Research Topics
| P P UrbanskiSummaryCountry: Germany Publications
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Publications
Valve-sparing aortic root repair without down-sizing of the annulusPaul P Urbanski
Cardiovascular Clinic, Bad Neustadt, Germany
J Thorac Cardiovasc Surg 143:294-302. 2012..The study was conducted to evaluate the intermediate results after patient-tailored aortic root repair with replacement of isolated sinuses adjusted to the existing aortic annulus diameter rather than annulus downsizing...
Valve-sparing aortic root repair with patch techniquePaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Ann Thorac Surg 80:839-43. 2005..In the valve-sparing aortic root repair technique presented, each pathologic sinus is replaced with a teardrop-shaped patch. In this study, the clinical and echocardiographic results after the first 20 procedures are evaluated...
Modified technique of chordal replacement for mitral valve repairP P Urbanski
Herz und Gefäss Klinik, Bad Neustadt, Germany
Thorac Cardiovasc Surg 53:315-7. 2005..This ensures that the ultimate length of the artificial chordae is determined during fixation at the papillary muscle and not during knotting at leaflet level...
Surgical repair of the aortic coarctation combined with complete replacement of the ascending aorta and aortic archP P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Thorac Cardiovasc Surg 54:276-8. 2006..Surgical treatment consisted of a complete ascending aorta replacement with a valved composite graft and complete replacement of the aortic arch including the isthmus, and was performed simultaneously through median sternotomy...
New vascular graft for assembling the stentless valve composite graftPaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Ann Thorac Surg 84:1771-3. 2007..Furthermore, this allows the composite construction outside the chest and reduces the cross-clamp time...
Does anatomical completeness of the circle of Willis correlate with sufficient cross-perfusion during unilateral cerebral perfusion?Paul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Germany
Eur J Cardiothorac Surg 33:402-8. 2008....
Basal cusp enlargement for repair of aortic valve insufficiencyPaul P Urbanski
Cardiovascular Clinic, Bad Neustadt, Germany
J Thorac Cardiovasc Surg 139:98-102. 2010..The aim of this study was to evaluate the clinical and echocardiographic results after aortic valve reconstruction with a novel surgical technique consisting of basal cusp enlargement with an autologous pericardial patch...
Aortic valve insufficiency with extensive cusp pathology: repair with a pericardial patchPaul P Urbanski
Cardiovascular Clinic Bad Neustadt, 97616 Bad Neustadt, Germany
Eur J Cardiothorac Surg 37:962-4. 2010..The technique has been used in 19 consecutive patients offering excellent functional results with a large coaptation area...
Extended arch resection in acute type A aortic dissection: PROPaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Clinic, Herz und Gefaess Klinik, Salzburger Leite 1, 97616 Bad Neustadt, Germany
Cardiol Clin 28:335-42. 2010..Until now, such classifications have not taken hold, although they are recommended. This article presents the authors' experiences during their uniform procedures in diagnostics and surgical strategy...
Use of a carotid artery for arterial cannulation: side-related differencesP P Urbanski
Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany
Thorac Cardiovasc Surg 58:276-9. 2010..The aim of this study was to evaluate the flow and pressure characteristics of arterial inflow through a carotid artery, especially with regard to operative and technical aspects, clinical outcomes, and side-related differences...
Repair of the calcified bicuspid aortic valvePaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, 97616 Bad Neustadt, Germany
Eur J Cardiothorac Surg 39:603-4. 2011..The technique has been used in 48 consecutive patients offering excellent early results...
Repair of the calcified tricuspid aortic valvePaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Ann Thorac Surg 90:1724-6. 2010..The technique is based on the fact that in degenerative calcified stenosis of the tricuspid aortic valve, the cusp-free margins remain mostly uncalcified, even in very severe calcification, making the repair feasible...
Modified versus standard mechanical valved aortic conduitPaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Clinic, Herz und Gefaess Klinik, Salzburger Leite 1, Bad Neustadt 97616, Germany
Asian Cardiovasc Thorac Ann 13:53-7. 2005..7 +/- 0.7 cm(2) versus 2.9 +/- 0.5 cm(2)). Early results showed a hemodynamic advantage of the modified conduit, with significantly lower transvalvular gradients...
Cannulation of the left common carotid artery for proximal aortic repairPaul P Urbanski
Herz- und Gefaess-Klinik, Salzburger Leite 1, 97616 Bad Neustadt, Germany
J Thorac Cardiovasc Surg 126:887-8. 2003
Aortic root replacement versus aortic valve replacement: a case-match studyP P Urbanski
Herz und Gefaess Klinik, Bad Neustadt, Germany
Ann Thorac Surg 72:28-32. 2001....
Valved stentless composite graft: clinical outcomes and hemodynamic characteristicsPaul P Urbanski
Herz und Gefaess Klinik, Bad Neustadt, Germany
Ann Thorac Surg 75:467-71. 2003..This study was conducted to evaluate the postoperative hemodynamic characteristics and clinical outcomes after implantation of this device...
Aortic root reconstruction using new vascular graftPaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Interact Cardiovasc Thorac Surg 8:187-90. 2009..It provides very good surgical handling and leads to excellent early and intermediate functional results...
Ascending-to-descending bypass for simultaneous surgery of aortic coarctation with other cardiac pathologiesW Reents
Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany
Thorac Cardiovasc Surg 60:210-4. 2012..The aim of this study was to evaluate the results after simultaneous surgery performed via median sternotomy and consisting of extra-anatomical ascending-to-descending aortic bypass and various other cardiac procedures...
Replacement of the aortic valve and ascending aorta with a valved stentless composite graft: technical considerations and early clinical resultsP P Urbanski
Herz und Gefäss Klinik, Bad Neustadt, Germany
Ann Thorac Surg 70:17-20. 2000..A composite graft with a stentless valve, such as we describe in this article, avoids this problem, because in case of reoperation only the valve cusps need to be resected and the tube graft may be left in place...
Femoral versus aortic cannulation for surgery of chronic ascending aortic aneurysmFitsum Lakew
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Ann Thorac Surg 80:84-8. 2005..Because there is an increased risk of aortic wall injury during cannulation, the femoral artery seems to be more suitable in these cases for cannulation than the proximal aorta...
Stentless valved composite graft for replacement of the aortic valve and ascending aortaP P Urbanski
Herz und Gefäss Klinik, Bad Neustadt, Germany
Med Sci Monit 7:899-902. 2001..Conduits with biological valves are rarely used for aortic root replacement because of technical problems when degeneration of the valve prosthesis requires reoperation. A composite graft as described could likely avoid this problem...
Complete aortic root replacement in patients with small aortic annulusPaul P Urbanski
Herz und Gefaess Klinik, Bad Neustadt, Germany
Ann Thorac Surg 73:725-8; discussion 728-9. 2002..We evaluated the effectiveness of our surgical method using a modified self-assembled valved composite graft in patients with a narrow aortic annulus...
New vascular graft for simplification of the aortic valve reimplantation techniquePaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, 97616 Bad Neustadt, Germany
Interact Cardiovasc Thorac Surg 7:552-4. 2008..The new aortic root graft simplifies aortic root repair using the valve reimplantation technique, and despite its straight form, allows easy restoration of the aortic root, which fits perfectly with patients' anatomy...
Carotid artery cannulation in aortic surgeryPaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany
J Thorac Cardiovasc Surg 132:1398-403. 2006..The aim of the study was to evaluate this method's efficiency regarding postoperative outcomes after the first 100 procedures...
Carotid artery cannulation in acute aortic dissection with malperfusionPaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany
J Thorac Cardiovasc Surg 131:1398-9. 2006
Is extended aortic replacement in acute type A dissection justifiable?Paul P Urbanski
Herz und Gefaess Klinik, Bad Neustadt, Germany
Ann Thorac Surg 75:525-9. 2003....
Replacement of valve prosthesis within aortic composite graftPaul P Urbanski
Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany
Ann Thorac Surg 88:2024-5. 2009..The patient underwent re-do surgery consisting of coronary artery bypass grafting, mitral valve replacement, and replacement of the valve prosthesis within the aortic conduit, which I believe is the first report of such a procedure...
Atresia of the right vertebral artery in a patient with acute aortic dissectionSteffen Altmann
Herz- und Gefaess-Klinik, Bad Neustadt, Germany
Ann Thorac Surg 78:1465-7. 2004....
Simultaneous surgery of the aortic valve and sternal osteomyelitisPaul P Urbanski
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Ann Thorac Surg 88:987-9. 2009..Both pathologies were approached simultaneously by sternal resection, omental plasty, and valve replacement, which led to favorable primary and mid-term result...
When is total aortic arch replacement indicated in patients with acute aortic dissection?Paul P Urbanski
Clinic of Cardiosurgery, Bad Neustadt, Germany
Med Sci Monit 8:CR165-8. 2002..The purpose of this preliminary study was to evaluate the effectiveness of our surgical strategy for acute aortic dissection with special emphasis on curative resection of the dissected segments of the aorta...
Stenosed kinking of the left main coronary artery combined with an aneurysm of the ascending aortaPaul P Urbanski
Herz und Gefäss Klinik, Bad Neustadt, Germany
Ann Thorac Surg 73:1979-81. 2002..An elective complete ascending aorta replacement using a valved composite graft was performed along with a shortening and direct implantation of the left main coronary artery. The right coronary artery was reimplanted as a Carrel-button...
Valved stentless composite graft 35Paul P Urbanski
Ann Thorac Surg 73:695-6. 2002
Intramural hematoma of the ascending aorta: a form of aortic dissection with the highest risk?Paul P Urbanski
Circulation 109:e70; author reply e70. 2004
Retrograde extension of type B dissection after endovascular stent graft repairPaul P Urbanski
Eur J Cardiothorac Surg 21:767-8; author reply 768-9. 2002
Surgical one-stage approach for coronary artery disease and occlusive disease of all aortic arch branchesFitsum Lakew
Herz- und Gefaess-Klinik, Salzburger Leite 1, 97616, Bad Neustadt, Germany
Eur J Cardiothorac Surg 25:293-5. 2004....
Aortic valved conduit with a stented xenograftPaul P Urbanski
Ann Thorac Surg 78:385; author reply 386-6. 2004
