Abstract：
:Isolated critical ostial stenosis of the left main coronary artery (LMCA) without narrowing in the distal parts of coronary vessels is rather rare cause of angina. It was observed in 7 our patients: 5F and 2M aged 42-55 yrs (mean 47.5). Five of them were in unstable condition. In all of them a direct surgical angioplasty of the LMCA was performed. Cardiopulmonary bypass with moderate hypothermia were used in all patients. The LMCA was approached from behind. A curved incision was made into the right lateral aortic wall toward the LMCA. Care was taken to stay away from the commissure between the noncoronary and the left coronary cusp. The posterior aspect of the LMCA was incised across the stenosis and prolonged through bifurcation. A venous onlay patch was used to enlarge not only the LMCA but also the adjacent 2 cm of aortic incision, so as to give the LMCA ostium a funnel shape, which favors a homogeneous blood flow. The mean aortic cross clamping time was 46 min. The patients were easily weaned from cardiopulmonary bypass. The early and late results are good--all patients were discharged from the hospital free of symptoms. In 6 patients a perfect patency of the left main stem was documented during control coronarography. In our opinion direct surgical angioplasty of LMCA is better then the conventional surgical treatment because normal geometry of LMCA ostium and normal blood flow can be restored using this method.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Bochenek A,Religa Z,Tomaszewski J,Wnuk-Wojnar A,Drzewiecki J,Reek C,Pietrzycki A,Spyt Jsubject
Has Abstractpub_date
1992-09-01 00:00:00pages
142-5issue
9eissn
0022-9032issn
1897-4279journal_volume
37pub_type
杂志文章abstract：BACKGROUND:Contrast-induced nephropathy is a relatively common complication occurring after various procedures requiring contrast agent injection, especially in patients with pre-existing renal failure. AIM:This pilot study was designed to assess the effects of a high intravenous dose of N-acetylcysteine (NAC) on plas...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章
doi：
更新日期：2006-06-01 00:00:00
abstract：:Taussig-Bing syndrome is a rare congenital heart defect consisting of a double outlet right ventricle paired with a subpulmonic ventricular septal defect. The anomaly has first been described by collaborators Hellen Taussig and Richard Bing. In the 62 years since, much has changed in its diagnosis and treatment, but T...
journal_title：Kardiologia polska
pub_type： 传,历史文章,信件
doi：
更新日期：2010-07-01 00:00:00
abstract：BACKGROUND:Data on the results of ablation for atrial fibrillation (AF) in Poland are scarce. AIMS:The aim of the study was to compare the efficacy of ablation index (AI)-guided pulmonary vein isolation (PVI) with that of conventional contact force-based PVI. METHODS:Consecutive patients undergoing PVI for the first ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.33963/KP.15523
更新日期：2020-10-23 00:00:00
abstract：:Persistent left superior vena cava -- a case report. A case of a 72-year-old female admitted for pacemaker implantation is presented. During the procedure, persistent left superior vena cava was found. Pacemaker was inserted via right subclavicular vein. ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-12-01 00:00:00
abstract：:Percutaneous intervention in saphenous vein grafts is associated with a high risk of distal embolisation by plaque material, 'no flow' phenomenon and clinical complications such as myocardial infarction or death. According to randomised trial evidence, intervention in a degenerated vein graft should be performed using...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND AND AIM:The aim of this study is to evaluate the effect of epicardial adipose tissue (EAT) thickness on left ventricular diastolic functions in patients with normal coronary arteries (NCA) proven by angiography. METHODS:We selected study patients who were referred to coronary angiography due to typical ches...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2016.0139
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Percutaneous balloon aortic valvuloplasty (BAV) is an effective method of treatment for aortic stenosis in children. AIMS:This study aimed to assess the long‑term results of BAV in various age groups in the pediatric population. METHODS:This retrospective study included 68 patients (newborns, infants, and ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.33963/KP.15245
更新日期：2020-06-25 00:00:00
abstract：BACKGROUND:Outcome after surgery for cardiac myxoma is very good, although due to relatively low prevalence in general population there are only a few reports with long-term follow-up that involved large number of patients. AIM:To evaluate short- and long-term outcome after myxoma removal in a single cardiac surgical ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:Cardiopulmonary exercise testing (CPET) is an important diagnostic tool in contemporary clinical practice. This document presents an expert opinion from the Working Group on Cardiac Rehabilitation and Exercise Physiology of the Polish Cardiac Society concerning the indications, performance technique, and interpretatio...
journal_title：Kardiologia polska
pub_type： 杂志文章,实务指引
doi：10.33963/KP.14889
更新日期：2019-08-23 00:00:00
abstract：BACKGROUND:Patent foramen ovale (PFO) is a potential risk factor for ischaemic stroke in young individuals. An interventional method of secondary stroke prevention in PFO patients is its percutaneous closure. AIM:To assess safety and effectiveness (i.e. lack of residual shunt) of percutaneous PFO closure in patients w...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:The prevalence of hypertension and lipid disorders is increased in patients with diabetes. The relationship between cholesterol and blood pressure values has not yet been well established in this group of patients. AIM:To assess the correlation between lipid levels and blood pressure values in patients with...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2006-12-01 00:00:00
abstract：BACKGROUND:Recanalisation of chronic total occlusion (CTO) of a coronary artery can be reflected by improvements in various clinical parameters. Revealing increased parasympathetic activity would constitute an additional argument for performing this procedure. AIM:To assess the effect of CTO recanalisation on barorefl...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2013.0356
更新日期：2014-01-01 00:00:00
abstract：:Although considerable data exist regarding the function of prosthetic heart valves (PHV) at rest, few data exist regarding the response to exercise. Thus, we studied by Doppler echocardiography 81 asymptomatic patients with PHV (46 mitral, 45 aortic) of varying type and 20 normal persons before and after symptom limit...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：:We describe a case of a 59-year-old female with paroxysmal atrial fibrillation and arterial hypertension who had syncopal attacks due to polymorphic ventricular tachycardia (PMVT) with a short coupling interval of an initiating beat (280 msec). We excluded structural heart disease. In the resting ECG the QTc interval ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2004-06-01 00:00:00
abstract：:A patient with apical hypertrophic cardiomyopathy and myocardial infarction complicated by intramural haematoma of the left ventricle is presented. The angiographic examination confirmed atherosclerotic etiology of myocardial infarction. The other reasons of myocardial ischaemia in a hypertrophic cardiomyopathy are di...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Numerous psychosomatic diseases, especially cardiovascular, are regarded as diseases of modern civilization. Psychological factors play a dominant role in these diseases. Among these factors we can distinguish several different types of emotional functioning and subjective estimation of patients' quality of ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:transient left ventricular ballooning syndrome (TLVBS) has been recently recognised as an acute disease mimicking myocardial infarction. AIM:we used greyscale and virtual histology (VH) intravascular ultrasound (IVUS) to study the presence and characteristics of atherosclerotic plaque in the left anterior d...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND:Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out‑of‑hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option. AIMS:The aim of the study was to es...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.33963/KP.15433
更新日期：2020-09-25 00:00:00
abstract：:Stent fracture (SF) has been suggested to be an unusual cause of restenosis after drug eluting-stent implantation. However, angiographically visible SF after bare metal stent (BMS) implantation is extremely rare. We present a case of a 58 year-old male patient who presented with unstable angina secondary to a SF of a ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:Churg-Strauss syndrome is a rare systemic disease characterized by necrotising vasculitis and peripheral eosinophilia. Cardiac involvement is found in up to 64% of patients and is given a high rank among the causes of morbidity and mortality. We presented a case of 26 year-old male with Churg-Strauss syndrome and left...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:In 3 post-MI patients with multiple premature ventricular complexes, programmed transoesophageal pacing generated the arrhythmia and an ecg tracing was taken. Analysis of the ecg suggested that simultaneous activation of two pathways within the A-V node maybe the cause of the arrhythmia. The activation signal reaches ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:Diagnostic approach to and management of SHTG are not always straightforward and specialist knowledge is required, particularly with the expected increase in the rates of SHTG associated with obesity and diabetes epidemics. We hope that this article will prove helpful for physicians caring for such patients. Their man...
journal_title：Kardiologia polska
pub_type： 杂志文章,评审
doi：10.5603/KP.2013.0254
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Aborted myocardial infarction (abMI) is a type of acute coronary syndrome in which patients treated with reperfusion avoid the great burden of necrosis. Yet, no definition of abMI in patients undergoing primary percutaneous coronary intervention (pPCI) has been proposed so far. AIMS:This study aimed to iden...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.33963/KP.15650
更新日期：2021-01-25 00:00:00
abstract：BACKGROUND:Patients with advanced lower limb ischaemia are, at present, mainly treated using revascularisation. AIM:The aim of the study was to investigate whether the dynamics of blood flow in below-the-knee (BTK) arteries assessed by angiography correlate with clinical outcomes after a 12-month follow-up in patients...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2018.0212
更新日期：2019-01-01 00:00:00
abstract：:Slow ventricular tachycardia (VT), which is below the detection rate of implantable cardioverter-defibrillator may cause haemodynamical instability, when pharmacological agents or antitachycardia pacing are unsuccessful, electrical cardioversion is necessary. We present another method of termination of slow VT by ICD,...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:A new tissue Doppler index, E/(E'×S'), including the early diastolic transmitral/mitral annular velocity (E/E') ratio and systolic mitral annular velocity (S'), has a good accuracy in predicting left ventricular filling pressure. AIM:To investigate the value of E/(E'×S') measured at different sites of the m...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2013.0281
更新日期：2014-01-01 00:00:00
abstract：:According to current guidelines surgical revascularisation is a gold standard of treatment in patients with multivessel and left main coronary disease. Hybrid revascularisation, in two stages: first - minimally invasive direct coronary artery bypass grafting procedure with left internal mammary artery conduit to left ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:Selected indices of left and right ventricular function and pulmonary circulation have been compared in two groups of patients with constrictive pericarditis: i.e. in 10 patients classified as NYHA functional class II and 13 patients as NYHA class III. The patients with NYHA class III showed higher average values of l...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：:Tetralogy of Fallot is the most common cyanotic congenital heart disease. Total surgical correction of this defect during infancyallows for long-term survival in most of the patients. The long-term prognosis for untreated tetralogy of Fallot is poor and patients who have not undergone total surgical repair rarely live...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.2013.0202
更新日期：2013-01-01 00:00:00
abstract：:Atrial natriuretic peptide concentrations (ANP) were determined in 4 patients with pheochromocytoma during its surgical removal. There was no correlation among ANP level, plasma catecholamines concentrations and blood pressure. Increase of plasma ANP concentration after tumor removal can be explained by simultaneously...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
