Kardiochirurgia I Torakochirurgia Polska最新文献

{"title":"Combining echocardiography and fluoroscopy imaging in real time for left atrial appendage occlusion - single center experience from Poland.","authors":"Marian Burysz, Jakub Batko, Michalina Helena Malec-Litwinowicz, Mariusz Kowalewski, Radosław Adam Litwinowicz, Aleksandra Burysz, Łukasz Graczykowski, Wojciech Olejek","doi":"10.5114/kitp.2024.138575","DOIUrl":"https://doi.org/10.5114/kitp.2024.138575","url":null,"abstract":"<p><strong>Introduction: </strong>Atrial fibrillation (AF) presents a growing health concern, often requiring stroke prevention measures, primarily through oral anticoagulation (OAC). Surgical interventions such as left atrial appendage occlusion (LAAO) offer alternatives when OAC is contraindicated. In recent years, percutaneous procedures have gained traction as minimally invasive options, demanding precise anatomical insights. Fusion imaging (FI), which combines transesophageal echocardiography (TEE) and fluoroscopy, has emerged as a potential game-changer in transcatheter interventions.</p><p><strong>Aim: </strong>This study introduces FI to LAAO procedures in Poland, assessing its role in guiding interventions, highlighting advantages, and exploring its potential to reshape cardiovascular interventions.</p><p><strong>Material and methods: </strong>We conducted a retrospective study involving LAAO procedures from March 2015 to December 2018, all utilizing FI. Patient indications, procedural specifics, and safety metrics were collected and analyzed. Follow-ups were conducted at 3 and 6 months.</p><p><strong>Results: </strong>A cohort of 83 patients (mean age: 72.1 ±8.4 years) underwent successful LAAO procedures. FI provided precise device placement and anatomical assessment. Mean procedure time was 54.9 ±34.3 min, contrast medium usage averaged 33.7 ±22.7 ml, and creatinine levels remained stable. Patients were discharged in about 4.2 ±3.4 days. Adverse effects were rare, including minimal bleeding and cardiac tamponade. Follow-ups demonstrated favorable outcomes with low adverse event rates.</p><p><strong>Conclusions: </strong>This study marks the inaugural application of FI in Polish LAAO procedures. FI, offering enhanced visualization and reduced procedure times, holds promise in improving patient safety and treatment efficacy. We recommend its consideration as a standard visualization technique for LAAO procedures.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"30-34"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859852","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":"Effectiveness of autologous fibrin glue in preventing post-thoracotomy air leaks: a randomized controlled trial.","authors":"Fariba Zabihi, Ali Mehri, Ghazale Ahmadi, Daryoush Hamidi Alamdari, Mona Kabiri, Azam Amirianfar, Reza Rezaei","doi":"10.5114/kitp.2024.138579","DOIUrl":"https://doi.org/10.5114/kitp.2024.138579","url":null,"abstract":"<p><strong>Introduction: </strong>Post-thoracotomy air leaks remain a significant challenge in thoracic surgery.</p><p><strong>Aim: </strong>This randomized controlled trial assessed the efficacy of autologous fibrin glue in reducing air leaks following thoracotomy procedures.</p><p><strong>Material and methods: </strong>Conducted as a single-center, single-blind, randomized clinical trial, the study enrolled adult patients undergoing lung resection or decortication at a thoracic surgery clinic. Participants were randomly assigned to either the intervention group, receiving autologous fibrin glue application during surgery, or the control group, undergoing standard surgical procedures without glue application. Key inclusion criteria were adult patients undergoing elective thoracotomy for lung resection or decortication, while exclusion criteria included patients with severe comorbidities or contraindications to fibrin glue.</p><p><strong>Results: </strong>A total of 40 patients were enrolled and randomized equally to the two groups. The group treated with autologous fibrin glue demonstrated a significant reduction in the duration of air leakage and chest tube drainage, along with a shorter hospital stay, compared to the control group. There were no statistically significant differences in postoperative complications between the groups.</p><p><strong>Conclusions: </strong>The application of autologous fibrin glue during thoracotomy procedures significantly reduces postoperative air leaks and hospitalization duration without increasing complication rates. This finding suggests a beneficial role of fibrin glue in thoracic procedures requiring lung resection or decortication.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"15-18"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874940","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 artery aneurysm: case report and experience of our center.","authors":"Maria Sabrina Ferrante, Calogera Pisano, Daniele Trombetti, Laura Asta, Claudia Altieri, Paolo Nardi, Giovanni Rivolo","doi":"10.5114/kitp.2024.138584","DOIUrl":"https://doi.org/10.5114/kitp.2024.138584","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"59-62"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865950","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":"Inflammatory response induction as a result of BioGlue adhesive application in cardiac surgery - a review of the literature.","authors":"Tomasz Furgoł, Remigiusz Antończyk, Michał Miciak, Marcin Jezierzański, Maciej Smreczak, Konrad Gigoń, Oskar Fogiel, Maksymilian Ratajczak, Tomasz Hrapkowicz","doi":"10.5114/kitp.2024.138566","DOIUrl":"https://doi.org/10.5114/kitp.2024.138566","url":null,"abstract":"<p><p>BioGlue is one of the best-known substances used as a tissue adhesive during surgical procedures, especially in cardiac surgery. Inappropriate use of BioGlue can result in inflammation in both the heart and adjacent tissues after its intraoperative application. Inflammation caused by BioGlue in cardiac surgery is a topic that has been discussed by numerous authors in scientific studies, meta-analyses and evaluations of this tissue adhesive. However, there is a lack of collected knowledge on this subject in a single concise article. The purpose of this paper is to review the current medical knowledge on the use of BioGlue in cardiac surgery versus the induction of an inflammatory response. Our paper discusses the details of this problem according to the most recent scientific reports.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"43-46"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865639","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":"Outcomes of mobilization in the first hour following uniportal video-assisted thoracoscopic surgery for primary spontaneous pneumothorax.","authors":"Hatice Eryigit Unaldi","doi":"10.5114/kitp.2024.138497","DOIUrl":"https://doi.org/10.5114/kitp.2024.138497","url":null,"abstract":"<p><strong>Introduction: </strong>Although primary spontaneous pneumothorax is a common disease in young adults, each thoracic surgery department performs different procedures for its management.</p><p><strong>Aim: </strong>The optimal time of postoperative mobilization is not yet standardized in lung surgery.</p><p><strong>Material and methods: </strong>This study included male patients with a primary spontaneous pneumothorax who underwent wedge resection of the upper lobe of the lungs via uniportal video-assisted thoracoscopic surgery. Patients were encouraged to stand up within the first postoperative hour. Mobilization was defined as standing and walking at least 100 m from the bed. If orthostatic hypotension occurred, mobilization was postponed for 30 min. Immediately after surgery, intravenous fluids were discontinued, and patients were instructed to drink water. The analgesic treatment needs, length of hospitalization, drainage, and discharge times were recorded.</p><p><strong>Results: </strong>A total of 43 patients were operated on by the same surgeon. All operations were ended with uniportal video-assisted thoracoscopic surgery. Wedge resection is most commonly indicated for recurrent ipsilateral pneumothorax. Patients walked 345 (range: 150-510) m on the department corridor following bed rest. Paracetamol (2 g) and dexketoprofen (100 mg) were intravenously administered as postoperative analgesia to 76.7% of patients. Narcotic drugs were not needed.</p><p><strong>Conclusions: </strong>Mobilization was recommended in the first hour following uniportal video-assisted thoracoscopic surgery for primary spontaneous pneumothorax.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"19-22"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872234","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":"Comment on: \"Evaluation of perioperative risk factors in pediatric patients with left ventricle outflow tract obstruction\".","authors":"Rohan Magoon, Mukesh Kumar, Jes Jose","doi":"10.5114/kitp.2024.138626","DOIUrl":"https://doi.org/10.5114/kitp.2024.138626","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"70"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858717","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 effects of postoperative pleural empyema on survival rates of patients after pneumonectomy due to non-small cell lung cancer.","authors":"Janusz Wójcik, Tomasz Grodzki, Krzysztof Safranow, Jarosław Pieróg, Małgorzata Edyta Wojtyś, Dawid Kordykiewicz, Norbert Wójcik","doi":"10.5114/kitp.2024.138376","DOIUrl":"https://doi.org/10.5114/kitp.2024.138376","url":null,"abstract":"<p><strong>Introduction: </strong>Postpneumonectomy empyema (PPE) is a severe and often fatal complication of pneumonectomy, but some benefits of PPE were reported in patients who underwent either lobe or an entire lung resection due to lung cancer.</p><p><strong>Aim: </strong>To compare the survival outcomes of patients with non-small-cell lung carcinoma (NSCLC), who developed PPE after pneumonectomy with uneventful recoveries available in our center's database.</p><p><strong>Material and methods: </strong>Outcomes of 928 pneumonectomies performed due to NSCLC between 1995 and 2009 were evaluated. The selection of the control group took into account the requirements for propensity score matching in terms of follow-up period, age, sex, tumor histopathology, TNM classification and the side of surgery.</p><p><strong>Results: </strong>Thirty-two patients with a PPE syndrome and 96 patients without complications after pneumonectomy were included. The estimated 5- and 10-year survival rates were 71% and 59%, respectively. The average and median survival was almost two- and three-fold longer compared to the group with uneventful recoveries. A 2-fold lower cancer-related mortality rate and a 1.5-fold higher cancer-unrelated mortality rate were noted in the PPE group as opposed to the group without complications. Having recovered from PPE, the patients had their risk of death reduced by 2.5-fold and 3.5-fold due to all causes and cancer, respectively.</p><p><strong>Conclusions: </strong>Pleural empyema in NSCLC patients who underwent pneumonectomy seems to improve the survival outcomes compared to patients with uneventful recoveries.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"1-7"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860944","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":"Cardiac solitary fibrous tumor - an extremely rare but potentially fatal diagnosis.","authors":"Mateusz Szot, Aleksandra Zub, Paweł Kurzawa, Magdalena Janus, Ewa Goszczyńska, Marek Jemielity, Bartłomiej Perek","doi":"10.5114/kitp.2024.138574","DOIUrl":"https://doi.org/10.5114/kitp.2024.138574","url":null,"abstract":"<p><p>The background of this review is a description of the case of a 28-year-old man with an extremely rare cardiac solitary fibrous tumor (SFT). Although this tumor was removed surgically and in the 6-month follow-up examination no relapse was noted, recurrence was observed and confirmed in the magnetic resonance imaging 4 months later. SFT prevalence, symptoms and signs, treatment options and prognosis are reviewed.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"39-42"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866947","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 treatment of penetrating aortic trauma.","authors":"Marian Burysz, Jakub Batko, Krzysztof Bartuś, Wojciech Ogorzeja, Radosław Adam Litwinowicz","doi":"10.5114/kitp.2024.138374","DOIUrl":"https://doi.org/10.5114/kitp.2024.138374","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"65-66"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863934","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":"Triple primary lung cancer, synchronous and unilateral: about two cases and literature review.","authors":"Emar Kelly Kassat Boukat, Massine Mohammed El Hammoumi, Mouad Amraoui, El Hassane Kabiri","doi":"10.5114/kitp.2024.138507","DOIUrl":"https://doi.org/10.5114/kitp.2024.138507","url":null,"abstract":"","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 1","pages":"55-58"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865951","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}