A5000083175- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Aortic Disease and Treatment Approaches
- Cardiac, Anesthesia and Surgical Outcomes
- Atrial Fibrillation Management and Outcomes
- Cardiac Arrhythmias and Treatments
- Aortic aneurysm repair treatments
- Cardiac and Coronary Surgery Techniques
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac pacing and defibrillation studies
- Venous Thromboembolism Diagnosis and Management
- Acute Myocardial Infarction Research
- Congenital Heart Disease Studies
- Cardiovascular Function and Risk Factors
- Orthopedic Infections and Treatments
- Infectious Aortic and Vascular Conditions
- Lipoproteins and Cardiovascular Health
- Renal function and acid-base balance
- Hip and Femur Fractures
- Hemodynamic Monitoring and Therapy
- Orthopaedic implants and arthroplasty
- Inflammatory Biomarkers in Disease Prognosis
- Mechanical Circulatory Support Devices
- Cardiac Imaging and Diagnostics
University of Insubria
2015-2024
Ospedale di Circolo e Fondazione Macchi
2021-2024
Aziende Socio Sanitarie Territoriale dei Sette Laghi
2021
Fistula Foundation
2020
Humanitas Gavazzeni
2012-2015
University of Bari Aldo Moro
2004-2007
Introduction: Lactate, a product of anaerobic metabolism, is biomarker and indicator for tissue hypoperfusion oxygen debt. An elevated blood lactate level has been associated with poor outcome in many clinical conditions, including cardiac surgery. Nevertheless, debate exists regarding which concentration most indicative outcomes. We evaluate the impact hyperlactatemia, defined as peak arterial ⩾2.0 mmol/L during cardiopulmonary bypass, on surgical results focus long-term outcome. Methods:...
Background Left ventricular free-wall rupture (LVFWR) is a catastrophic complication of acute myocardial infarction (AMI). Historically, cardiac surgery considered the treatment choice. However, because rarity this entity, little known regarding efficacy and safety surgical for post-infarction LVFWR. The aim study was to report single-center experience in field over period 30 years. Methods Patients who developed LVFWR following AMI underwent repair at our Institution from January 1990...
Background: An unexplained condition that follows transcatheter aortic valve implantation (TAVI) is platelet count reduction (PR). According to published research, patients with balloon-expandable valves (BEVs) had a greater PR than those self-expandable (SEVs). Objectives: The purpose of this study was investigate the incidence and clinical effects following TAVI. Methods: In total, 1.122 adult TAVI were enrolled. Propensity score matching carried out in 1:1 ratio between BEVs SEVs....
Mega-aortic syndrome (MAS) is a rare disease carrying poor prognosis if treated conservatively. Open repairs of these aneurysms are invasive, while totally endovascular associated with higher rates late reintervention due to endoleaks, compromising long-term prognosis. We describe the 10-year results hybrid three-stage approach MAS using Lupiae technique.Between 2006 and 2016, 27 patients extending from ascending aorta iliac arteries (MAS type III) underwent: (I) surgical aortic arch...
Aims: There are many reasons for the increase in post-operative mortality and morbidity patients undergoing surgery. In fact, an activated inflammatory state before cardiac surgery, can potentially worsen patient’s prognosis effects of this preoperative medium-term remains unknown. Methods: were 470 consecutive who underwent divided three groups according to median values C-reactive protein (CRP) fibrinogen (FBG): The first group was low status (LIS) with 161 (CRP < 0.39 mg/dL FBG 366...
The most common surgical incisions to expose the mitral valve include a paraseptal left atriotomy or transeptal biatrial approach. Both techniques are normally performed through full sternotomy and bicaval cannulation. We report our experience with an alternative incision using atrial roof (LAR) complete J-shaped upper ministernotomy.Between 2007 2011, total of 512 patients underwent procedures LAR A ministernotomy was in 189 patients, 61 these had concomitant aortic valve/root procedures....
Previous studies have suggested that concomitant mitral regurgitation (MR) is a risk factor for acute transcatheter aortic valve implantation (TAVI) failure, but may improve afterwards. Aim of this study was to assess the prevalence, clinical meaning and modifications MR in patients undergoing TAVI. In retrospective, two-center (Potenza-San Carlo Roma- San Camillo) study, from January 2010 June 2014 we enrolled 165 consecutive (age =80 ± 5 years, 74 males, Ejection Fraction 51 9 %) referred...
The most common surgical incisions to expose the mitral valve include a paraseptal left atriotomy or transeptal biatrial approach. Both techniques are normally performed through full sternotomy and bicaval cannulation. We report our experience with an alternative incision using atrial roof (LAR) complete J-shaped upper ministernotomy.Between 2007 2011, total of 512 patients underwent procedures LAR A ministernotomy was in 189 patients, 61 these had concomitant aortic valve/root procedures....
The Frozen Elephant Trunk (FET) can be adopted in selected type A acute aortic dissections (TAAAD). During FET, a prolonged distal circulatory arrest exposes the spine and visceral organs to potential ischemic injuries. Antegrade perfusion (ADAP) could minimize this risk: we describe technical aspects of simultaneous use antegrade cerebral (ACP) ADAP achieving "Whole Body Perfusion" (WBP) during FET.
Background: Infective endocarditis (IE) is a serious disease, and in many cases, surgery necessary. Whether the type of prosthesis implanted for aortic valve replacement (AVR) IE impacts patient survival matter debate. The aim present study to quantify differences long-term recurrence AVR according among patients aged 40 65 years. Methods: This was an analysis INFECT-REGISTRY. Trends proportion use mechanical prostheses versus biological ones over time were tested by applying sieve...
<b>Objective:</b> The aim of this report is the prospective, multicentre evaluation clinical results and haemodynamic performance Medtronic Advantage aortic valve prosthesis. <b>Methods:</b> From April 2001 to June 2003, 166 patients (male:female 125:41; mean (SD) age 61.8 (11.8) years) received an advantage Complete cumulative follow-up was 242.7 patient-years (maximum 3.2; 1.6 years). Postoperatively, underwent early (within 30 days) 1 year transthoracic echocardiography. <b>Results:</b>...
Data regarding catheter ablation of post-surgical atrial tachycardia occurring after mitral valve surgery are scarce. Through a search the literature, this study aimed to assess feasibility and characteristics arrhythmias ablated in these patients.Studies assessing main procedure parameters electrophysiologic findings investigated were selected. The mechanism (focal vs. re-entrant arrhythmias), site arrhythmia origin (left atrium right atrium) their anatomic correlation with specific...
The extent of residual mitral regurgitation (MR) (1+ vs ≥2+) has a notable impact on the outcome MitraClip (MC) repair significant functional MR. In this retrospective single-center study, we evaluated predictors MI ≥2+ at 1 year in one our case series.
Background: TAVI is a rapidly evolving technology that has been shown to be valuable alternative SAVR in elderly patients. However, despite the progress made, there remain several potential limitations need not minimized before implementing this approach. The current analysis aimed examine major outcomes of patients treated with or focusing on PVL occurrence. Methods: We conducted retrospective observational study (> 70 years) undergoing isolated between January 2019 and December 2023 at...
Background: Infective endocarditis(IE) is a serious disease and in many cases surgery necessary. Whether the type of prosthesis implanted for aortic valve replacement(AVR) IE impacts patient survival matter debate. The aim present study to quantify differences long-term survival, recurrence endocarditis AVR according among patients aged 40 65 years. Methods: This was an analysis INFECT-REGISTRY. Overall, 4365 were diagnosed operated on from 2000 2021. Of these, 549 between years underwent...