Indian Journal of Thoracic and Cardiovascular Surgery最新文献_第9页

Double left brachiocephalic vein in a paediatric patient with CHD: a case report. 小儿冠心病患者双左头臂静脉1例。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-02-01 Epub Date: 2024-06-19 DOI: 10.1007/s12055-024-01760-3

Simran Jain, Prashant Thakur, M S Ravindra, Yogesh Sathe, Ragini Pandey

引用次数: 0

Isolated right superior vena cava drainage into the left atrium. 右上腔静脉引流至左心房。

IF 0.7

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-02-01 Epub Date: 2024-05-29 DOI: 10.1007/s12055-024-01756-z

Poonam Dhanda, Narender Singh Jhajhria, Rahul Bhushan, Palash Aiyer, Vijay Grover, Tabang Nyitan

{"title":"Isolated right superior vena cava drainage into the left atrium.","authors":"Poonam Dhanda, Narender Singh Jhajhria, Rahul Bhushan, Palash Aiyer, Vijay Grover, Tabang Nyitan","doi":"10.1007/s12055-024-01756-z","DOIUrl":"https://doi.org/10.1007/s12055-024-01756-z","url":null,"abstract":"Isolated right superior vena cava (RSVC) drainage into the left atrium (LA) is a rare congenital anomaly, presenting diagnostic and management challenges. This study presents two cases of isolated RSVC drainage into the LA alongside a comprehensive literature review to improve understanding and delineate optimal surgical approaches. The study describes two cases of isolated RSVC drainage into the LA and their surgical management. Additionally, it includes a narrative literature review summarizing existing knowledge and highlighting key clinical insights regarding this rare anomaly. Both cases exhibited diverse clinical manifestations, such as cerebral abscess and dyspnea, leading to detailed evaluation revealing RSVC drainage into the LA. Surgical correction involved intracardiac baffle surgery in one case and extracardiac re-implantation in the other, resulting in successful symptom resolution. The literature review uncovered challenges in diagnosis, embryological hypotheses, and various surgical techniques employed for correction. Isolated RSVC drainage into the LA poses a diagnostic and therapeutic challenge due to its rarity. Recognizing salient clinical features and diverse presentations underscores the importance of early identification and appropriate surgical intervention. These cases contribute to understanding this anomaly and advocate for tailored surgical approaches based on individual patient characteristics.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 2","pages":"184-188"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004664","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

Long-term outcomes of women compared to men after off-pump coronary artery bypass grafting-a propensity-matched analysis. 非体外循环冠状动脉旁路移植术后女性与男性的长期预后——倾向匹配分析。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-02-01 Epub Date: 2024-09-06 DOI: 10.1007/s12055-024-01814-6

Anees Anwar, Varshini Subash, Rohik Micka Radhakrishnan, Neethu Krishna, Sheejamol Velickakathu Sukumaran, Rajesh Jose, Kirun Gopal, Praveen Kerala Varma

{"title":"Long-term outcomes of women compared to men after off-pump coronary artery bypass grafting-a propensity-matched analysis.","authors":"Anees Anwar, Varshini Subash, Rohik Micka Radhakrishnan, Neethu Krishna, Sheejamol Velickakathu Sukumaran, Rajesh Jose, Kirun Gopal, Praveen Kerala Varma","doi":"10.1007/s12055-024-01814-6","DOIUrl":"10.1007/s12055-024-01814-6","url":null,"abstract":"Background: Literature is not clear whether women experience increased mortality and adverse events after coronary artery bypass grafting (CABG). Studies have shown that women had comparative outcomes to men in off-pump CABG (OPCAB). Hence, we undertook this study to understand the short- and long-term outcomes of women compared to men after OPCAB.Methods: Two thousand two hundred patients who underwent OPCAB from November 2014 to December 2021 were included in the study. Median follow-up period was 4.8 years. We performed propensity matching to match 404 women to 404 men.Results: In the unmatched cohort, women had increased cardiovascular mortality and inferior major adverse cardiovascular and cerebral event (MACCE)-free survival. In the matched cohorts, there was no difference in the 30-day mortality, long-term survival, MACCE-free survival, and cardiovascular mortality between the sexes. Cox proportional hazard showed post-operative renal failure (p-value < 0.001; hazard ratio (HR) 11.469) (confidence interval (CI) 2.911-45.180), post-operative stroke (p-value 0.023, HR 6.473) (CI 1.295-32.356), EuroSCORE II > 6 (p-value 0.022, HR 3.561) (1.204-10.531), emergency surgery (p-value 0.022, HR 3.498) (CI 1.202-10.177), and ventilation hours (p-value 0.004, HR 3.327) (CI 1.455-7.607) were the risk factors associated with long-term mortality in women.Conclusion: Our study showed that the increased risk profile of women was the reason for inferior MACCE-free survival and increased cardiovascular mortality in women in the long term after OPCAB. When the risk factors were matched, women had comparable outcomes to men.Graphical abstract: ","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 2","pages":"126-138"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004667","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 case of autoimmune haemolytic anaemia associated with mediastinal teratoma. 纵隔畸胎瘤合并自身免疫性溶血性贫血1例。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-02-01 Epub Date: 2024-06-19 DOI: 10.1007/s12055-024-01773-y

Muralidhara Yadiyal Baregundi, Prajjwal Bansal, Bhushan Chandrahasa Shetty

{"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":"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.","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}

引用次数: 0

Patient-centred newer testing methods for major cardiac disorders. 以患者为中心的重大心脏疾病新检测方法。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-02-01 Epub Date: 2024-11-08 DOI: 10.1007/s12055-024-01850-2

Rahul Kumar, Sudhahar Tamizhan, Anshuman Darbari, Manisha Naithani, Saloni Malik, Nisha Yadav, Ankit Saini

{"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":"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.Supplementary information: The online version contains supplementary material available at 10.1007/s12055-024-01850-2.","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}

引用次数: 0

Descriptive statistics for cardiothoracic surgeons: part 2 - the foundation of data interpretation. 心胸外科医生的描述性统计：第二部分--数据解读的基础。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-01-01 Epub Date: 2024-11-08 DOI: 10.1007/s12055-024-01855-x

H Shafeeq Ahmed

引用次数: 0

Cardiovascular and airway consideration in pediatric thoracic anterior mediastinal mass. 小儿胸腔前纵隔肿块的心血管和气道考虑。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-01-01 Epub Date: 2024-08-21 DOI: 10.1007/s12055-024-01798-3

Pavan Kumar Dammalapati

{"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":"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.","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}

引用次数: 0

Intraoperative thrombus formation in the artificial tube graft in a fenestrated extracardiac Fontan procedure-to trust our eyes or instincts? 心外方坦手术中人工管道移植的术中血栓形成--相信我们的眼睛还是直觉？

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-01-01 Epub Date: 2024-08-28 DOI: 10.1007/s12055-024-01821-7

Varikkara Krishna Narayanan Nayanar, Nithin Krishna Vikraman, Greeshma Sudarsanan, Mamatha Munaf

引用次数: 0

A new implementation that facilitates bleeding control in thoracic surgery: tamponing with tranexamic acid. 在胸外科手术中控制出血的新方法：氨甲环酸填塞法。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-01-01 Epub Date: 2024-11-18 DOI: 10.1007/s12055-024-01864-w

Eylem Yentürk, Ahmet Sami Bayram

引用次数: 0

'No-touch' or 'soft-touch' vein graft harvesting for CABG. CABG的“无接触”或“软接触”静脉移植收获。

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Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-01-01 Epub Date: 2024-11-05 DOI: 10.1007/s12055-024-01846-y

David P Taggart

引用次数: 0