- Cardiac Valve Diseases and Treatments
- Aortic Disease and Treatment Approaches
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac and Coronary Surgery Techniques
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Congenital Heart Disease Studies
- Coronary Artery Anomalies
- Aortic aneurysm repair treatments
- Lipoproteins and Cardiovascular Health
- Cardiac Health and Mental Health
- Anesthesia and Sedative Agents
- Cardiovascular Issues in Pregnancy
- Mechanical Circulatory Support Devices
- Vascular anomalies and interventions
- Electrospun Nanofibers in Biomedical Applications
- Cardiac tumors and thrombi
- COVID-19 and healthcare impacts
- Cardiovascular and Diving-Related Complications
- Intensive Care Unit Cognitive Disorders
- Autoimmune and Inflammatory Disorders
- Leprosy Research and Treatment
- Kawasaki Disease and Coronary Complications
- Infectious Aortic and Vascular Conditions
- Acute Kidney Injury Research
Marche Polytechnic University
2018-2024
University of Southampton
2022-2023
Ospedali Riuniti di Ancona
2014-2022
Ospedali Riuniti Umberto I
2004-2020
Azienda Ospedaliero Universitaria Ospedali Riuniti
2010-2016
University of Rome Tor Vergata
1992-1996
European Hospital
1991-1992
University of Padua
1987
Prosthetic valve endocarditis (PVE) is an uncommon yet dreadful complication in patients with prosthetic valves that requires a distinct analysis from native endocarditis. The present study aims to investigate independent risk factors for early surgical outcomes PVE. A retrospective cohort was conducted 8 Italian Cardiac Surgery Units January 2000 December 2013 by enrolling all PVE undergoing treatment. total of 209 consecutive were included the study. During period, global rate procedures...
Data of 9 years surgical activity (on about 10000 patients), obtained from the database our cardiac surgery care centre, were analysed to assess time-related variations in demographics, clinical and characteristics.Data patients submitted major procedures between 1999 2007 examined using chi-square test, analysis variance (ANOVA) test or non-parametric tests, where applicable. The 'linear-by-linear' association was used verify existence a trend. A value p<0.05 considered significant.In time...
Aims The clinical benefits of mitral valve repair over replacement in the setting infective endocarditis are not clearly established. Methods Data patients who underwent cardiac surgery for a 20-year period (2001–2021) at two centres were reviewed. Among them, 282 native and included study. Nearest-neighbour propensity-score matching was performed to account differences patients’ profile between subgroups. Results Mitral 186 patients, while 96 cases repair. Propensity match analysis provided...
A single-institutional study on atrial myxoma. Patient data and obtained from the survivors during follow-up were reviewed.We studied 109 patients (61.5% female) who underwent surgical excision of myxoma between January 1980 December 2005. Mean age at time surgery was 60 +/- 14 years (range 1-83 years). Overall survival recurrence determined by Kaplan-Meier analysis. Linearized rates are reported.One hundred two (93.6%) tumours found in left atrium. Comparative mean distribution revealed a...
Acute kidney injury after cardiac surgery (CS-AKI) is strongly associated with in-hospital mortality and morbidity. We aimed to investigate whether ‘early’ or ‘late’ initiation of renal replacement therapy (RRT) in patients CS-AKI a survival benefit more favourable outcomes. All who had undergone at ‘Ospedali Riuniti’ Ancona from July 2011 February 2013 were prospectively enrolled divided into two treatment groups: the approach was used during first 10 months, next months. ‘Early’ RRT...
Here we present our simplified technique of cannulation the brachiocephalic trunk for cardiopulmonary bypass and antegrade cerebral perfusion institution.
Background: Although sutureless and rapid deployment aortic valve replacement (SURD-AVR) has been associated with an increased rate of permanent pacemaker (PPM) implantation compared to conventional AVR (c-AVR), the predictors new conduction abnormalities remain be clarified. This study aimed identify risk factors for disorders in patients undergoing surgery. Methods: Data from 243 receiving minimally invasive were prospectively collected. SURD-AVR was performed 103 (42.4%) c-AVR 140...
Carbon dioxide (CO2) insufflation was used by some devices for endoscopic vein harvest to create a subcutaneous tunnel and facilitate the harvest. In literature, cases of CO2 micro- macro-embolisms or hypercarbia during this procedure are described. The purpose study evaluate if use an open system rather than sealed might be associated with different absorption procedure. Patients were randomized into two groups: those patients in first group submitted using insufflation; second group,...
Median sternotomy incision has shown to be a safe and efficacious approach in patients who require thoracic aortic interventions still represents the gold-standard access. Nevertheless, over last decade, less invasive techniques have gained wider clinical application cardiac surgery becoming first-choice treat heart valve diseases, experienced centers. The popularization of coupled with an increased patient demand for therapies motivated surgeons apply minimally approaches more challenging...
Aortic valve surgery has been undergone continuous development over the last years, involving less invasive techniques and use of new technologies to reduce traumatic impact intervention extend operability toward increasingly high-risk patients. Minimally aortic replacement (AVR) gradually recognized as a technique compared median sternotomy, becoming first choice approach in numerous experienced centers. Herein we present our multidisciplinary minimally for AVR, involving: (I) reduced chest...
A persistent left superior vena cava draining into the atrium may produce a symptomatic right-to-left shunt. Although intra-atrial rerouting techniques, in patients with no connecting vein, have proved to be reliable and successful, many cases extracardiac repair is preferable. We report case of 5-month-old patient not connected atrium, associated atrial septal defect partial anomalous pulmonary venous connection. The correction has been achieved by return transposition on right appendage.
Abstract OBJECTIVES Endocarditis after the Bentall procedure is a severe disease often complicated by pseudoaneurysm or mediastinitis. Reoperation challenging but conservative therapy not effective. The aim of this study was to assess short- and midterm outcomes patients reoperated on for Bentall-related endocarditis. METHODS Seventy-three with procedure-related endocarditis were recorded in Italian registry. mean age 57 ± 14 years 92% men; preoperative comorbidities included hypertension...
Introduction Neurological complications pose significant risks in coronary artery bypass grafting (CABG). This study explores the potential benefits of preoperative chest computed tomography (CT) optimizing outcomes and reducing neurological events high-risk CABG patients. Methods From January 2017 to June 2023, a retrospective cohort patients categorized groups based on CT use. Multivariate analysis evaluated associations between imaging patient characteristics, followed by propensity match...
Abstract OBJECTIVES Current evidence on transcatheter aortic valve implantation (TAVI) has been generated exclusively by cardiology studies and no operative data from cardiac surgeons are available. Here, we describe the development of our TAVI programme report results transfemoral (TF) done their own. METHODS This study included all procedures native performed at Cardiac Surgery Unit, Ospedali Riuniti di Ancona, during period October 2018 to July 2022. Relevant prospectively collected...