Two cases of heparin-induced thrombocytopenia after off-pump coronary artery bypass surgery
We report two patients who underwent off-pump coronary artery grafting and developed severe HITS, leading to catastrophic and rare thrombotic complications. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 15, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ischemic mitral regurgitation: the way ahead is a step back
AbstractIschemic mitral regurgitation (IMR) has a profound negative effect on survival of patients following myocardial infarction. It occurs when the closing forces are overpowered by the tethering forces as a consequence of ventricular remodeling. Surgeons sought to correct moderate and severe IMR by mitral annuloplasty. Though short-term results were encouraging, survival after 2 years were not so. Higher recurrence rates were also noted with severe mitral regurgitation (MR). Parameters defining severity of IMR were initially formulated in 2003. These were revised enabling intervention in moderate MR in 2014. With the l...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 15, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intra-operative trans-esophageal echocardiography in heart valve disease
AbstractPeri-operative echocardiography is widely used because it provides information that significantly influences clinical/surgical management and improves outcome in patients undergoing cardiac surgery. The role of intra-operative trans-esophageal echocardiography (TEE) in valvular heart disease cannot be emphasized enough. Increasing use of newer surgical techniques —valve repairs and minimal invasive cardiac surgery also warrants intra-operative TEE. It gives us better insight into the anatomy and physiology of the valvular lesion by digital imaging. This manuscript provides an illustrative case based overview ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Functional tricuspid regurgitation: indications, techniques, and outcomes
AbstractFunctional tricuspid regurgitation (TR) results from asymmetric dilation of the tricuspid valve annulus. This often occurs due to right ventricular enlargement and dysfunction as a consequence of myocardial or valvular abnormalities of the left heart. Even mild TR at the time of left-sided valvular surgery may worsen postoperatively, which carries poor prognostic implications. In spite of data revealing poor outcomes associated with residual TR, surgery for functional TR remains underutilized. Surgical repair techniques for TR include placement of a rigid or semi-rigid tricuspid annular ring, which has been shown t...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic valve neo-cuspidation using the Ozaki technique for acquired and congenital disease: where does this procedure currently stand?
AbstractThe surgical treatment options for pediatric aortic valve disease are limited. The Ozaki procedure, which involves templated creation of new aortic valve leaflets, has proved to be a promising surgical technique. This review aims at elaborating the indications, technical intricacies, and outcomes of the aortic valve neo-cuspidization procedure (Ozaki procedure) in the pediatric population. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 9, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Double outlet right ventricle, pulmonary stenosis and congenital mitral stenosis
AbstractA 4-year-old girl child was diagnosed with double outlet right ventricle (DORV), severe pulmonary stenosis, and supramitral ring. This case is presented to bring to light this rare association. Through this report, we aim to stress importance of assessing mitral apparatus on echocardiography during evaluation for situations like DORV and Tetralogy of Fallot (TOF). The physiological differences in such situations as opposed to their isolated counterparts and special postoperative outcomes are also discussed. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 8, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Repair and restore: make a difference
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 4, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ectopic cervical thymoma with myasthenia gravis: a rare association
AbstractThymic masses are one of the most common tumors in the anterior mediastinum. Nevertheless, because the thymus originates in the third and fourth pharyngeal pouches and descends into the anterior mediastinum, ectopic thymic tissue may be found anywhere from the angle of the mandible to the superior mediastinum. Ectopic cervical thymoma (ECT) is an extremely rare tumor that originates from ectopic thymic tissue trapped during the migration of the embryonic thymus and is often misdiagnosed as a thyroid tumor or other neck masses. Herein, we report an unusual case of ectopic cervical thymoma associated to myasthenia gr...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Red blood cell distribution width and outcomes following coronary artery bypass grafting: looking back and forth
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical management of iatrogenic coronary artery perforations: when percutaneous treatment fails
We report the case of a patient with a coronary perforation with initial percutaneous treatment complicated with extravascular implantation of a covered stent and liver laceration, who was succesfully treated by cardiac surgery. This case suggests the importance of the proximity of an onsite cardiac surgery center when complex coronary artery percutaneous interventions are performed in hospitals with offsite surgical support. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Balancing a single-ventricle circulation: ‘physiology to therapy’
AbstractThe parallel supply of the pulmonary and systemic circuits complicates the management of single-ventricle lesions. Achieving a balance between the two limbs of the circulation forms the basis of optimizing the systemic oxygen delivery, with the oxygen availability being highly sensitive to alterations in pulmonary/systemic blood flow ratio (Qp/Qs). The identification of a ‘balanced’ circulation is challenging wherein various parameters should be evaluated in close conjunction with each other. The prompt identification of circulatory maldistribution should be backed up with a sound management strategy ai...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 2, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sternal reconstruction after post-sternotomy dehiscence and mediastinitis
AbstractPurposePost-sternotomy dehiscence and mediastinitis remains a serious complication in cardiothoracic surgery. The aim of this work is to report our experience over a period of 8  years in the surgical treatment and risk factor analyses of post-sternotomy dehiscence and mediastinitis.MethodsAll patients treated for post-sternotomy dehiscence at our Thoracic Surgery Unit in the last 8  years were retrospectively collected. We identified 237 patients with post-sternotomy dehiscence/mediastinitis. Forty-two patients had simple fractures of the metal steel wires, 61 had an asymmetric sternotomy with multiple s...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 2, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Occult manubriosternal dislocation —role of manubrio-vertebral column
We present a rare case of occult manubriosternal dislocation that was evident only after cervico-dorsal spine fracture correction. Thirty-one-year-old gentleman sustained multiple fractures of C6, C7, and D1 vertebral bodies; bilateral transverse process of C7, D1,and D3; left transverse process of D12; right transverse process of D4; and right clavicle fracture along with bilateral multiple rib fractures after fall from bike at high velocity. The patient was awake, alert, and moving all 4 limbs. The patient underwent right chest drain insertion in high dependency unit. His displaced cervico-thoracic spine was fixed with p...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 2, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Off-pump versus on-pump bypass surgery for left main coronary artery disease (EXCEL study) – is experience the unknown variable?
AbstractA post hoc analysis of the Evaluation of XIENCE versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) data compared off-pump coronary artery bypass (OPCAB) technique with conventional coronary artery bypass grafting (CABG). It was reported that OPCAB was associated with lower rate of revascularization especially in the inferolateral wall and carried increased risk of 3-year all-cause mortality compared to on-pump CABG. However, the study does not provide any information on the experience of participating surgeons which is a key determinant of outcomes in OPCAB surgery. In th...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 2, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Has Arterial Revascularization Trial [ART] burst the BITA bubble?
AbstractThe 10-year outcome of the Arterial Revascularization Trial (ART) has recently been published. The study is the largest randomized study comparing bilateral internal thoracic artery (BITA) with single internal thoracic artery (SITA) as a grafting strategy for coronary artery bypass. In this review, a critical appraisal of the study has been performed where the result of the trial has been discussed along with the risk of sternal wound infections, the presence of a learning curve, and the influence of volume on outcomes. The influence of BITA grafting on other aspects like influence on hospital stay and quality of l...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 1, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Dual sino-atrial nodal artery —an unusual quadrate
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

On- versus off-pump CABG —adding to the debate
AbstractDr. O.P. Yadava, CEO and chief cardiac surgeon of National Heart Institute, New Delhi, India, and editor-in-chief of Indian Journal of Thoracic and Cardiovascular Surgery in conversation with Prof. David Taggart from University of Oxford, England, discuss the current status of off-pump coronary artery bypass surgery including the indications and issues related to training. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Repair of distal arch and proximal descending thoracic aorta aneurysms through left antero-axillary thoracotomy with antegrade cerebral perfusion: bridging the gap
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 18, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Disseminating valve repairs —a clarion call
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A modified technique for supra-annular implantation of prosthetic tricuspid valve
AbstractIn conventional tricuspid valve replacement, there is a risk of valve detachment because stitches are placed on relatively fragile tissues. In the supra-annular implantation technique, stitches are placed lateral to the triangle of Koch and the coronary sinus instead of the anterior and septal leaflets as in conventional tricuspid valve replacement. This procedure relieves stress at the antero-septal commissural area, as well as avoids injury to the conduction system. However, there are a few drawbacks: (1) the valve sits obliquely at the annular surface, (2) the suture line becomes extremely long, and (3) the veno...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A rare case of a giant anterior mediastinal liposarcoma
We report a case of a 53-year-old lady who was incidentally diagnosed to have giant anterior mediastinal mass while undergoing preoperative evaluation for another surgery. She came for surgery after 2 years when she became symptomatic. A large 6.7-lb (2800 g) tumor occupying both hemithoraces and engulfing heart was excised in its entirety through a clamshell thoracotomy under cardiopulmonary bypass standby. Histopathology revealed the final diagnosis as well as differentiated liposarcoma. She is now able to walk 2 km without any symptoms at the end of a 24-month follow-up. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 6, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tricuspid valve annuloplasty at the time of mitral valve surgery: is it justified in all cases?
AbstractTricuspid regurgitation after mitral valve surgery is common and it may affect long-term survival and quality of life. The pathophysiology of this lesion after mitral valve surgery in patients without preoperative tricuspid regurgitation remains elusive in most cases. Correcting a tricuspid annulus of ≥ 40 mm by means of an annuloplasty at the time of mitral valve surgery in patients without tricuspid regurgitation has been propoYiu KH, Wong A, Pu L, et al. Prognostic value of preoperative right ventricular geometry and tricuspid valve tethering area in patients undergoing tricuspid annulopl asty. Ci...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 6, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ischaemic mitral regurgitation
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Stephen Westaby: The Knife ’s Edge : The Heart and Mind of a Cardiac Surgeon
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extra corporeal membrane oxygenation (ECMO) as bridge to high-risk cardiac surgery
AbstractDr. Om Prakash Yadava, CEO and Chief Cardiac Surgeon, National Heart Institute, New Delhi, India, and Editor-in-Chief, Indian Journal of Thoracic and Cardiovascular Surgery, in conversation with Prof. Jai Raman, Professor, Cardiothoracic Surgery at Austin and St. Vincent ’s Hospitals, Melbourne, Australia, and Oregon Health and Science University, Portland, USA, explore an innovative new concept of supporting and resuscitating the heart on Veno Arterial ECMO before high-risk cardiac surgery in a sick patient. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Combination of internal (epicardial) and external (transthoracic) defibrillation during heart surgery
ConclusionsWe believe that this technique is safe and complications free. It is easy to perform especially in patients with difficult access such as redo operations. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

EXCEL trial —medicine turned on its head!
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Medical tests —pause, think and prescribe
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

PROMOTE patency –does it have the answers?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic valve repair
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Graft patency at 3  months after off- and on-pump coronary bypass surgery: a randomized trial
ConclusionsOff-pump CABG is non-inferior to on-pump CABG in terms of overall graft patency at 3  months and was associated with a fewer combined cumulative MACCE compared to on-pump CABG. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The intra-extracardiac Fontan: preliminary results
ConclusionThe IECF is simple, particularly at reoperations, in borderline patients and those needing concomitant intracardiac procedures. Early results are promising. These patients need constant surveillance. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 18, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Rheumatic mitral valve repair: a physiologic and dynamic approach
AbstractRheumatic valve repair although complex but with better understanding of mitral complex and dynamics, successful rate of mitral repair is enhanced and promising. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Case report of thoracoscopic resection for broncholithiasis with severe obstructive pneumonia
AbstractBroncholithiasis is a rare disease characterized by bronchial erosion or distortion due to hilar or parenchymatous calcification. When a broncholith has no mobility and there is a risk of major bleeding if removal is attempted, surgical intervention is required. Most operations for broncholithiasis are performed via a thoracotomy, and bronchial lithotripsy under complete video-assisted thoracoscopic surgery has been reported only rarely. We have experienced a case of broncholithiasis with severe obstructive pneumonia that was treated successfully by video-assisted thoracoscopic surgery. Thoracoscopic surgery is an ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

David aortic valve-sparing reimplantation versus biological aortic root replacement: a retrospective analysis of 411 patients
This study aimed to compare short- and long-term results for patients undergoing either aortic valve-sparing reimplantation (David) procedure (AVr-D) or biological aortic root replacement (Bentall) procedure (ARr-B-bio) for aortic root pathology.MethodsWe compared outcomes for patients who underwent AVr-D (n = 261) or ARr-B-bio (n = 150) between 2000 and 2015 at our institution. The mean age of patients was 55 ± 13 years and 21.7% (n = 89) were female. ARr-B-bio patients were significantly older than AVr-D patients (58 ± 10 vs 53&thins...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 14, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary metastasis of head and neck cancer: surgical removal outcomes from a tertiary care center
ConclusionPulmonary metastasectomy for lesions originating from head and neck provides good long-term survival. Histological subtype was the only statistically significant prognostic factor. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 14, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Secondary infection of chylothorax with Serratia marcescens : a rare scenario post-cardiac surgery
We report a case of an infected chylothorax occurring in a post-cardiac surgery patient caused bySerratia marcescens. Once considered a harmless saprophyte,Serratia marcescens is now recognized as an important opportunistic pathogen causing healthcare-associated infection with a propensity for antimicrobial resistance. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 14, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic annulus and the importance of annuloplasty
AbstractDystrophic aortic insufficiency accounts for the majority of Western cases of aortic insufficiency and can be divided into the three phenotypes of isolated aortic insufficiency, dilated aortic root, and dilated ascending aorta. Each of these phenotypes is associated with a dilated annulus and/or sinotubular junction. Recent international guidelines recommend reimplantation or remodeling with aortic annuloplasty for valve-sparing root replacement, as well as consideration of aortic valve repair in cases of aortic insufficiency. A dilated aortic annulus is a major risk factor for failure of aortic valve repair proced...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The role of multiple arterial grafts during CABG: at the heart of ART
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 11, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter aortic valve replacement in low-risk patients: superiority or shifting goalposts and statistical crystal-gazing?
AbstractTranscatheter aortic valve replacement (TAVR) has been compared to surgical aortic valve replacement (SAVR) in two different industry-sponsored trials (Edwards Lifesciences —the SAPIEN 3 system; Medtronic—the CoreValve, EvolutR, and EvolutPRO) in patients with low risk for surgical aortic valve replacement. In the balloon-expandable SAPIEN 3 system, requirements for both non-inferiority (P 
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 11, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Negative pressure wound therapy with instillation on sternal wound: is it really worrisome?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 11, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter mitral valve repair: review of current techniques
AbstractMitral regurgitation is common and is associated with excess morbidity and mortality. Despite these poor outcomes, only a minority of affected patients undergo mitral surgery, for several reasons, which underlines the substantial unmet need for treatment for this disorder. Transcatheter mitral valve repair interventions have been developed to treat mitral regurgitation in an undertreated patient population. The aim of this status quo review is to provide an overview of currently available transcatheter mitral valve repair techniques, the different approaches and the clinical outcomes reported so far. (Source: India...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Autologous pericardial aortic valve reconstruction: early results and comparison with mechanical valve replacement
ConclusionAutologous pericardial aortic valve reconstruction is a feasible alternative to prosthetic valve replacement with several advantages. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant hydatid cyst of interventricular septum of heart
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Management of infected recurrent mediastinal bronchogenic cyst with tuberculous mediastinal lymphadenitis
We describe a case of a 20-year-old woman with recurrent bronchogenic cyst. The cyst made its debut at the age of six, which was excised surgically. Preoperative investigations revealed a mass in the right parasternal region extending from around the pericardium, present between the second and fourth ribs and abutting the right mediastinal structures. Dense adhesions were noted and released selectively to avoid iatrogenic injury. Complete evacuation and excision of the cyst from around the pericardium and phrenic nerve with marsupialization of the sac were performed. The patient ’s post-operative course was uneventfu...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intra-thoracic migration of a gallstone and its thoracoscopic management
AbstractIntra-thoracic migration of a gallstone spilled during laparoscopic cholecystectomy is an extremely rare complication. This is a video documenting the successful thoracoscopic management of a patient who presented with this entity. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is there any association between aortic root rotation angle and aortic dissection?
ConclusionBased on the findings of the current study, aortic root rotation angle was independently in direct association with thoracic aortic dissection. In addition, females had higher aortic root rotation angles. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Octogenarians and aortic valve surgery: surgical outcomes in the geriatric population
ConclusionDespite high EuroSCORE II values for the majority of our patients, our data adds to overall suggestions that the octogenarian population can be considered eligible for SAVR and should not be excluded due to age alone. The use of the EuroSCORE II index more accurately predicts adequacy for treatment however does not entirely predict overall course of events, and proceduralist discretion should still be used. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Optimal timing of renal replacement therapy for favourable outcome in patients of acute renal failure following cardiac surgery
ConclusionBicarbonate level in blood predicts the best evidence for initiating the renal replacement therapy in of acute renal failure following cardiac surgery. When urine output drops to
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortomitral intervalvular fibrosa aneurysm —a rare case
We present a case of young male presented with NYHA functional class IV dyspnea where aneurysm ruptured into the left atrium. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research