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Article: Autologous fibrin sealant application in cardiac surgery - a single-centre observational study.

Jarząbek, Radosław / Greberski, Krzysztof / Bugajski, Paweł

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery

2021 Volume 18, Issue 2, Page(s) 75–79

Abstract: Introduction: To minimize the risk of blood loss and post-transfusion complications in patients undergoing cardiovascular surgery, different strategies are used.: Aim: To analyse the efficacy of the intraoperative use of autologous fibrin glue to ... ...

Abstract	Introduction: To minimize the risk of blood loss and post-transfusion complications in patients undergoing cardiovascular surgery, different strategies are used. Aim: To analyse the efficacy of the intraoperative use of autologous fibrin glue to seal suture lines of cardiac and vascular structures. Material and methods: The early results of 62 patients who underwent complex cardiac operations in extracorporeal circulation were analysed. In a half of them Vivostat autologous fibrin sealant in addition to the routine haemostatic agents was applied (study group), whereas in the second group (matched-pair control group) only standard haemostatics were used. Among many other factors, special attention was paid to postoperative drainage and blood products used. Results: The mean age of the patients and prevalence of comorbidities did not differ between groups. Generally, in the study group fewer haemostatic agents were used. For example, Preveleak tissue glue was applied in 3.2% of studied cases compared to one third of control patients ( Conclusions: In this study it was found that application of autologous fibrin glue was safe and might limit use of standard haemostatic agents. Taking into account the lack of potential threats related to the transmission of infections and immune responses, it may be an interesting alternative to the previously used local haemostatics.
Language	English
Publishing date	2021-07-05
Publishing country	Poland
Document type	Journal Article
ZDB-ID	2237053-5
ISSN	1897-4252 ; 1731-5530
ISSN (online)	1897-4252
ISSN	1731-5530
DOI	10.5114/kitp.2021.107467
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Article: Zespół Lyella powikłany niewydolnością wielonarządową i zgonem chorego po złożonej operacji kardiochirurgicznej – opis przypadku.

Łuczak, Maciej / Greberski, Krzysztof / Bugajski, PAWEł

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego

2021 Volume 48, Issue 288, Page(s) 449–451

Abstract: A complex cardiac surgery may be associated with a number of complications. The occurrence of toxic epidermal necrolysis (TEN) in the postoperative period in a patient who has already experienced other complications contributes to the worsening of his ... ...

Title translation	Lyell's syndrome complicated with multi-organ failure and patient's death after complex cardiac surgery - a case report.
Abstract	A complex cardiac surgery may be associated with a number of complications. The occurrence of toxic epidermal necrolysis (TEN) in the postoperative period in a patient who has already experienced other complications contributes to the worsening of his prognosis. Despite the regression of necrotic skin lesions TEN can lead to tragic complications. A case report: A 48-year-old patient was admitted as scheduled to a cardiac surgery ward for a complex cardiac surgery. During the procedure, a mechanical aortic valve prosthesis, an ascending aorta prosthesis were implanted, and the left internal thoracic artery (LIMA) was grafted to the left anterior descending coronary artery (LAD). The intraoperative course was not complicated. In the postoperative period, some fluid was found in the left pleural cavity, which was decompressed. In the following days of the postoperative period an instability of the sternum and a serous-bloody discharge from the wound ocurred, these resulted in the reoperation and use of vacuum-assisted closure (VAC) therapy. Later, there were also haemorrhagic complications requiring surgical intervention and numerous transfusions of blood components. The patient was diagnosed with a very rare complication in the form of toxic epidermal necrolysis. Despite the therapy and regression of skin lesions an irreversible multi-organ failure developed in the patient which resulted in his death. Conclusions: Toxic epidermal necrolysis turned out to be a complication significantly contributing to the patient's death.
MeSH term(s)	Cardiac Surgical Procedures/adverse effects ; Humans ; Middle Aged ; Reoperation ; Stevens-Johnson Syndrome/complications ; Stevens-Johnson Syndrome/surgery
Language	Polish
Publishing date	2021-01-02
Publishing country	Poland
Document type	Case Reports ; Journal Article
ZDB-ID	1388406-2
ISSN	1426-9686
ISSN	1426-9686
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Article ; Online: Exceptional life-threatening complication 19 years after Ravitch correction of pectus excavatum.

Greberski, Krzysztof / Jarząbek, Radosław / Perek, Bartłomiej / Łuczak, Maciej / Bugajski, Paweł

Journal of cardiac surgery

2021 Volume 36, Issue 10, Page(s) 3971–3972

Abstract: Background: Ravitch technique of chest correction has been considered, although invasive, as a safe and efficacious surgical method.: Case: We describe a case of a 35-year-old woman with cardiac tamponade and in cardiogenic shock due to exceptional ... ...

Abstract	Background: Ravitch technique of chest correction has been considered, although invasive, as a safe and efficacious surgical method. Case: We describe a case of a 35-year-old woman with cardiac tamponade and in cardiogenic shock due to exceptional late complication after pectus excavatum reconstruction by means of classic Ravitch technique 19 years earlier. This very late adverse event was caused by a broken metal sternal wire that injured the wall of the ascending aorta. The patient underwent salvage repair of this segment of the aorta in cardiopulmonary bypass. Postoperative course and postdischarge 3-year follow-up have been uneventful. Conclusion: Therefore, life-threatening cardiovascular complications may occur even many years after reconstructive surgery for chest deformity.
MeSH term(s)	Adult ; Aftercare ; Female ; Funnel Chest/surgery ; Humans ; Patient Discharge ; Reconstructive Surgical Procedures ; Thoracoplasty
Language	English
Publishing date	2021-08-02
Publishing country	United States
Document type	Case Reports
ZDB-ID	639059-6
ISSN	1540-8191 ; 0886-0440
ISSN (online)	1540-8191
ISSN	0886-0440
DOI	10.1111/jocs.15889
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Article ; Online: Treatment of acute coronary syndromes during the COVID‑19 pandemic: a designated COVID‑19 hospital perspective.

Słomczyński, Marek / Rzeźniczak, Janusz / Kasprzak, Dominika / Bugajski, Paweł / Bolewski, Andrzej / Burchardt, Paweł

Polish archives of internal medicine

2022 Volume 132, Issue 7-8

MeSH term(s)	Acute Coronary Syndrome/therapy ; COVID-19 ; Hospitals ; Humans ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2022-07-13
Publishing country	Poland
Document type	Journal Article
ZDB-ID	123500-x
ISSN	1897-9483 ; 0032-3772
ISSN (online)	1897-9483
ISSN	0032-3772
DOI	10.20452/pamw.16298
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Article ; Online: Myofascial release in patients during the early postoperative period after revascularisation of coronary arteries.

Ratajska, Maria / Chochowska, Małgorzata / Kulik, Anita / Bugajski, Paweł

Disability and rehabilitation

2019 Volume 42, Issue 23, Page(s) 3327–3338

Abstract: Purpose: ...

Abstract	Purpose:
MeSH term(s)	Coronary Artery Bypass ; Coronary Artery Bypass, Off-Pump ; Coronary Vessels ; Humans ; Male ; Middle Aged ; Postoperative Period ; Vital Capacity
Language	English
Publishing date	2019-05-03
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	1104775-6
ISSN	1464-5165 ; 0963-8288
ISSN (online)	1464-5165
ISSN	0963-8288
DOI	10.1080/09638288.2019.1593518
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Article: Perforacja wolnej ściany prawej komory i postępująca tamponada serca jako powikłanie po implantacji dwujamowego układu stymulującego - opis przypadku.

Buszkiewicz, Karol / Greberski, Krzysztof / Łuczak, Maciej / Angerer, Dariusz / Poprawka, Tomasz / Bugajski, Paweł

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego

2021 Volume 49, Issue 289, Page(s) 54–56

Abstract: In recent years the number of complications related to implantation of cardiac stimulating systems is increasing. Life-threatening myocardial perforation leading to cardiac tamponade is one of the rarest complications. In that case it is necessary to ... ...

Title translation	Progressive cardiac tamponade and right ventricular free wall perforation as complications after dual-chamber pacemaker implantation - a case report.
Abstract	In recent years the number of complications related to implantation of cardiac stimulating systems is increasing. Life-threatening myocardial perforation leading to cardiac tamponade is one of the rarest complications. In that case it is necessary to take the immediate lifesaving procedures. A case report: 61-year-old woman ended up in the cardiac surgery department with progressive cardiac tamponade and cardiogenic shock symptoms. Three weeks earlier due to the tachycardia-bradycardia syndrome with second-degree atrioventricular block diagnosis, the cardiac stimulating system was implanted into the heart at the cardiology department. Two days after the discharge from hospital the patient appeared in the emergency department with non-specific chest symptoms, which disappeared after analgesic drugs. After another two weeks the patient returned to the emergency department in general poor condition. Echocardiographic examination showed fluid in both pleural cavities, a dense layer around heart and fluid out wards from the layer in the pericardial space. Furthermore, CT scan showed unobvious shape crossing the heart muscle. Firstly, the patient was admitted to the cardiology department and next transferred to the cardio surgery where on account of deteriorating condition was made a decision urgent sternotomy and revision pericardial sac. Intraoperatively were found perforation of right ventricular free wall caused by stimulation electrode and hole communicating pericardial space with left pleural cavity. The operation went well, without any complications. The patient was discharged from hospital 12 days after surgery. Conclusions: In the case of suspected complications related to the implantation of electrostimulation equipment, it is necessary to perform appropriate diagnostics and implement urgent procedures, including surgery.
MeSH term(s)	Cardiac Tamponade/diagnostic imaging ; Cardiac Tamponade/etiology ; Cardiac Tamponade/therapy ; Echocardiography ; Female ; Humans ; Middle Aged ; Pacemaker, Artificial/adverse effects ; Pericardium
Language	Polish
Publishing date	2021-03-09
Publishing country	Poland
Document type	Case Reports ; Journal Article
ZDB-ID	1388406-2
ISSN	1426-9686
ISSN	1426-9686
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Article: The use of an autologous fibrin sealant during a complex cardiac surgical procedure.

Jarząbek, Radosław / Bugajski, Paweł / Greberski, Krzysztof / Kalawski, Ryszard

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery

2018 Volume 15, Issue 1, Page(s) 62–64

Language	English
Publishing date	2018-03-28
Publishing country	Poland
Document type	Journal Article
ZDB-ID	2237053-5
ISSN	1897-4252 ; 1731-5530
ISSN (online)	1897-4252
ISSN	1731-5530
DOI	10.5114/kitp.2018.74680
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Article ; Online: Single versus multiple arterial coronary artery bypass grafting in men and women: results from Polish National Registry of Cardiac Surgery Procedures.

Aboul-Hassan, Sleiman Sebastian / Hirnle, Grzegorz / Perek, Bartlomiej / Jemielity, Marek / Hirnle, Tomasz / Brykczynski, Miroslaw / Deja, Marek / Rogowski, Jan / Cisowski, Marek / Krejca, Michal / Anisimowicz, Lech / Widenka, Kazimierz / Gerber, Witold / Pacholewicz, Jerzy / Bugajski, Pawel / Stepinski, Piotr / Maruszewski, Bohdan J / Cichon, Romuald / Hrapkowicz, Tomasz

International journal of surgery (London, England)

2024 Volume 110, Issue 4, Page(s) 2234–2242

Abstract: Background: The objective of this multicenter study aimed to investigate the impact of sex on long-term survival among patients with multivessel coronary artery disease undergoing coronary artery bypass grafting (CABG) using multiple arterial grafting ( ... ...

Abstract	Background: The objective of this multicenter study aimed to investigate the impact of sex on long-term survival among patients with multivessel coronary artery disease undergoing coronary artery bypass grafting (CABG) using multiple arterial grafting (MAG) or a single artery with saphenous vein grafts. Materials and methods: Data were obtained from the Polish National Registry of Cardiac Surgery Procedures database. This study included 81 136 patients who underwent CABG for multivessel disease between January 2012 and December 2020 (22.9 were women and 77.1% were men). MAG was performed in 8.3 and 11.7% of female and male patients, respectively. A 1:1 propensity score (PS)-matching was performed. Long-term mortality was compared between matched groups of men and women. Subgroup analyses of patients aged <70 and ≥70 years, with an ejection fraction (EF) >40% and ≤40%, and with and without diabetes, obesity, peripheral artery disease (PAD), or chronic lung disease (CLD) were performed separately in women and men. Results: MAG was associated with lower long-term mortality than saphenous vein grafts in 1528 PS-matched female pairs [hazard ratio (HR): 0.74; 95% CI: 0.59-0.92; P =0.007) and 7283 PS-matched male pairs (HR: 0.80; 95% CI: 0.72-0.88; P <0.001). Subgroup analyses confirmed the results among female patients aged <70 years, with diabetes and EF >40%, and without PAD or CLD, and of male patients aged <70 and ≥70 years; with EF >40%; with or without diabetes, obesity, or PAD; and without CLD. Conclusions: In patients undergoing CABG, MAG was associated with significantly improved survival in both sexes. The long-term benefits of MAG observed across subgroups of men and women support the consideration of a multiarterial revascularization strategy for a broader spectrum of patients.
MeSH term(s)	Humans ; Male ; Female ; Coronary Artery Bypass/mortality ; Coronary Artery Bypass/statistics & numerical data ; Coronary Artery Bypass/methods ; Registries ; Aged ; Poland ; Middle Aged ; Coronary Artery Disease/surgery ; Coronary Artery Disease/mortality ; Sex Factors ; Saphenous Vein/transplantation ; Propensity Score ; Retrospective Studies
Language	English
Publishing date	2024-04-01
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1097/JS9.0000000000001133
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Zs.A 6502: Show issues

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Article ; Online: Impact of previous percutaneous coronary interventions on the course and clinical outcomes of coronary artery bypass grafting.

Bugajski, Paweł / Greberski, Krzysztof / Kuzemczak, Michał / Kalawski, Ryszard / Jarząbek, Radosław / Siminiak, Tomasz

Kardiologia polska

2018 Volume 76, Issue 6, Page(s) 953–959

Abstract: Background: Despite the increasing number of patients after percutaneous coronary intervention (PCI) requiring coronary artery bypass grafting (CABG), studies on the impact of these procedures on surgical revascularisation outcomes are sparse. ... ...

Abstract	Background: Despite the increasing number of patients after percutaneous coronary intervention (PCI) requiring coronary artery bypass grafting (CABG), studies on the impact of these procedures on surgical revascularisation outcomes are sparse. Furthermore, advances in cardiology require reassessment of their potential prognostic significance. Aim: We sought to assess the influence of previous PCI on CABG outcomes. Methods: A total of 211 consecutive patients scheduled for CABG were enrolled into this prospective study. Patients after PCI (group 1, n = 99) were compared with subjects with no history of PCI (group 2, n = 112) in terms of preoperative, operative, and postoperative data. All the patients were followed-up for the incidence of in-hospital (cardiogenic shock, myocardial infarction, stroke, acute renal failure, reoperation, death) and long-term (overall mortality, occlusion of at least one graft in 64-row computed tomography) clinical endpoints. Results: Group 1 had more advanced heart failure and coronary artery disease as reflected by New York Heart Association (2.43 ± 0.57 vs. 2.17 ± 0.68; p < 0.001) and Canadian Cardiovascular Society (2.44 ± 0.59 vs. 2.03 ± 0.65; p < 0.001) scales, respectively. Compared with group 2, longer aortic cross-clamp (33.5 ± 9.9 vs. 29.5 ± 8.4; p < 0.05) and cardiopul-monary bypass (67.5 ± 28.2 vs. 56.5 ± 17.9; p < 0.001) times were observed as well as a higher number of implanted grafts (3.0 ± 0.7 vs. 2.8 ± 0.70; p < 0.05). No significant differences were observed in terms of in-hospital clinical endpoints. During 12 ± 3.41 months of follow-up group 1 had higher mortality (5.05% vs. 0%; p < 0.05) but similar graft patency. Conclusions: "Stent-loaded" patients undergo more time-consuming CABG with a higher number of grafts. Furthermore, they have higher long-term mortality but similar graft patency and in-hospital mortality/morbidity.
MeSH term(s)	Aged ; Coronary Artery Bypass/mortality ; Female ; Humans ; Male ; Middle Aged ; Percutaneous Coronary Intervention ; Prospective Studies ; Reoperation ; Treatment Outcome
Language	English
Publishing date	2018-02-05
Publishing country	Poland
Document type	Journal Article
ZDB-ID	411492-9
ISSN	1897-4279 ; 0022-9032
ISSN (online)	1897-4279
ISSN	0022-9032
DOI	10.5603/KP.a2018.0039
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Article: Implantation of mitral, aortic, and tricuspid bioprostheses due to infective endocarditis with necessary reimplantation of the bioprosthetic aortic valve.

Danielecki, Cezary / Bugajski, Paweł / Olszewski, Roman / Greberski, Krzysztof / Kalawski, Ryszard

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery

2016 Volume 13, Issue 3, Page(s) 248–250

Abstract: The patient was admitted to the Department of Cardiac Surgery of the J. Struś City Hospital in Poznan due to infective endocarditis involving the aortic, mitral, and tricuspid valves. Implantation of three biological valve prostheses proceeded without ... ...

Abstract	The patient was admitted to the Department of Cardiac Surgery of the J. Struś City Hospital in Poznan due to infective endocarditis involving the aortic, mitral, and tricuspid valves. Implantation of three biological valve prostheses proceeded without complications. Starting on day 23, the patient's general condition deteriorated, with high fever. Despite postoperative antibiotic therapy, transesophageal echocardiography revealed the presence of vegetation on the bioprosthetic aortic valve. On the 46
Language	English
Publishing date	2016-09-30
Publishing country	Poland
Document type	Case Reports
ZDB-ID	2237053-5
ISSN	1897-4252 ; 1731-5530
ISSN (online)	1897-4252
ISSN	1731-5530
DOI	10.5114/kitp.2016.62615
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