Bartosz Rylski

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OBJECTIVES Transcatheter aortic valve implantation (TAVI) does not enable concomitant or simultaneous ascending aortic intervention. This investigation evaluates the safety of TAVI in patients with ascending aortic dilatation and demonstrates mid-term follow-up. METHODS From November 2007 to December 2012, among 1143 patients with severe aortic stenosis(More)
BACKGROUND External wrapping is a surgical method performed to prevent the dilatation of the aorta and to decrease the risk of its dissection and rupture. However, it is also believed to cause degeneration of the aortic wall. A biomechanical analysis was thus performed to assess the stress of the aortic wall subjected to external wrapping. METHODS A(More)
BACKGROUND Data on outcomes after Stanford type A aortic dissection in patients with Marfan syndrome are limited. We investigated the primary surgery and long-term results in patients with Marfan syndrome who suffered aortic dissection. METHODS AND RESULTS Among 1324 consecutive patients with aortic dissection type A, 74 with Marfan syndrome (58% men;(More)
OBJECTIVES Conflicting results have been reported on late aortic growth and complication rates of the descending thoracic aorta in patients with Marfan syndrome (MFS) after proximal aortic surgery. METHODS Of 198 Marfan patients followed up regularly, 121 (43% David-I, 7% David-II, 11% supracoronary replacement, 52% mechanical conduit, 8% arch(More)
The goal of organ-conserving cardiac surgery is the preservation of heart function in the setting of heart failure. One way to improve heart function is left ventricular surgical reconstruction. This article briefly reviews the pathophysiology of left ventricular cardiomyopathy and the evolution of surgical left ventricular reconstruction techniques. These(More)
Valve-sparing operations are becoming more and more popular because they allow a repair of the native aortic valve and a replacement of the diseased aortic root and the ascending aorta. Previously these patients were treated with a valved-conduit and needed anticoagulation with warfarin if a mechanical valve was used or were left with uncertain long-term(More)
OBJECTIVES The pressure along vascular clamp jaws may be unequally distributed, with greater pressure near the clamp hinge than at its top. Such unequal pressure distribution may cause aortic injury, especially in large aortas. We evaluated pressure distribution along different currently availably clamp jaws. METHODS Seven descending thoracic aortas from(More)
OBJECTIVES Aortic dissection DeBakey type I and II may require distal reinterventions after initial proximal repair. We evaluated outcomes following open versus endovascular approaches to distal aortic pathologies after surgery for acute dissection. METHODS One hundred and forty-one consecutive patients underwent 152 distal reinterventions after previous(More)