Sternal  sparing aortic valve replacement via right anterior minithoracotomy: An early experience
ConclusionOur study demonstrated that RAT AVR can be safely introduced. The learning curve required in performing RAT AVR can be safely negotiated through training, previous experience in minimally invasive surgery, careful patient selection including use of preoperative computed tomography of the aorta, and introduction of sutureless/rapid deployment valves. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 3, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tracheal adenoid cystic carcinoma with microscopic positive margin —how we approached with a systematic analysis review of its management
ConclusionSurgical resection followed by adjuvant radiotherapy is the mainstay in the treatment of tracheal ACC, notwithstanding the high rates of involved margins. Achieving tension-free anastomosis should be the first priority given the favourable response of adjuvant therapies in reducing recurrence rate and improving overall survival. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 30, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Role of live streaming surgical video in CVTS residency program in India: a strategy to improve learning curve of surgical residents
We present a way to record surgical videos and live stream them to a select audience comprising surgical residents and faculty, wherever they may be. This may become a standard of teaching once adopted by all top surgical residency programs across the country. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 30, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reoperative treatment of residual aortic dissection in young: FET and TEVAR
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 26, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Native aortic valve regurgitation: TAVR ’s place in the PANTHEON
AbstractThe PANTHEON (Performance of Currently Available traNscaTHEter Aortic Valve Platforms in Inoperable Patients With Pure Aortic regurgitatiON of a native valve) study examined transcatheter aortic valve replacement in patients with severe pure native aortic valve regurgitation. With a real-world dataset from 16 centres in Europe and the USA, the study encompassed 201 patients. The major complications included valve embolization or migration in 12.4%, moderate to severe aortic regurgitation in 9.5% cases and need for permanent pacemaker in 22.3% cases. Self-expanding and balloon-expandable devices demonstrated similar...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 22, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Wire-skills for cardiac surgeons? — No, with a capital ‘N’
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 22, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

MICS CABG: Preoperative and perioperative evaluation
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 18, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Management of screening-detected ground glass nodules: a narrative review
AbstractWide-scale application of low-dose computed tomography (LDCT) in lung cancer screening has led to an increased detection of ground glass nodule (GGN) lesions. However, there is still no clear management plan for these lesions after detection. Clinicians are usually faced with a dilemma in choosing the best initial management approach that not only limits overtreatment but also avoids the possibility of lesions growing into invasive carcinoma. Most current and past guidelines favor surveillance with computed tomography (CT) as the initial management approach based on the notion that the majority of GGN lesions are i...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 15, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Total arterial revascularization using robot assisted minimally invasive coronary artery bypass: an Indian experience
ConclusionsTotal Arterial Coronary Revascularization through RA-CABG is a viable procedure in select patients. An experienced surgeon and team are required. Further studies in the form of randomized trials with long term follow-up are required to establish the overall utility, effectiveness and benefits to the patients. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 14, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

We were there: now much more is coming. It is our turn!
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 11, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic valve-sparing operations: my perspectives
AbstractValve-sparing procedures have been established as a durable option for treatment of patients with aortic root pathology. Complex cases where aortic valve-sparing root replacement (VSRR) is applied require specific surgical techniques to ensure good outcomes. Herein, we review main concepts of VSRR and aortic valve repair. In addition, we provide three complex clinical scenarios: treatment of neo-aortic dilation after a Ross procedure, acute aortic insufficiency in a type A dissection, and chronic aortic insufficiency with a bicuspid aortic valve. Technical suggestions to achieve a safe and durable result are set fo...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 4, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

The diagnosis and surgical management of pulmonary sequestration in adults: a case series from a single centre in the UK
We present a retrospective review of 8 consecutive adult patients undergoing surgical management for PS within a single centre in the UK. Of our cohort, 62.5% had never smoked. PS in the right lung was seen in 62.5% of cases. Anomalous branches of the pulmonary artery, pulmonary vein or coeliac axis supplied 37.5% of the PS seen in our cohort, and 12.5% did not have a radiologically identifiable blood supply. Techniques varied from thoracotomy (n = 4), video-assisted thoracoscopic surgery (VATS) (n = 3) to robotic resection (n = 1) with no intra-operative or post-operative complications reported within hospital...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 4, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgery for lung cancer: insight from a state cancer centre in India
ConclusionThe fraction of patients who are operated for lung cancer is very less. There is a definite missed window of opportunity. We have comparable survival to international data. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 4, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Generative AI: a new dawn in cardiovascular study and research
(Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 4, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Standing the test of time: total aortic remodeling 13  years after TEVAR for acute type B aortic dissection
AbstractLong-term outcome after thoracic endovascular aortic repair (TEVAR) of acute type B aortic dissection (aTBAD) is still underreported in current literature. This case report shows persistence of aortic remodeling without secondary complication or need of reintervention 13  years after TEVAR. A 45-year-old woman was referred to the emergency room with aTBAD. Due to early diameter progression in combination with therapy-refractory pain and uncontrolled hypertension, TEVAR was performed. Hereafter, the patient showed complete remodeling of the descending thoracic aorta without persistent false lumen perfusion in this ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 4, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research