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Batko J, Rams DJ, Bartuś K, Bartoszcze A, Litwinowicz RA. Cardiac hemangioma in the atrioventricular node localization. Kardiochir Torakochirurgia Pol 2023; 20:57-59. [PMID: 37077459 PMCID: PMC10107410 DOI: 10.5114/kitp.2023.126102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 01/16/2023] [Indexed: 04/21/2023]
Affiliation(s)
- Jakub Batko
- CAROL – Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
| | - Daniel Jakub Rams
- CAROL – Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
| | - Krzysztof Bartuś
- Institute of Cardiology, Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, Krakow, Poland
- John Paul II Hospital, Krakow, Poland
| | | | - Radosław Adam Litwinowicz
- CAROL – Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- Institute of Cardiology, Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, Krakow, Poland
- John Paul II Hospital, Krakow, Poland
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Lichota E, Molek P, Szlosarczyk B, Bartoszcze A, Urbanczyk-Zawadzka M, Mielnik M, Nessler J, Gackowski A. Successfully operated ischemic left ventricle wall rupture in a patient under a chronic steroid treatment. Kardiol Pol 2023; 81:408-409. [PMID: 36739651 DOI: 10.33963/kp.a2023.0036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 01/03/2023] [Indexed: 02/07/2023]
Affiliation(s)
- Ewelina Lichota
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Patrycja Molek
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Barbara Szlosarczyk
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Artur Bartoszcze
- John Paul II Hospital, Kraków, Poland.,Department of Cardiovascular Surgery and Transplantology Jagiellonian University Medical College, Kraków, Poland
| | - Malgorzata Urbanczyk-Zawadzka
- John Paul II Hospital, Kraków, Poland.,Department of Radiology and Diagnostic Imaging, John Paul II Hospital, Kraków, Poland
| | - Malgorzata Mielnik
- John Paul II Hospital, Kraków, Poland.,Department of Radiology and Diagnostic Imaging, John Paul II Hospital, Kraków, Poland
| | - Jadwiga Nessler
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Andrzej Gackowski
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland. .,John Paul II Hospital, Kraków, Poland.
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Batko J, Rams D, Filip G, Bartoszcze A, Kapelak B, Bartuś K, Litwinowicz R. Left Atrial Appendage Morphology and Course of the Circumflex Artery: Anatomical Implications for Left Atrial Appendage Occlusion Procedures. Innovations (Phila) 2022; 17:424-429. [PMID: 36254406 DOI: 10.1177/15569845221128569] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the anatomic topography of the circumflex artery (Cx) and left atrial appendage (LAA) and to determine the safety zones for epicardial LAA closure and LAA occlusion procedures. METHODS The left coronary artery was segmented and visualized from 116 computed tomography angiography scans. Four points were located on the Cx portion periappendicularly, starting from the entry point. The landing zone plane was defined as parallel to the LAA orifice at the level of the beginning of the periappendicular course of the Cx, and the plane of the neck bend was located at the end of the LAA neck. A distance smaller than 2 mm was considered a dangerous distance. RESULTS The distance between the Cx and the LAA landing zone was 4.3 ± 2 mm. The distance between the Cx and the LAA neck bend was 5.1 ± 2.2 mm. The distance between the Cx and the LAA bottom surface was 5.8 ± 2.9 mm. In 38.8% of patients, at least 1 distance between Cx and LAA was smaller than 2 mm in at least 1 dimension. These distances occurred in 30.2% of the LAA landing zone dimensions, 19.8% of LAA neck bend dimensions, and 11.2% of the LAA bottom surface distances. CONCLUSIONS The study showed that most dangerous distances (30.2%) occurred in the LAA landing zone dimension. The data showed that landing zones more distal from the orifice of the LAA are safer in terms of Cx damage. Therefore, LAA closure should always be performed with caution, to avoid iatrogenic complications.
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Affiliation(s)
- Jakub Batko
- Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, CAROL-Cardiothoracic Anatomy Research Operative Lab, Krakow, Poland
| | - Daniel Rams
- Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, CAROL-Cardiothoracic Anatomy Research Operative Lab, Krakow, Poland
| | - Grzegorz Filip
- Krakow Specialist Hospital named after John Paul II, Poland
| | | | - Bogusław Kapelak
- Krakow Specialist Hospital named after John Paul II, Poland.,Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, Krakow, Poland
| | - Krzysztof Bartuś
- Krakow Specialist Hospital named after John Paul II, Poland.,Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, Krakow, Poland
| | - Radosław Litwinowicz
- Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, CAROL-Cardiothoracic Anatomy Research Operative Lab, Krakow, Poland.,Krakow Specialist Hospital named after John Paul II, Poland.,Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, Krakow, Poland
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Litwinowicz R, Mazur P, Śliwiński P, Bryndza M, Bartuś K, Filip G, Bartoszcze A, Piątek J, Konstanty-Kalandyk J, Kowalewski M, Ramaprabhu K, Hymczak H, Kapelak B, Kędziora A. Long-term survival following postoperative myocardial infraction after coronary artery bypass surgery. J Thorac Dis 2022; 14:102-112. [PMID: 35242372 PMCID: PMC8828518 DOI: 10.21037/jtd-21-1279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 10/22/2021] [Indexed: 11/23/2022]
Abstract
Background Postoperative myocardial infraction (MI) is a serious complication among patients undergoing Coronary Artery Bypass Grafting (CABG). Data on the impact of postoperative MI on patients undergoing CABG, specifically with respect to their long term outcomes are sparse. Methods We retrospectively analyzed all patients who underwent isolated CABG between January 2014 and December 2016 and identified those who fulfilled the definition of the type 5MI following CABG according to the Fourth Universal Definition of Myocardial Infarction. Results A total of 4,642 CABG patients were identified, of whom 141 (3.04%) were diagnosed with postoperative MI. The mean follow-up time was 5.1±2.07 years (range, 4.4–6.9 years). Postoperative MI was more common in patients with recent acute coronary syndrome, when compared to stable angina (22.8% vs. 31.9%; P=0.011) and in those with non-elective versus planned surgery (28.4% vs. 18.4%; P=0.003). Postoperative MI after CABG was associated with an increased rate of postoperative complications, including cardiac tamponade and re exploration for bleeding. Mortality after postoperative MI was higher at short-term follow-up (up to one year) and long-term follow-up (up to five years). The risk factors for postoperative MI after CABG were incomplete revascularization (IR) [OR (95% CI): 2.25 (1.59–3.12), P=0.001], non-elective surgery [OR (95% CI): 1.68 (1.10–2.54), P=0.015] and female gender [OR (95% CI): 1.48 (1.01–2.18), P=0.045]. Conclusions PMI after CABG is associated with reduced short- and long-term survival. The main risk factors for postoperative MI are IR, female gender, and non-elective surgery.
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Affiliation(s)
- Radosław Litwinowicz
- Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- The John Paul II Hospital, Krakow, Poland
| | - Piotr Mazur
- Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA
| | | | - Magdalena Bryndza
- Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- The John Paul II Hospital, Krakow, Poland
| | - Krzysztof Bartuś
- Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- The John Paul II Hospital, Krakow, Poland
| | | | | | | | - Janusz Konstanty-Kalandyk
- Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- The John Paul II Hospital, Krakow, Poland
| | - Mariusz Kowalewski
- Department of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Centre of Postgraduate Medical Education, Warsaw, Poland
| | | | - Hubert Hymczak
- The John Paul II Hospital, Krakow, Poland
- Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
| | - Bogusław Kapelak
- Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- The John Paul II Hospital, Krakow, Poland
| | - Anna Kędziora
- Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- The John Paul II Hospital, Krakow, Poland
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Bartoszcze A, Litwinowicz R, Karkowski G, Kuniewicz M, Lelakowski J, Kapelak B, Legutko J. Electro Heart Team: integrating new approaches to atrial fibrillation management. Kardiol Pol 2021; 79:101-102. [PMID: 33494579 DOI: 10.33963/kp.15772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Bartoszcze A, Rudziński P, Sobczyński R, Andres J, Sadowski J. [Early, recurrent bypass of coronary vessels after OPCAB operations--investigations from Central Krakow]. Kardiol Pol 2003; 58 Suppl 1:I56-I58. [PMID: 20527108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- Artur Bartoszcze
- Klinika Chirurgii Serca, Naczyń i Transplantologii Instytutu Kardiologii CM UJ, Kraków
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Sobczyński R, Sadowski J, Pfitzner R, Kapelak B, Kopacz J, Rudziński P, Bartoszcze A, Drop D, Dziatkowiak A. [Post-infarction rupture of the heart septum]. Kardiol Pol 2003; 58 Suppl 1:I51-I55. [PMID: 20527107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- Robert Sobczyński
- Klinika Chirurgii Serca, Naczyń i Transplantologii Instytutu Kardiologii CM UJ, Kraków
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