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290 results on '"DI TOMMASO, Luigi"'

3. Challenge of concomitant thymoma resection and myocardial revascularization: A Case Report.

Author

Leonardi, Beatrice, Natale, Giovanni, Vicario, Giuseppe, Grande, Mario, Fiorelli, Alfonso, Di Tommaso, Luigi, Speranza, Vincenzo, Torella, Daniele, De Feo, Marisa, and Torella, Michele

Subjects
CHEST pain, THYMOMA, SPIRAL computed tomography, MYOCARDIAL revascularization, MEDIASTINAL tumors, CORONARY artery bypass, ADENOMA, PERCUTANEOUS coronary intervention, OBSTRUCTIVE lung diseases, DYSPNEA, DRUG-eluting stents
Abstract

Myocardial revascularization in patients presenting with an anterior mediastinal mass poses considerable challenges. In this report, we outline two cases involving patients with anterior mediastinal masses who underwent surgical resection alongside concurrent myocardial revascularization. One patient underwent coronary artery bypass graft surgery, while the other was treated by percutaneous coronary intervention with drug‐eluting stent placement. Both patients fully recovered from the relative procedures and were discharged within two weeks post‐surgery, ultimately diagnosed with thymoma. The concomitant intervention offered the advantage of promptly addressing both conditions, and it was performed safely through a collaborative multidisciplinary effort. [ABSTRACT FROM AUTHOR]

Published
2024
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23. Endovascular Surgery of Descending Thoracic Aorta Involved in T4 Lung Tumor.

Author

Di Tommaso, Luigi, Di Tommaso, Ettorino, Giordano, Raffaele, Mileo, Emilio, Santini, Mario, Pilato, Emanuele, and Iannelli, Gabriele

Abstract

Purpose: Surgical treatment of primary lung T4 tumors is controversial especially when the cancer invades the mediastinal structures or the descending thoracic aorta. Conventional surgical treatment is associated with a high perioperative mortality and morbidity rate. Thoracic EndoVascular Aortic Repair has emerged as a valid off-label alternative to conventional surgery. We aimed to assess perioperative and midterm aortic-related outcome of patients who have undergone aortic stent-graft implantation, followed by en bloc surgical treatment of the involved aorta and lung cancer resection. Materials and Methods: From July 2017 to May 2020, we treated 5 patients diagnosed with a T4 lung cancer by the involvement of the descending thoracic aorta. When only the descending thoracic aorta is involved, a 2-stage procedure was considered, with aortic stent-graft implantation performed before tumor resection. One-stage strategy, with stent-graft implantation carried out before thoracotomy, was preferred for patients with the involvement of cardiac and/or other vascular mediastinal structures. Results: The mean age was 58.4 ± 6.2 years. All patients were affected by non–small cell lung cancer. All 5 patients required a single stent-graft to completely cover the involved segment of aorta. Four patients underwent a 2-stage procedure. One patient, with the involvement of the left inferior pulmonary vein, required a 1-stage en bloc resection of the left lower lobe, aortic wall adventitia, left inferior pulmonary vein, and reconstruction of the left atrial wall. Primary procedural success was achieved in all. At follow-up, no patient developed aortic-related complications. One patient died 2 years after surgery, due to local recurrence of the tumor. Conclusion: T4 lung resection combined with aortic stent-graft implantation can be safely performed. Endovascular surgery, by avoiding the use of cardiopulmonary bypass, aortic cross-clamping, and graft replacement, can reduce significant morbidity and mortality rate. Postoperative and long-term outcome of these patients treated with endovascular surgery is mainly related to pulmonary disease, not to aortic treatment. [ABSTRACT FROM AUTHOR]

Published
2023
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25. Reply to the Editor

Author

Mannacio, Vito, Meier, Pascal, Antignano, Anita, Di Tommaso, Luigi, De Amicis, Vincenzo, and Vosa, Carlo

Published
2014
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29. Acute Aortic Syndromes

Author

Bossone, Eduardo, primary, Ranieri, Brigida, additional, Romano, Luigia, additional, Russo, Valentina, additional, Barbuto, Luigi, additional, Cocchia, Rosangela, additional, Pezzullo, Filomena, additional, Amato, Chiara, additional, Vriz, Olga, additional, Di Tommaso, Luigi, additional, Iannelli, Gabriele, additional, and Czerny, Martin, additional

Published
2020
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49. Accuracy of a 3-Dimensionally Printed Navigational Template for Localizing Small Pulmonary Nodules:A Noninferiority Randomized Clinical Trial

Author

Zhang, Lei, Wang, Long, Kadeer, Xiermaimaiti, Zeyao, Li, Sun, Xiwen, Sun, Weiyan, She, Yunlang, Xie, Dong, Li, Mu, Zou, Liling, Rocco, Gaetano, Yang, Ping, Chen, Chang, Liu, Chia Chuan, Petersen, René H., Ng, Calvin Sze Hang, Parrish, Scott, Zhang, Yu Shrike, Giordano, Raffaele, Di Tommaso, Luigi, Zhang, Lei, Wang, Long, Kadeer, Xiermaimaiti, Zeyao, Li, Sun, Xiwen, Sun, Weiyan, She, Yunlang, Xie, Dong, Li, Mu, Zou, Liling, Rocco, Gaetano, Yang, Ping, Chen, Chang, Liu, Chia Chuan, Petersen, René H., Ng, Calvin Sze Hang, Parrish, Scott, Zhang, Yu Shrike, Giordano, Raffaele, and Di Tommaso, Luigi

Abstract

Importance: Localization of small lung nodules are challenging because of the difficulty of nodule recognition during video-assisted thoracoscopic surgery. Using 3-dimensional (3-D) printing technology, a navigational template was recently created to assist percutaneous lung nodule localization; however, the efficacy and safety of this template have not yet been evaluated. Objective: To assess the noninferiority of the efficacy and safety of a 3-D-printed navigational template guide for localizing small peripheral lung nodules. Design, Setting, and Participants: This noninferiority randomized clinical trial conducted between October 2016 and October 2017 at Shanghai Pulmonary Hospital, Shanghai, China, compared the safety and precision of lung nodule localization using a template-guided approach vs the conventional computed tomography (CT)-guided approach. In total, 213 surgical candidates with small peripheral lung nodules (<2 cm) were recruited to undergo either CT- or template-guided lung nodule localization. An intention-to-treat analysis was conducted. Interventions: Percutaneous lung nodule localization. Main Outcomes and Measures: The primary outcome was the accuracy of lung nodule localization (localizer deviation), and secondary outcomes were procedural duration, radiation dosage, and complication rate. Results: Of the 200 patients randomized at a ratio of 1:1 to the template- and CT-guided groups, most were women (147 vs 53), body mass index ranged from 15.4 to 37.3, the mean (SD) nodule size was 9.7 (2.9) mm, and the mean distance between the outer edge of target nodule and the pleura was 7.8 (range, 0.0-43.9) mm. In total, 190 patients underwent either CT- or template-guided lung nodule localization and subsequent surgery. Among these patients, localizer deviation did not significantly differ between the template- and CT-guided groups (mean [SD], 8.7 [6.9] vs 9.6 [5.8] mm; P =.36). The mean (SD) procedural durations were 7.4 (3.2) minutes for the t

Published
2019

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