash Londhe","doi":"10.1007/s12055-024-01810-w","DOIUrl":"10.1007/s12055-024-01810-w","url":null,"abstract":"<p><p>Kartagener's syndrome is a rare autosomal recessive disease featuring the clinical triad of chronic sinusitis, bronchiectasis, and situs inversus. Situs inversus is associated with dextrocardia wherein the cardiac apex lies over to the right. Acquired valvular lesions in this condition are rare and surgery on them is even rarer. The standard of treatment in a dextrocardiac mitral valve disease is a mitral valve replacement via a right atriotomy. Here, we present a case of mitral valve stenosis with Kartagener's syndrome, in whom a mitral valve replacement was performed via a left atriotomy.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"350-353"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457928","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
Solitary fibrous tumor of the chest wall. 孤立的胸壁纤维性肿瘤。
IF 0.7
Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 Epub Date: 2024-10-28 DOI: 10.1007/s12055-024-01848-w
Shiv Rajan, Shashwat Tiwari, Vijay Kumar
{"title":"Solitary fibrous tumor of the chest wall.","authors":"Shiv Rajan, Shashwat Tiwari, Vijay Kumar","doi":"10.1007/s12055-024-01848-w","DOIUrl":"10.1007/s12055-024-01848-w","url":null,"abstract":"<p><p>Solitary fibrous tumors (SFTs) are uncommon mesenchymal tumors that primarily develop in the visceral pleura. The chest wall is an extremely rare site for the origin of these tumors and therefore presents unique challenges for diagnosis and management. We present a rare case of solitary fibrous tumors of the chest wall (SFTCW), necessitating extensive resection and complex reconstruction.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 3","pages":"367-370"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457961","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
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