Wojciech Domaradzki, Krzysztof Sanetra, Wojciech Fil, Monika Mioduska, Krzysztof Milewski, Witold Gerber
{"title":"Use of Boston Accurate Neo transcatheter aortic valve for valve-in-valve procedure in 82-year-old patient with Medtronic Mosaic bioprosthesis.","authors":"Wojciech Domaradzki, Krzysztof Sanetra, Wojciech Fil, Monika Mioduska, Krzysztof Milewski, Witold Gerber","doi":"10.5114/kitp.2023.126104","DOIUrl":"https://doi.org/10.5114/kitp.2023.126104","url":null,"abstract":"effusion was present","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 1","pages":"62-64"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/9b/KITP-20-50417.PMC10107417.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9384311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk factors associated with survival in surgically treated large cell neuroendocrine carcinoma of the lung.","authors":"Hakan Keskin, Hülya Dirol","doi":"10.5114/kitp.2023.126092","DOIUrl":"https://doi.org/10.5114/kitp.2023.126092","url":null,"abstract":"<p><strong>Introduction: </strong>Pulmonary large cell neuroendocrine carcinomas (LCNEC) are one of the rare malignant neoplasms of the lung. A standard management model for LCNEC has not yet been established and the poor prognostic factors and treatment modalities are still uncertain.</p><p><strong>Aim: </strong>LCNEC are fairly rare and have a poor prognosis. Determination of the risk factors associated with survival can contribute to its management.</p><p><strong>Material and methods: </strong>In this retrospective study, we analyzed the data of 42 patients. We obtained the data about the age, gender, smoking history, symptoms, tumor size, tumor location, pathological type, TNM stage, treatments, surgical modality, length of hospital stay, postoperative complications, disease-free survival and total survival from the hospital electronic files of the patients. Then we analyzed the relationship between these data and survival.</p><p><strong>Results: </strong>40 (95.24%) were male, and the mean age was 64.26 ±8.62. 12 (28.57%) patients were in stage I, 14 (33.3%) were in stage II, 15 (35.71%) were in stage III and only 1 (2.38%) patient was in stage IV. 15 (35.71%) had sublobar resection (wedge resection (<i>n</i> = 13) + segmentectomy (<i>n</i> = 2), 24 (57.14%) had lobectomy and 3 (7.14%) had pneumonectomy. The mean overall survival (OS) time was 34.86 ±30.11 months. 1-year, 3-year and 5-year survival rates of the patients were 73.80%, 47.61% and 19.04%, respectively. T stage (HR = 8.956, 95% CI: 1.521-11.034, <i>p</i> = 0.005) <i>N</i> stage (HR = 5.984, 95% CI: 1.127-7.982, <i>p</i> = 0.028) were independent risk factors for OS.</p><p><strong>Conclusions: </strong>The overall survival in LCNEC was poor and the tumor size and the nodal stage were independent risk factors for overall survival.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 1","pages":"7-11"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/37/KITP-20-50405.PMC10107415.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9384319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Witkowska, Tomasz Urbanowicz, Anna Olasińska-Wiśniewska, Sławomir Katarzyński, Bartłomiej Perek, Marek Jemielity
{"title":"A large asymptomatic postinfarction left ventricular pseudoaneurysm - an incidental finding during a recurrent coronary event.","authors":"Anna Witkowska, Tomasz Urbanowicz, Anna Olasińska-Wiśniewska, Sławomir Katarzyński, Bartłomiej Perek, Marek Jemielity","doi":"10.5114/kitp.2023.126099","DOIUrl":"https://doi.org/10.5114/kitp.2023.126099","url":null,"abstract":"Address for correspondence: Anna Witkowska, Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland, e-mail: anna.witkowska2@skpp.edu.pl Received: 14.10.2022, accepted: 5.03.2023. Left ventricular (LV) pseudoaneurysms following confined cardiac wall rupture are among mechanical complications of an acute myocardial infarction (MI), particularly if the latter one remained untreated [1]. Currently in the developed countries, early diagnosis of acute coronary syndrome (ACS) combined with reperfusion/revascularization therapies has led to the marked drop in prevalence of this complication [2]. Thus, they are considered as the rare adverse events following MI. Of note, their diagnosis might be difficult, relying mostly on the echocardiography and magnetic resonance imaging (MRI) [3]. However, it is crucial for outcomes of these patients since false aneurysms (FA) have been prone to fatal rupture. Development of LVFA can lead to heart failure, ventricular arrhythmias and thrombolytic events [4]. We present the case of a patient with a large LV pseudoaneurysm that was disclosed incidentally during hospitalization for recurrent acute coronary syndrome. A 69-year-old male, with no previous medical history, presented with an acute chest pain. He was a heavy smoker, but with no other risk factors for the coronary artery disease (CAD). On admission, the electrocardiogram (ECG) demonstrated sinus rhythm with the right bundle branch block (RBBB) and Q wave in inferior leads (II, III, AVF). The blood pressure was 115/80 mm Hg with the heart rate of 90 beats per minute and the oxygen saturation (SpO2) of 95%. Due to presence of clinical symptoms suggesting ACS combined with high serum troponin levels, the urgent coronary angiography was performed. Three-vessel disease with the subtotal stenosis of the left anterior descending artery (LAD) and circumflex artery (Cx) with total occlusion of the right coronary artery (RCA) was diagnosed. The transthoracic echocardiography revealed the LV aneurysm with maximum dimensions of 49 × 57 mm and an area of a mural thrombus (Figure 1 A), suggesting that it may be a pseudoaneurysm, LV ejection fraction (LVEF) was significantly reduced (approximately 30%). Both LV and left atrium (LA) were enlarged (73 mm and 56 mm, respectively). Additionally, moderate mitral and mild tricuspid regurgitations were observed. The cardiac MRI confirmed the echocardiographic findings in terms of both diagnosis and dimensions (42 × 73 mm). Moreover, there was an area of the mural thrombus up to 35 mm (Figure 1 B). The patient was referred for an urgent surgery and admitted to the Department of Cardiac Surgery and Transplantology for combined aneurysmectomy and coronary artery bypass grafting (CABG). A standard median sternotomy was performed. After the left internal mammary artery (LIMA) was harvested, the patient was connected to cardiopulmonary bypass (CPB) (Figure 2). With the heart arrested, the","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 1","pages":"47-49"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/96/KITP-20-50412.PMC10107411.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9377676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katarzyna Charkiewicz-Szeremeta, Krzysztof Matlak, Marta Garbowska, Grzegorz Hirnle, Paweł Kralisz, Szymon Kocañda, Tomasz Hirnle
{"title":"Infective endocarditis of the tricuspid valve. Surgical treatment with pericardial cylinder implantation.","authors":"Katarzyna Charkiewicz-Szeremeta, Krzysztof Matlak, Marta Garbowska, Grzegorz Hirnle, Paweł Kralisz, Szymon Kocañda, Tomasz Hirnle","doi":"10.5114/kitp.2023.126094","DOIUrl":"https://doi.org/10.5114/kitp.2023.126094","url":null,"abstract":"<p><strong>Introduction: </strong>Infective endocarditis (IE) on the tricuspid valve usually requires the complete resection of the infected tissue and implantation of a valve prosthesis.</p><p><strong>Aim: </strong>We assumed that total elimination of artificial material and implantation of the entirely patient-derived biological material would reduce the recurrence of IE.</p><p><strong>Material and methods: </strong>The group consisted of 7 consecutive patients who underwent implantation of a cylindrical valve created from the patient's own pericardium in the tricuspid orifice. There were only men aged 43 to 73 years. Isolated tricuspid valve reimplantation with a pericardial cylinder was performed in 2 patients. Five (71%) patients needed additional procedures. The postoperative follow-up ranged from 2 to 32 months (median: 17 months).</p><p><strong>Results: </strong>In patients who underwent isolated tissue cylinder implantation, the average extracorporeal circulation (ECC) time was 77.5 minutes and aortic cross-clamp time was 58 minutes. In cases where additional procedures were performed the ECC and X-clamp times were 197.4 and 156.2 minutes, respectively. The function of the implanted valve was examined after weaning from the ECC by transesophageal echocardiogram, followed by transthoracic echocardiogram on day 5-7 after surgery revealed normal function of the prosthesis in all patients. There was no operative mortality. Two late deaths were observed.</p><p><strong>Conclusions: </strong>In the follow-up period none of the patients had a recurrence of IE within the pericardial cylinder. Degeneration with subsequent stenosis of the pericardial cylinder occurred in 3 patients. One patient was reoperated on; one had a transcatheter valve-in-valve cylinder implantation.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 1","pages":"18-23"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/e5/KITP-20-50407.PMC10107418.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9377674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jakub Batko, Daniel Jakub Rams, Krzysztof Bartuś, Artur Bartoszcze, Radosław Adam Litwinowicz
{"title":"Cardiac hemangioma in the atrioventricular node localization.","authors":"Jakub Batko, Daniel Jakub Rams, Krzysztof Bartuś, Artur Bartoszcze, Radosław Adam Litwinowicz","doi":"10.5114/kitp.2023.126102","DOIUrl":"https://doi.org/10.5114/kitp.2023.126102","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 1","pages":"57-59"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/e6/KITP-20-50415.PMC10107410.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9377678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radosław Wilimski, Kamil Krauz, Krzysztof Dudek, Mateusz Wondołkowski, Mariusz Kuśmierczyk
{"title":"An anterior diaphragmatic hernia incidentally found during coronary artery bypass graft surgery: a rare case report and review of the literature.","authors":"Radosław Wilimski, Kamil Krauz, Krzysztof Dudek, Mateusz Wondołkowski, Mariusz Kuśmierczyk","doi":"10.5114/kitp.2023.126100","DOIUrl":"https://doi.org/10.5114/kitp.2023.126100","url":null,"abstract":"long-time cigarettes smoker) and arterial hypertension. The patient underwent emergency, off-pump, beating heart bypass surgery through a median sternotomy. The right internal thoracic artery (RIMA) was anastomosed to the LAD and the left internal thoracic artery to the IM. The RIMA harvesting technique and the beating heart off-pump coronary grafting performed on the lateral wall of the heart required opening","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 1","pages":"50-52"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/ce/KITP-20-50413.PMC10107422.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9377681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A pilot study of a novel paclitaxel-coated angioplasty catheter for lower extremity peripheral artery disease: a pilot study.","authors":"Serpil Şahin, Mehmet Ali Yılmaz","doi":"10.5114/kitp.2023.126095","DOIUrl":"https://doi.org/10.5114/kitp.2023.126095","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to report our preliminary results and real-world experiences regarding the use of a novel paclitaxel-coated balloon catheter in a cohort of patients with lower extremity peripheral artery disease at different stages.</p><p><strong>Material and methods: </strong>A prospective cohort pilot study was conducted and the study group was made up of a total of 20 patients with peripheral artery disease who underwent endovascular balloon angioplasty with BioPath 014 or 035, a novel paclitaxel-coated, shellac containing balloon catheter. Eleven patients had a total of 13 TASC II-A lesions, 6 patients had a total of 7 TASC II-B lesions, 2 patients had TASC II-C lesions, 2 patients had TASC II-D lesions.</p><p><strong>Results: </strong>In 13 patients, a single attempt with a BioPath catheter was adequate to treat a total of 20 target lesions, whereas in 7 patients more than one attempt with a different sized BioPath catheter was necessary. In 5 patients, total or near-total occlusion in the target vessel was initially treated with an appropriate sized chronic total occlusion catheter. Thirteen (65%) patients had at least one categorical improvement in Fontaine classification and none had symptomatic worsening.</p><p><strong>Conclusions: </strong>The BioPath paclitaxel-coated balloon catheter seems to offer a useful alternative to the similar devices for treatment of femoral-popliteal artery disease. These preliminary results warrant confirmation with further research to reveal the safety and efficacy of the device.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 1","pages":"24-29"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/15/KITP-20-50408.PMC10107419.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9377682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic accuracy of copeptin and NT-proBNP level in predicting mortality and postoperative prognosis in coronary surgery with respect to EuroSCORE risk.","authors":"Sinan Göçer, Ekin Ilkeli, Ali Cemal Düzgün","doi":"10.5114/kitp.2022.122090","DOIUrl":"https://doi.org/10.5114/kitp.2022.122090","url":null,"abstract":"<p><strong>Introduction: </strong>During the last few years, many modifications in risk stratification of all cardiac surgical patients have been reported based on EuroSCORE.</p><p><strong>Aim: </strong>In this study we aimed to interpret copeptin and NT-proBNP levels in patients who had undergone coronary surgery with respect to EuroSCORE.</p><p><strong>Material and methods: </strong>We investigated the correlation between pre-operative copeptin and NT-proBNP levels with respect to mortality and post-operative complications via EuroSCORE II in the 484 enrolled patients. In terms of analyzing mortality the first 30 days were taken into account and duration of hospital stay was considered for prognosis. The statistical significance of copeptin and NT-proBNP with respect to EuroSCORE II ≥ 2 was studied.</p><p><strong>Results: </strong>The critical threshold levels of mortality for NT-proBNP was 1296 pg/ml and for copeptin was 116 pmol/l in patients whose EuroSCORE II ≥ 2. Mortality increases 9.04-fold in cases with EuroSCORE ≥ 2, 5.04-fold when NT-proBNP level is > 1296 pg/ml. A dramatic outcome was observed in copeptin levels as mortality increased 138.17-fold when copeptin was > 116 pmol/l.</p><p><strong>Conclusions: </strong>Increased levels of copeptin and NT-proBNP negatively affect mortality and complication rates in isolated cardiac surgery patients.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"19 4","pages":"205-210"},"PeriodicalIF":0.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/a2/KITP-19-48512.PMC9809194.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10526845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mean platelet volume as a simple marker of repeated coronary artery intervention after off-pump technique (OPCAB) procedures - initial report. Authors' reply.","authors":"Tomasz K Urbanowicz","doi":"10.5114/kitp.2022.122100","DOIUrl":"https://doi.org/10.5114/kitp.2022.122100","url":null,"abstract":"Adress for correspondence: Dr. Tomasz K. Urbanowicz, Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, 1/2 Długa St, 61-848, Poznan, Poland, phone: +48-61-854-9233, e-mail: tomasz.urbanowicz@skpp.edu.pl Received: 4.08.2022, accepted: 22.09.2022. Dear Editors, We gratefully thank the researcher Erkan Coben for his interest in and comment on our study [1] that was published in Polish Journal of Thoracic and Cardiovascular Surgery. We would like to alleviate the anxiety of the author and therefore decided to answer his comment. Laboratory tests, including blood morphology, were performed in accordance with our institutional guidelines and regulations. Blood samples were collected at the admission of the patients into tubes containing ethylenediaminetetraacetic acid (EDTA) and analyzed with a routine hematology analyzer (Sysmex Europe GmbH, Norderstedt, Germany) within 30 minutes of sample collection as described in the article. Mean platelet volume (MPV) reflects platelet size and indicates changes in platelet production and activation [2]. Elevated MPV was described as a predictor of mortality in critically ill patients, severity of arterial hypertension and coronary artery disease. Moreover, it was associated with inflammation in malignant tumors and atherosclerosis [3]. MPV and other simple inflammatory markers obtained from whole blood count analysis are considered to be reliable prognostic markers in off-pump surgery [4]. The laboratory analysis of blood samples is a standard of care in current medicine. The study aimed to determine the relation between pre-operative and post-operative MPV and post-operative PCI risk in patients with complex coronary artery disease undergoing coronary artery bypass grafting in off-pump technique. We concluded that MPV is a simple marker of PCI risk following OPCAB procedures. We assure the commentary author that he can confidently use MPV in his daily clinical assessment.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"19 4","pages":"258"},"PeriodicalIF":0.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/e7/KITP-19-48522.PMC9809185.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10526847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Angioplasty balloon occlusion of LIMA graft in reoperations of patients with prosthetic valve endocarditis and patent LIMA-LAD graft.","authors":"Ivilin Plamenov Todorov, Zdravka Petrova Todorova, Dimitar Petrov Nikolov","doi":"10.5114/kitp.2022.122089","DOIUrl":"https://doi.org/10.5114/kitp.2022.122089","url":null,"abstract":"<p><strong>Introduction: </strong>Myocardial protection in reoperative cardiac surgery is extremely difficult in patients with previous coronary surgery and a working LAD-LIMA graft. We use the method of percutaneous angiographic balloon left internal mammary artery (LIMA) occlusion and cardioplegic arrest.</p><p><strong>Aim: </strong>To compare the data of patients with angiographic balloon LIMA-occlusion and those without occlusion in operations related to prosthetic valve endocarditis (PVE), and determine the degree of safety and benefits of the method.</p><p><strong>Material and methods: </strong>A total of 20 patients undergoing surgery for PVE with a patent LIMA-LAD graft were analyzed retrospectively. We divided the patients into 2 groups: group A - patients with LIMA occlusion; and group B - patients without LIMA occlusion. The pre-, intra- and postoperative results were compared and the degree of safety and benefits of the application of the method were studied.</p><p><strong>Results: </strong>80% of patients in group A needed only dopamine infusion and 20% needed the addition of a second catecholamine at the end of CPB. In group B, the need for double catecholamine maintenance was noted in 50% of patients. The need for implantation of an intra-aortic balloon pump due to refractory heart failure was registered in 10% of patients in group A and in 20% of patients in group B. In terms of survival, mortality in the group with LIMA occlusion was 0%, while in the group without LIMA occlusion it was 20%.</p><p><strong>Conclusions: </strong>Our observations suggest that angiographic balloon LIMA occlusion is a reliable, easily applicable and relatively safe technique that improves the surgical results.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"19 4","pages":"199-204"},"PeriodicalIF":0.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/fb/KITP-19-48511.PMC9809192.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}