Kardiochirurgia I Torakochirurgia Polska最新文献

{"title":"Effects of hypoxia versus ischaemia on vascular functions of isolated rat thoracic aorta: revisiting the <i>in vitro</i> vascular ischaemia/reperfusion model.","authors":"Halit Güner Orhan, Ariyan Teimoori, Elif Demirtaş, Nargiz Zeynalova, Oğuzhan Ekin Efe, Selda Emre Aydingöz","doi":"10.5114/kitp.2023.131952","DOIUrl":"10.5114/kitp.2023.131952","url":null,"abstract":"<p><strong>Introduction: </strong>The <i>in vitro</i> rat vascular ischaemia and reperfusion model is used to evaluate the molecular and functional effects of potential agents against ischaemia and reperfusion injury of autologous graft veins. However, there is no consensus on whether hypoxia, rather than ischaemia, is sufficient to induce vascular dysfunction.</p><p><strong>Aim: </strong>To compare the effects of hypoxia and ischaemia, with or without reperfusion, on the vascular functions of isolated thoracic aortic rings of rats.</p><p><strong>Material and methods: </strong>Thoracic aortas of 12 male Sprague-Dawley rats (350-500 g, 18-24 months old) were isolated and divided into rings that were randomly allocated to control, ischaemia, hypoxia, ischaemia-reperfusion, and hypoxia-reperfusion groups. Aortic rings other than those of the control group were stored at 4°C for 24 h in saline. For ischaemia, saline was gassed with nitrogen. After 24 h, aortic rings in the ischaemia-reperfusion and hypoxia-reperfusion groups were incubated with 200 μM sodium hypochlorite for 30 min. Vascular and endothelial functions were tested in an organ bath set-up.</p><p><strong>Results: </strong>Vascular response to potassium chloride (80 mM) decreased in all experimental groups compared to the control group (<i>p</i> = 0.007), but phenylephrine-induced contraction (10^-5 M) increased only in the ischaemia-reperfusion group (<i>p</i> < 0.0001). Acetylcholine (10^-11-10^-5 M)-induced endothelium-dependent vasorelaxations were impaired in all groups - particularly in the ischaemia-reperfusion group (<i>p</i> = 0.0011). Sodium nitroprusside (10^-12-10^-7 M)-induced endothelium-independent vasorelaxations were similar across all groups (<i>p</i> = 0.1258).</p><p><strong>Conclusions: </strong>Ischaemia followed by reperfusion should be implanted to achieve maximum endothelial and contractile dysfunction <i>in vitro</i>, and to replicate ischaemia and reperfusion injury of autologous graft veins.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 3","pages":"173-178"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488095","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":"Computed tomography-guided biopsy for sub-centimetre pulmonary nodules: a meta-analysis.","authors":"Jin-Ling Feng, Yu-Fei Fu, Yu Li","doi":"10.5114/kitp.2023.131947","DOIUrl":"10.5114/kitp.2023.131947","url":null,"abstract":"<p><strong>Introduction: </strong>Pulmonary nodules (PNs) with a diameter from 5 to 10 mm exhibit malignancy rates anywhere from 47.5 to 61.5%. Despite the potential danger posed by these lesions, their small size makes the biopsy of these sub-centimetre (≤ 10 mm) PNs under computed tomography (CT) guidance very difficult.</p><p><strong>Aim: </strong>A meta-analysis was performed with the goal of evaluating the safety and diagnostic utility of CT-guided biopsy procedures for sub-centimetre PNs.</p><p><strong>Material and methods: </strong>Relevant studies published through April 2023 were identified in the PubMed, Web of Science, and Wanfang databases and used to conduct pooled analyses of selected endpoints, including technical success, diagnostic yield, diagnostic accuracy, pulmonary haemorrhage, and pneumothorax rates.</p><p><strong>Results: </strong>In total, this meta-analysis incorporated 10 studies in which 1482 patients with sub-centimetre PNs underwent CT-guided biopsy procedures. Among these patients, the respective pooled rates of technical success, diagnostic yield, diagnostic accuracy, pulmonary haemorrhage, and pneumothorax were 90%, 60%, 91%, 11%, and 24%, and significant heterogeneity was detected for all of these endpoints (<i>I</i>² = 93.6%, 96%, 76.9%, 80.8%, and 93.6%). A substantial difference in diagnostic accuracy was observed when comparing biopsy procedures performed using fine- and core-needle biopsy approaches (85% vs. 95%), whereas the use of the co-axial method or the selected guidance approach (conventional vs. cone-beam CT) had no impact on diagnostic accuracy. Needle type, guidance method, and co-axial method use had no impact on the rates of pulmonary haemorrhage or pneumothorax.</p><p><strong>Conclusions: </strong>CT-guided biopsy represents a safe and effective means of accurately diagnosing sub-centimetre PNs.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 3","pages":"139-145"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488093","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":"Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?","authors":"Michail Galanis, Vasileios Leivaditis, Konstantinos Gioutsos, Ioannis Panagiotopoulos, Asterios Kyratzopoulos, Francesk Mulita, Anastasia Papaporfyriou, Georgios-Ioannis Verras, Konstantinos Tasios, Andreas Antzoulas, Konstantinos Skevis, Theoni Kontou, Efstratios Koletsis, Benjamin Ehle, Manfred Dahm, Konstantinos Grapatsas","doi":"10.5114/kitp.2023.131943","DOIUrl":"10.5114/kitp.2023.131943","url":null,"abstract":"<p><p>Low-dose computed tomography is being used for lung cancer screening in high-risk groups. Detecting lung cancer at an early stage improves the chance of optimal treatment and increases overall survival. This article compares segmentectomy vs. lobectomy as surgical options, in the case of stage I non-small cell lung carcinoma, ideally IA. To compare the 2 previously referred strategies, data were collected from articles (40 studies were reviewed), reviews, and systematic analyses in PubMed Central, as well as reviewing recent literature. Segmentectomy could be an equal alternative to lobectomy in early-stage NSCLC (tumour < 2 cm). It could be preferred for patients with a low cardiopulmonary reserve, who struggle to survive a lobectomy. As far as early-stage NSCLC is concerned, anatomic segmentectomy is an acceptable procedure in a selective group of patients. For better tumour and stage classification, a systematic lymph node dissection should be performed.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 3","pages":"179-186"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488139","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":"\"/\" wiring (Durukan weave) to prevent sternal cutting by wires: a propensity score matched comparison with Robicsek weave.","authors":"Ahmet Baris Durukan,&nbsp;Hasan Alper Gurbuz,&nbsp;Elif Durukan,&nbsp;Hamed Zeinalabedini,&nbsp;Osman Tunc","doi":"10.5114/kitp.2023.129540","DOIUrl":"https://doi.org/10.5114/kitp.2023.129540","url":null,"abstract":"<p><strong>Introduction: </strong>Sternal closure still causes morbidity/mortality following sternotomy. Robicsek weave, cable systems, rigid plates and nitinol clips are systems employed to prevent sternal dehiscence.</p><p><strong>Aim: </strong>The aim was to document the effectiveness of a novel method using standard sternal wires decreasing load on wires and spreading load on the lateral sternum to prevent sternal cutting by wires and thus sternal dehiscence.</p><p><strong>Material and methods: </strong>756 patients who underwent coronary revascularization with sternotomy between July 2018 and November 2022 were retrospectively analyzed. Fifty patients with \"/\"wiring were compared with 50 patients with Robicsek weave by propensity score matching. \"/\" wiring (Durukan weave) spreads load laterally on the sternum by lateral sequential knotting of wires instead of midline knotting. Outcomes were superficial and deep sternal wound infection and non-infectious sternal dehiscence.</p><p><strong>Results: </strong>There were 50 patients in each group. Mean age of the patients was 65.74 ±7.47 in Robicsek weave and 66.12 ±7.23 in Durukan weave. The perioperative characteristics of patients were comparable as propensity score matching was performed. None developed superficial sternal wound infection in Robicsek weave, whereas 2% (1) in \"/\"wiring. There was no deep sternal wound infection in each group. Non-infectious sternal dehiscence did not occur in either group.</p><p><strong>Conclusions: </strong>\"/\" wiring seems to be a safe and cost-effective method for sternal closure for preventing sternal cutting by wires, therefore preventing sternal wound related problems and dehiscence. The method is cheap, easily applicable and less time consuming than Robicsek weave, which was proven to be the safest method for sternal wire closure.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 2","pages":"72-76"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/bb/KITP-20-51115.PMC10410634.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970174","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":"Surgical pulmonary embolectomy: state of the art.","authors":"Dariusz Zieliński,&nbsp;Wojciech Dyk,&nbsp;Krzysztof Wróbel,&nbsp;Andrzej Biederman","doi":"10.5114/kitp.2023.130019","DOIUrl":"https://doi.org/10.5114/kitp.2023.130019","url":null,"abstract":"<p><p>Acute pulmonary embolism is a significant cause of morbidity and mortality. Patients in life-threatening conditions require timely and effective interventions to improve pulmonary perfusion. The indications for surgical embolectomy in the thrombolysis era have been limited. This article discusses surgical techniques and outlines the position of surgical embolectomy concerning other treatment modalities.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 2","pages":"111-117"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/c7/KITP-20-51136.PMC10410633.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970181","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":"Comparison of peripheral blood saturation with brain oxygenation in patients undergoing thoracic surgery.","authors":"Bartosz Kubisa,&nbsp;Anna Lesińska,&nbsp;Krzysztof Safranow,&nbsp;Jarosław Pieróg,&nbsp;Janusz Wójcik,&nbsp;Małgorzata Edyta Wojtyś,&nbsp;Tomasz Grodzki,&nbsp;Kajetan Kiełbowski","doi":"10.5114/kitp.2023.129553","DOIUrl":"https://doi.org/10.5114/kitp.2023.129553","url":null,"abstract":"<p><strong>Introduction: </strong>Near-infrared spectroscopy (NIRS) is a non-invasive method of regional tissue oxygenation measurement. Intraoperative use of NIRS to monitor brain oxygenation (BO) during surgery might be beneficial to identify cerebral desaturations.</p><p><strong>Aim: </strong>To compare peripheral blood saturation (SpO₂) with BO measurements and evaluate the utility of BO in thoracic surgery.</p><p><strong>Material and methods: </strong>We took BO and SpO₂ measurements in a group of 100 patients undergoing standard thoracic surgery. Measurements were made every 15 minutes. The Mann-Whitney U test was used to compare study groups. Spearman's rank correlation coefficient was used to determine correlation between studied parameters.</p><p><strong>Results: </strong>We found a negative correlation between patients' age and BO at the beginning of surgery. Operations lasted between 30 and 200 minutes. We found a positive correlation between BO and SpO₂ between 15 and 90 minutes of surgery. Subsequently, BO remained at a low level while SpO₂ returned to baseline values. Higher minimum SpO₂ values were noted in patients undergoing left-sided procedures.</p><p><strong>Conclusions: </strong>Cerebral oxygenation does not return to baseline values until the end of the surgery as opposed to the SpO₂. Furthermore, both SpO₂ and BO correlate negatively with the overall duration of thoracic surgery. In addition, after 90 minutes of surgery, SpO₂ stopped reflecting brain oxygenation.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 2","pages":"83-93"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/35/d6/KITP-20-51124.PMC10410636.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970182","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 comparative study of minimally invasive aortic valve replacement with sutureless biological versus mechanical prostheses.","authors":"Michał Bociański,&nbsp;Mateusz Puślecki,&nbsp;Anna Olasińska-Wiśniewska,&nbsp;Bartłomiej Perek,&nbsp;Sebastian Stefaniak,&nbsp;Piotr Buczkowski,&nbsp;Marek Jemielity","doi":"10.5114/kitp.2023.129542","DOIUrl":"https://doi.org/10.5114/kitp.2023.129542","url":null,"abstract":"<p><strong>Introduction: </strong>The ministernotomy approach with sutureless aortic bioprosthesis may provide an attractive and safe option for aortic valve disease patients.</p><p><strong>Aim: </strong>To assess the early and mid-term outcomes of minimally invasive aortic valve replacement (miniAVR) with sutureless vs. standard prostheses.</p><p><strong>Material and methods: </strong>The study involved 76 consecutive patients (51 males and 25 females) with mean age of 63.2 years who were treated with miniAVR between 2015 and 2022. They were divided into 2 subgroups: group I (<i>n</i> = 40) subjects with sutureless bioprostheses and group II (<i>n</i> = 36) with standard prostheses implanted. Early and mid-term outcomes were evaluated. A probability of survival was estimated by means of the Kaplan-Meier method.</p><p><strong>Results: </strong>No conversion to complete sternotomy was necessary. The median (minimum; maximum) aorta cross clamping and cardio-pulmonary bypass times were 49 (27; 84) and 70 (40; 188) minutes in group I whereas 69 (50; 103) and 95 (69; 170) minutes in group II, respectively (<i>p</i> < 0.001). In-hospital mortality was 5.0% (<i>n</i> = 2) and 2.8% (<i>n</i> = 1) in group I vs. II, respectively (ns). Permanent ICD implantation was performed in 8 (20.0%) in group I and in 3 (8.3%) subjects in group II. In the discharge echocardiography, the function of all prostheses was correct. Five-year probability of survival was much lower in group I (0.75 ±0.10) than in group II (0.94 ±0.04). No wound infection or sternum instability was noted.</p><p><strong>Conclusions: </strong>Intraoperative advantages of miniAVR procedures for aortic valve patients with sutureless bioprostheses do not translate directly into improved early and middle-term outcomes.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 2","pages":"77-82"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/ad/KITP-20-51117.PMC10410630.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10350547","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":"Late consequences of masked bioprosthetic valve endocarditis: diagnostic and treatment options.","authors":"Dominika Katarzyńska,&nbsp;Anna Olasińska-Wiśniewska,&nbsp;Marcin Misterski,&nbsp;Marek Grygier,&nbsp;Mateusz Puślecki,&nbsp;Sebastian Stefaniak,&nbsp;Tomasz Urbanowicz,&nbsp;Bartłomiej Perek,&nbsp;Marek Jemielity","doi":"10.5114/kitp.2023.129549","DOIUrl":"https://doi.org/10.5114/kitp.2023.129549","url":null,"abstract":"Address for correspondence: Dominika Katarzyńska MD, University Clinical Hospital, Poznan, Poland, e-mail: dominika.katarzynska@gmail.com Received: 12.05.2023, accepted: 25.06.2023. A 77-year-old male patient presented with heart failure symptoms (NYHA class III), which developed after probable infective endocarditis (IE) a few months earlier. Physical examination revealed new heart murmur and peripheral oedema. His other medical history includes hypertension, laryngeal tumor, and spine surgery. Nine years prior to this presentation, he was qualified for surgical aortic valve replacement (SAVR) due to a symptomatic severe aortic stenosis with mild aortic regurgitation. After sternotomy, he was deferred from prosthesis implantation as the porcelain aorta was revealed. Subsequently, he underwent successful transcatheter aortic valve implantation (TAVI) with Medtronic CoreValve 29 mm (Medtronic, Minneapolis, MN, USA) bioprosthesis. Postprocedural transthoracic echocardiography (TTE) showed proper bioprosthesis function with maximal transaortic gradient of 25 mm Hg without a paravalvular leak (PVL). The postoperative course was uneventful and on the 7th day he was discharged home. Three weeks after the procedure, the patient developed recurrent syncope, dizziness and chest pain. Electrocardiogram showed severe bradycardia with periodic third-degree atrioventricular block. A dual chamber pacemaker (BiotronicEcuro DR, Biotronik, Berlin, Germany) was implanted. During next 9 years the patient remained in a good clinical condition, though he underwent successful treatment of laryngeal tumor. The repeated echocardiographic examination confirmed proper bioprosthesis function. Six months before current hospitalization he presented with infection which was interpreted as pneumonia and treated successfully with antibiotics. Nevertheless, thereafter symptoms of heart failure occurred and gradually exacerbated. During the hospitalization due to heart failure worsening, TTE revealed hemodynamically severe intraprosthetic aortic regurgitation which had not been observed before (confirmed in transesophageal echocardiography (TEE) (Figure 1)) with transaortic maximal and mean gradients of 21 and 10 mm Hg, respectively, preserved left ventricular ejection fraction, and increased pulmonary artery systolic pressure. Laboratory tests did not present significant deviations in inflammatory markers and blood cultures were negative. After careful assessment by the heart team the patient was qualified for valve-in-valve TAVI (ViV-TAVI) due to a high perioperative risk and porcelain aorta. After careful assessment of computed tomography, he underwent successful uncomplicated implantation of Edwards Sapien (Edwards Lifesciences Corp., Irvine, CA, USA) prosthesis, which was chosen based on its optimal profile not limiting access to the coronary ostia. During follow-up he remains asymptomatic with good prosthesis function on control echocardiography. IE post-TAVI is not a commo","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 2","pages":"126-128"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/25/KITP-20-51121.PMC10410635.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970175","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":"Effects of education on pain and anxiety before and after video-assisted thoracoscopic surgery.","authors":"Adem Gencer,&nbsp;Gürhan Öz,&nbsp;Ersin Gunay,&nbsp;Ahmet Dumanlı","doi":"10.5114/kitp.2023.129550","DOIUrl":"https://doi.org/10.5114/kitp.2023.129550","url":null,"abstract":"<p><strong>Introduction: </strong>Video-assisted thoracoscopic surgery (VATS) is a common surgical procedure.</p><p><strong>Aim: </strong>To find out how educating patients using multimedia affects their pain and anxiety before and after VATS surgery.</p><p><strong>Material and methods: </strong>The study included 50 patients who underwent VATS between December 2017 and December 2018. The subjects were divided into two groups: the multimedia information group (MIG) and the control group (<i>n</i> = 25). The subjects underwent STAI-T testing, preoperative and postoperative STAI-S testing, and pulmonary function tests (PFT) before surgery and after surgery.</p><p><strong>Results: </strong>The patients in the MIG had higher baseline anxiety levels than those in the control groups. There were no significant differences between the two groups in terms of demographic information, surgical characteristics, or vital signs. There was a statistically significant difference in the preoperative (<i>p</i> = 0.001) and the postoperative (<i>p</i> = 0.0001) pain scores between MIG and control groups. The postoperative STAI-S scores of MIG increased, but this increase was not significant. In both groups, there was no significant difference in the changes in systolic blood pressure (<i>p</i> = 0.656) or respiratory rate (<i>p</i> = 0.05). There was no difference between post-training and pre- and post-operative pain scores in both groups.</p><p><strong>Conclusions: </strong>Providing multimedia information before surgery has some effect on pain. However, providing multimedia information does not reduce postoperative anxiety.</p>","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 2","pages":"94-99"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/04/KITP-20-51122.PMC10410629.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970177","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":"Management of right coronary-cameral fistula in a young woman presenting with ischemic symptoms.","authors":"Anshuman Darbari,&nbsp;Devender Singh,&nbsp;Shubham S Rawat,&nbsp;Ajay Kumar","doi":"10.5114/kitp.2023.129537","DOIUrl":"https://doi.org/10.5114/kitp.2023.129537","url":null,"abstract":"). Conventional coro - nary angiography confirmed these findings. Imaging results with the ongoing ischemic symptoms confirmed the diag - nosis of right-sided CCF in this patient. After being stabi - lized, she was taken up for surgical repair of CCF. Intraop - erative examination revealed that the RA and right atrial appendage were hugely dilated. The RCA followed a tortu - ous path over the right atrioventricular groove and opened into the RA. Standard surgical steps included aorto-bicaval cannulation, antegrade cardioplegia","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 2","pages":"135-138"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/d1/KITP-20-51112.PMC10410637.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970178","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}