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Late left main sub-total occlusion after surgical aortic valve replacement. 主动脉瓣置换术后晚期左主干次全闭塞。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-24 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152366
Bill D Gogas, Sotirios Kotoulas, Stefanos Foussas, Ioannis Kallikazaros, Christophoros Kotoulas
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引用次数: 0
Mitral valve aneurysm and perforation in indolent endocarditis. 惰性心内膜炎的二尖瓣动脉瘤和穿孔。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-23 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152301
Edward Dababneh, Eric Jacombs, Matthew S Yong, John Gerrard, Maria G Matta
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引用次数: 0
Unveiling the rare: an uncommon tale of synovial chondromatosis in an elderly patient's sternoclavicular joint. 揭示罕见：一个不寻常的故事滑膜软骨瘤病在老年患者的胸锁骨关节。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-18 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152220
Vasileios Leivaditis, Francesk Mulita, Athanasios Papatriantafyllou, Konstantinos Grapatsas, Efstratios Koletsis, Elias Liolis, Konstantinos Tasios, Vasiliki Garantzioti, Levan Tchabashvili, Andreas Antzoulas, Dimitrios Litsas, Konstantinos Nikolakopoulos, Panagiotis Leventis, Nikolaos Kornaros, Spyros Papadoulas, Manfred Dahm
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引用次数: 0
Patency and effectiveness of vascular access for hemodialysis patients: a descriptive study. 血液透析患者血管通路的通畅性和有效性：一项描述性研究。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-18 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152244
Ferit Cetinkaya, Ayse Tas

Introduction: Vascular access is one of the most important issues affecting the quality of life of patients who are dialysis-dependent.

Aim: The aim of our study was to determine the infection rates of permanent catheters. We also evaluated the thrombosis, maturation time, and patency rates of arteriovenous fistulas based on their location in the arm in dialysis patients.

Material and methods: The study included a total of 109 arteriovenous fistulas and 9 permanent catheters of 75 dialysis-dependent chronic kidney disease (CKD) patients from 3 different dialysis centers; 66 of the fistulas were patent and 43 were thrombosed. Arteriovenous fistulas were examined in three groups according to their location in the forearm: distal radiocephalic, proximal radiocephalic, and brachial region.

Results: 66.7% of the participants had used at least one permanent tunneled catheter in their lifetime. Of those who had used at least one permanent catheter (n = 50), 6% experienced a permanent catheter infection. Among the patients, 41.3% had a thrombosed distal radiocephalic fistula, 2.7% had a thrombosed proximal radiocephalic fistula, and 8.0% had a thrombosed brachial fistula. Those under the age of 65 had shorter maturation times compared to those over the age of 65 (p < 0.05).

Conclusions: The most frequently used dialysis access was brachial region arteriovenous fistulas at 38.7%. There was no significant difference in maturation times between distal, proximal, and brachial region arteriovenous fistulas. Age above 65 negatively affects both fistula maturation and primary patency. The rate of permanent catheter infection among patients who had used at least one permanent catheter in their lifetime was found to be 4%.

血管通路是影响透析依赖患者生活质量的最重要问题之一。目的：本研究的目的是确定永久导尿管的感染率。我们还根据透析患者手臂上的动静脉瘘的位置评估了其血栓形成、成熟时间和通畅率。材料和方法：该研究包括来自3个不同透析中心的75名透析依赖性慢性肾脏疾病（CKD）患者的109个动静脉瘘和9个永久导管；66例瘘管通畅，43例血栓形成。根据动静脉瘘在前臂的位置分为三组：远端头区、近端头区和肱区。结果：66.7%的参与者在其一生中至少使用过一次永久性隧道导管。在至少使用过一个永久导管的患者（n = 50）中，6%的患者发生了永久性导管感染。41.3%的患者有远端放射性头瘘血栓形成，2.7%的患者有近端放射性头瘘血栓形成，8.0%的患者有肱瘘血栓形成。65岁以下者成熟时间较65岁以上者短（p < 0.05）。结论：最常用的透析途径是肱区动静脉瘘，占38.7%。在远端、近端和肱区域动静脉瘘的成熟时间上没有显著差异。年龄大于65岁对瘘管成熟和原发性通畅均有不利影响。在一生中至少使用过一个永久性导管的患者中，永久性导管感染率为4%。
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引用次数: 0
Lung parenchymal trauma biomechanics, mechanisms, and classification: a narrative review of the current knowledge. 肺实质损伤的生物力学、机制和分类：当前知识的叙述性回顾。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-18 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152221
Chrysa Koutsouroumpa, Vasileios Leivaditis, Francesk Mulita, Athanasios Papatriantafyllou, Konstantinos Grapatsas, Marianthi Baltagianni, Eleftherios Beltsios, Elias Liolis, Konstantinos Tasios, Andreas Antzoulas, Dimitrios Litsas, Konstantinos Nikolakopoulos, Manfred Dahm, Nikolaos Baltayiannis, Ioannis Maroulis, Efstratios Koletsis

Lung parenchymal injuries frequently result from thoracic trauma and can lead to significant morbidity and mortality. The lung's unique biomechanical properties - including its architecture, histology, extracellular matrix (ECM), and respiratory physiology - play a critical role in determining how it responds to mechanical forces during trauma. Based on the mechanism of injury, lung trauma is typically categorized into three primary types: blunt, penetrating, and blast injuries. Each mechanism leads to distinct parenchymal injuries, including contusions, lacerations, herniation, and vascular injuries, which present with unique clinical features and management requirements. A comprehensive understanding of the biomechanics and tissue response to these injuries is essential for optimizing therapeutic strategies and improving patient outcomes in both the acute and long-term phases of lung trauma management. This review aims to provide a detailed exploration of lung parenchymal trauma, focusing on injury mechanisms, classifications, and the importance of accurate diagnosis and treatment.

肺实质损伤通常由胸部外伤引起，可导致显著的发病率和死亡率。肺独特的生物力学特性——包括它的结构、组织学、细胞外基质（ECM）和呼吸生理学——在决定它在创伤时如何对机械力作出反应方面起着关键作用。根据损伤机制，肺损伤通常分为三种主要类型：钝性、穿透性和爆炸性损伤。每种机制导致不同的实质损伤，包括挫伤、撕裂、疝和血管损伤，具有独特的临床特点和处理要求。全面了解这些损伤的生物力学和组织反应对于优化治疗策略和改善患者急性和长期肺创伤治疗的结果至关重要。本文就肺实质损伤的损伤机制、分类以及准确诊断和治疗的重要性作一综述。
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引用次数: 0
Incidentally detected tumor of the posterior mediastinum: benign lesion or thoracic oncological concern? 偶发后纵隔肿瘤：良性病变还是胸部肿瘤？
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-17 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152206
Michał Miciak, Oliwia Klimek, Anna Strutyńska, Piotr Błasiak
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引用次数: 0
Penetrating internal jugular vein injury with massive bleeding. 颈内静脉穿透伤并大出血。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-17 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152193
Spyros Papadoulas, Andreas Tsimpoukis, Nikolaos Krinos, Chrysanthi Papageorgopoulou, Konstantinos Nikolakopoulos, Melina S Stathopoulou, Elias Liolis, Konstantinos Tasios, Dimitrios Litsas, Ioannis Labropoulos, Andreas Antzoulas, Levan Tchabashvili, Vasileios Leivaditis, Platon Dimopoulos, Ioannis Maroulis, Francesk Mulita
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引用次数: 0
Triple bridge of mechanical circulatory support to heart transplant. 机械循环支持对心脏移植的三重桥。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-17 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152204
Andrej Domonkos, Panagiotis Artemiou, Stefan Durdik, Ivo Gasparovic, Michal Hulman
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引用次数: 0
Surgical resection of a giant, minimally symptomatic right atrial tumor. 手术切除一个巨大的，无症状的右心房肿瘤。
IF 1.3 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-06-17 eCollection Date: 2025-06-01 DOI: 10.5114/kitp.2025.152191
Krzysztof Greberski, Maciej Łuczak, Radosław Jarząbek, Karol Buszkiewicz, Cezary Danielecki, Paweł Czaja, Paweł Bugajski
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引用次数: 0
Recurrent pulmonary artery pseudoaneurysm in a patient with tetralogy of Fallot. 法洛四联症复发性肺动脉假性动脉瘤1例。
IF 0.6 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska
Pub Date : 2025-03-01 Epub Date: 2025-03-14 DOI: 10.5114/kitp.2025.148531
Paweł Skorek, Jacek Pająk, Bogdan Suder, Lidia Tomkiewicz-Pająk
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引用次数: 0
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Kardiochirurgia I Torakochirurgia Polska
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