Berry syndrome —a rare congenital cardiac anomaly
AbstractBerry syndrome is a rare congenital cardiac anomaly, characterized by distal aortopulmonary window, hypoplasia or interruption of the aortic arch, intact ventricular septum, and aortic origin of the right pulmonary artery and patent ductus arteriosus. Anatomic depiction of each component is important for the diagnosis. Single-stage surgical repair is challenging but feasible with good survival outcomes. The available literature on this anomaly is limited. Hence, this paper aims at reviewing the literature on Berry syndrome. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cannulation strategies in aortic surgery: techniques and decision making
AbstractArterial cannulation for cardiopulmonary bypass (CPB) is an important determinant of outcome in aortic surgery. Unlike traditional cardiac operations, aortic pathology may preclude the cannulation of the distal ascending aorta. In other cases, special need of the pathology/operation may demand an alternative cannulation site. Choosing the right cannulation site, especially in type A aortic dissection, is the most crucial initial step. The decision about cannulation sites should be individualized and patient-specific. Various cannulation techniques include femoral, right axillary, innominate, carotid, central aortic...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant pulmonary hamartoma with placental transmogrification —a case report
AbstractPulmonary hamartomas are rare tumors and are mostly found incidentally in patients investigated for other pathologies. They are frequently small in size, though with some being reported as large as 25 centimeters (cm). We are reporting a case of a huge pulmonary hamartoma (measuring 25.5  × 17.5 × 15.5 cm and weighing about 2200 grams (g)) in a 33-year-old lady with a short duration history of breathlessness. The tumor had origin from the medial border of the left lung, extending into almost the entire left hemithorax and partly into the anterior mediastinum, with n...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Posterior mitral leaflet plication with extended septal myectomy for hypertrophic obstructive cardiomyopathy
AbstractAbnormalities of the mitral valve apparatus are a phenotypical expression of hypertrophic cardiomyopathy and can contribute to systolic anterior motion and left ventricular outflow tract obstruction. In patients with significant abnormalities of the mitral apparatus, adjunct procedures like plication of the anterior mitral leaflet and/or release of papillary muscles may be required to obtain sufficient relief of obstruction. Very rarely, an elongated posterior mitral leaflet is the main culprit for systolic anterior motion. In such cases, plication of the posterior mitral leaflet is a useful technique, in addition ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Vascular procedures in patients with left ventricular assist devices: single-center experience
ConclusionPatients on LVAD support are a complex cohort with a high risk for perioperative complications. In a setting where device function and anticoagulation are monitored closely, vascular surgery in these patients is feasible with an acceptable perioperative risk. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 27, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Comparison of European System for Cardiac Operative Risk Evaluation (EuroSCORE) and the Society of Thoracic Surgeons(STS) score for risk prediction in Indian patients undergoing coronary artery bypass grafting
ConclusionsBoth the EuroSCORE and the STS scores had satisfactory and similar discriminatory power. However, in the Indian population, while the EuroSCORE II overestimated mortality, the STS score underestimated it to a similar degree of error. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 26, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Oversized donor heart transplantation —clinical experience with an underestimated problem
ConclusionWith the liberalization of donor criteria to overcome organ shortage, oversized heart transplantation poses certain unique challenges, which when efficiently managed offers acceptable outcomes. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 26, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral valve repair in chronic severe mitral regurgitation: short-term results and analysis of mortality predictors
AbstractIntroductionMitral valve repair is the accepted treatment for mitral regurgitation (MR) but lack of resources and socioeconomic concerns delay surgical referral and intervention in developing countries. We evaluated immediate and short-term results of mitral valve repair for non-ischemic MR at our centre and aimed to identify the predictors of in-hospital and follow-up mortality.Materials and methodsThe study was conducted at a tertiary-level hospital in South India. All patients>18  years with severe non-ischemic MR who underwent mitral valve repair over a period of 6 years were included. Perioperativ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 26, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mediastinal Castleman disease with supraclavicular extension —a diagnostic dilemma and surgical challenge
AbstractCastleman ’s disease, also known as angiofollicular lymph node hyperplasia, is a rare lymphoproliferative disorder, with unicentric or multicentric variety. Herein, we present an unusual case of unicentric Castleman disease in a 19-year-old boy presenting as a left posterior mediastinal mass with supraclavi cular extension, a rare form of presentation, with very few cases reported in the past. It can be misdiagnosed as other malignant pathology and mismanaged as in our case; hence, a high index of suspicion is necessary. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 26, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Use of VA ECMO and percutaneous palliation of ductal dependent coarctation in a neonate with trisomy 21 and COVID-19 pneumonia
We present a case of a neonate with trisomy 21, ductal-dependent aortic coarctation, and severe respiratory failure secondary to coronavirus disease 2019 (COVID-19) pneumonia. The neonate was managed with venoarterial extracorporeal membrane oxygenation (VA ECMO), palliative stenting of the coarctation, and a vascular plug occlusion of a large patent ductus arteriosus. The patient was successfully weaned off extracorporeal membrane oxygenation (ECMO). The patient is currently awaiting a definitive surgical repair in the near future. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 26, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracoscopic enucleation of a large esophageal leiomyoma in the lower esophagus: challenges and solutions
AbstractEsophageal leiomyomas are rare tumors which have been conventionally managed using open surgery. Only few reports describe the enucleation of large or circumferential leiomyoma successfully managed by thoracoscopy. We herein describe a case of a large circumferential esophageal leiomyoma successfully enucleated using thoracoscopy. An asymptomatic 28-year-old gentleman was diagnosed with a posterior mediastinal mass on a screening chest radiograph. On further investigations with computerized tomography scan and endoscopy, he was diagnosed to have a circumferential homogenous 7 ×5 cm submucosal lesion in the lo...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 26, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

The arterial switch operation: The pitch, yaw and roll; Marrying the closed arterial and medial trap door technique
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 26, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical management of pulmonary aspergilloma —12 years’ experience from a tertiary care centre in India
ConclusionThough surgery is technically complex in the presence of pulmonary aspergilloma, it is yielding better results with improvements in treatment strategies. Surgery for aspergilloma in patients with prior or current pulmonary TB has more morbidity and mortality when compared to the non-TB patients. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Infections of the aorta
AbstractInfection of the aorta continues to be a clinical challenge with high morbidity and mortality. The incidence varies between 0.6 and 2.6%. There has been a steady increase in graft infections, especially endograft infections, due to increased procedures (0.2 to 5%).Staphylococcus species remains the most common organism; however, gram-negative and rare causative agents are also reported. The clinical presentation can be very diverse and a high degree of suspicion is necessary to diagnose them. Sometimes, they may present as an emergency with rupture or fistulation. Diagnosis is based on a triad of clinical features,...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Roving pen
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardioband removal for secondary mitral valve regurgitation: pitfall and surgical technique
AbstractMitral regurgitation is a challenging condition, especially in patients at high risk for open heart surgery. Nowadays, trans-catheter procedures for treatment of valvular disorders represent a valid alternative to traditional surgical techniques. These include not only the trans-catheter valve implants but also other percutaneous devices used to repair native valves, notably mitral valve. However, in case of failure, mis-placement, or unsatisfactory results of percutaneous devices, explant and correction of the valvular disease may be required. In such scenarios, only traditional surgery techniques can be efficacio...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Iatrogenic closure of coronary sinus: an unforseen complication of surgical atrial septal defect closure
We report a case of 39-year-old male presented with hemoptysis following an ASD closure 21  years prior and diagnosed to have iatrogenic closure of the coronary sinus at the time of surgical ASD closure. To our best knowledge, this is the first case of such complication reported in the literature. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Peri-procedural myocardial infarction: what is in a definition?
AbstractPeri-procedural myocardial infarction (PMI) is an important outcome measure in several trials. However, there is no consensus regarding the definition of PMI. There is significant variability in terms of biomarkers used, the threshold values, the requirement for additional supporting evidence, and even the duration until which PMI can be said to  occur. This lack of clarity leads to inappropriate comparisons between trials. Besides, the outcome of a trial and the inferences drawn are completely altered by using a different definition. Thus, there is a pressing need to formulate a uniform definition for PMI in ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

A maze of pearls in the chest
We present here a case of multiple hydatidosis which involved only one lung, but occupied all the segments of the lung. The cysts were numerous and interconnected giving the appearance of a maze. The images of the computed tomography (CT) scan reveal that there was very little identifiable lung tissue. But after surgery, the healthy lung tissue expanded and occupied the chest cavity. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 28, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tetralogy of Fallot correction with transannular patch reconstruction in a patient with an anomalous right coronary artery and an unusual course of the right ventricular branch
We report on a case of TOF with an anomalous right coronary artery crossing the right ventricular outflow tract, with an unusual course of the right ventricular (RV) branch, which precluded placement of a valved conduit. In this case, we performed a successful repair with mobilization of the anomalous coronary artery and reconstruction of the right ventricular outflow tract with a limited transannular patch. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 28, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Advancing age: bane or boon?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 28, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative imaging —should it not be the standard of care?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 27, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mid-term clinical and health-related quality of life outcomes for the Trifecta bioprosthesis
ConclusionThe Trifecta valve provides satisfactory hemodynamics, survival and freedom from re-operation and excellent HRQoL at mid-term follow-up. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 27, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal life support during lung transplantation
AbstractLung transplantation surgeries are performed without extracorporeal life support (ECLS) by using an off-pump technique; however, in cases of hypoxemia or hemodynamic instability, intraoperative ECLS may be required. Cardiopulmonary bypass (CPB) has traditionally been the standard practice for ECLS but has been associated with an increased risk of bleeding in the perioperative period, increased transfusion requirements, prolonged postoperative intubation, and possibly primary graft dysfunction. More recently, because of the flexibility of using extracorporeal membrane oxygenation (ECMO) in bridging to transplantatio...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 27, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Correction to: Work and pleasure —a ‘heady mix’?
It should be: 5-10% patients and 20-40% of deaths. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 27, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Challenges of lung transplantation in India
AbstractLung transplantation (LTx) is the definitive treatment for select progressive end-stage lung disease patients despite being on optimum medical therapy. Asian countries like China, Japan and India have started LTx programmes despite various odds and challenges. Some of these challenges seem to be unique to developing countries. We have elaborated the challenges of LTx in India and their proposed solutions and shared our experience in setting up a successful LTx programme. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 24, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

The effect of hemoadsorption on rivaroxaban blood plasma concentration in emergency cardiac surgery
AbstractHemoadsorption was used in a 59-year-old patient with an acute type A aortic dissection, who was on rivaroxaban and dual antiplatelet therapy with clopidogrel and acetylsalicylic acid. Our aim was to expeditiously remove rivaroxaban preoperatively. After 8 h of hemoadsorption, the rivaroxaban blood plasma concentration (RBPC) did not decrease below 42.1  μg/l. Intraoperatively, hemoadsorption was repeated during extracorporeal circulation. Sixteen hours after surgery and a total of 13 h of hemoadsorption, the RBPC was 40.1 μg/l. Thereafter, the RBPC spontaneously decreased to 24.7 μg/l ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 23, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary sclerosing pneumocytoma mimicking carcinoid on preoperative imaging in a 14-year-old female
AbstractPulmonary sclerosing pneumocytoma is a rare benign neoplasm of the lung, commonly occurs in middle-aged persons with a marked female predominance. Earlier, it was known as sclerosing hemangioma. Here, we present a case of pulmonary sclerosing pneumocytoma which was diagnosed as carcinoid of the lung, based on imaging, in a 14-year-old female. Besides radiology, the uniqueness of this case lies in the young age (14  years) of the patient. She was presented with a 3.3 × 2.5 × 2.2 cm soft tissue density mass with a tiny speck of calcification in the anterior basal segm...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Spontaneous giant pseudoaneurysm of right occipital artery: a case report
AbstractOccipital artery pseudoaneurysm is a rare entity and few cases have been reported worldwide. Here, we are presenting a case of 32-year young lady with headache and a large swelling on the right side of the neck, without any history of trauma. Computed tomography (CT) angiogram revealed pseudoaneurysm of third part of the occipital artery. Excision of the pseudoaneurysm was performed with ligation of the occipital artery. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Need to develop national registry of cardiothoracic surgery: another step in the direction of improving patient care and research
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic uncrossing with concomitant arch augmentation in a rare case of left circumflex aorta with arch hypoplasia
We present a case of left circumflex aorta with associated arch hypoplasia and coarctation, ventricular septal defect, who underwent single-stage repair. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 20, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Post-COVID elective surgery —‘to be or not to be’
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 19, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Embracing uncertainty: an empathy and resilience-based approach to cardiothoracic surgery in a post-pandemic era
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 19, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal membrane oxygenation
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 12, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Atrial septal defect closure: rethinking device vs surgery
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Spontaneous chylopericardium in an adult due to mediastinal cystic hygroma
We report a 27-year-old lady with mediastinal cystic hygroma, presenting as spontaneous chylopericardium, who was managed surgically with no recurrence on 18  months follow-up. She was evaluated for complaints of discomfort in the upper abdomen region and breathing difficulty in left lateral position for 4 days, and was found to have a large pericardial effusion with impending tamponade. She underwent pericardiocentesis, and on fluid analysis, it was c onfirmed as chylous pericardial effusion. She was evaluated thoroughly and was taken up for right video-assisted thoracoscopy. The thoracic duct was clipped and a ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 7, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Model-free estimates that complement information obtained from the hazard ratio
AbstractLearning objectivesUnderstand the limitations of the modeling of survival data, especially as pertains to the Cox proportional hazards model.An introduction to model-free estimates of survival, namely, the restricted mean survival time/restricted mean lost time.Use R (The R Foundation for Statistical Computing, Austria) or STATA ® (The STATACorp, College Station, TX, USA) to perform analyses and obtain these parameters from a dataset. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Work and pleasure —a ‘heady mix’?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

ECMO: an evolving chapter
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal membrane oxygenation —a moving target
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intracardiac hydatid cyst located in right ventricular outflow tract: a rare site
We report a rare case of intracardiac hydatid cyst involving the right ventricular outflow tract and do a review of literature. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 2, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Donation after circulatory death (DCD) —lung procurement
AbstractThe number of lungs available for lung transplantation is far lower than the number of patients awaiting them. Consequently, there is a significant attrition rate while awaiting transplantation. Lung procurement rates are lower than those of other solid organs. Lungs are procured from only 15 –20% of donors compared with 30% of decreased donors for hearts. The reason for this low retrieval rate is related to a number of factors. Brain death is associated with neurogenic pulmonary edema. Additionally, injury to the lung itself may occur before or after brain death. Aspiration of gastric contents, pneumonia, pr...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Role of 3D reconstructed images in primary pulmonary vein stenosis
AbstractPrimary pulmonary vein stenosis (PPVS) is a rare congenital cardiac anomaly. The surgical management of PPVS requires anatomical delineation of pulmonary venous drainage along with exact localization of the stenosis. Since echocardiography cannot visualize the whole length of pulmonary veins (PV), computed tomography (CT) pulmonary venography becomes necessary. Three-dimensional (3D) reconstruction helps in planning PV augmentation and for prognostication. Here, we present 3D reconstructed CT pulmonary venography images of a 3-month-old child who presented to us with PPVS. (Source: Indian Journal of Thoracic and Ca...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply to the Invited Editorial: Calcified aorta and endarterectomy-choosing “the good” over “the perfect”
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary transfer in the arterial switch operation: the modified closed technique
AbstractArterial switch operation for transposition of great arteries (TGA) is the choice of surgical treatment for this condition. Conventional “open” coronary transfer technique has been commonly employed with good results in experienced hands. A modified “closed” technique of coronary transfer, with a more accurate coronary artery placement taking into account a distended aorta, along with anterior interrupted sutures to reduce pu rse stringing and other advantages is described. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Are senior citizen cardiac surgeons improving outcomes?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 31, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal membrane oxygenation —the good, the bad and the ugly (for want of a “few dollars more”): and would “a fistful of dollars” make any difference?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 29, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anticoagulation in ECMO patients: an overview
AbstractExtracorporeal membrane oxygenation (ECMO) is a form of cardiorespiratory support, and is being increasingly used to support refractory heart and respiratory failure. It involves draining blood from the vascular system, which is then circulated outside the body by a mechanical pump and then later reinfused back into the circulation. The blood that is circulated outside the body comes in contact with a large surface area of non-endothelial biosurface. This exposure leads to a pro-thrombotic state, and hence anticoagulation is required. Unfractionated heparin is the most commonly used anticoagulation in most ECMO cen...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 23, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Procurement of lungs from brain-dead donors
AbstractLung transplantation is the procedure of choice in many patients with end-stage lung disease and is being performed more frequently around the world. However, there continues to be shortage of donor organs with the ever-expanding number of recipients on the waiting list, leading to liberalization of the lung donor selection criteria with increasing acceptance of marginal donors while striving for excellent results. This has placed an increasing emphasis on the technique of donor lung procurement and preservation from marginal donors. Good judgment and procurement techniques are necessary to obtain high-quality dono...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 19, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of off-pump coronary artery bypass grafting in non-dialysis-dependent patients with stage 2 and stage 3 chronic kidney disease
AbstractPurposeTo assess the short-term outcomes in non-dialysis-dependent patients with stage 2 and stage 3 chronic kidney disease (CKD), undergoing off-pump coronary artery bypass (OPCAB). To examine whether there was a difference in mortality between stage 2 and stage 3 CKD patients and whether mortality in diabetics was different compared to non-diabetics. Outcomes would be judged on the basis of possible cardiovascular, pulmonary, infective, neurological and renal complications, duration of stay at the intensive therapy unit (ITU), and overall duration of stay at the hospital. A comparative study of outcomes between s...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 19, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research