Publications by authors named "Karol Buszkiewicz"

2 Publications

  • Page 1 of 1

[Cardiosurgical treatment of pneumomediastinum caused by polytrauma].

Pol Merkur Lekarski 2019 Mar;46(273):139-141

Cardiac Surgery Department, J.Strus Municipal Hospital, Poznan, Poland; Department of Cardiovascular Diseases Prevention, Medical University of Poznan, Poland.

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.
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March 2019

Gigantic aneurysm of a venous bypass graft causing superior vena cava syndrome.

Kardiochir Torakochirurgia Pol 2014 Mar 27;11(1):71-5. Epub 2014 Mar 27.

Oddział Kardiochirurgii z Salami Intensywnego Nadzoru Kardiologicznego, Wielospecjalistyczny Szpital Miejski im. J. Strusia w Poznaniu ; Zakład Profilaktyki Chorób Układu Krążenia, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu.

A case of a 66-year-old patient 13 years after coronary artery bypass grafting (CABG) admitted to hospital with typical ischemic chest pain and symptoms of superior vena cava syndrome (SVCS) is described. Non-invasive diagnostics confirmed acute coronary syndrome: non-ST-elevated myocardial infarction (ACS NSTEMI). Trans-thoracic echocardiography (TTE) revealed a gigantic tumor mass modeling the right atrium, causing chronic cardiac tamponade. Angiography showed that the tumor mass was in fact the aneurysmatically changed venous bypass graft to the right coronary artery (RCA). Computed tomography angiography (CT-angio) confirmed venous aneurysm size (the longest diameters were 10.2 cm × 8.7 cm). We also present treatment planning and the aneurysmal surgical removal procedure of this very rare case.
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March 2014