Włodzimierz Kuroczyński

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PURPOSE For treatment of univentricular heart, the Fontan operation has been established as the definitive palliation. The current controversy is mainly based on the high incidence of arrhythmias after an intra-atrial lateral tunnel Fontan operation. METHODS From January 1995 until April 2002, 46 children underwent a Fontan-type operation with or without(More)
Schwere postoperative Wundheilungsstörungen bis hin zur kompletten Sternumdehiszenz sind gravierende Komplikationen nach medianer Sternotomie in der Herz-Thoraxchirurgie. Sie führen zu einer erhöhten Morbidität- und Mortalitätsrate und verursachen eine sehr viel längere Hospitalisation der Patienten als bei normaler Wundheilung. Für das Krankenhaus(More)
BACKGROUND AND AIM OF THE STUDY The study aim was to evaluate the long-term effectiveness of a strategy for managing the aortic valve, aortic root and ascending aorta according to the pathology in acute aortic type A dissection. Results after surgery for acute type A dissection with preservation of the aortic valve were reviewed. METHODS The patient group(More)
The aim of this study was to evaluate the incidence of postoperative pulmonary supravalvular stenosis in patients with d-TGA and to assess the rate of success or failure of balloon angioplasty.    Out of 70 patients with d-TGA 67 patients underwent successful arterial switch operation. Twelve children developed severe supravalvular pulmonary stenosis with a(More)
Fragestellung Ziel dieser retrospektiven Untersuchung war es, die Mittel- und Langzeitergebnisse der operativen Korrektur von Aortenisthmusstenosen (ISTHA) bei Erwachsenen zu erfassen. Patienten und Methodik Zwischen August 1985 und Januar 1999 wurden 20 Patienten (8 Frauen, 12 Männer) wegen ISTHA im Alter 19–60 Jahren (im Mittel 33 Jahre) operiert. Alle(More)
The aim of this study was to test three injection protocols for contrast-enhanced magnetic resonance angiography (MRA) of the thoracic aorta with a standard-dose application. Ninety-three patients with a total of 118 examinations underwent MRA of the thoracic aorta at 1.5 T. There were three injection protocols: in 24 cases, no test bolus was performed and(More)
OBJECTIVE Our objective was to evaluate the impact of different rapid MRI techniques for the assessment and follow-up of chronic aortic dissections. MATERIALS AND METHODS Fifty-three patients (41 postoperative Stanford type A, 12 type B dissections) were scanned at 1.5 T during a 3-year period. The study reviewed ECG-gated breath-hold black blood(More)
Children undergoing cardiopulmonary bypass (CPB) operations have an increased risk of developing severe infections. Impairment of the immune system may contribute to the development of sequelae such as capillary leaks, pulmonary dysfunction and auto-immune reactions. The objective of this study was to investigate the impact of cardiac surgery with CPB on(More)
BACKGROUND The arterial switch operation has become the surgical approach of choice for d-transposition of the great arteries, but there is an increased awareness of adverse sequelae in some survivors. Long-term patency and normal function of the translocated coronary arteries must be achieved. It is reported that dependent of the prior coronary status, 3%(More)
OBJECTIVE Aorto-coronary bypass graft disease with its increasing clinical signification represents an unsolved problem in cardiological and heart surgery practice. Late occlusion of autologous saphenous vein grafts is due to medial and neointimal thickening secondary to migration and proliferation of smooth muscle cells (SMCs) and the subsequent formation(More)