Search

Your search keyword '"Giuseppe Iaci"' showing total 3 results
Start Over Author "Giuseppe Iaci" Language english
3 results on '"Giuseppe Iaci"'

1. Surgical Techniques for Tricuspid Valve Disease

Author

Igor Belluschi, Benedetto Del Forno, Elisabetta Lapenna, Teodora Nisi, Giuseppe Iaci, David Ferrara, Alessandro Castiglioni, Ottavio Alfieri, and Michele De Bonis

Subjects
tricuspid, valve, surgery, techniques, disease, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Tricuspid valve disease affects millions of patients worldwide. It has always been considered less relevant than the left-side valves of the heart, but this “forgotten valve” still represents a great challenge for the cardiac surgeons, especially in the most difficult symptomatic scenarios. In this review we analyze the wide spectrum of surgical techniques for the treatment of a diseased tricuspid valve.

Published
2018
Full Text
View/download PDF

2. Validation of a decision-making strategy for systolic anterior motion following mitral valve repair

Author

Elena Bignami, Davide Nicolotti, Ottavio Alfieri, Fabio Guarracino, Giuseppe Iaci, Alberto Zangrillo, Giovanni Landoni, Giuseppe Crescenzi, Landoni, Giovanni, Crescenzi, G, Zangrillo, Alberto, Nicolotti, D, Bignami, E, Iaci, G, Alfieri, Ottavio, and Guarracino, F.

Subjects
Male, lcsh:Diseases of the circulatory (Cardiovascular) system, medicine.medical_treatment, systolic anterior motion, Plasma Substitutes, Propanolamines, Hypothermia, Induced, Mitral valve, Intravascular volume status, Medicine, Heart Valve Prosthesis Implantation, Cardiopulmonary Bypass, mitral repair, Mitral Valve Insufficiency, Heart, General Medicine, Middle Aged, Esmolol, Cardiac surgery, medicine.anatomical_structure, Cardiac anesthesia, Heart Valve Prosthesis, Cardiology, Heart Arrest, Induced, Mitral Valve, Female, Cardiology and Cardiovascular Medicine, cardiac surgery, medicine.drug, Adult, Reoperation, medicine.medical_specialty, Systole, Adrenergic beta-Antagonists, esmolol, Perioperative Care, lcsh:RD78.3-87.3, Afterload, Internal medicine, medicine.artery, Monitoring, Intraoperative, Ascending aorta, Humans, Minimally Invasive Surgical Procedures, Aged, Mitral valve repair, business.industry, Reproducibility of Results, Sternotomy, Surgery, Anesthesiology and Pain Medicine, lcsh:Anesthesiology, lcsh:RC666-701, business, Echocardiography, Transesophageal
Abstract

"Low cardiac output syndrome and hypotension are dreadful consequences of systolic anterior motion (SAM) after a mitral valve (MV) repair. The management of SAM in the operating room remains controversial. We validate a recently suggested two-step management method and classification of this complication. This was a teaching hospital-based observational study. We validated a novel two-step conservative management method, consisting in intravascular volume expansion and discontinuation of inotropic drugs (step 1), and increasing the afterload by ascending aorta manual compression while administering esmolol e.v. (step 2). We also validate a novel classification of SAM: easy-to-revert (responding to step 1), difficult-to-revert (responding to step 2), or persistent. Fifty patients had an easy-to-revert while 26 had a difficult-to-revert SAM; 4 patients had a persistent condition (promptly diagnosed through our decisional algorithm) and underwent an immediate second pump run to repeat the mitral repair surgery. We confirmed that SAM after a repair of a degenerative MV is common and validated a simple two-step conservative management method that allows to clearly identify those few patients who require immediate surgical revision."

Published
2011

3. Validation of a decision-making strategy for systolic anterior motion following mitral valve repair.

Author

Giovanni, Landoni, Giuseppe, Crescenzi, Alberto, Zangrillo, Davide, Nicolotti, Elena, Bignami, Giuseppe, Iaci, Ottavio, Alfieri, and Fabio, Guarracino

Subjects
ANESTHESIA in cardiology, CARDIAC surgery, MITRAL valve surgery, CARDIAC output, HYPOTENSION
Abstract

Low cardiac output syndrome and hypotension are dreadful consequences of systolic anterior motion (SAM) after a mitral valve (MV) repair. The management of SAM in the operating room remains controversial. We validate a recently suggested two-step management method and classification of this complication. This was a teaching hospital-based observational study. We validated a novel two-step conservative management method, consisting in intravascular volume expansion and discontinuation of inotropic drugs (step 1), and increasing the afterload by ascending aorta manual compression while administering esmolol e.v. (step 2). We also validate a novel classification of SAM: easy-to-revert (responding to step 1), difficult-to-revert (responding to step 2), or persistent. Fifty patients had an easy-to-revert while 26 had a difficult-to-revert SAM; 4 patients had a persistent condition (promptly diagnosed through our decisional algorithm) and underwent an immediate second pump run to repeat the mitral repair surgery. We confirmed that SAM after a repair of a degenerative MV is common and validated a simple two-step conservative management method that allows to clearly identify those few patients who require immediate surgical revision. [ABSTRACT FROM AUTHOR]

Published
2011
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results