- Cardiac Valve Diseases and Treatments
- Aortic Disease and Treatment Approaches
- Aortic aneurysm repair treatments
- Infective Endocarditis Diagnosis and Management
- Infectious Aortic and Vascular Conditions
- Cardiac Structural Anomalies and Repair
- Congenital Heart Disease Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac and Coronary Surgery Techniques
- Cardiac pacing and defibrillation studies
- Cardiac Arrhythmias and Treatments
- Abdominal vascular conditions and treatments
- Cardiovascular Function and Risk Factors
- Tracheal and airway disorders
- Pulmonary Hypertension Research and Treatments
- Congenital Diaphragmatic Hernia Studies
- Medical and Biological Sciences
- Pericarditis and Cardiac Tamponade
- Atrial Fibrillation Management and Outcomes
- Ocular Diseases and Behçet’s Syndrome
- Liver Disease Diagnosis and Treatment
- Skin Diseases and Diabetes
- Cardiac Ischemia and Reperfusion
- Vascular Procedures and Complications
- Orthopaedic implants and arthroplasty
Centro Cardiologico Monzino
2022-2024
Istituti di Ricovero e Cura a Carattere Scientifico
2024
Ospedale San Paolo
2020-2023
Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
2020
Clinica Mediterranea
2020
IRCCS Policlinico San Donato
1990-2019
Humanitas Gavazzeni
2012-2017
University of Tirana
2015
University of Insubria
2015
Santa Maria Nuova Hospital
2011-2012
PurposeTo test the hypothesis that simultaneous closure of at least 2 independent vascular territories supplying spinal cord and/or prolonged hypotension may be associated with symptomatic ischemia (SCI) after thoracic endovascular aortic repair (TEVAR). MethodsA pattern matching algorithm was used to develop a risk model for SCI using prospective 63-patient single-center cohort positive predictive value (PPV) intraoperative 4 (left subclavian, intercostal, lumbar, and hypogastric arteries)....
The study was conducted to evaluate, on the basis of a multicentre analysis, current results elective open aortic arch surgery performed during last decade.Data 1232 consecutive patients who underwent repair with reimplantation at least one supra-aortic artery between 2004 and 2013 were collected from 11 European cardiovascular centres, retrospective statistical examination using uni- multi-variable analyses identify predictors for 30-day mortality. Acute dissections surgeries not involving...
Age >90 years represents in many centers an absolute contraindication to cardiac surgery. Nonagenarians are a rapidly growing subset of the population posing expanding clinical problem. To provide helpful information regard this complex decision, we analyzed operative and 5-year results coronary valvular surgical procedures these patients.We retrospectively reviewed 127 patients aged >or=90 who underwent surgery within our hospital group period 1998 2008. Kaplan-Meier multiple logistic...
The true incidence of aortic events (AEs) and reoperations (REDO) following elective total arch replacement remains unknown. aim this study was to review the AEs surgical REDO, its respective outcomes after 1232 repairs at 11 European centres.Retrospective chart (in absence prospective data collection) performed for statistical analysis. Follow-up conducted during routine clinical examination or in a telephone interview with patients and/or their physicians.One hundred fifty-five (12.6%)...
Journal Article Giant left atrium and mitral valve replacement: risk factor analysis Get access European of Cardio-Thoracic Surgery, Volume 2, Issue 3, May 1988, Pages 151–159, https://doi.org/10.1016/1010-7940(88)90063-2 Published: 01 1988
To evaluate the results of aortic valve replacement through sternotomic approach in redo scenarios (RAVR) vs transapical transcatheter (TAVR), patients eighth decade life or older already undergone previous coronary artery bypass grafting (CABG).One hundred and twenty-six undergoing RAVR were compared with 113 TaTAVR terms 30-day mortality Valve Academic Research Consortium-2 outcomes. The two groups also analysed after propensity-matching.TaTAVR demonstrated a higher incidence (P = 0.03),...
Several techniques have been described for the treatment of thoraco-abdominal aneurysms in patients with mega-aortic syndrome (MAS), but incidence stroke, spinal cord injury and endoleaks remains significant. We present mid-term results a new hybrid, multistep technique to treat MAS.From November 2005 2012, 118 MAS underwent surgical repair thoracic Lupiae technique. Fifty-five presented chronic 63 Type A acute dissections. Eighty-three ascending aorta arch replacement multibranched Dacron...
The Trifecta aortic bioprosthesis (St. Jude Medical, Inc., St. Paul, MN, USA) is a stented pericardial heart valve with excellent preliminary results. Aim of the study was to evaluate its early clinical and hemodynamic performances in multicenter regional registry.Between January 2011 June 2012, 178 consecutive patients undergoing replacement were prospectively enrolled at 9 Italian centers. Clinical echocardiographic data collectedat discharge, 6-months 1-year postoperatively.The average...
Abstract Objectives The aim of this study is to report our experience on the postoperative outcome surgical treatment inflammatory abdominal aortic aneurysm (IAAA). Materials and Methods Between 1997–2014, 35 patients with IAAA underwent surgery. mean age was 63 ± 18 years. Chronic renal failure identified in 11 (31.4%) confirmed ischemic heart disease 15 (43%) patients. diameter 68 25 mm. aorta clamped above arteries 6 (17%) Results hospital mortality 5.7% (2 patients). Three developed an...
The late persistence of a patent and dilated false lumen into the thoracic aorta is associated to higher re-operation rates worse prognosis after surgical repair De Bakey Type I acute aortic dissection (TIAAD). We present mid-term results hybrid, two-stage technique for TIAAD aimed reduce risk expansion residual lumen.From May 2005 January 2011, 49 patients with were treated Lupiae technique. During emergency operation, Vascutek Lupiae™, multi-branched Dacron prosthesis, was implanted...
Aims Thoracic aortic aneurysm (TAA) that progress to acute dissection is often fatal and there no pharmacological treatment can reduce TAA progression. We aim evaluate statins’ effects on growth rate outcomes using a meta-analysis approach. Methods results A detailed search related the of statins was conducted according PRISMA guidelines. The analyses were performed 4 studies (n = 1850), while impact evaluated 3 2,867). Patients under statin showed reduced (difference in means −0.36 cm/year;...
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...
In nonvalvular atrial fibrillation (AF) patients at high bleeding risk, oral anticoagulants (OAC) may be contraindicated, and percutaneous left appendage (LAA) closure has been advocated. However, following procedure, either OAC or dual antiplatelet treatment is required. this study, we present our experience in treating AF risk with thoracoscopic LAA no subsequent antithrombotic therapy.From April 2019 to January 2020, 20 consecutive patients, mean age 75.1 years, 16 (80%) males, underwent...
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 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....