Publications by authors named "Sandeep N Bharadwaj"
Objectives: To assess the impact of the extent of surgical resection on overall survival in patients with clinical T1cN0M0 (cT1cN0M0) non-small cell lung cancer (NSCLC), with and without pathologic nodal upstaging (pN1+).
Methods: The National Cancer Database (NCDB) was queried to identify patients with cT1cN0M0 NSCLC who underwent lobectomy or segmentectomy without receiving neoadjuvant therapy between 2010 and 2021. Bivariate analyses were performed to compare demographic and clinical characteristics across surgical groups.
Surgical management of calcific valvular and coronary disease in a patient with alkaptonuria: a case report.
Eur Heart J Case Rep
February 2024
Article Synopsis
- - Alkaptonuria is a rare metabolic disorder that leads to the accumulation of homogentisic acid, causing symptoms like dark skin discoloration (ochronosis) and issues such as arthritis and cardiac diseases.
- - A case study describes a 62-year-old man with alkaptonuria who underwent cardiac surgery for multiple valve replacements and bypass grafting, during which significant tissue discoloration and calcification were observed.
- - The discussion emphasizes the link between alkaptonuria and heart disease, noting challenges in monitoring cerebral oxygenation during surgery and the importance of careful pre-operative planning for successful treatment.
Objective: HAART 300 300 (BioStable Science and Engineering, Inc) aortic annuloplasty rings restore physiologic annular geometry during aortic valve repair. Transcatheter valve-in-ring implantation is appealing for recurrent valve dysfunction but may necessitate balloon fracture of downsized annuloplasty rings. We characterized the feasibility of ring fracture and changes in ring geometry preceding fracture.
View Article and Find Full Text PDFObjective: Sternal dehiscence is frequently associated with wire-based closures cutting through fragile bone, allowing sternal motion, separation, and infection. We investigated whether bone cutting could be limited by using a newly available mesh suture with improved force distribution.
Methods: Five sternal models were closed using 8 interrupted single sternal wires, double sternal wires, braided poly(ethylene terephthalate) sutures, single-wrapped mesh sutures, or double-wrapped mesh sutures.
Chest X-ray Overuse in Cardiothoracic Intensive Care Unit per American College of Radiology Criteria.
Ann Thorac Surg Short Rep
September 2023
Background: A routine chest radiograph (CXR) is frequently incorporated into postoperative clinical pathways. Whereas prior studies evaluated CXR use for specific indications, overall CXR "stewardship" within cardiothoracic surgery remains undescribed. We characterized CXR use within a cardiothoracic intensive care unit (ICU) and quantified X-ray-driven changes in patient management.
View Article and Find Full Text PDFThe Unfulfilled Need for Technical Skill Assessments Among Academic Cardiothoracic Surgeons.
Semin Thorac Cardiovasc Surg
June 2022
Technical skill is a proven predictor of surgical outcomes, yet no platform exists for continual technical skill development following training. We aim to characterize the perceived need for feedback on technical skill among practicing thoracic surgeons. Under the Thoracic Education Cooperative Group, a panel of cardiothoracic surgeons and trainees developed and distributed an online survey for cardiothoracic surgery faculty in the Thoracic Surgery Directors Association database.
View Article and Find Full Text PDFBackground: Vascular rings with a Kommerell diverticulum (KD) most commonly occur in patients with a right aortic arch. We report on a less commonly seen subset of vascular ring patients-those with a double aortic arch and a KD.
Methods: Between 2002 and 2017, 66 patients underwent an operation for a double aortic arch.