Indian Journal of Thoracic and Cardiovascular Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Cerebral venous sinuses thrombosis post extracorporeal membrane oxygenation: a case report
AbstractExtracorporeal membrane oxygenation (ECMO) plays a crucial role in managing heart and respiratory failure. However, it is associated with complications such as bleeding, acute renal failure, neurological issues, and thrombosis. Cerebral venous sinuses thrombosis (CVST) is a rare condition that primarily affects young females, especially those of childbearing age. CVST can result from multiple factors, both congenital and acquired, such as pregnancy, dehydration, oral contraceptives, and the postpartum period. The most common and nonspecific symptom is headache. Notably, the occurrence of CVST during ECMO has not be...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 5, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anesthetic management in a patient with acute aortic dissection and severe left ventricular systolic dysfunction
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 5, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Selecting the appropriate patients for coronary artery bypass grafting in ischemic cardiomyopathy —importance of myocardial viability
AbstractPatients who undergo coronary artery bypass graft (CABG) surgery in ischemic cardiomyopathy have a survival advantage over medical therapy at 10  years. The survival advantage of CABG over medical therapy is due to its ability to reduce future myocardial infarction, and by conferring electrical stability. The presence of myocardial viability does not provide a differential survival advantage for CABG over medical therapy. Presence of angina and inducible ischemia are also less predictive of outcome. Moreover, CABG is associated with significant early mortality. Hence, careful patient selection is more important fo...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 4, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Role of echocardiography in the diagnosis and clinical management of infective endocarditis
AbstractInfective endocarditis (IE) is a deadly disease, constituting both diagnostic and treatment challenges. A positive outcome requires rapid and accurate diagnosis, and for that, echocardiography unequivocally remains the cornerstone. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) have complementary roles and have been markedly improved during the last decades. The transthoracic modality is the recommended first-line approach but may only be sufficient in patients where the probability of IE is low and/or with clear acoustic windows, especially in patients with right-sided IE. The tran...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Dual ruptured sinus of Valsalva aneurysms
We report a rare case of an 18-year-old male with dual RSOV aneurysms who was managed successfully by patch closure via the transaortic approach and which to our knowledge has never been reported (“PubMed” and “Google Scholar” as the sea rch engine with dual, ruptured, sinus of Valsalva aneurysm as the MeSH words). Dual RSOV aneurysm in a single patient is an extremely rare condition which can lead to early cardiogenic shock and should be managed surgically at the earliest. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

A case of contained rupture of the superior mesenteric artery with no distal flow causing mesenteric ischemia following double heart valve replacement surgery
We report a case of contained rupture of the superior mesenteric artery with no distal flow causing acute mesenteric ischemia (AMI) following double heart valve replacement surgery. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

EVOLUT Low-Risk Trial data: “We see what we want to see!”
AbstractIn the 4-year update of the EVOLUT Low-Risk Trial (NCT02701283), the authors highlight a non-significant improvement in the primary endpoint and a statistically significant, yet clinically irrelevant, enhancement in hemodynamics with transcatheter aortic valve replacement (TAVR) compared to surgical aortic valve replacement (SAVR). Overlooking the concurrent surgical procedures in SAVR patients, mortality rates remain similar at 4 years. Unaddressed is the substantial increase in permanent pacemaker implantations with TAVR and the fate of patients with paravalvular leaks. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cusp repair during valve-sparing aortic root replacement with reimplantation. Repair or replace?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 2, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Financial burden of coronary artery bypass grafting in India: implications for catastrophic health expenditure and healthcare access
AbstractCardiovascular diseases (CVD) have become a leading cause of mortality in India. High costs of coronary artery bypass grafting (CABG) impose a financial burden in patients often resulting in catastrophic health expenditure (CHE). CHE and distressed financing have significant microeconomic and macroeconomic implications. CHE depletes savings, forces asset disposal, and perpetuates poverty. At a macroeconomic level, the burden of CVD impacts gross domestic product, economic productivity, healthcare budgets, and social welfare. Addressing these challenges requires a multifaceted approach. Prioritizing accessible and a...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 18, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tricuspid valve repair and replacement for infective endocarditis
AbstractInfective endocarditis represents a challenging and life-threatening clinical condition affecting native and prosthetic heart valves, endocardium, and implanted cardiac devices. Right-sided infective endocarditis account for approximately 5 –10% of all infective endocarditis and are often associated with intravenous drug use, intracardiac devices, central venous catheters, and congenital heart disease. The tricuspid valve is involved in 90% of right-side infective endocarditis. The primary treatment of tricuspid valve infective endoc arditis is based on long-term intravenous antibiotics. When surgery is required,...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 16, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

A narrative review of coronavirus (COVID-19) vaccination and its implication in the development of coronary artery disease: an Indian perspective
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 13, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Dual origin of the left vertebral artery: a rare anatomic variation
We describe a case of a duplicated left vertebral artery. Computed tomography (CT) angiography examination of the head and neck vessels of a 63-year-old man with a history of imbalance was undertaken. A duplicated left vertebral artery was incidentally noted. The medial limb directly originated from the arcus aorta between the left common carotid artery and the left subclavian artery. The lateral limb originated from the proximal left subclavian artery as the first branch and entered the transverse foramen of the C6 vertebra as usual. Prior to neck procedures requiring the anterior cervical approach and carotid endarterect...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 12, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Microvascular reconstruction in salvaging the gastric conduit post-esophagectomy after iatrogenic right gastroepiploic vessel injury
In conclusion, immediate microvascular reconstruction offers a viable solution by restoring perfusion of the gastric tube in cases of right gastroepiploic vessel injury during esophagectomy. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 11, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Wire skills for cardiac surgeons —et tu Brute?
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 11, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful endovascular management of coral reef aortic occlusion
We present our experience with endovascular management of 10 patients with coral reef aorta. Uncontrolled hypertension, chronic renal disease, disabling claudication, and critical limb ischemia with tissue loss were the presenting symptoms. Seven patients had infrarenal aortic occlusion, and 3 had occlusion at renal and suprarenal aorta. Eight had involvement of the visceral vessels and 3 had renal artery stenosis. Common iliac, femoral and subclavian were the other arteries involved. All procedures were done under local anaesthesia. Aortic stenting was done in 7 and aortoiliac stent in 3. Two had covered stents and the re...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - December 6, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research