A5014762832- Cardiac Valve Diseases and Treatments
- Cardiac and Coronary Surgery Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Mechanical Circulatory Support Devices
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Aortic Disease and Treatment Approaches
- Cardiac Arrest and Resuscitation
- Cardiac pacing and defibrillation studies
- Cardiac Health and Mental Health
- Acute Myocardial Infarction Research
- Cardiac Imaging and Diagnostics
- Perfectionism, Procrastination, Anxiety Studies
- Cardiac Arrhythmias and Treatments
- Cardiovascular Function and Risk Factors
- Cardiovascular Disease and Adiposity
- Aortic aneurysm repair treatments
- Pain Management and Treatment
- Cardiac tumors and thrombi
- Long-Term Effects of COVID-19
- Congenital Heart Disease Studies
- Blood transfusion and management
- Orthopedic Infections and Treatments
- Pleural and Pulmonary Diseases
- Aortic Thrombus and Embolism
Centro Cardiologico Monzino
2006-2024
Istituti di Ricovero e Cura a Carattere Scientifico
2024
MedStar Heart & Vascular Institute
2021
MedStar Washington Hospital Center
2021
University of Milan
1995-2019
European Institute of Oncology
2003
AimsThe aim of this study, undertaken in patients who underwent mitral valve (MV) repair surgery, was to evaluate the accuracy pre-operative three-dimensional (3D) transthoracic echocardiography (TTE) evaluation MV pathology cases with simple or complex lesions.
Mitral valve (MV) repair is the preferred treatment for mitral regurgitation associated with organic MV prolapse (MVP). Our goals were to describe by transthoracic real-time 3D echocardiography (RT3D TTE) pre-operative changes in annulus (MA) dynamic morphology related MVP, compared a normal population, and evaluate differential long-term effects induced annuloplasty, using either an incomplete flexible band or complete semi-rigid ring. Forty-four patients (62 ± 11 years) MVP ejection...
Abstract OBJECTIVES During the Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) pandemic, Northern Italy had to completely reorganize its hospital activity. In Lombardy, hub-and-spoke system was introduced guarantee emergency and urgent cardiovascular surgery, whereas most hospitals were dedicated patients with coronavirus disease 2019 (COVID-19). The aim of this study analyse results organization system. METHODS Centro Cardiologico Monzino (Monzino) became one four hubs for a...
Complete myocardial revascularization is the standard for coronary artery bypass grafting. It has been shown, however, that off-pump surgery (OPCAB) may reduce completeness of without affecting perioperative infarction rates. We evaluated influence OPCAB on major postoperative events in a large consecutive cohort patients, with special emphasis risk factors infarction.From 1995 to 2004, 5935 patients underwent isolated surgery; these, 4623 (77.9%) and 1312 (22.1%) on-pump (CABG) OPCAB,...
We present the first worldwide case of a hybrid surgical-percutaneous procedure involving transvenous lead extraction, concomitant tricuspid valve repair, implantation an atrioventricular (AV) leadless pacemaker, and extravascular implantable cardioverter-defibrillator placement with suturing defibrillation to heart wall. Multiple interventions were necessary as result active endocarditis, congenital complete AV block, ventricular arrhythmia secondary prevention.
Maze procedure aims at restoring sinus rhythm (SR) and atrial contractility (AC). This study evaluated multiple aspects of AC recovery their relationship with SR regain after ablation.122 mitral fibrillating patients underwent radiofrequency Maze. Rhythm check echocardiographic control biatrial were performed 3, 6, 12, 24 months postoperatively. A multivariate Cox analysis risk factors for absence recuperation was applied.At 2-years follow-up, achieved in 79% patients. SR-AC coexistence...
To evaluate retrospectively the effect of 'high-dose' aprotinin on blood losses, donor requirements and morbid events patients undergoing ascending aorta and/or aortic arch procedures with employ deep hypothermic circulatory arrest (HCA).During period 1987-1994, 39 underwent a thoracic procedure arrest; these 18 (46.2%) were operated during 1990-1994 given intraoperatively following protocol (group I), while 21 (53.8%) who surgery years 1987-1989, did not receive intraoperative served as...
Structural valve deterioration (SVD) remains the major determinant of bioprosthesis durability. The aim this study was to investigate SVD incidence, predictors and outcomes in patients aged 50 years younger after bioprosthetic aortic replacement (bAVR). We retrospectively analyzed 73 consecutive ≤50 old who underwent AVR at our center between 2005 2015. Median age surgery 44 (interquartile range [IQR]: 39–47) years. Follow-up 93.2% complete a median time 7.2 (IQR: 5.5–9.5) Cumulative...
Background: A strong association between aortic valve sclerosis (AVSc), the earliest manifestation of calcific disease, and atherosclerosis exists. The aim study was to evaluate predictive capabilities AVSc on long-term all-cause mortality, in patients requiring carotid endarterectomy (CEA). Methods Results: 806 consecutive CEA were enrolled. Preoperative echocardiography used assess AVSc. Computed tomography angiography applied for plaque characterization. Kaplan-Meier curves, Cox linear...
A patient with history of dilated cardiomyopathy, a cardiac resynchronization therapy defibrillator, and endocardial ablation presented for refractory ventricular tachycardia 3 years after implantation Jarvik 2000 left assist device (Jarvik Heart, Inc., New York, York). Open-chest epicardial safely effectively terminated the arrhythmia, without recurrence at 9-month follow-up in absence complications during hospital stay. (Level Difficulty: Advanced.)
Introduction: Mitral valve calcifications increase the complexity of valvular repair. Major have a known impact on outcomes, while minor are less studied. We aim to define role mitral calcification long term results Methods: Retrospective study patients who underwent repair between 2001 and 2010. Patients had degenerative disease, at pre-operative echocardiogram confirmed surgical inspection no employment decalcification techniques were included. A control group was selected using 1:2 match...
Abstract Aims Patients with coronary heart disease (CHD) are at very high risk of recurrent events. A strategy to reduce excess might be deliver structured secondary prevention programmes, but their efficacy has been mostly evaluated in the short term and experimental settings. This is a retrospective case–control study aimed assessing, real world, programme reducing long-term event recurrences after artery bypass surgery (CABG). Methods results Programme participants (henceforth ‘cases’)...
The best treatment for rheumatic mitral regurgitation is still under debate. Our goal was to assess the long-term results of repair performed in 2 referral centres repair.Patients who underwent valve between 1999 and 2009 were selected. Preoperative postoperative data prospectively entered into a dedicated database retrospectively reviewed. Kaplan-Meier estimates used analyse survival. Competing risk analysis by calculating cumulative incidence function time recurrence ≥3+, ≥2+, reoperation...