Kardiochirurgia I Torakochirurgia Polska最新文献

{"title":"IgG4 aortitis in a patient with coronary artery disease.","authors":"Lorenza Petrolo, Grazia Santoro, Monica Annunziata, Francesco Iorio, Nunzio Curcio, Carlo Zebele","doi":"10.5114/kitp.2024.141152","DOIUrl":"10.5114/kitp.2024.141152","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 2","pages":"120-122"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762119","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":"The role of nicotinamide adenine dinucleotide salvage enzymes in cardioprotection.","authors":"Fazle Kibria, Sudip Kumar Das, Md Sahidul Arefin","doi":"10.5114/kitp.2024.141145","DOIUrl":"10.5114/kitp.2024.141145","url":null,"abstract":"<p><p>The increasing trend of cardiac diseases is becoming a major threat globally. Cardiac activities are based on integrated action potential through electronic flux changes within intra- and extracellular molecular activities. Nicotinamide adenine dinucleotide (NAD) is a major electron carrier present in almost all living cells and creates gated potential by electron exchange from one chemical to another in terms of oxidation (NAD⁺) and reduction (NADH) reactions. NAD⁺ plays an important role directly or indirectly in protecting against various cardiovascular diseases, including heart failure, occlusion, ischemia-reperfusion (IR) injury, arrhythmia, myocardial infarction (MI), rhythmic disorder, and a higher order of cardiovascular complexity. Nicotinamide phosphoribosyl transferase (NAMPT) is well known as a rate-limiting enzyme in this pathway except for <i>de-novo</i> NAD synthesis and directly involved in the cardioprotective activity. There are two more enzymes - nicotinate phosphoribosyl transferase (NAPRT) and nicotinamide riboside kinase (NRK) - which also work as rate-limiting factors in the NAD+ synthesis pathway. This study concentrated on the role of NAMPT, NAPRT, and NRK in cardioprotective activity and prospective cardiac health.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 2","pages":"86-95"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762157","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":"Unraveling a diagnostic enigma: managing acute mitral valve insufficiency with non-ischemic papillary muscle rupture. A comprehensive case analysis.","authors":"Maciej Łuczak, Krzysztof Greberski, Karol Buszkiewicz, Radosław Jarząbek, Cezary Danielecki, Pawel Czaja, Paweł Bugajski","doi":"10.5114/kitp.2024.141151","DOIUrl":"10.5114/kitp.2024.141151","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 2","pages":"117-119"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762159","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":"Pulmonary embolism in cancer patients. Effectiveness of vitamin K antagonists and direct oral anticoagulants in long-term therapy.","authors":"Paulina M Nadziakiewicz, Bożena Szyguła-Jurkiewicz","doi":"10.5114/kitp.2024.141148","DOIUrl":"10.5114/kitp.2024.141148","url":null,"abstract":"<p><p>Patients with cancer are prone to develop pulmonary embolism (PE) in the course of cancer-associated thrombosis. These patients have increased risk of both recurrent venous thromboembolism and major bleeding. Pulmonary embolism treatment in the cancer patient group is challenging. Selection of anticoagulants, duration of anticoagulation, decision of adjuvant therapy, and adjustment of the regimen in special situations are the major problems that need to be considered in the treatment of cancer-associated PE. Current first line treatment in long-term therapy following an episode of PE is low molecular weight heparin (LMWH), with direct oral anticoagulants (DOACs) and vitamin K antagonists (VKAs) listed as viable alternatives. This study aims to explore long-term oral anticoagulation therapy for cancer patients. Both VKAs and DOACs are compared to LMWH, which serves as a gold standard in anticoagulation therapy for cancer patients and has proven to be effective.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 2","pages":"102-107"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762122","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":"Proposal for the use of angiotensin II in distributive shock after extracorporeal circulation - position paper of the Section of Intensive Care Medicine and the Section of Cardiothoracic Anaesthesiology of the Polish Society of Anaesthesiology and Intensive Therapy.","authors":"Łukasz J Krzych, Paweł Nadziakiewicz, Ewa Kucewicz-Czech","doi":"10.5114/kitp.2024.141146","DOIUrl":"10.5114/kitp.2024.141146","url":null,"abstract":"<p><p>Angiotensin II (AT) is a potent vasoconstrictor and hypertensive drug that is registered for the treatment of severe hypotension in vasoplegic shock. Growing experience with the use of AT in cardiac surgery allows the first therapeutic algorithms to be created. This paper is a proposal for the use of AT in distributive shock after extracorporeal circulation.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 2","pages":"96-98"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762121","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 and outcome of aortic surgery patients with hypothermic circulatory arrest: can urine NGAL predict acute kidney injury?","authors":"Pimchanok Junnil, Thas Tangkijwanichakul, Chinaphum Vuthivanich, Chanapong Kittayarak","doi":"10.5114/kitp.2024.141141","DOIUrl":"10.5114/kitp.2024.141141","url":null,"abstract":"<p><strong>Introduction: </strong>Hypothermic circulatory arrest (HCA) is useful to protect visceral organs during aortic operations. The degree of hypothermia and the influence of renal damage remain controversial.</p><p><strong>Aim: </strong>To evaluate the incidence of acute kidney injury (AKI) comparing moderate HCA (MHCA) and deep HCA (DHCA) and determine risk factors and ability of urine neutrophil gelatinase associated lipocalin (u-NGAL) to predict AKI.</p><p><strong>Material and methods: </strong>We prospectively enrolled 58 patients who underwent aortic replacement with HCA during May 2019-August 2021. Patients were divided into 2 groups: DHCA (15-20°C) and MHCA (20-25°C). The primary outcome was incidence of AKI. Secondary outcomes included risk factors of AKI.</p><p><strong>Results: </strong>Baseline characteristics were not different between the 2 groups. There were 37 patients in the DHCA group and 21 patients in the MHCA group. Each group was mostly diagnosed with acute type A aortic dissection (60.3%). The operation was hemiarch replacement (51.7%). The overall incidence of AKI was 65.6% according to KDIGO criteria; there was no statistically significant difference between DHCA and MHCA groups. Urine NGAL level at cut-off point > 20 ng/ml at hour 0 and > 70 ng/ml at hour 6 could predict AKI. Operation time more than 360 minutes was found to be a risk factor for AKI. In hospital mortality rates and neurological outcomes were not statistically significantly different between DHCA and MHCA groups.</p><p><strong>Conclusions: </strong>AKI is common in patients undergoing HCA with an overall incidence of more than 60%. Risk factors of AKI after aortic surgery include long operative time. U-NGAL in the early post-operative period can predict AKI.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 2","pages":"71-78"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762124","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":"The relation of body adiposity to the outcomes of thoracoscopic lobectomy for lung cancer - a single-center cohort study.","authors":"Piotr Gabryel, Piotr Skrzypczak, Lidia Szlanga, Aleksandra Kaluzniak-Szymanowska, Magdalena Sielewicz, Alessio Campisi, Magdalena Roszak, Cezary Piwkowski","doi":"10.5114/kitp.2024.138524","DOIUrl":"https://doi.org/10.5114/kitp.2024.138524","url":null,"abstract":"<p><strong>Introduction: </strong>The outcomes of lung cancer surgery depend on the patients' nutritional status. Body fat percentage (BF%) is one of the indicators of body composition and nutritional status. Direct measurement of BF% is complicated, requires significant resources and is rarely performed. The CUN-BAE (Clínica Universidad de Navarra - Body Adiposity Estimator) index has been shown to accurately predict BF% is several clinical settings, but its relation to the outcomes of lung surgery has not been reported so far.</p><p><strong>Aim: </strong>To determine the relation of the BF% to the outcomes of thoracoscopic lobectomy.</p><p><strong>Material and methods: </strong>This retrospective study included 1,183 patients who underwent thoracoscopic lobectomy for non-small cell lung cancer between June 1999, and September 2019 at one department. BF% was calculated according to the Clínica Universidad de Navarra - Body Adiposity Estimator equation. The primary endpoints were postoperative complications and long-term survival.</p><p><strong>Results: </strong>Univariate analysis showed that higher BF% was related to lower incidence of complications (<i>p</i> = 0.001), including prolonged air leak (<i>p</i> < 0.001), atelectasis (<i>p</i> < 0.05), psychosis (<i>p</i> < 0.001), reoperations (<i>p</i> < 0.05), and shorter chest drainage (<i>p</i> = 0.001) and hospitalization duration (<i>p</i> < 0.001). Multivariate analysis showed that higher BF% was correlated with lower risk of complications (<i>p</i> = 0.005; OR = 0.964; 95% CI: 0.940 to 0.989), including prolonged air leak (<i>p</i> < 0.001; OR = 0.923; 95% CI: 0.886 to 0.962), and shorter duration of chest drainage (<i>p</i> < 0.001; B = -0.046; 95% CI: -0.069 to -0.023) and hospitalization (<i>p</i> < 0.001; B = -0.112; 95% CI: -0.176 to -0.048). Cox proportional hazards regression analysis showed that BF% was not related to long-term survival.</p><p><strong>Conclusions: </strong>Body fat percentage is a valuable tool that can help predict the short-term outcomes of minimally lobectomy for lung cancer.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"8-14"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867209","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":"Comprehensive cardiosurgical intervention for displaced Amplatzer Amulet device with atrial fibrillation complications.","authors":"Krzysztof Greberski, Cezary Danielecki, Radosław Jarząbek, Maciej Łuczak, Karol Buszkiewicz, Paweł Bugajski","doi":"10.5114/kitp.2024.138446","DOIUrl":"https://doi.org/10.5114/kitp.2024.138446","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"67-69"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872422","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":"Agenesis of bilateral common carotid arteries in an adult.","authors":"Ekin Ilkeli, Cemal Kocaaslan","doi":"10.5114/kitp.2024.138485","DOIUrl":"https://doi.org/10.5114/kitp.2024.138485","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"63-64"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869227","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":"Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review.","authors":"Vasileios Leivaditis, Afroditi Pavlakou, Konstantinos Grapatsas, Francesk Mulita, Efstratios Koletsis, Athanasios Papatriantafyllou, Michail Galanis, Paraskevi F Katsakiori, Konstantinos Skevis, Eleftherios Nikolaidis, Manfred Dahm, Konstantinos Tasios, Levan Tchabashvili, Benjamin Ehle, Nikolaos Baltayiannis","doi":"10.5114/kitp.2024.138581","DOIUrl":"https://doi.org/10.5114/kitp.2024.138581","url":null,"abstract":"<p><p>The perioperative management of patients undergoing mediastinal mass operations presents a persistent challenge across multiple clinical specialties. General anesthesia administration further increases the risk of perioperative cardiorespiratory decompensation. The interdisciplinary team plays a crucial role in ensuring a safe perioperative period. However, due to the rarity and variability of mediastinal mass syndromes, specific management protocols are lacking. This review aims to outline the multitude of challenges and pitfalls encountered during perioperative management in patients with the mediastinal mass syndrome. We describe diagnostic evaluation, preoperative optimization, intraoperative considerations, and postoperative care strategies, emphasizing the paramount significance of a multidisciplinary approach and personalized treatment plans. Preoperative multidisciplinary discussions, meticulous anesthetic management, and well-established protocols for emergency situations are pivotal to ensuring patient safety. Healthcare providers involved in the care of patients with mediastinal mass syndrome must grasp these challenges and pitfalls, enabling them to deliver safe and effective perioperative management.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"47-54"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853554","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}