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  1. Article: Comprehensive cardiosurgical intervention for displaced Amplatzer Amulet device with atrial fibrillation complications.

    Greberski, Krzysztof / Danielecki, Cezary / Jarząbek, Radosław / Łuczak, Maciej / Buszkiewicz, Karol / Bugajski, Paweł

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

    2024  Volume 21, Issue 1, Page(s) 67–69

    Language English
    Publishing date 2024-03-30
    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.2024.138446
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  2. Article: Abiotrophia defectiva endocarditis - Diagnostic and therapeutic challenge: Case report.

    Wilawer, Małgorzata / Elikowski, Waldemar / Greberski, Krzysztof / Ratajska, Paulina Anna / Welc, Natalia Anna / Lisiecka, Monika Ewa

    IDCases

    2023  Volume 34, Page(s) e01906

    Abstract: Belonging to the normal oral, gastrointestinal, and urogenital flora, ...

    Abstract Belonging to the normal oral, gastrointestinal, and urogenital flora,
    Language English
    Publishing date 2023-10-08
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2745454-X
    ISSN 2214-2509
    ISSN 2214-2509
    DOI 10.1016/j.idcr.2023.e01906
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. Article: Kardiochirurgiczne leczenie odmy śródpiersiowej po urazie wielonarządowym.

    Gębala-Minta, Kinga / Orzechowska, Magdalena / Danielecki, Cezary / Buszkiewicz, Karol / Rodzki, Michał / Greberski, Krzysztof / Bugajski, Paweł

    Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego

    2019  Volume 46, Issue 273, Page(s) 139–141

    Abstract: Pneumomediastinum (also known as mediastinal emphysema) is defined as the presence of gas in the mediastinum. It can be spontaneous or arise as a result of trauma. Most cases can be effectively treated conservatively, however, if severe symptoms occur, ... ...

    Title translation Cardiosurgical treatment of pneumomediastinum caused by polytrauma.
    Abstract Pneumomediastinum (also known as mediastinal emphysema) is defined as the presence of gas in the mediastinum. It can be spontaneous or arise as a result of trauma. Most cases can be effectively treated conservatively, however, if severe symptoms occur, cardiosurgical intervention is necessary.
    A case report: A man 20 years old, a victim of a traffic accident resulting in polytrauma, was transported to the Municipal Hospital of Jozef Strus in Poznan. Rapid tests performed at the Hospital's Emergency Room speeded up the diagnosis of a life-threatening pneumomediastinum. The patient was transferred to the Operating Room of the Cardiosurgical Department, where during an urgent surgery, the pericardial sac was decompressed. Subsequently, the patient underwent another surgery in the Thoracic surgery Department of the Wielkopolskie Center of Pulmonology and Thoracic Surgery. Afterwards, the patient had to spend a couple of weeks at the Intensive Care Department of Municipal Hospital of Jozef. Ultimately, after 6 weeks of hospitalization, the patient was discharged from the hospital in a good condition.
    Conclusions: The therapeutic success was an outcome of a quick diagnostic process, cooperation of doctors of various specialties and implementation of urgent surgical treatment. Mediastinal emphysema, which even though usually treated conservatively, may require lifesaving surgery in cardiothoracic surgery wards.
    MeSH term(s) Adult ; Critical Care ; Hospitalization ; Humans ; Male ; Mediastinal Emphysema/etiology ; Multiple Trauma/complications ; Respiration, Artificial ; Young Adult
    Language Polish
    Publishing date 2019-03-25
    Publishing country Poland
    Document type Case Reports ; Journal Article
    ZDB-ID 1388406-2
    ISSN 1426-9686
    ISSN 1426-9686
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