A5039180653- Cardiac and Coronary Surgery Techniques
- Cardiac Valve Diseases and Treatments
- Aortic Disease and Treatment Approaches
- Cardiac Structural Anomalies and Repair
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Mechanical Circulatory Support Devices
- Surgical site infection prevention
- Vascular Procedures and Complications
- Aortic aneurysm repair treatments
- Atrial Fibrillation Management and Outcomes
- Blood transfusion and management
- Cerebrovascular and Carotid Artery Diseases
- Fatty Acid Research and Health
- Diet and metabolism studies
- Cardiac tumors and thrombi
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Tracheal and airway disorders
- Coronary Interventions and Diagnostics
- Soft Robotics and Applications
- Pericarditis and Cardiac Tamponade
- Infectious Aortic and Vascular Conditions
- Antiplatelet Therapy and Cardiovascular Diseases
- Congenital Anomalies and Fetal Surgery
- Renal function and acid-base balance
Maria Cecilia Hospital
2005-2023
Villa Torri Hospital
2021-2023
Villa Maria Hospital
2022
University of Modena and Reggio Emilia
2002
University Hospital of Wales
1990-1992
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...
Few data exist on contemporary outcomes after conventional aortic valve replacement (AVR) in the elderly. Accordingly, we evaluated and identified predictors of reduced survival a large series octogenarians undergoing AVR. The Regione Emilia Romagna Cardiac Surgery registry (RERIC) database (n = 2 6938) was queried for clinical features, hospital mid-term AVR between 2003 2009. Predictors mortality were identified. study population consisted 638 patients. NYHA class III–IV, congestive heart...
The number of older patients being referred for aortic valve replacement with or without combined coronary bypass grafting (CABG) is increasing. aim this study was to evaluate operative risk factors, early and long-term results isolated CABG in octogenarians nonagenarians. In the last 10 years, 285 very elderly who underwent either alone combination artery grafts were retrospectively studied. population divided into two groups; performed 188 (group A) 97 had surgery B). overall hospital...
We report our experience with the Levitronix CentriMag (Levitronix LLC, Waltham, MA) in setting of venoarterial extracorporeal membrane oxygenation (ECMO) system support as treatment for postcardiotomy cardiogenic shock. Between January 2007 and August 2011, 14 consecutive adult patients received ECMO after cardiac surgery procedures at institution. There were nine males (64.3%) mean age was 53.1 ± 14.3 years (range: 25-70 years). Cardiac included: n = 6, aortic and/or mitral valve...
Postoperative pain control still represents a major challenge in every surgical field. Bupivacaine wound infiltration is frequently used to reduce the related incision itself. In this randomized study, we investigated efficacy of bupivacaine local anesthesia after median sternotomy postoperative pain. Forty-seven patients undergoing cardiac surgery procedures were allocated randomly group A (bupivacaine 0.5%; 10 mL, followed by continuous infusion: mg/24 H) or C (controls). Extubation time,...
The authors report a case of renal cell carcinoma metastasis to the pancreas occurring 25 years after nephrectomy. need for prolonged follow-up patients is emphasized. surgical approach Is considered best way deal with such late metastases.
The Bentall-DeBono operation is the technique of choice for aortic root replacement. As more patients do not accept or have contraindications to lifelong anticoagulation, biological Bentall a good option these patients, even though complex reoperations would then be required bioprosthesis degeneration. We studied modified simplify in undergoing procedure. A bioprosthetic valved conduit was obtained creating two separate sewing rings at different levels vascular graft. One ring used sew on...
Background Long‐chain polyunsaturated omega‐3 fatty acids (n‐3 PUFA ) demonstrated antiarrhythmic potential in experimental studies. In a large multinational randomized trial ( OPERA ), perioperative fish oil supplementation did not reduce the risk of postoperative atrial fibrillation PoAF cardiac surgery patients. However, whether presupplementation habitual plasma phospholipid n‐3 , or achieved change level postsupplementation are associated with lower is unknown. Methods and Results 564...
An histological comparison was made between left internal mammary arteries (LIMAs) harvested and prepared with different techniques prior to coronary artery bypass grafting. The mobilization of LIMA as follows: conventional technique (group I), extra pleural takedown lysis the endothoracic fascia II), skeletonization III). Each group divided into two other sub-groups according graft preparation: papaverine-saline Solution sprayed on pedicle (sub-group A) intraluminal hydrostatic dilatation B).
Abstract Background and aim: A debate over alternative therapeutic strategies for multivessel coronary disease is currently ongoing. We aimed at analyzing the results of myocardial revascularization with arterial conduits. Methods: retrospectively reviewed 10,752 patients undergoing isolated bypass surgery within our hospital's group. Average follow-up was 37.2 months. Through propensity-matching, we generated three groups (3584 each) on basis strategy: use one mammary artery plus venous...
We evaluated the effectiveness of a new oxygenator-integrated device for removing lipid particles and leukocytes from shed mediastinal blood in 20 patients undergoing elective cardiac surgery under cardiopulmonary bypass. Another without served as controls. After filtration with RemoveLL device, particles, leukocytes, fats were significantly reduced compared to preoperative levels. In control group, at end bypass increased Leukocyte counts lower who had group. Platelets hematocrit changes...
As the population ages, an increasing number of patients with patent coronary grafts will require subsequent aortic valve replacement. Major operative problems include those associated re-entry and, in particular, damage grafts. Between January 2007 and October 2008, 10 who had previous bypass surgery underwent replacement through upper j-shaped mini re-sternotomy. In all were patent. The operation was performed normothermic cardiopulmonary without dissection temporary closure arterial...
In the last years population of patients referred for coronary surgery has changed toward a high-risk profile. selected cases minimally invasive approach could be good option to reduce mortality and morbidity. Between September 2005 2007, twenty-one consecutive underwent bypass using J-shaped inferior mini-sternotomy approach. All had EuroSCORE higher than 6. The operative was 0%. Conversion on-pump not necessary. mean operation time 89+/-18 min, ventilation 2.4+/-2.2 h, intensive care unit...