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181 results on '"Jaszewski, Ryszard"'

1. Survival after surgical ablation for atrial fibrillation in mitral valve surgery: Analysis from the Polish National Registry of Cardiac Surgery Procedures (KROK)

Author

Anisimowicz, Lech, Biederman, Andrzej, Borkowski, Dariusz, Bugajski, Paweł, Cholewiński, Paweł, Cichoń, Romuald, Cisowski, Marek, Deja, Marek, Dziatkowiak, Antoni, Gburek, Tadeusz, Gryczko, Leszek, Haponiuk, Ireneusz, Hendzel, Piotr, Jabłonka, Stanisław, Jarmoszewicz, Krzysztof, Jasiński, Jarosław, Jaszewski, Ryszard, Jemielity, Marek, Kalawski, Ryszard, Kapelak, Bogusław, Kaperczak, Jacek, Karolczak, Maciej A., Krejca, Michał, Kustrzycki, Wojciech, Kuśmierczyk, Mariusz, Kwinecki, Paweł, Missima, Maurycy, Moll, Jacek J., Ogorzeja, Wojciech, Pająk, Jacek, Pawliszak, Wojciech, Pietrzyk, Edward, Religa, Grzegorz, Rogowski, Jan, Różański, Jacek, Sadowski, Jerzy, Sharma, Girish, Skalski, Janusz, Stanisławski, Ryszard, Stążka, Janusz, Stępiński, Piotr, Suwalski, Kazimierz, Tułecki, Łukasz, Wojtalik, Michał, Woś, Stanisław, Żelazny, Piotr, Suwalski, Piotr, Kowalewski, Mariusz, Jasiński, Marek, Staromłyński, Jakub, Zembala, Marian, Widenka, Kazimierz, Brykczyński, Mirosław, Skiba, Jacek, Zembala, Michał Oskar, Bartuś, Krzysztof, Hirnle, Tomasz, Dziembowska, Inga, Tobota, Zdzisław, and Maruszewski, Bohdan J.

Published
2019
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8. Does the additional usage of a local hemostatic patch reduce bleeding after aortic reimplantation?

Author

Ostrowski, Stanisław, Jaszewski, Ryszard, Skowroński, Tomasz, Jander, Sławomir, and Zwoliński, Radosław

Subjects
*AORTA, *BLOOD cell count, *AORTIC valve transplantation, *HEMORRHAGE, *ERYTHROCYTES, *REIMPLANTATION (Surgery)
Abstract

Introduction: Our study aimed to assess the efficacy of a local hemostatic, consisting of human thrombin and fibrinogen, which was applied on the aortotomy suture line.Material and Methods: The study involved 93 patients undergoing elective aortic valve replacement. Patients were randomized to two groups. Group 1 comprised 41 patients, in whom a hemostatic patch (Tachosil) was used additionally. Group 2 comprised 52 patients in whom Tachosil was not applied.Results: The postoperative drainage after 48 h was significantly lower in the group of patients where the local hemostatic patch (Tachosil) was additionally used, compared to the control group (p = 0.0335). The prevalence of rethoracotomies was twice as high in the control group compared to the Tachosil group (5% vs. 10%), but the statistical analysis did not show a significant difference. As a consequence, both measurements of hemoglobin concentration revealed significantly higher hemoglobin in Tachosil-treated patients than the control group (p < 0.001, p = 0.0002). Red blood cell count (RBC) was also significantly higher in the Tachosil group. The difference in perioperative blood loss between the two groups resulted in a difference in postoperative acute renal injury or renal failure. The rate of infection within the early postoperative period was also comparable between the groups, although it was slightly higher in the Tachosil group (23% vs. 18%). The perioperative mortality was higher in group 2 but the difference was not statistically significant (3% in the Tachosil group vs. 5% in the control group).Conclusions: Tachosil use reduced postoperative drainage considerably, which had an important influence on renal complications after aortic valve replacement. [ABSTRACT FROM AUTHOR]

Published
2021
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9. Survival after surgical ablation for atrial fibrillation in mitral valve surgery: Analysis from the Polish National Registry of Cardiac Surgery Procedures (KROK)

Author

Suwalski, Piotr, primary, Kowalewski, Mariusz, additional, Jasiński, Marek, additional, Staromłyński, Jakub, additional, Zembala, Marian, additional, Widenka, Kazimierz, additional, Brykczyński, Mirosław, additional, Skiba, Jacek, additional, Zembala, Michał Oskar, additional, Bartuś, Krzysztof, additional, Hirnle, Tomasz, additional, Dziembowska, Inga, additional, Tobota, Zdzisław, additional, Maruszewski, Bohdan J., additional, Anisimowicz, Lech, additional, Biederman, Andrzej, additional, Borkowski, Dariusz, additional, Bugajski, Paweł, additional, Cholewiński, Paweł, additional, Cichoń, Romuald, additional, Cisowski, Marek, additional, Deja, Marek, additional, Dziatkowiak, Antoni, additional, Gburek, Tadeusz, additional, Gryczko, Leszek, additional, Haponiuk, Ireneusz, additional, Hendzel, Piotr, additional, Jabłonka, Stanisław, additional, Jarmoszewicz, Krzysztof, additional, Jasiński, Jarosław, additional, Jaszewski, Ryszard, additional, Jemielity, Marek, additional, Kalawski, Ryszard, additional, Kapelak, Bogusław, additional, Kaperczak, Jacek, additional, Karolczak, Maciej A., additional, Krejca, Michał, additional, Kustrzycki, Wojciech, additional, Kuśmierczyk, Mariusz, additional, Kwinecki, Paweł, additional, Missima, Maurycy, additional, Moll, Jacek J., additional, Ogorzeja, Wojciech, additional, Pająk, Jacek, additional, Pawliszak, Wojciech, additional, Pietrzyk, Edward, additional, Religa, Grzegorz, additional, Rogowski, Jan, additional, Różański, Jacek, additional, Sadowski, Jerzy, additional, Sharma, Girish, additional, Skalski, Janusz, additional, Stanisławski, Ryszard, additional, Stążka, Janusz, additional, Stępiński, Piotr, additional, Suwalski, Kazimierz, additional, Tułecki, Łukasz, additional, Wojtalik, Michał, additional, Woś, Stanisław, additional, and Żelazny, Piotr, additional

Published
2019
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10. Isolated coronary artery bypass grafting in extracorporeal circulation in patients over 65 years old – does age still matter?

Author

Miśkowiec, Dawid, Walczak, Andrzej, Ostrowski, Stanisław, Wrona, Ewa, Bartczak, Karol, and Jaszewski, Ryszard

Subjects
Forum Młodych, age, coronary artery bypass grafting
Abstract

Coronary artery bypass grafting (CABG) is conducted more and more commonly in patients in advanced age.To analyze the influence of age and concurrent risk factors on the complications and early mortality after CABG.Medical records of 2194 patients were analyzed retrospectively. A group of 1303 patients who had undergone isolated CABG was selected. 106 (4.8%) patients were excluded due to missing data in their medical records. The remaining 1197 patients were divided into two subgroups by age: 1(st) group65 years (n = 662; 55.3%); 2(nd) group ≥ 65 years (n = 535; 44.7%).The total 30-day mortality was 3.93% and was six times higher in the older group (1.21 vs. 7.29%; p0.001). Complications were observed in 176 (14.70%) patients, more often in the older group (10.42% vs. 20.0%; p0.001). In this group all kinds of complications were noted more often and in particular: postoperative myocardial infarction (1.96% vs. 5.42%; p = 0.001), respiratory dysfunction (1.36% vs. 4.11%; p = 0.005), neurological complications (1.81% vs. 3.74%; p = 0.04) and multi-organ dysfunction syndrome (0.30% vs. 1.68%, p = 0.03). The older patients required longer time under mechanical ventilation (24.0 ± 27.9 vs. 37.0 ± 74.1 hours; p = 0.004) and stayed longer in the intensive care unit: 2.5 ± 3.0 vs. 4.1 ± 7.84 days; p0.001. Independent predictors of death were: female sex [OR (95% CI) = 2.4 (1.2-4.5)], age ≥ 65 years [OR = 4.9 (2.1-11.1)], eGFR60 mL/min/1.73 m(2) [OR = 2.2 (1.0-4.7)], time at extracorporeal circulation72 minutes [OR = 5.5 (2.7-10.9)] and left main stem stenosis (50%) [OR = 2.4 (1.3-4.6)].Age still significantly influences postoperative complications and mortality after isolated CABG.Pomostowaniu aortalno-wieńcowemu (PAW) w ostatnich latach poddawani są pacjenci w coraz bardziej zaawansowanym wieku.Ocena wpływu wieku i współistniejących czynników ryzyka na wystąpienie powikłań pooperacyjnych oraz wczesną śmiertelność pooperacyjną po izolowanym PAW.Retrospektywnie przeanalizowano dokumentację medyczną 2194 pacjentów. Wyselekcjonowano grupę 1303 zabiegów izolowanego PAW. Z analizy wykluczono pacjentów bez kompletnego zestawu danych klinicznych (Śmiertelność 30-dniowa wyniosła 3,93% i była ponad 6-krotnie wyższa u osób starszych (1,21Wiek wciąż istotnie wpływa na śmiertelność i częstość występowania powikłań po izolowanym PAW.

Published
2014

11. Sarcomas of the heart as a difficult interdisciplinary problem

Author

Ostrowski, Stanisław, Marcinkiewicz, Anna, Kośmider, Anna, and Jaszewski, Ryszard

Subjects
surgery, transthoracic echocardiography, angiosarcoma, State of the Art Paper, cardiac tumors
Abstract

Cardiac tumors are assumed to be a rare entity. Metastases to the heart are more frequent than primary lesions. Sarcomas make up the majority of cardiac malignant neoplasms. Among them angiosarcoma is the most common and associated with the worst prognosis. Malignant fibrous histiocytoma comprises the minority of cardiac sarcomas and has uncertain etiology as well as pathogenesis. Transthoracic echocardiography remains the widely available screening examination for the initial diagnosis of a cardiac tumor. The clinical presentation is non-specific and the diagnosis is established usually at an advanced stage of the disease. Sarcomas spread preferentially through blood due to their immature vessels without endothelial lining. Surgery remains the method of choice for treatment. Radicalness of the excision is still the most valuable prognostic factor. Adjuvant therapy is unlikely to be effective. The management of cardiac sarcomas must be individualized due to their rarity and significant differences in the course of disease.

Published
2014

12. Optimal treatment of coronary-to-pulmonary artery fistula: surgery, coil or stent graft?

Author

Wejner-Mik, Paulina, Lipiec, Piotr, Peruga, Jan Zbigniew, Jaszewski, Ryszard, Pawłowski, Witold, and Kasprzak, Jarosław

Subjects
coronary artery-to-pulmonary artery fistula, New Methods in Diagnosis and Therapy, stent-graft implantation
Abstract

We report a case of a 57-year-old man with typical angina due to a coronary artery-to-pulmonary artery fistula, which was evident on transthoracic and transesophageal echocardiography with color Doppler flow mapping. The diagnosis was confirmed by coronary angiography. The patient underwent surgical ligation of the fistula. However, repeated transesophageal echocardiography and coronary angiography revealed persistence of the fistula with significant left-to-right shunt. The orifice of the fistula was then obliterated by stent-graft implantation, which was proven successful by angiography and echocardiography.

Published
2013

13. Removal of the left atrium and left ventricle tumour: a case report

Author

Ostrowski, Stanisław, Marcinkiewicz, Anna, Kośmider, Anna, Pawłowski, Witold, Nowakowska, Alicja, and Jaszewski, Ryszard

Subjects
lymphadenopathy, heart tumour, Case Report, radical resection
Abstract

The heart is the rarest site for neoplasms to be localized. Despite modern diagnostic techniques, cardiac tumours continue to among those discovered latest and with the worst prognoses. We present the case of a 62-year-old woman with a heart tumour and mediastinal lymphadenopathy, who was admitted to the Department of Cardiac Surgery. The patient underwent surgical removal of the tumour with extracorporeal circulation. The left atrium, mitral valve and the left ventricle were occupied by the infiltration. A radical resection appeared to be impossible. A valvular prosthesis was not implanted. The perioperative period was uncomplicated. On the 9th day a local recurrence was confirmed in the transthoracic echocardiography. Further oncological diagnostics revealed the spread of the malignant neoplasm to bones of the pelvis and spine. Chemotherapy was initiated. The authors discuss the most appropriate diagnostic and treatment procedures employed in the above case.

Published
2011

19. Aortic valve remodelling with Urbanski's technique of separate patches - own experience

Author

Bitner, Miroslaw, Jaszewski, Ryszard, Banys, Andrzej, Jander, Slawomir, Walczak, Andrzej, Ostrowski, Stanislaw, Wojtasik, Leszek, and Faculteit Medische Wetenschappen/UMCG

Subjects
REPAIR, REPLACEMENT, REIMPLANTATION, aortic root aneurysms, ROOT, sparing operation, OPERATION, CONDUIT, ASCENDING AORTA, aortic valve insufficiency, aortic valve remodelling, Urbanski separate patch technique
Abstract

Background: In 2005 Dr Urbanski described modification of the aortic valve remodelling technique in 20 patients. Since July 2006 we have been using his method. Aim: Evaluation of technical aspects, efficacy and usefulness of this technique based on our results. Material and Methods: 17 patients with complicated aortic root pathology were operated on until February 2008, aged 27 to 66 (54 11 on average), 15 with severe aortic insufficiency, 5 with dissection, 11 mate (Euroscore 4.65%-59.45%, 12.12 +/- 13.13% on average). Valve competence was achieved by restoration of root symmetry with replacement of one or two Valsalva Sinuses (23 sinuses in 17 patients), wedge reduction plasty of some of not excised ones with good quality wall (7 in total), and repair these dissected, which were not removed (10 in total). In this way proper diameter of neo-sino-tubular junction was obtained, stabilized next by supracommissural prosthesis of the ascending aorta Echocardiography was performed during the operation, before discharge, and every 6 months. In this period 46 patients, including 12 with dissection, required different operative methods. Results: In 15 patients (88%) we achieved a good early result. Two required conversion to AVR (12%). One patient with 4-month-oid chronic dissection died on postoperative day 1 from multiorgan failure (mortality rate 5.9%). There was no progress of aortic insufficiency on follow-up so far. Conclusions: This method deals with every component of functional aortic annulus, allows individualized reconstruction of the aortic root, and spares all good quality tissue. Therefore in our experience is suitable for more than 1/4 patients within the entire spectrum of aortic root pathology, including dissection, with efficacy of 88%.

Published
2008

23. Wolne i biodostępne frakcje steroidów płciowych mogą wpływać na kości u młodych mężczyzn w zależności od wieku i stężenia estradiolu

Author

Szyska-Skrobot, Dorota, primary, Marchlewska, Katarzyna, additional, Walczak-Jędrzejowska, Renata, additional, Oszukowska, Elżbieta, additional, Filipiak, Eliza, additional, Kula, Piotr, additional, Mężyk, Ryszard, additional, Kowalska, Aldona, additional, Jaszewski, Ryszard, additional, Słowikowska-Hilczer, Jolanta, additional, and Kula, Krzysztof, additional

Published
2014
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42. Fatal outcome of early postoperative myocardial infarction after implantation of aortic valve bioprosthesis and left internal thoracic artery anastomosis to left anterior descending coronary artery caused by closure of unchanged circumflex coronary artery

Author

Bartczak, Karol, primary, Kula, Piotr, additional, Zwoliński, Radosław, additional, Ammer, Arkadiusz, additional, Kośmider, Anna, additional, Walczak, Andrzej, additional, Banyś, Andrzej, additional, and Jaszewski, Ryszard, additional

Published
2012
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