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Your search keyword '"Barberio, Giuseppe"' showing total 2 results
Start Over "Barberio, Giuseppe" Topic aortic aneurysm Publication Year Range Last 10 years
2 results on '"Barberio, Giuseppe"'

1. Biological versus mechanical Bentall procedure for aortic root replacement: a propensity score analysis of a consecutive series of 1112 patients.

Author

Pantaleo, Antonio, Murana, Giacomo, Di Marco, Luca, Jafrancesco, Giuliano, Barberio, Giuseppe, Berretta, Paolo, Leone, Alessandro, Di Bartolomeo, Roberto, and Pacini, Davide

Subjects
AORTIC valve transplantation, PROSTHETIC heart valves, AORTA surgery, PROPENSITY score matching, HEART disease related mortality, AORTIC aneurysms
Abstract

OBJECTIVES: In this study, a propensity-matching analysis was used to compare biological versus mechanical composite valve graft implantation for early mortality and morbidities and for late complications including the need for aortic reintervention. METHODS: Between 1978 and 2011, 1112 consecutive patients underwent a complete aortic root replacement using either a biological Bentall (BB, n = 356) or a mechanical Bentall (MB, n = 756) valve conduit. Preoperative data were stratified according to the type of valve graft, and treatment bias was addressed by propensity score analysis. RESULTS: Two homogeneous groups of 138 patients were obtained. Hospital mortality between them was comparable (MB = 7.2% and BB = 5.8%, P = 0.6). They also had similar results after a mean follow-up time of 40 ± 38 months. Propensity-adjusted Cox-regression analysis showed no relationship between the type of prosthesis and all-cause mortality at follow-up (hazards ratio: 0.88; 95% confidence interval: 0.50--2.14; P = 0.4). Freedom from proximal aortic reintervention at 1, 5 and 7 years was 99.1 ± 0.9% in the MB group compared with 98.4 ± 1.1%, 93.0 ± 3.2% and 93.0 ± 3.2% in the BB group (long-rank P = 0.07). CONCLUSIONS: The Bentall procedure is a safe and reproducible treatment for ascending aorta pathologies. The choice of either a mechanical or a biological valve graft seems to have no influence on early and late midterm adverse outcomes including need for aortic reinterventions. [ABSTRACT FROM AUTHOR]

Published
2017
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2. Long-Term Outcomes of Open Arch Repair After a Prior Aortic Operation: Our Experience in 154 Patients

Author

Paolo Berretta, Jacopo Alfonsi, Luca Di Marco, Alessandro Leone, Roberto Di Bartolomeo, Antonio Pantaleo, Mariano Cefarelli, Giacomo Murana, Giuseppe Barberio, Davide Pacini, Di Bartolomeo, Roberto, Berretta, Paolo, Pantaleo, Antonio, Murana, Giacomo, Cefarelli, Mariano, Alfonsi, Jacopo, Barberio, Giuseppe, Leone, Alessandro, Di Marco, Luca, and Pacini, Davide

Subjects
Adult, Male, Reoperation, Aortic arch, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Elephant trunks, Aorta, Thoracic, 030204 cardiovascular system & hematology, Blood Vessel Prosthesis Implantation, 03 medical and health sciences, Aortic aneurysm, Postoperative Complications, 0302 clinical medicine, Aneurysm, Hypothermia, Induced, Risk Factors, medicine.artery, Internal medicine, medicine, Humans, Hospital Mortality, Aorta, Aged, Aortic Aneurysm, Thoracic, business.industry, Brain, Odds ratio, Middle Aged, medicine.disease, Surgery, Oxygen, Aortic Dissection, Standardized mortality ratio, Italy, 030228 respiratory system, Cardiothoracic surgery, Cardiology, cardiovascular system, Female, business, Cardiology and Cardiovascular Medicine, Blood Flow Velocity, Follow-Up Studies
Abstract

Background This study assessed the early and long-term results of arch operations performed after a prior aortic operation. Methods From 1994 to 2014, 154 consecutive patients (mean age, 59.7 years) underwent an aortic arch repair, after a previous aortic operation, at our institution. Antegrade selective cerebral perfusion was used in all cases. Chronic postdissection aortic aneurysm (87 [56.5%]) and degenerative aneurysm (43 [27.9%]) represented the most common indications for surgical intervention. A complete arch replacement was performed in 119 patients (77.3%), an associated root repair in 70 (45.5%), and the frozen elephant trunk technique was used in 55 (35.7%). Results Hospital mortality was 11.7% (n = 18). Postoperative permanent neurologic dysfunction occurred in 10 patients (6.4%). On multivariate analysis, cardiopulmonary bypass time (odds ratio, 1.02 per minute; p = 0.005) emerged as the only independent predictor of hospital death. Follow-up was 100% complete. The estimated survival at 1, 5, and 10 years was 79.6%, 69.9%, and 46.8%, respectively. Freedom from reoperation was 75.6% at 5 years and 54.6% at 10 years. Cox regression identified chronic postdissection aortic aneurysm (odds ratio, 4.2; p = 0.006) to be the only independent predictor of aortic reintervention. Late survival was comparable between degenerative aneurysm patients and the Italian population matched for age and sex (standardized mortality ratio, 1.9; p = 0.1). Longevity was reduced in patients operated on for chronic postdissection aortic aneurysm (standardized mortality ratio, 6.3; p Conclusions Arch operations after a previous open aortic repair can be performed with acceptable mortality and good long-term outcomes. Complete aortic resection did not increase hospital deaths and was associated with a low need for aortic reinterventions at follow-up.

Published
2017

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