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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  • 5-year impact
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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
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    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    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;
  • Indian Journal of Thoracic and Cardiovascular Surgery 09/2014;
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    ABSTRACT: Endodermal cysts, also known as enteric cysts, enterogenous cysts, neuroenteric cysts, gastrocystoma, teratomatous, or archenteric cysts, are derived from endoderm in the gastrointestinal (GI) or rarely from the respiratory tract. These are the result of faulty separation of ectodermal and endodermal layers leading to inclusion of endodermal tissues and cyst formation [1]. The developmental anomalies can be separated into bronchopulmonary (from the lung bud), vascular, or combined (including lung and vascular elements) [2]. The lung bud anomalies include agenesis, atresia, congenital lobar emphysema, congenital cystic adenomatoid malformation (CCAM), bronchogenic cyst (BC), pulmonary sequestration, tracheal bronchus (pig trachea), or accessory cardiac bronchus [2]. BC is the common anomaly of the tracheobronchial bud. The common site is the mediastinum but tracheobronchial tree and intrapulmonary origin have been reported. Other rare origin sites included pericardial tissue
    Indian Journal of Thoracic and Cardiovascular Surgery 06/2014; 30(2).
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    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;
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    ABSTRACT: Diaphragmatic rupture associated with vaginal delivery is uncommon. We report a case of a 27-year-old woman who presented with breathlessness, abdominal pain and fever after her 2nd uneventful vaginal delivery. Chest radiography suggestive of large bullae in left thorax with air fluid level and opacity in left apical region led to misdiagnosis as lung abscess with pneumonia. In the subsequent course of management, diaphragmatic rupture was suspected when a chest x-ray after nasogastric tube insertion showed the opaque tip in left thorax. An emergency thoracotomy was performed, and the viable herniated content (stomach and omentum) was successfully reduced. Recovery was uneventful.
    Indian Journal of Thoracic and Cardiovascular Surgery 01/2014;
  • Indian Journal of Thoracic and Cardiovascular Surgery 12/2013; 29(4).
  • Source
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2013;
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    ABSTRACT: We describe a new, simple technique for tunneling of reversed saphenous vein graft to prevent its kinking and twisting thereby avoiding early graft failure during peripheral vascular bypass procedures. The technique is based on the principle of a temporary rigid tube outside acting as tunnel for the delicate, compressible reversed saphenous vein grafts in getting the proper lie without twists and kinks.
    Indian Journal of Thoracic and Cardiovascular Surgery 12/2013; 29(4).