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Your search keyword '"Polizzi, Vincenzo"' showing total 5 results
Start Over Author "Polizzi, Vincenzo" Publisher wiley-blackwell
5 results on '"Polizzi, Vincenzo"'

2. 3D mitral annulus echocardiography assessment in patients affected by degenerative mitral regurgitation who underwent mitral valve repair with flexible band.

Author

Pingitore A, Polizzi V, Cardillo I, Lio A, Ranocchi F, Pergolini A, and Musumeci F

Subjects
Humans, Mitral Valve diagnostic imaging, Mitral Valve surgery, Stroke Volume, Ventricular Function, Left, Echocardiography, Transesophageal methods, Mitral Valve Insufficiency diagnostic imaging, Mitral Valve Insufficiency surgery, Echocardiography, Three-Dimensional methods, Mitral Valve Annuloplasty methods
Abstract

Background: Degenerative mitral valve (MV) regurgitation (DMR) shows significative mitral annulus (MA) alterations; mitral valve repair (MVR) seeks to restore annular geometry and function, and the current use of flexible band seams to respect most annular mobility reducing parietal stress. Parameters of MV geometry obtained by 3D transesophageal echocardiography (3D-TTE) analysis are crucial for surgical planning and postoperative success. The aim of this study was to assess, by means of a dedicated software, the variations of MA geometry and function in patients affected by DMR compared to controls and after MVR with flexible band., Methods: We enrolled 32 patients (cases) with severe DMR who underwent MVR using flexible band; we compare this group with 20 controls. The TEE with 3D MV images acquisition was performed in both groups and then analyzed in postprocessing by using a dedicated software., Results: There were no anthropometrics differences between cases and controls, both presented normal left ventricular ejection fraction. DMR group showed a significant increase of annulus dimensional parameters (p = .001) and alteration of nonplanarity comparing to controls (p < .05). The annuloplasty with flexible band induces a considerable reduction of MV dimensions comparing to preoperative data and restores physiological mobility and nonplanarity. There were no statistical differences between postoperative DMR and controls data, except for nonplanarity parameters (p ~.05), maybe influenced by hemodynamic settings., Conclusions: MVR with annuloplasty using flexible band appears able to reinstate a more physiological anatomic conformation of the MA, without compromising its dynamic properties., (© 2022 Wiley Periodicals LLC.)

Published
2022
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3. Single access transfemoral transcatheter aortic valve implantation for challenging iliofemoral route.

Author

Russo M, Cammardella AG, Polizzi V, Ranocchi F, and Musumeci F

Subjects
Aged, 80 and over, Aortic Valve surgery, Femoral Artery surgery, Humans, Risk Factors, Treatment Outcome, Aortic Valve Stenosis surgery, Transcatheter Aortic Valve Replacement methods
Abstract

Background: Optimal access for transcatheter aortic valve implantation is still a matter of debate. A tailored approach for patient anatomy is mandatory to reduce vascular complications and improve outcomes., Aims: To optimize surgical technique in challenge scenario., Material and Methods: Here, we present a case of transfemoral transcatheter aortic valve replacement performed using single arterial access., Results: A 92 years old patients affected by severe aortic stenosis showed no secondary arterial access. A single access approach was performed using the aortic valve calcification and the inferior margin of the second rib as lankdmarks for valve implantation., Discussion and Conclusions: Alternative options for TAVR are mandatory to deal with complex cases. The described technique is a simple and reproducible approach., (© 2022 Wiley Periodicals LLC.)

Published
2022
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4. Fast myocardial recovery ensured by the combined use of V-A ECMO and IMPELLA CP in cardiogenic shock related to a pheochromocytoma crisis.

Author

Montalto A, Nicolò F, Polizzi V, Comisso M, and Musumeci F

Subjects
Adult, Female, Humans, Shock, Cardiogenic etiology, Shock, Cardiogenic therapy, Adrenal Gland Neoplasms complications, Adrenal Gland Neoplasms therapy, Extracorporeal Membrane Oxygenation, Heart-Assist Devices, Pheochromocytoma complications
Abstract

Background: Pheochromocytoma is a rare catecholamine-secreting tumor derived from chromaffin cells in the adrenal glands. An excessive stimulation of cardiac myocytes, when pheochromocytoma 'crisis' occurs, lead to myocardial damage with cardiogenic shock., Aim of the Study: We present the case of a A 28-year old female patient admitted with signs of severe cardiogenic shock. She was successfully supported with extracorporeal membrane oxygenation (ECMO) combined with IMPELLA CP heart pump (Abiomed Danvers, MA), for left ventricular unloading. Mechanical circulatory support (MCS) was used to favour myocardial recovery and avoid cardiac remodeling., Results: A very fast recovery was observed. The ECMO was discontinued after four days. The IMPELLA-CP was safely removed after six days. A completely myocardial recovery was observed., Conclusions: Use of MCS might find an indication in case of PCC as a bridge to myocardial recovery., (© 2020 Wiley Periodicals LLC.)

Published
2020
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5. Thrombotic aortic restenosis after transapical SAPIEN valve implantation.

Author

Pergolini A, Pino PG, Zampi G, Polizzi V, and Musumeci F

Subjects
Aged, 80 and over, Anticoagulants administration & dosage, Aortic Valve Stenosis diagnostic imaging, Aspirin administration & dosage, Clopidogrel, Echocardiography, Transesophageal, Heparin administration & dosage, Humans, Male, Recurrence, Thrombosis diagnostic imaging, Ticlopidine administration & dosage, Ticlopidine analogs & derivatives, Treatment Outcome, Aortic Valve Stenosis etiology, Aortic Valve Stenosis surgery, Bioprosthesis adverse effects, Heart Valve Prosthesis adverse effects, Heart Valve Prosthesis Implantation adverse effects, Heart Valve Prosthesis Implantation methods, Prosthesis Failure, Thrombosis drug therapy, Thrombosis etiology
Abstract

We describe a patient previously implanted with a SAPIEN Edwards valve by the transapical approach, who subsequently experienced a valve thrombosis. The literature on this subject is reviewed., (© 2013 Wiley Periodicals, Inc.)

Published
2014
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