{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:14:15Z","timestamp":1777576455932,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T00:00:00Z","timestamp":1669248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims at reporting the surgical outcomes of COVID associated pulmonary mucormycosis with special emphasis on surgical mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective observational study was conducted in a dedicated thoracic surgical unit in Gurugram, India over 18 months. An analysis of demography, peri-operative variables were carried out. Various parameters were analysed to assess the factors affecting mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Total of 44 patients with diagnosis of CAPM were managed during the study period. All were started on anti-fungal therapy. However, 33 patients (75%) were operated whereas rest 11 (25%) were not considered suitable for surgery. In the surgical cohort ( n\u2009\u2009=\u2009\u200933), there were 20 males (60.6%) and 13 females (39.4%), with a mean age of 54.8 years (range, 33\u201372 years). The mean duration of the symptoms was 1.1 weeks. Non-anatomical wedge resection of lobe(s) was performed in 5 patients (15.1%), lobectomy\/bi-lobectomy was required in 26 patients (78.9%) and left pneumonectomy in 2 patients (6%). There were 5 peri-operative deaths (15.1%), all due to fungal sepsis. ECOG scale\u2009&gt;\u20092 ( P\u2009\u2009\u2264\u2009\u20090.001), higher Charlson Comorbidity Index score\u2009&gt;\u20092 ( P\u2009\u2009=\u2009\u20090.04) and pneumonectomy ( P\u2009\u2009=\u2009\u20090.02) were the predictors of mortality. On comparison with NCPM, there was no difference in the incidence of post-operative complications ( P\u2009\u2009=\u2009\u20090.50) and the post-operative mortality ( P\u2009\u2009=\u2009\u20090.69).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Aggressive surgical resection with clear margins should be offered in CAPM, whenever feasible. Surgery for CAPM was not associated with higher post-operative complications including mortality compared to Non-COVID Pulmonary Mucormycosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923221140258","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T02:52:13Z","timestamp":1669344733000},"page":"133-141","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["COVID associated pulmonary mucormycosis: Outcomes of surgical therapy"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6868-1477","authenticated-orcid":false,"given":"Mohan Venkatesh","family":"Pulle","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta \u2013 The Medicity, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukhram","family":"Bishnoi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta \u2013 The Medicity, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belal Bin","family":"Asaf","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta \u2013 The Medicity, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harsh Vardhan","family":"Puri","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta \u2013 The Medicity, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Deshwal","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Medanta \u2013 The Medicity, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Chest Surgery, Medanta \u2013 The Medicity, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,24]]},"reference":[{"key":"bibr1-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.13.2.236"},{"key":"bibr2-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1086\/432579"},{"key":"bibr3-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcab165"},{"key":"bibr4-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1111\/myc.13338"},{"key":"bibr5-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.282.6258.108-a"},{"key":"bibr6-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1378\/chest.75.4.524"},{"key":"bibr7-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)91450-N"},{"key":"bibr8-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1086\/590004"},{"key":"bibr9-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1517\/14656566.4.11.2099"},{"key":"bibr10-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-07033-y"},{"key":"bibr11-02184923221140258","doi-asserted-by":"publisher","DOI":"10.4103\/lungindia.lungindia_758_20"},{"key":"bibr12-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2021.1963601"},{"key":"bibr13-02184923221140258","unstructured":"Ellis R. Delta variant and COVID-19 vaccines: what to know. WebMD Health News. https:\/\/www.webmd.com\/vaccines\/covid-19-vaccine\/news\/20210610\/delta-variant-and-covid-19-vaccines-what-to-know (2021, Accessed 29 May 2021)."},{"key":"bibr14-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-021-00528-2"},{"key":"bibr15-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-5247(21)00237-8"},{"key":"bibr16-02184923221140258","doi-asserted-by":"publisher","DOI":"10.3201\/eid2709.210934"},{"key":"bibr17-02184923221140258","unstructured":"Statement from Health Minister, Government of India to press. https:\/\/www.tribuneindia.com\/news\/nation\/28-252-black-fungus-cases-in-india-265262 (Accessed 7 November 2021)."},{"key":"bibr18-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.09.098"},{"key":"bibr19-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1086\/377279"},{"key":"bibr20-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2006.06.003"},{"key":"bibr21-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1295717"},{"key":"bibr22-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2019.11.021"},{"key":"bibr23-02184923221140258","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00382"},{"key":"bibr24-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-020-01561-x"},{"key":"bibr25-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2019.01.002"},{"key":"bibr26-02184923221140258","doi-asserted-by":"publisher","DOI":"10.18231\/j.ijirm.2021.014"},{"key":"bibr27-02184923221140258","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(22)00124-4"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923221140258","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02184923221140258","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923221140258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:28:18Z","timestamp":1777404498000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/02184923221140258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,24]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1177\/02184923221140258"],"URL":"https:\/\/doi.org\/10.1177\/02184923221140258","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,24]]}}}