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.

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  • 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

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    • Published source must be acknowledged
    • Must link to publisher version
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    • 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: Takotsubo cardiomyopathy (TCM) is a rare syndrome, and it is even more rare to find it in a premenopausal lady in the immediate postoperative period. Here, we are reporting a case of variant of TCM, along with review of existing literature. A 26-year-old lady who successfully underwent pericardiectomy went into low cardiac output on the first postoperative day. Echocardiography revealed apical ballooning with drastic reduction in left ventricular ejection fraction (LVEF). Her coronary angiography revealed normal coronaries. She was managed conservatively with inotropic support. She made remarkable recovery and her echocardiography on 7th postoperative day showed excellent recovery of apical wall motion abnormality and ejection fraction. Repeat echocardiography after 2 weeks of discharge showed complete normalization of apical ballooning and LV function. She remained well until 1 year after operation with normal LVEF. Regular follow-up is important as it may rarely recur. TCM should be kept in mind as a rare though possible complication after cardiac surgery.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2015;
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    ABSTRACT: Background We evaluated midterm results of transatrial repair of TOF with a stress on follow-up studies by echocardiography and exercise testing. Method Out of a total of 235 patients undergoing transatrial repair of TOF between January 2001 and January 2011 by a single surgical team, 59 patients consented for this study. Mean follow-up was 6.10 ± 1.86 years (median-5.50, range 4.50 years to 12.60 years). Results One patient had residual VSD and one patient required re-operation for residual right ventricular outflow tract (RVOT) obstruction. Mean RVOT gradient was 13.36 ± 7.99 mmHg. Thirty-three (55.9 %) patients were free of any pulmonary regurgitation. Mean right ventricular myocardial performance index was 0.35 ± 0.06. Tricuspid annular plane systolic excursion and systolic tricuspid lateral annuli velocity (s′) were 16.75 ± 2.57 and 10.82 ± 1.64, respectively, and were suggestive of normal right ventricular systolic function. The mean maximum oxygen uptake (VO2) max was 42.35 ± 6.55 which is higher than previously reported values of patients with repaired TOF. Conclusion Transatrial repair for TOF offers good mid- to long-term hemodynamics, preserves the right ventricular systolic and diastolic function, and preserves the exercise tolerance capacity.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2015;
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    ABSTRACT: Pulmonary artery aneurysm associated with chronic rheumatic heart disease has not been reported. Isolated aneurysmal dilatations of pulmonary artery of varying etiology occur, not infrequently. Cystic medial necrosis as a cause of main pulmonary artery aneurysm has been cited quite often. We report a 48-year-old female with main pulmonary artery aneurysm of size 8.1 cm associated with chronic rheumatic mitral stenosis. Aneurysmorrhaphy and mitral valve replacement were done successfully. Histopathology of main pulmonary artery wall was consistent with cystic medial necrosis wherein in same patient the excised mitral leaflets showed the evidence of chronic rheumatic heart disease (hyaline degeneration).
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2015;
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    ABSTRACT: A 48-year-old male patient was referred to radiology department for coronary computerized tomography (CT) angiography. He gave history of atypical chest pain. The electrocardiogram and echocardiogram were normal. There was no past medical history of hypertension, hyperlipidemia, and diabetes mellitus. Coronary CT angiography showed presence of fusiform aneurysm involving proximal right coronary artery measuring 11 × 9 mm (Figs. 1a and 2a). There was evidence of mild diffuse atherosclerotic disease involving the right coronary and the left anterior descending arteries without any area of significant stenosis. The left main coronary artery was seen arising from proximal ascending aorta (Figs. 1b and 2b) rather than from the aortic sinus. Hence, imaging diagnosis of the fusiform right coronary artery aneurysm with anomalous origin of the left main coronary artery was given. The cause for this aneurysm was presumed to be atherosclerotic since the patient was adult and there was evidence of ...
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2015;
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    ABSTRACT: Myxomas are most common benign primary tumors of the heart. Clinically, patients may be asymptomatic or present with chronic or acute congestive heart failure, syncope, and arrhythmias with or without systemic findings. Surgical excision is warranted as soon as diagnosis is established because of high risk of valvular obstruction or systemic embolization.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: In right upper lobectomy, there are a variety of access incisions, surgical instruments, intraoperative strategies, and perioperative treatment approaches. We describe a safe, effective, and cost-saving technique to simultaneously staple the individually dissected right superior pulmonary vein and anterior trunk of the right main pulmonary artery during right upper lobectomy. Barring extremely unusual anatomy, this approach has wide indications. This technique may become an integral part of video- and robotic-assisted right upper lobectomies.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: Background Stroke is the most devastating complication of coronary artery bypass graft (CABG) surgery. Presence of carotid stenosis in patients requiring CABG poses a clinical challenge as it increases the risk of stroke during surgery. Present study is retrospective analysis of prevalence of carotid stenosis in Indian patients undergoing CABG surgery and its correlation with incidence of perioperative stroke. Method Data of 3700 patients who underwent CABG over a period of 2 years was studied. CT angiography or MR angiography was done in all patients who had >50 % stenosis of internal carotid artery on carotid Doppler study. Incidence of perioperative stroke and its correlation with severe carotid stenosis was analyzed. Results One hundred fifty patients were found to have severe carotid stenosis. Twelve patients suffered from perioperative stroke, of which 10 were ischemic in nature. Only one patient with severe carotid stenosis had perioperative stroke. In these patients, also, infarcts were not restricted to stenotic side. Conclusion Incidence of perioperative stroke does not depend on severity of carotid stenosis but on number of other risk factors and operative technique.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: IntroductionCongenital cystic adenomatoid malformation of the lung (CCAM) is an uncommon anomaly of lung development, characterised by proliferation of dilated bronchiolar-like airspaces of varying sizes and/or distribution. Its aetiology and pathogenesis remain obscure. The dysregulation of lung epithelial cell turnover, increased cell proliferation and decreased apoptosis are some of the proposed mechanisms for its causation [1]. The clinical presentation may range from intrauterine effects in the form of hydrops, preeclampsia, polyhydramnios to respiratory failure at birth. Still later, the presentation may be as recurrent pneumonias usually beyond the 6 months of age.Case reportA 7-month male infant was brought by his parents to the emergency department with complaint of fever and cough for 7 days and respiratory distress for 2 days. He refused taking feeds on the day of presentation and that led to the patient being brought to us. At presentation, the child had tachypnea with mark ...
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: Accidental barotraumatic perforation of oesophagus is one of the rare causes of oesophageal injury reported in literature. A 20-year-old young man, truck driver by occupation, was struck in an accidental explosion of truck tyre in an automobile repair workshop. He suffered left pneumothorax which was treated with tube thoracostomy at a local hospital. He presented to us with left pyopneumothorax and worsening sepsis after 7 days of injury. Computed tomography chest detected left sided intra-thoracic oesophageal perforation at T8-T9 level. Surgical exploration revealed 9-cm linear tear in thoracic oesophagus. The patient underwent segmental oesophageal resection with proximal cervical oesophagostomy and distal oesophageal exclusion, tube gastrostomy and feeding jejunostomy. He recovered well and was discharged in stable condition.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: Patients with myasthenia gravis (MG) developing coronary artery disease following irradiation of thymoma have been reported previously. Incidental preoperative diagnosis of thymoma has also been reported during cardiac surgery in the past. This case report intends to sensitize clinicians to the challenges of a redo mediastinal surgery in a post-coronary artery bypass grafting (CABG) patient with symptomatic MG and thymoma and to discuss the pros and cons of a simultaneous thymectomy in a patient undergoing cardiac surgery.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: IntroductionBroncho-oesophageal fistulas are rarely detected in adults. They can be congenital [1] or acquired [2]. Acquired fistulas can be benign or malignant (common). Benign fistulas are reported after trauma during upper gastrointestinal endoscopy or prior thoracic surgery [3], foreign body ingestion [3] or after chronic inflammatory diseases as tuberculosis [4], histoplasmosis [3, 5, 6], syphilis, actinomycosis and candidiasis. A high index of suspicion is often required for diagnosis. We report a case of acquired fistula involving left lower bronchus and oesophagus probably resulting from tuberculosis.Case reportA 42-year-old male patient presented with recurrent episodes of fever and cough for 6 months. He had copious sputum aggravated after intake of liquids. He had history of chronic cough 15 years back for which he was given multiple courses of anti-tuberculous therapy. His chest X-ray showed features of bronchiectasis involving the entire left lung. A contrast-enhanced comp ...
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: We report the clinical presentation, diagnosis, and management of two cases of left ventricular pseudo-aneurysm (LVPA) following left ventricular repair surgeries. The first patient, 46-year-old male, presented with New York Heart Association (NYHA) Class III symptoms at 2 months post-repair of acute posterior post-infarction ventricular septal rupture. Large posterolateral LVPA was detected. Surgical repair was done through a left thoracotomy by bovine pericardial patch closure of the defect under femoro-femoral cardiopulmonary bypass, moderate hypothermia, and without aortic cross clamping. The second patient, 57-year-old male, presented with NYHA Class III symptoms 36 months after he underwent repair of sub-mitral aneurysm along with mitral valve replacement and two vessel coronary artery bypass. Large posterolateral LVPA was detected with a 21-mm defect having good edges. He was managed by a hybrid procedure where a small thoracotomy exposed the aneurysmal sac and the defect was closed with a ventricular septal defect (VSD) device (Lifetech) inserted through a purse string on the aneurysmal sac under transesophageal echocardiography (TEE) guidance. Patients undergoing surgical repairs through left ventriculotomy should be carefully followed up for the occurrence of LVPA. The management depends on the site and size of the defect on the ventricular wall.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: Traumatic brachial artery injuries are important peripheral vascular injuries. Vascular lacerations of the upper extremity can result in severe dysfunction, loss of limbs, and/or death. Emergency surgery has almost always been needed immediately after arterial injuries. In our practice, however, we have encountered Syrian refugees presenting with symptoms and signs of ischemia 2 months following brachial artery sustained in war. A lot of reports on brachial artery injury are found in literature, but revascularization after 2 months for completely transected arteries was the most unique aspect of our cases.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2014;
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    ABSTRACT: Background Large databases give an insight into patient characteristics and outcomes of patients undergoing coronary artery bypass grafting (CABG) in western populations. However, there is paucity of data in Indian population. This study was designed to understand the clinical characteristics and short-term outcomes of patients undergoing CABG at our institute. Methods All the patients who underwent isolated CABG from January of 2001 to December of 2011 were included in the study. Those who underwent re-operative CABG and concomitant valve surgery were excluded. Results A total of 4,024 patients underwent CABG during the 11-year period. Mean age of patient population was 57 ± 9.6 years. The incidence of female patients undergoing surgery was 12.6 %. Diabetes mellitus was present in 58.4 % of patients. A total of 1,972 (49 %) patients had prior myocardial infarction. Thirty percent of patients had anterior and anterolateral wall infarction. Nineteen percent of patients had inferior wall infarction; 10.6 % had ischemic cardiomyopathy. Incidence of significant left main disease was 10.9 %. Majority of patients (66.4 %) presented with triple vessel disease. Ninety patients (2. 23 %) died in the early post-operative period. Post-operative stroke rate was 0.15 %. Acute renal failure requiring dialysis and mediastinitis occurred in 0.5 and 0.75 % of patients, respectively. Conclusion Compared to Western population, this cohort of patients who underwent coronary artery bypass grafting had higher incidence of diabetes mellitus and ischemic cardiomyopathy and low incidence of significant left main disease. Post-operative stroke rate was significantly lower compared to 1–2 % stroke rate reported in western population
    Indian Journal of Thoracic and Cardiovascular Surgery 10/2014;
  • Indian Journal of Thoracic and Cardiovascular Surgery 09/2014;