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Off-pump CABG surgery in left main coronary artery disease: a single-center prospective registry
ConclusionsThis study shows that off-pump CABG surgery is safe in patients with LM CAD. There is low in-hospital mortality and MACE and 3-year outcomes are similar to the published data of LM CAD patients who undergo on-pump CABG.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - June 13, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic valve replacement in small aortic root- Bi-leaflet mechanical valve is superior to a Mono-leaflet mechanical valve
ConclusionWe conclude that aortic valve replacement without any root widening procedure, using a small-sized mechanical valve provides acceptable early outcomes. Bi-leaflet mechanical valves provide better hemodynamics and survival percentage.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 20, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Results of carotid endarterectomy with the use of temporary shunts with reduced retrograde pressure in the internal carotid artery — analysis of the multicenter Russian register
ConclusionTemporary carotid shunts during carotid endarterectomy were associated with increased rates of asymptomatic stroke. There were no statistically significant differences in the incidence of non-fatal or fatal stroke, myocardial infarction, and mortality.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 27, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Novel technique of left atrial appendage occlusion —a pilot study
AbstractA clot in the left atrial appendage (LAA) is an important cause of cardio-embolic stroke. Concomitant occlusion of the LAA during cardiac surgery is found to have reduced postoperative stroke. A study was designed to observe the results of LAA occlusion in 17 patients undergoing coronary artery bypass graft surgery (CABG) and aortic valve replacement (AVR). The LAA was occluded epicardially with a SIRONIX 60-mm linear noncutting stapler (Healthium Medtech Pvt limited, Peenya, Bengaluru). The effectiveness of occlusion was confirmed by trans-esophageal echocardiography and at 2  years of follow-up with trans-thorac...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 25, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Total aortic arch replacement in acute type A aortic dissection — a single institutional experience
ConclusionTAR can be performed both with acceptable mortality and morbidity in the presence of acute aortic dissections.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 24, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early and midterm outcomes after off pump coronary artery bypass surgery
ConclusionOPCAB can safely be performed with satisfactory short and mid-term outcomes. Further corroborative studies from different regions of the country or a multi-center study will help to establish the suitability of the technique in Indian patients.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - February 6, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Open surgical replacement of the descending aorta: single-center experience
ConclusionsThis study showed that the elective open surgical replacement of the descending aorta can be achieved with excellent outcomes in terms of perioperative mortality and morbidity. Prosthetic graft is not a problem with open surgical descending aortic replacement, even in the long term.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - January 3, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Incidence, predictors, and outcome for post-operative atrial fibrillation in Indian patients undergoing off-pump coronary artery bypass grafting —a prospective observational study
ConclusionsIn our study, the incidence of POAF was much lower (7.94%) than that reported previously. POAF significantly increased adverse outcomes and length of hospital stay. Both EuroSCORE II and STS scores had similar discriminating power in predicting POAF.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 11, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Fractional flow reserve –guided PCI as compared with coronary bypass surgery (FAME III)– another brick in the wall!
AbstractFAME III, a multi-centric randomized controlled trial compared fractional flow reserve (FFR) guided percutaneous coronary interventions (PCI) with coronary artery bypass grafting. The study confirmed that compared with FFR-guided-PCI, coronary artery bypass grafting was associated with a significantly lower incidence of the composite of mortality, stroke, MI, and repeat revascularizations at 1 year. Thus, FFR-guided-PCI failed to meet the “noninferiority” criteria.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 5, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Concomitant left atrial appendage occlusion in patients undergoing cardiac surgery
AbstractThe Left Atrial Appendage Occlusion Study (LAAOS III) was a multicenter, randomized controlled trial that included patients undergoing cardiac surgery who also had atrial fibrillation. The trial recruited 4811 participants, of which 2400 patients were randomized to undergo left atrial appendage (LAA) occlusion surgery, while 2411 participants had isolated cardiac surgery. The aim of the study was to determine whether concomitant occlusion of the LAA prevents ischemic stroke or systemic embolism. The study also evaluated the efficacy and safety of concomitant LAA occlusion in patients undergoing cardiac surgery. The...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - August 16, 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 - May 27, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Disappearing left atrial appendage clot —the need for a more meticulous search
AbstractLeft atrial clots are occasionally seen in patients with long-standing atrial fibrillation who come for valve surgery. Once identified on echocardiogram, intraoperative identification and retrieval of the clot are essential in order to prevent the possibly devastating complication of embolism and stroke.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 19, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcome of CentriMag ™ extracorporeal mechanical circulatory support use in critical cardiogenic shock (INTERMACS 1) patients
ConclusionOur results demonstrate an excellent outcome with the use of the CentriMag ™ device in this seriously ill population. Despite requiring multiple procedures, over 58% of patients were discharged from hospital with 5-year survival of 46%.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 29, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Management of thrombosis of carotid arteries in acute type A aortic dissection in neurologically intact patients: our experience
We report our experience of operative and non-operative management of thrombosis of carotid arteries in type A acute aortic dissection in 3 patients.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - June 12, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

NOBLE trial —is it time to revise the guidelines?
AbstractThe Nordic –Baltic–British left main revascularization trial (NOBLE) is a prospective, randomized, multicentre, non-inferiority trial comparing percutaneous coronary angioplasty (PCI) with coronary artery bypass grafting (CABG) for revascularization of patients with unprotected left main coronary artery (L MCA) stenosis. The primary outcome was a combined endpoint of all-cause mortality, stroke, non-procedural myocardial infarction and repeat revascularization. CABG was found to be superior to PCI with respect to the 5-year MACCE rates (28% vs. 19%) with a hazard ratio (HR) of 1.58 (95% CI 1.24–2.01 ). All-ca...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - June 10, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

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