Kardiochirurgia I Torakochirurgia Polska最新文献

{"title":"Hybrid management of refractory electrical storm in a patient after previous minimally invasive mitral valve replacement due to Barlow's disease.","authors":"Sebastian Stec, Mariusz Kowalewski, Grzegorz Wróblewski, Dominik Drobiński, Natalia Ogorzelec, Piotr Suwalski","doi":"10.5114/kitp.2026.163252","DOIUrl":"10.5114/kitp.2026.163252","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"195-197"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882375","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":"Rigid plate fixation versus wire cerclage for sternal closure after coronary artery bypass grafting: a retrospective cohort study.","authors":"Sefer Kaya, Ahmet Kirbas, Metin Onur Beyaz","doi":"10.5114/kitp.2026.163285","DOIUrl":"10.5114/kitp.2026.163285","url":null,"abstract":"<p><strong>Introduction: </strong>Sternal dehiscence remains a significant complication after coronary artery bypass grafting (CABG), particularly in high-risk patients. Evidence comparing rigid plate fixation with conventional wire cerclage is limited.</p><p><strong>Aim: </strong>To compare clinical outcomes and perioperative resource utilization between rigid plate fixation and wire cerclage for sternal closure after CABG.</p><p><strong>Material and methods: </strong>This retrospective single-center cohort study included 118 patients undergoing CABG (plate fixation <i>n</i> = 58; wire cerclage <i>n</i> = 60). The primary endpoint was sternal dehiscence. Secondary outcomes included wound infection, postoperative drainage, length of stay, and 30-day mortality.</p><p><strong>Results: </strong>Plate fixation was associated with significantly lower sternal dehiscence (3.4% vs. 11.6%; <i>p</i> = 0.04), shorter length of hospital stay (7.4 ±2.1 vs. 9.1 ±2.6 days; <i>p</i> = 0.02), and lower postoperative drainage volumes (<i>p</i> = 0.03). Among obese patients, complication rates were significantly lower with plate fixation (<i>p</i> < 0.05). Thirty-day mortality was similar between groups.</p><p><strong>Conclusions: </strong>Rigid plate fixation is associated with improved sternal stability and reduced morbidity, particularly among high-risk CABG patients.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"117-126"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882422","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":"Percutaneous sheathless subclavian intra-aortic balloon pump implantation as a bridge to heart transplantation: a feasibility study.","authors":"Krzysztof Szaniewski, Olena Nefodova, Krzysztof Dyrbuś","doi":"10.5114/kitp.2026.163342","DOIUrl":"10.5114/kitp.2026.163342","url":null,"abstract":"<p><strong>Introduction: </strong>Intra-aortic balloon pump (IABP) therapy is a widely used mechanical circulatory support method for patients with advanced heart failure, including those awaiting orthotopic heart transplantation (OHT). Traditional femoral access limits patient mobility and may not be suitable in cases of peripheral artery disease.</p><p><strong>Aim: </strong>This study evaluates the feasibility and safety of a fully percutaneous, sheathless IABP implantation via the left subclavian artery as a bridge to transplantation.</p><p><strong>Material and methods: </strong>Between June and December 2024, 10 patients in critical condition (1 F, 9 M, mean age: 58 years) underwent IABP implantation using ultrasound-guided puncture of the left subclavian artery without surgical exposure. The balloon was inserted sheathless and secured to the chest wall. Device removal was also performed percutaneously with a 6F AngioSeal closure device.</p><p><strong>Results: </strong>Definitive therapy (OHT or LVAD) was achieved in 60% of patients. The mean IABP support duration was 21.6 days (up to 69 days). There were no local access site complications. Two device-related mechanical issues were managed without sequelae. One fatal outcome was potentially related to embolic complications; others were due to progressive multiorgan failure. The subclavian approach preserved femoral access and enabled early mobilization.</p><p><strong>Conclusions: </strong>Sheathless percutaneous subclavian IABP implantation appears to be a feasible and safe strategy for bridging critically ill patients to definitive therapy. It reduces vascular trauma, facilitates patient mobilization, and allows surgical access to be avoided. Further studies in larger cohorts are warranted to confirm these promising results.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"105-110"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882435","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":"Long-term retention of intracardiac needle-like foreign bodies without major complications.","authors":"Kamil Górecki, Kamil Baczewski, Agnieszka Karabin, Justyna Kaniecka","doi":"10.5114/kitp.2026.163346","DOIUrl":"10.5114/kitp.2026.163346","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"184-186"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882441","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":"Hybrid mitral Melody valve implantation as a long-term bridge in a child with critical endocarditis: 8-year survival until definitive valve replacement.","authors":"Krzysztof J Gołacki, Konrad Paczkowski, Julia Haponiuk-Skwarlińska, Katarzyna Gierat-Haponiuk, Katarzyna Leszczyńska, Afrodyta K Zielińska, Maciej Chojnicki, Ireneusz Haponiuk","doi":"10.5114/kitp.2026.163259","DOIUrl":"10.5114/kitp.2026.163259","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"173-175"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882449","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":"Salvage of an infected saphenofemoral arteriovenous graft complicated by thrombosis using a staged hybrid approach.","authors":"Spyros Papadoulas, Konstantinos Nikolakopoulos, Chrysanthi Papageorgopoulou, Kate Tabaku, Chrysa Andrikopoulou, Ioannis Panagiotopoulos, Paraskevi Katsakiori, Panagiotis Kitrou, Francesk Mulita, Vasileios Leivaditis","doi":"10.5114/kitp.2026.163254","DOIUrl":"10.5114/kitp.2026.163254","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"187-191"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882376","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":"Commentary on: \"The role of mediastinal blood in the development of postoperative atrial fibrillation after cardiac surgery\".","authors":"Rohan Magoon, Jes Jose","doi":"10.5114/kitp.2026.163255","DOIUrl":"10.5114/kitp.2026.163255","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"182-183"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882415","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":"Early clinical outcomes of routine prophylactic use of a gentamicin-impregnated sponge in all consecutive patients undergoing cardiac surgical operations: a single-center experience.","authors":"Anna Witkowska, Kinga Koziarska, Jan Kaczmarek, Michał Rodzki, Marek Jemielity, Bartłomiej Perek","doi":"10.5114/kitp.2026.163301","DOIUrl":"10.5114/kitp.2026.163301","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical site infections (SSIs) are one of the most serious complications in surgery and are associated with significant mortality and morbidity. Prophylactic systemic antibiotics are not completely effective in SSI prevention.</p><p><strong>Aim: </strong>The purpose of this study was to assess outcomes of routine application of a gentamicin-impregnated sponge.</p><p><strong>Material and methods: </strong>The study involved 363 consecutive patients with a mean age of 62.7 ±12.1 years who underwent cardiac surgical operations from complete or partial midline sternotomy. In group S (<i>n</i> = 196) a gentamicin-impregnated sponge was placed retrosternally. whereas in group C (<i>n</i> = 167) no local antibiotics were used. The other aspects of the perioperative prophylactic protocol were not changed during the study. Postoperative adverse events were assessed with special attention to SSI rate.</p><p><strong>Results: </strong>Patients of both groups were comparable in terms of the majority of pre- and intraoperative variables. The only exception was lower BMI in group S (28.3 ±4.2 kg/m²) than in group C (29.5 ±4.8 kg/m²; <i>p</i> = 0.013); however, prevalence of obese subjects was comparable between groups (36.7% vs. 41.6%, in group S and group C, respectively; ns). Any adverse events in the early postoperative period were more frequent in group C (22.3%) than in group S (19.8%) (<i>p</i> = 0.040), mainly due to SSI rate (4.1% vs. 10.7%) (<i>p</i> = 0.017). Routine application of a gentamicin-impregnated sponge led to a marked reduction in deep SSI rates from 5.4% to 1.5% (<i>p</i> = 0.040) but not in superficial SSI rates (5.4% vs. 2.6%; <i>p</i> = 0.162).</p><p><strong>Conclusions: </strong>Our study suggested that routine application of a gentamicin-impregnated sponge may be efficacious in prevention of deep wound infection following cardiac surgical procedures irrespective of risk profile.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"111-116"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882382","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":"First reported case of aortic annular rupture following aortic valve replacement with a rapid-deployment, balloon-expandable surgical bioprosthesis.","authors":"Vasiliki Androutsopoulou, Nikolaos Schizas, George Stefanakis, Andrew Xanthopoulos, Kalliopi Keramida","doi":"10.5114/kitp.2026.163260","DOIUrl":"10.5114/kitp.2026.163260","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"170-172"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882369","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":"Contemporary overview of current percutaneous mechanical circulatory support devices for advanced heart failure: a narrative review.","authors":"Trasha Shetty, Anshuman Darbari","doi":"10.5114/kitp.2026.163278","DOIUrl":"10.5114/kitp.2026.163278","url":null,"abstract":"<p><p>Mechanical circulatory support devices have become essential in the management of acute hemodynamic compromise, providing rapid, minimally invasive augmentation of cardiac output in heart failure, cardiogenic shock, high-risk percutaneous coronary intervention, post-cardiotomy ventricular dysfunction, and refractory cardiac arrest. Unlike conventional ventricular assist systems, percutaneous mechanical circulatory support devices are designed for swift deployment through peripheral vascular access and are intended for short-term support. Advancements over recent decades have substantially broadened the range of these devices. They vary widely in mechanism of action, flow capability, insertion technique, and hemodynamic targets, allowing tailored support for left-, right-, or biventricular failure. Parallel to technological innovation, evidence from major trials and international registries has refined contemporary practice by characterizing hemodynamic benefits, procedural outcomes, and device-specific limitations. This review synthesizes contemporary knowledge on pMCS systems, their designs, physiological effects, clinical indications, and limitations.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 2","pages":"127-136"},"PeriodicalIF":1.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882425","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}