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

Publications in this journal

• Article: Aortic valve repair in young patients with ventricular septal defect with aortic regurgitation- our experience

  Nagarajan Muthialu, Soundaravalli Balakrishnan, Rajani Sundar, Srinivasan Muralidharan
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  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.
• Article: Surgical correction of coarctation of the aorta – A retrospective study.

  R Iyer, M Nagarajan, P Chandrasekar, R Sundar, S Muralidharan
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 17:86-89.
• Article: Ebsteins’ Anomaly of the Tricuspid valve – A single centre experience.

  M Nagarajan, S Muralidharan
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 17:30.
• Article: Redo Sternotomy – not an insurmountable problem.

  M Nagarajan, S Muralidharan
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 18:55.
• Article: Hydatid Cyst of the Heart – A Case Report.

  M Nagarajan, P R Vydianathan, S Muralidharan
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 18:118-120.
• Article: Cold agglutination in open heart surgery

  M Nagarajan, M Manickavasagam, R Sundar, S Muralidharan
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 18:121-122.
• Article: Our experience with aortic root replacement using hand-sewn composite valve graft

  M Nagarajan, S K Varma, R Sundar, P Chandrasekar, K M Rao, S Muralidharan
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 20:37.
• Article: Cox Maze III procedure for atrial fibrillation associated with mitral valve replacement.

  P Chandrasekar, S Muralidharan, K M Rao, R Sundar, S K Varma, M Nagarajan, A Datta, S Ilango
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 20:29.
• Article: Role of myocardial perfusion single photon emission CT (SPECT) in predicting improvement of myocardial function following revascularisation in patients with poor left ventricular function.

  M Nagarajan, S Sumati, S Muralidharan
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 20:16.
• Article: Inflammatory myofibroblastic tumour occluding left main bronchus in a young boy

  Muthialu N
  Indian Journal of Thoracic and Cardiovascular Surgery 02/2013; 28:196-8.
• Article: Effect of low volume ventilation during cardiopulmonary bypass on oxygenation and postoperative pulmonary outcome

  Chaitali Sen Dasgupta, Sandeep Kumar Kar, Anupam Goswami, Santanu Dutta, Uday Narayan Sarkar
  Indian Journal of Thoracic and Cardiovascular Surgery 01/2013;
• Article: Key questions in cardiac surgery

  A. Sampath Kumar, A. K. Sharma
  Indian Journal of Thoracic and Cardiovascular Surgery 05/2012; 27(2):112-112.
• Article: The regurgitant mitral valve: A case of mistaken identity

  Arul Dominic Furtado, Vivek Pillai, Varghese Panicker, Jayakumar Karunakaran
  Indian Journal of Thoracic and Cardiovascular Surgery 05/2012; 26(4):277-278.
• Article: Off pump extra-anatomic aortic bypass for Type B interrupted aortic arch

  Vikram Pal Singh, Rajeev Gupta, Chander Mohan Mittal, Munish Aggarwal, Sarju Ralhan, Naved Aslam, Vijay Kumar Sharma, Gurpreet Singh Wander
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  ABSTRACT: Extra-anatomic aortic bypass from the ascending to the descending aorta is an alternative for repair of complex aortic anomalies .We describe a case of off pump beating heart repair of Type B interrupted aortic arch through a median sternotomy and posterior pericardial approach. KeywordsOff pump–Aortic arch–Sternotomy
  Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 27(3):141-143.
• Article: Sleeve resection for mucoepidermoid carcinoma arising from right bronchus—a case report

  Vijayakumar Raju, Sundar Ramanathan, Raghavan Srinivasan, Nandagopal Velayuthasamy
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  ABSTRACT: Primary malignant neoplasms of the trachea are very rare. Due to its rarity, tracheal tumours are often diagnosed late. They may be misdiagnosed as bronchial asthma, infective bronchitis or even tuberculosis. We are reporting a 12year old girl with a carinal tumor had received treatment at multiple Hospitals for a year before the correct diagnosis. The carinal tumor was encroaching the right main bronchus and nearly occluding it. She was treated by tracheal sleeve resection. Histopathology of the tumour revealed low grade mucoepidermoid carcinoma. She remains asymptomatic and free of tumour on 1year follow up. KeywordsComputed tomography–Tumor–Tuberculosis
  Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 27(3):134-137.
• Article: Sternal wound infections: why not try now sternal wrapping?

  Carlo Aratari
  Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 27(3):150-150.
• Article: An unusual foreign body in the pleural cavity—an iatrogenic complication

  Suresh Kumar Singhal, Jagdish Dureja, Nandita Kad, Anil Thakur
  Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 26(3):233-234.
• Article: Evaluation of antioxidant capacity in lung carcinoma

  Sabri Topdag, Arif Aslaner, Cenk Tataroglu, Zekeriya Ilce
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  ABSTRACT: BackgroundFree radicals lead to oxidative stress and tissue damage. In malignant tissues, decreased levles of antioxidant enzymes and increase of reactive oxygen metabolites have hazardous effects on cell membrane and other vital cellular components. This investigation was carried to determine the levels of superoxide SOD dismutase MDA and malondialdehyde in lung cancerous tissues and to compare with normal lung tissue in order to evaluate the antioxidant status in lung cancer. Methods and Material21 Male patients who were diagnosed to have lung cancer were studied. Control group contained 11 patients who were operated for nonmalignant lung disease and some lung tissue specimen had been extracted. Lung tissue specimens were assessed at the department of pathology. Superoxide dismutase and Malondialdehyde levels were determined at biochemistry laboratory by the method of Misra and Fridovich as modified by Sykes et al. ResultsThe level of glutathione, an antioxidant tripeptide, was also in a separate control group of patients. Mean SOD level in cancer tissue was determined to be 8.08±4.8 U/mg protein and 13.33±5.83 U/mg protein in normal tissue. Mean MDA level was 2.8±1.66 Umol/gr tissue in cancer lung and 1.025±0.59 Umol/gr tissue in normal lung. In this study it is observed that oxidative stress increases in patients of lung cancer. ConclusionsOxidative damage might have an important role for cancer development; therefore strengthening the antioxidant capacity might probably prevent this malignant transformation.
  Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 21(4):269-271.
• Article: Perioperative use of amiodarone in radiofrequency modified maze procedure for chronic atrial fibrillation

  Mohammed Ali, Susheel Kumar, Sandeep Agrawala, Sanjeev Kumar Jadhav, Jayant Vasant Khandekar, Nandkishore Babulal Agrawal, Jagdishchandra Mahadeo Sinai Khandeparker, Anil Madhav Patwardhan
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  ABSTRACT: IntroductionAtrial fibrillation [AF] is the most common sustained arrhythmia encountered in clinical practice. This study compares the efficacy of modified maze using radiofrequency [RF] microbipolar coagulation and cryoablation with and without perioperative amiodarone. Patients and MethodsThis study includes 88 patients rheumatic heart disease with RHD with chronic AF undergoing valvular heart surgery. Initial 30 patients underwent RF modified maze with perioperative amiodarone cover that was continued for 3 weeks postoperatively. Following that 58 patients underwent RF maze without amiodarone in the first week following surgery. Amongst these, patients who were still in AF on 7th postoperative day were cardioverted with DC shock and then started on amiodarone if no response was achieved. These patients were studied in 2 grps A&B. Both the groups were comparable in terms of age, gender duration of AF, NYHA class, LA size, PASP. The patients in both the grps who remained in AF were cardioverted at the end of 1 week and 8 weeks and those who did not convert to normal sinus rhythum [NSR] were continued on amiodarone. In both the groups there were 2 subgroups-one subgroup underwent biatrial. Maze [BA] and the other only left atrial maze [LA]. ObservationsWithin each group, there was no statistically significant difference in the outcome of the 2 subgroups. It was observed that 63.3% of patients converted to NSR at the termination of cardiopulmonary bypass [CPB] in grpA and 46.5% in grp. B. At the time of discharge 82.7% were in NSR in grp.A and 51.7% in grp. B. At the end of a follow up period of 11 months, 82.7% of patients in grp. A and 53.5% of patients in grp. B were restored to NSR. ConclusionsPerioperative amiodarone improves the success of modified maze procedure in restoring patients to sinus rhythum. Less extensive procedures like LA maze are also effective in restoring patients to NSR with the advantage of further reducing the CPB time.
  Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 21(1):18-23.
• Article: Bifid apex, persistent left superior vena cava, muscularised coronary sinus, bare atrioventricular cleft, bilateral hepatocardiac channels and bull’s horns in the right atrial appendage: Congenital defects possibly due to phylogenic downgrading of genes

  VM Nayak
  Indian Journal of Thoracic and Cardiovascular Surgery 04/2012; 19(4):178-183.