Indian Journal of Thoracic and Cardiovascular Surgery (Indian J Thorac Cardiovasc Surg )

Publisher: Springer Verlag

Description

This Publication is the official organ of the Indian Association of Cardiovscular- Thoracic Surgeons. Edited, printed and published quarterly.

  • Impact factor
    0.00
  • 5-year impact
    0.00
  • Cited half-life
    0.00
  • Immediacy index
    0.00
  • Eigenfactor
    0.00
  • Article influence
    0.00
  • Website
    Indian Journal of Thoracic and Cardiovascular Surgery website
  • Other titles
    Indian journal of thoracic and cardiovascular surgery (Online)
  • ISSN
    0970-9134
  • OCLC
    56974461
  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Springer Verlag

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Authors own final version only can be archived
    • Publisher's version/PDF cannot be used
    • On author's website or institutional repository
    • On funders designated website/repository after 12 months at the funders request or as a result of legal obligation
    • Published source must be acknowledged
    • Must link to publisher version
    • Set phrase to accompany link to published version (The original publication is available at www.springerlink.com)
    • Articles in some journals can be made Open Access on payment of additional charge
  • Classification
    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Atrioventricular Valve Regurgitation (AVVR) is a risk factor for increased mortality in patients with single ventricular physiology. We postulate that by offloading the blood volume from the single ventricle, AVVR would improve without valvuloplasty. Objective We aimed to determine risk factors associated with AVVR and whether a Bidirectional Cavopulmonary Anastomosis (BCPA) alone would improve AVVR without valvuloplasty in our cohort of patients. Material and methods A retrospective review of 213 consecutive patients who underwent BCPA between January 2000 to August 2010 was conducted. Eighty patients with AVVR without valvuloplasty were analyzed. Eighty-nine patients required palliation prior to the BCPA. The median age and weight at surgery were 3 years +/−4.4 and 11.2 kg +/−11.4 respectively. 2D Echocardiography was used to quantify the degree of AVVR pre and postoperatively. Significant (moderate and severe) AVVR before BCPA was noted in 29 out of 213 patients (13.6 %). The risk factors associated with AVVR i.e. type of cardiac diagnosis, systemic ventricle, palliation prior to BCPA and age at BCPA were analyzed. Result and conclusion The overall mortality was 5.2 %. The operative mortality was significantly lower in patients operated between 2006 and 2010 as compared to between 2000 and 2005 (0.9 % versus 7.1 %) (p = 0.024). AVVR was significantly higher in patients who had right ventricle as systemic ventricle (p = 0.032) and unbalanced atrioventricular canal (p < 0.05). In the immediate postoperative period, presence of moderate AVVR improved (p < 0.05) from 21.3 to 8.8 %. However at mean follow up of 3.7+/−2.8 years, 12.5 % patients presented with moderate AVVR. In conclusion, the BCPA significantly offloaded the single ventricle and improved AVVR in patients with moderate regurgitation. However, improvement did not sustain at longer duration of follow up.
    Indian Journal of Thoracic and Cardiovascular Surgery 02/2014;
  • Indian Journal of Thoracic and Cardiovascular Surgery 01/2014;
  • Indian Journal of Thoracic and Cardiovascular Surgery 11/2013;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Perimembranous and sub arterial Ventricular Septal Defects (VSD) are associated with Aortic Regurgitation (AR) in 5 % of patients. More than mild AR needs additional valve intervention during VSD closure. Feasibility of aortic valve repair and its superior results over aortic valve replacement have been documented well. The purpose of this study is to present our initial experience in aortic valve repair in young children with aortic regurgitation. Materials and methods Fourteen out of thirty-one consecutive VSD closures had AR (45.16 %) and six of them (19.35 %) needed intervention. The median age and weight were 8.1 years and 18.7 Kg. The VSD was perimembranous in 5 and sub arterial in 1. The predominant pathology was leaflet prolapse in 5 (right coronary cusp-3, Non coronary cusp-1 and both coronary cusps-1) Results Five had successful aortic valve repair and one underwent aortic valve replacement after a failed valve repair. The technique of repair consisted of commissural placation with cusp shortening, resuspension and bicuspidisation. There were no deaths. Follow-up was 100 % complete at a median of 6 months. AR was trivial in 2, and mild in 3. All are in NYHA class I. Patient with mechanical valve had major anticoagulation-related intra-cerebral bleed needing neurosurgical intervention. Conclusion Early intervention for VSD would possibly prevent aortic valve disease. Aortic valve repair is the procedure of choice in young patients with VSD-AR syndrome and can be performed with low risk, and the freedom from valve-related morbidity and mortality is excellent. Valve repair also avoids anticoagulation related complications.
    Indian Journal of Thoracic and Cardiovascular Surgery 03/2013; 29:1-4.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective This study was carried out to evaluate effect of low volume normal frequency ventilation during Cardiopulmonary Bypass (CPB) on immediate postoperative respiratory outcome in patients undergoing elective open heart surgeries. Background Lung deflation during CPB is considered as major cause of postoperative pulmonary dysfunction. Various methods of ventilation had been tried during CPB to prevent postoperative lung dysfunction. As yet, little information is available comparing low volume normal frequency ventilation with no ventilation during CPB. Patients and Methods Thirty six patients aged 18 years to 65 years were included and randomized into two groups; Group V (n = 18) or Group NV (n = 18). Group V patients were ventilated with a tidal volume of 2 mL kg−1with 100 % oxygen during CPB after aortic clamp placement, and respiratory rate was continued as per pre CPB period. Ventilation was discontinued in NV group after aorta was cross clamped. Normal ventilation was restored in both groups after release of aortic clamp. Results Intraoperative PaO2 and PaCO2 were similar in both groups. The group V patients had improved inspiratory capacity (p = 0.0) in both day 1 (after extubation) and day 2 (24 h after extubation). Extubation was significantly earlier in group V patients (p < 0.05). Conclusion Low volume normal frequency ventilation during cardiopulmonary bypass improves lung mechanics during early postoperative period in patients undergoing open heart surgery.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013;
  • [Show abstract] [Hide abstract]
    ABSTRACT: During the last two decades, there has been a phenomenal rise in the number of patients undergoing early primary repair for congenital heart defects. Repair of these intracardiac defects usually requires open heart surgery that necessitates cardiopulmonary bypass, aortic cross clamping and administered cardiac arrest. To achieve this goal, cardioplegia is administered at predetermined intervals to ensure a quiescent heart and protection of the myocardium from ischaemia at the same time. Cardioplegia administration is usually done in conjunction with hypothermia to decrease the metabolic demands of the arrested heart as hypothermia alone is inferior to the combination of hypothermia and cardioplegia in providing adequate myocardial protection. The types and methods of cardioplegia in use today are as diverse as individual surgeons; and most institutions have over time developed their own preferred myocardial protection techniques that have proven to be safe and effective. Most of the available literature and concepts in pediatric myocardial protection today have been borrowed from observations in adults and ex- vivo and in-vivo animal models. The extrapolation of these concepts to pediatric myocardium is inappropriate as immature myocardium is not simply a “small adult heart”. It has unique differences and susceptibilities. This review provides a synopsis of pediatric myocardial protection including types, mechanisms, composition and comparative features of pediatric cardioplegia solutions currently in use all over the world. As of now, there is no evidence favoring one technique or strategy over the other. Pediatric myocardial protection protocols in general are currently experience based.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013; 29(2).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Carcinosarcoma of esophagus contains both the carcinomatous and sarcomatous elements. These are rare polypoidal malignancies of esophagus. One such case is presented and available literature is reviewed.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013; 29(2).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Primary cardiac tumors are rare and usually benign. The incidence of cardiac lipomas is 8 % of benign cardiac tumors [1]. Several surgical options have been reported to obtain an appropriate operative view because of their poor visualization when the tumors are located in the Left Ventricle (LV). We report a rare case of massive left ventricular lipoma occupying pericardial space. A 23-year-old female had back pain since 6 months. She visited a local orthopedician, who ordered for computed tomography scan of chest and back. Computed tomography showed a large epicardial mass located along the anterior surface of the heart, from the diaphragm level through the aortic arch level. The mass showed an attenuation value identical with that of subcutaneous adipose tissue and contained some areas with high density. The mass was not enhanced by contrast media. Percutaneous biopsy was done, histologic examination of the specimen demonstrated mature adipose tissue. An encapsulated adipose mass weighing 865 g, which originated from the left ventricle anteriorolateral surface without any invasion to the pericardium, was near completely excised, except for a small portion which was encasing obtuse marginal artery. Microscopic examination revealed mature adipose tissue with partial necrosis, confirming the diagnosis of lipoma.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013; 29(2).
  • Indian Journal of Thoracic and Cardiovascular Surgery 01/2013; 29(4).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective The aim of this study was to retrospectively evaluate the risk factors for developing Nosocomial Infections (NI) after on-pumpCoronary Artery Bypass Grafting (CABG). Methods Study population included 424 patients, operated between January 2010 and December 2010 who underwent a CABG or CABG and valve procedure. The study population was divided into two groups based on the presence or absence of NI. Univariate and multivariate analysis of NI predictors was conducted. Results Of the 424 patients operated, 65(15.3 %) developed a NI. Cultures from the respiratory tract, urinary tract, wound site and blood were analysed. Risk factors for nosocomial infection found significant in our study weretransfusion of blood products, presence of diabetes mellitus, renal dysfunction, longer cardiopulmonary and aortic cross clamp times. Conclusions Optimal control of preoperative risk factors and blood conservation strategies can help in reducing the risk of postoperative nosocomial infections among patients undergoing on-pump CABG.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013; 29(2).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Pulmonary sequestration is an uncommon congenital anomaly of respiratory system and usually diagnosed in childhood but can present at any at age. It frequently presents as a mediastinal mass with symptoms from vascular shunting, or associated anatomic defects. This case report describes an adult who presented with chest pain due to extralobar sequestration of right lung extending into the mediastinum. Per-operatively it was found to be an extra pulmonary mass lesion with a peduncle attached to right lung suggestive of extralobar sequestration. Histopathological examination of the specimen showed it to be spindle cell tumor (fibrosarcoma) in sequestrated lung. The patient had an uneventful recovery and is under regular follow up without any further problems.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013; 29(2).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Complex foregut malformations are rare causes of mediastinal cysts. We report a case of young boy, who presented with a cystic lesion in left chest. It was located in the anterior aspect of left lower chest. Surgery was curative. The diagnosis was made only on histology of the resected cyst as a complex foregut malformation. This article highlights rarity of such condition and discusses its embryologic origins.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013; 29(2).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Surgical repair of complete atrioventricular septal defect is a well established procedure performed in young children. We sought to determine the rate of survival, reoperation and occurrence of Left Atrioventricular Valve Regurgitation (LAVVR). Patients and methods This was a retrospective review of 56 patients with Complete Atrioventricular Septal Defect (CAVSD) recruited from January 2000 till July 2010. Sixty-six percent of these patients had Down’s Syndrome. The median age and weight at surgery was 0.95 ± 2.7 years and 6.2 ± 7.5 kg respectively. 2D Echocardiography was used to quantify the degree of LAVVR pre and postoperatively. The technique of repair used was either 2 patch, modified single patch or single patch. The cleft in the LAVV was closed in all cases. Risk factors associated with increased mortality and re-intervention were analyzed. Results The operative mortality was 5.4 %. There were 3 patients who developed complete heart block and required Permanent Pace Maker (PPM) implantation whereas 11 patients (20 %) developed supraventricular arrhythmia. Twenty-one percent of patients had moderate LAVVR at discharge. Eight patients (14 %) required re-operation for LAVV regurgitation at a mean duration of 17 ± 29 months. The mean ICU stay was 6 days. Prolonged ventilation and presence of infection trended towards higher mortality. The presence of moderate or severe LAVVR at discharge was one of the main factors for re-intervention. Conclusion The surgical repair of Complete Atrioventricular Septal Defect in young children is associated with acceptable mortality and morbidity. Left atrio-ventricular valve regurgitation remains the most common residual defect and significantly associated with re-intervention.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Parapneumonic empyema thoracis is a rare complication of bacterial pneumonia in children that emencely increases the morbidity. Classically parepneumonic effusions are divided into three stages. Stage I or exudative stage, Stage II or fibrinopurulent stage and stage III or organised effusion stage. The present study was designed to highlight the role of open decortication by thoracotomy in cases of para-pneumonic empyema of stage II and stage III disease in children. Methods A prospective observational study was done on 31 children of less than 15 years of age, who presented with stage II and stage III parapneumonic empyema thoracis. They underwent decortication surgery through postero-lateral thoracotomy. Results Out of the 31 children included in this study, there were 21 boys (67.74 %) and 10 girls (32.26 %). The average duration of symptoms was 17.84 days. The mean duration of post-operative chest drain was 2.55 days. Staphylococcus aureus was the most frequently encountered organism isolated in culture of fibrino-purulent material from the pleural cavity in 12 cases (38.7 %). Mean duration of total hospital stay was 8.3 days. Conclusion Decortication by thoracotomy is a safe and effective approach for stage II & III parapneumonic empyema thoracis in children leading to early recovery and less hospital stay.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2013;
  • Indian Journal of Thoracic and Cardiovascular Surgery 01/2013;
  • Indian Journal of Thoracic and Cardiovascular Surgery 01/2013;

Related Journals