Kardiochirurgia I Torakochirurgia Polska最新文献

{"title":"Intraoperative intercostal nerve cryoanalgesia during the Ravitch procedure for Currarino-Silverman chest wall deformity.","authors":"Michał Szostawicki, Robert Marguła, Justyna Pestka","doi":"10.5114/kitp.2026.160559","DOIUrl":"10.5114/kitp.2026.160559","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 1","pages":"84-87"},"PeriodicalIF":1.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787709","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 and management challenges in chylothorax: a case report of a 55-year-old man.","authors":"Kacper Kiereta, Anna Kler, Zuzanna Cichowska, Piotr Błasiak","doi":"10.5114/kitp.2026.160567","DOIUrl":"10.5114/kitp.2026.160567","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 1","pages":"81-83"},"PeriodicalIF":1.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787585","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":"Fibrous bone cyst of the sternum: a rare case of an anterior chest wall mass in an adult woman.","authors":"Szymon P Barwiński, Rafał Kuczma, Ingrid Sawzdargo, Adam Rzechonek, Maciej Rutkiewicz, Piotr Błasiak","doi":"10.5114/kitp.2026.160537","DOIUrl":"10.5114/kitp.2026.160537","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 1","pages":"88-90"},"PeriodicalIF":1.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787561","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":"Successful emergency surgical treatment of complicated native aortic valve endocarditis: paravalvular abscess, aorto-right atrial fistula, and right atrial vegetation.","authors":"Barış Akça, Nevzat Erdil","doi":"10.5114/kitp.2026.160539","DOIUrl":"10.5114/kitp.2026.160539","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 1","pages":"71-73"},"PeriodicalIF":1.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786756","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":"Impact of topical vancomycin paste on prevention of deep sternal wound infection in patients undergoing bilateral internal thoracic artery coronary bypass grafting.","authors":"Sleiman Sebastian Aboul-Hassan, Tomasz Stankowski, Tomasz Urbanowicz, Maciej Luczak, Maria Luszczyn, Lukasz Moskal, Marcin Nawotka, Maciej Peksa, Ryszard Stanislawski, Siarhei Amelchanka, Bartlomiej Perek, Marek Jemielity, Diana Nikola Matkowska, Miroslaw Brykczynski, Pawel Bugajski, Dirk Fritzsche, Romuald Cichon","doi":"10.5114/kitp.2026.160540","DOIUrl":"10.5114/kitp.2026.160540","url":null,"abstract":"<p><strong>Introduction: </strong>Deep sternal wound infection (DSWI) remains a serious complication of coronary artery bypass grafting (CABG), particularly when bilateral internal thoracic arteries (BITA) are used. Concerns regarding DSWI often limit the adoption of multiple arterial grafting.</p><p><strong>Aim: </strong>To evaluate the effect of topical vancomycin paste on the incidence of DSWI in patients undergoing primary isolated CABG with BITA.</p><p><strong>Material and methods: </strong>This multicenter, retrospective study analyzed 1,694 patients who underwent BITA grafting between 2006 and 2024. Patients were stratified based on whether topical vancomycin paste was applied to the sternal edges (<i>n</i> = 455) or not (<i>n</i> = 1,239). Propensity score matching was used to account for baseline differences, generating 368 matched pairs. Odds ratios (ORs) were estimated using multivariable and conditional logistic regression.</p><p><strong>Results: </strong>Multivariable logistic regression demonstrated that the use of topical vancomycin paste was independently associated with a 63% reduction in DSWI (OR = 0.37; 95% CI: 0.14-0.97; <i>p</i> = 0.045). Other independent predictors of increased DSWI risk included age ≥ 60 years, obesity, chronic lung disease, insulin therapy, female sex, and heart failure symptoms. After propensity score matching, 368 well-balanced pairs were obtained. In this matched cohort, topical vancomycin paste was associated with a substantial reduction in DSWI (OR = 0.17; 95% CI: 0.05-0.60; <i>p</i> = 0.001).</p><p><strong>Conclusions: </strong>Topical application of vancomycin paste significantly reduces the risk of DSWI in patients undergoing CABG with BITA. This simple and effective prophylactic measure may help enable safer and broader adoption of multiple arterial grafting strategies.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 1","pages":"24-30"},"PeriodicalIF":1.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787715","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 rare case of giant fibromatosis of the chest wall.","authors":"Teresa Ferrazzo, Francesco Givigliano, Marco Chiappetta","doi":"10.5114/kitp.2026.160568","DOIUrl":"10.5114/kitp.2026.160568","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"23 1","pages":"91-92"},"PeriodicalIF":1.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787635","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":"Evaluation of the vascular remodeling markers elastin, vascular endothelial growth factor A (VEGF-A), vascular endothelial growth factor receptor 2 (VEGFR2), and nitric oxide in patients with varicose veins.","authors":"Sarah H Shaalan, Furqan Moein Auda","doi":"10.5114/kitp.2025.158104","DOIUrl":"10.5114/kitp.2025.158104","url":null,"abstract":"<p><strong>Introduction: </strong>Varicose veins are a recurrent condition resulting from chronic valve failure, which can lead to blood reflux. The veins become dilated and tortuous due to increased venous pressure. Structural abnormalities of the vein wall, along with vascular dysfunction, contribute to disease progression. Alterations in elastin content, nitric oxide (NO) levels, and zinc (Zn) homeostasis have also been implicated in the pathophysiology of varicose vein development and progression.</p><p><strong>Material and methods: </strong>The study involved 180 individuals, divided into three groups. The first group consisted of 60 patients with severe varicose veins, the second group comprised 60 patients with moderate varicose veins, and the control group consisted of 60 clinically healthy patients. Venous blood specimens were drawn from the arm of all participants to analyze biochemical and inflammatory markers related to varicose vein disease, including vascular endothelial growth factor A (VEGF-A), vascular endothelial growth factor receptor 2 (VEGFR2), NO, elastin, zinc, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR).</p><p><strong>Results: </strong>Baseline blood test values were higher in individuals with mild and severe varicose veins than in healthy controls. The following metrics were substantially higher in people with moderate to severe varicose veins than in healthy controls: VEGF-A (160.089 ±63.762 ng/l, 77.106 ±12.964 ng/l, vs. 65.196 ±19.975 ng/l, <i>p</i> < 0.001), VEGFR2 (4.008 ±1.380 ng/ml, 1.256 ±0.390 ng/ml vs. 1.201 ±0.266 ng/ml, <i>p</i> < 0.001), NO (94.215 ±17.831 μmol/l, 66.589 ±12.528 μmol/l vs. 65.160 ±15.267 μmol/l, <i>p</i> < 0.001) and ELA (25.893 ±4.277 μg/ml, 26.264 ±8.661 μg/ml vs. 6.142 ±2.286 μg/ml, <i>p</i> < 0.045). The findings revealed increased levels of inflammatory markers, including CRP and ESR. Additionally, the affected group was found to have higher levels of Zn. These findings demonstrate that varicose vein disease is associated with chronic inflammation and disorders of angiogenesis. Elastin was also noted to be more sensitive to this condition, which helps determine when varicose vein disease first appears.</p><p><strong>Conclusions: </strong>The research indicated that increased zinc concentrations, VEGF-A, VEGFR2, NO, and elastin signify compromised angiogenesis and venous wall elasticity in individuals with varicose veins. The inflammatory and molecular alterations are linked to compromised vascular function. This condition is exacerbated by elevated inflammatory markers (CRP and ESR), indicating that chronic inflammation plays a significant role in the disease etiology. Consequently, these markers may be viable targets for assessment and treatment intervention in the early stages of varicose veins.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 4","pages":"277-284"},"PeriodicalIF":1.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183073","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":"Results of minimally invasive aortic valve replacement.","authors":"Adam R Kowalówka, Jakub Staromłyński, Konrad Mendrala, Mariusz Kowalewski, Ryszard Bachowski, Radoslaw Gocol","doi":"10.5114/kitp.2025.158102","DOIUrl":"10.5114/kitp.2025.158102","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with severe aortic valve (AV) stenosis or insufficiency can undergo minimally invasive aortic valve surgery with mini-sternotomy (MS) or full sternotomy (FS).</p><p><strong>Aim: </strong>Our study evaluated 5-year outcomes in patients after minimally invasive surgery for aortic valve replacement (AVR) compared with FS access.</p><p><strong>Material and methods: </strong>We conducted a single-center registry data analysis of AV patients who underwent only elective, isolated AVR compared to MS, and FS hospitalized between 2014 and 2024 in the Cardiac Surgery Department at the Medical University of Silesia. Redo, emergency, salvage and concomitant procedures were excluded. The 5-year survival data were verified in the National Health Fund. Propensity score matching (PSM) was conducted to determine FS controls for the MS group in a 1 : 1 ratio with a 0.1 SD caliper.</p><p><strong>Results: </strong>The study group included 1289 elective patients (73 MS, and 1216 FS). All operative and postoperative data before and after PSM are presented in tables. PSM resulted in 65 MS cases and 65 FS controls. The 5-year survival did not differ between groups, either before PSM (HR = 0.92, 95% CI [0.34-2.5]; <i>p</i> = 0.6) or after PSM (HR = 0.79, 95% CI [0.25-2.5]; <i>p</i> = 0.480). After matching, differences were found only in cardiopulmonary bypass time in MS vs. FS (73 [IQR: 61-88] vs. 63 [IQR: 53-77]; <i>p</i> = 0.034) and higher requirement for norepinephrine support (90.8% vs. 61.5%; <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Our study demonstrates that minimally invasive aortic valve replacement offers comparable 5-year outcomes. The results suggest that the less invasive alternative should be the first choice option for patients with aortic valve diseases.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 4","pages":"258-266"},"PeriodicalIF":1.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183124","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 impact of anxiety experienced by patients undergoing surgical aortic valve replacement on perceived pain, self-efficacy, and body esteem in the perioperative period.","authors":"Beata Krakowska, Grzegorz Grudzień, Milena Suliga, Barbara Zawadzka, Bogusław Kapelak, Krzysztof Bartus","doi":"10.5114/kitp.2025.158153","DOIUrl":"10.5114/kitp.2025.158153","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical aortic valve replacement (SAVR) is currently one of the most commonly performed cardiac surgical procedures.</p><p><strong>Aim: </strong>The study aimed to examine the relationship between anxiety, pain level, self-efficacy, and body esteem in the perioperative period among patients undergoing SAVR.</p><p><strong>Material and methods: </strong>Prospective studies were carried out in a group of 66 patients. State and trait anxiety were assessed using the Polish version of State-Trait Anxiety Inventory (STAI). Pain was measured with the Visual Analogue Scale (VAS). Self-efficacy was measured with the Self-Efficacy Gauge, and body esteem was measured with the Body Esteem Scale.</p><p><strong>Results: </strong>The intensity of state anxiety experienced before surgery is higher in women. When assessing anxiety as a state during the preoperative period, a positive correlation with pain intensification after SAVR was identified. The intensity of state anxiety experienced by patients undergoing SAVR in the early postoperative period is similar to that experienced before surgery. The intensity of state anxiety significantly negatively correlates with self-efficacy following SAVR. Among male patients, the intensity of postoperatively pain negatively correlates with their assessment of body esteem concerning body strength and physical condition at the respective time point. There is a negative correlation between the intensity of state anxiety and in the assessment of body esteem concerning body strength and physical condition in the postoperative period.</p><p><strong>Conclusions: </strong>The intensity of perioperative state anxiety is a factor influencing patients' quality of life and functioning in the immediate postoperative period, including the length of their hospitalization.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 4","pages":"249-257"},"PeriodicalIF":1.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183199","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":"Atypical cardiac tamponade associated with pericardial-epicardial adhesions following bicycle trauma.","authors":"Damian Hudziak, Marcelina Banach, Leon Smółka, Anna Bednarek, Agnieszka Skoczyńska, Ryszard Bachowski, Radosław Gocoł","doi":"10.5114/kitp.2025.158066","DOIUrl":"10.5114/kitp.2025.158066","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"22 4","pages":"308-309"},"PeriodicalIF":1.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183103","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}