22 results on '"Malvindi, P. G."'
Search Results
2. Transcatheter aortic valve replacement with self-expandable ACURATE neo as compared to balloon-expandable SAPIEN 3 in patients with severe aortic stenosis: Meta-analysis of randomized and propensity-matched studies (J. Clin. Med., (2020) 9, 10.3390/jcm9020397)
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Gozdek, M., Zielinski, K., Pasierski, M., Matteucci, M., Fina, D., Jiritano, F., Meani, P., Raffa, G. M., Malvindi, P. G., Pilato, M., Paparella, D., Slomka, A., Kubica, J., Jagielak, D., Lorusso, R., Suwalski, P., and Kowalewski, M.
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- 2020
3. Surgical treatment of transcatheter aortic valve infective endocarditis
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Malvindi, P. G., primary, Luthra, S., additional, Sarvananthan, S., additional, Zingale, A., additional, Olevano, C., additional, and Ohri, S., additional
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- 2020
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4. Calcification of Gore-Tex Neochord After Mitral Repair: Electron Microscopy.
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Luthra, Suvitesh, Eissa, Ahmed, Malvindi, Pietro G., and Tsang, Geoffrey M.
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A 76-year-old woman presented with severe mitral valve regurgitation 6 years after mitral valve repair with Gore-Tex (expanded polytetrafluoroethylene, W.L. Gore & Associates Inc) neochords and ring annuloplasty. Echocardiography revealed a ruptured neochord. During successful mitral valve replacement, the explanted Gore-Tex neochords were found to be stiff and calcified, with a fracture. Electron microscopy was used to examine the explant and a control neochord. There was disruption of the microstructure with extensive calcium infiltration at the fracture point. Although this is a rare cause of late repair failure, it warrants yearly follow-up with echocardiography. [ABSTRACT FROM AUTHOR]
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- 2022
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5. Survival benefit from a second arterial conduit to the circumflex circulation persists in elderly after coronary artery bypass surgery
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Luthra, Suvitesh, Leiva-Juárez, Miguel M, Malvindi, Pietro G, Billing, John S, and Ohri, Sunil K
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Background This retrospective propensity matched study investigated the impact of age on the survival benefit from a second arterial conduit to the left-sided circulation.Methods Data for isolated coronary artery bypass surgery were collected from October 2004 to March 2014. All patients with an internal mammary artery graft to left anterior descending artery and additional arterial or venous graft to the circumflex circulation were included. Propensity matching was used to balance co-variates and generate odds of death for each observation. Odds ratios (venous vs. arterial) were charted against age.Results The in-hospital mortality rate was 1.12% (arterial) vs. 1.24% (venous) (p = 0.77). The overall 10-year survival was 74.6% (venous) vs. 82.6% (arterial) (p = 0.001). A total of 1226 patients were successfully matched to the venous or arterial (second conduit to circumflex territory after left internal mammary artery to left anterior descending artery) cohorts. Odds ratio for death (venous to arterial) showed a linear decremental overall survival benefit for the second arterial graft to circumflex circulation with increasing age.Conclusions The survival benefit of a second arterial graft persists through all age groups with a gradual decline with increasing age over the decades. Elderly patients should not be denied a second arterial graft to the circumflex circulation based on age criterion alone.
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- 2021
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6. 293 * EARLY AND LATE OUTCOME AFTER SURGERY FOR ACUTE TYPE A AORTIC DISSECTION IN THE ELDERLY
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Malvindi, P. G., primary, Modi, A., additional, Miskolczi, S., additional, Ohri, S. K., additional, Barlow, C. W., additional, Livesey, S., additional, Tsang, G. M., additional, and Velissaris, T., additional
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- 2014
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7. Bicuspidy does not affect reoperation risk following aortic valve reimplantation
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Malvindi, P. G., primary, Raffa, G. M., additional, Basciu, A., additional, Citterio, E., additional, Cappai, A., additional, Ornaghi, D., additional, Tarelli, G., additional, and Settepani, F., additional
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- 2012
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8. Left ventricle unloading by percutaneous pigtail during extracorporeal membrane oxygenation
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Barbone, A., primary, Malvindi, P. G., additional, Ferrara, P., additional, and Tarelli, G., additional
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- 2011
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9. Is unilateral antegrade cerebral perfusion equivalent to bilateral cerebral perfusion for patients undergoing aortic arch surgery?
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Malvindi, P. G., primary, Scrascia, G., additional, and Vitale, N., additional
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- 2008
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10. For which patients with left main stem disease is percutaneous intervention rather than coronary artery bypass grafting the better option?
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Malvindi, P. G., primary, Dunning, J., additional, and Vitale, N., additional
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- 2007
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11. What is the patency of the gastroepiploic artery when used for coronary artery bypass grafting?
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Malvindi, P. G., primary, Jacob, S., additional, Kallikourdis, A., additional, and Vitale, N., additional
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- 2007
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12. Reoperation After Acute Type A Aortic Dissection Repair: A Series of 104 Patients.
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Malvindi, Pietro G., van Putte, Bart P., Sonker, Uday, Heijmen, Robin H., Schepens, Marc A.A.M., and Morshuis, Wim J.
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CARDIAC surgery ,AORTIC dissection ,REOPERATION ,CORONARY arteries ,AORTIC valve insufficiency ,FOLLOW-up studies (Medicine) ,HOSPITAL mortality ,TRANSPLANTATION of organs, tissues, etc. - Abstract
Background: Our objective was to analyze the causes, timing, and results of reoperation after primary repair for acute type A dissection. Methods: One hundred and four consecutive patients underwent a reoperation after previous type A aortic dissection repair (1972 to 2008). Supracoronary ascending aorta replacement (SCAR) was commonly performed during primary repair and it was associated with aortic root replacement in 13 cases and with hemiarch replacement in 26 patients. Progression of aortic dilatation was seen in 91 patients (87%), aortic regurgitation in 21 (20%), and false aneurysm in 15 patients (14%). A redo Bentall procedure was performed in 34 cases, arch replacement in 42 patients, and thoracoabdominal aorta replacement in 20 patients. The median follow-up was 6.5 years (range 0.3 to 23.8 years). Results: The in-hospital mortality after redo surgery was 7.7%. The global survival rate at 1, 5, and 10 years was 92%, 82%, and 58%, respectively. Proximal reoperations were more frequent in patients who had SCAR and flap extension into the aortic root. Patients with an unresected intimal tear and distal extension of dissection flap experienced a higher rate of aortic arch and thoracoabdominal aorta redo procedures. Conclusions: More extensive acute dissection repair results in a lower rate of reoperation. Mortality for redo surgery after type A acute dissection repair is acceptable. This finding should be taken into account in proposing a widespread of more complex and extensive surgery for type A acute dissection. [ABSTRACT FROM AUTHOR]
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- 2013
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13. Aortic Reoperation After Freestanding Homograft and Pulmonary Autograft Root Replacement.
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Malvindi, Pietro G., van Putte, Bart P., Leone, Alessandro, Heijmen, Robin H., Schepens, Marc A.A.M., and Morshuis, Wim J.
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AORTIC valve transplantation ,HOMOGRAFTS ,AUTOGRAFTS ,REOPERATION ,AORTIC valve insufficiency ,MORTALITY ,POSTOPERATIVE period - Abstract
Background: Human allografts and pulmonary autografts offer many advantages as an aortic valve and root substitute. The progressive degeneration of the aortic allograft and the pulmonary autograft has been seen as an important disadvantage, and the need for a reoperation has been perceived as challenging and risky for the patients. Methods: Between March 1992 and October 2009, 53 consecutive patients (mean age 50 ± 13 years; 38 male), who had a previous aortic root replacement, underwent redo surgery for failure of the aortic homograft (n = 42) or the pulmonary autograft (n = 11). The median follow-up (available for 47 of 51 patients) was 44 months. Results: Structural valve deterioration was the main indication for reoperation on the homograft (86%), with an earlier presentation in patients who received homografts from donors more than 55 years old. Failure of the pulmonary autograft occurred primarily because of severe aortic regurgitation predominantly due to dilation of the autograft (n = 5) and autograft valve prolapse (n = 5). The total in-hospital mortality was 3.8% (n = 2). No deaths occurred among patients who previously underwent a Ross procedure. The course was complicated in 25 cases (48%). The cumulative 1-year, 5-year, and 8-year survival rates were 92%, 90%, and 77%, respectively. No late deaths were encountered after reoperation on the pulmonary autograft (maximum follow-up 218 months). Freedom from reoperation (excluding early in-hospital operation) for recurrent aortic valve or root pathology was 97% at 8 years. Conclusions: Reoperation after freestanding homograft and pulmonary autograft root replacement can be accomplished safely. The total postoperative morbidity rate is still high. [ABSTRACT FROM AUTHOR]
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- 2011
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14. Reoperations for Aortic False Aneurysms After Cardiac Surgery.
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Malvindi, Pietro G., van Putte, Bart P., Heijmen, Robin H., Schepens, Marc A.A.M., and Morshuis, Wim J.
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REOPERATION ,THORACIC aneurysms ,COMPLICATIONS of cardiac surgery ,AORTIC dissection ,OPERATIVE surgery ,HEALTH outcome assessment ,RETROSPECTIVE studies - Abstract
Background: Aortic false aneurysm is a rare complication after cardiac surgery. Aortic dissection, infection, arterial wall degeneration, and poor surgical technique are recognized as risk factors for the occurrence of postsurgical false aneurysm. Despite some recent reports about percutaneous false aneurysm exclusion, a complex surgical reoperation is needed in most of the cases. Methods: We retrospectively reviewed our experience in 43 patients who received a reoperation for postsurgical aortic false aneurysm in the last 14 years. Thirty-three patients were male. The mean age was 60 ± 12 years. Most of the patients received prior aortic surgery on the aortic root, the ascending aorta, the aortic arch, and the descending thoracic aorta (38 patients). False aneurysm was diagnosed during follow-up evaluation in the absence of any symptoms in 23 cases. Univariate and multivariate analyses on 18 perioperative variables were performed. Results: In-hospital mortality was 6.9% (3 patients). The postoperative course was complicated in 17 cases (39%). At multivariate analysis, a preoperative history of coronary artery disease and postoperative sepsis were independent risk factors for hospital mortality. Survival rates at 1, 5, and 10 years were 94%, 79%, and 68%, respectively. Freedom from reoperation was 86% at 1 year and 72% at 5 and 10 years. Conclusions: Despite a high postoperative complication rate, a reoperation for postsurgical aortic false aneurysm can be performed with acceptable mortality and good mid-term and long-term outcomes. [ABSTRACT FROM AUTHOR]
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- 2010
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15. Reoperations on the Aortic Root: Experience in 46 Patients.
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Malvindi, Pietro G., van Putte, Bart P., Heijmen, Robin H., Schepens, Marc A.A.M., and Morshuis, Wim J.
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CARDIAC surgery ,REOPERATION ,MYOCARDIAL infarction-related mortality ,HEALTH outcome assessment ,POSTOPERATIVE period ,SURGICAL complications ,MULTIVARIATE analysis - Abstract
Background: The increasing use of biologic conduits and the advances in reparative aortic root procedures has increased the number of patients who may require reoperation on the aortic root. Although the primary operation yields excellent results with a low risk for morbidity and mortality, reoperation on the aortic root is still challenging. Methods: We reviewed retrospectively our experience in 46 patients (38 men; mean age, 57 ± 11 years) who underwent aortic root reoperations in the last 7 years. Of these, 42 had received prior aortic root replacement. The indications for reoperation included prosthesis infection in 16, false aneurysm in 16, and degenerative or postdissection aneurysm and valve prosthesis failure. Aortic root re-replacement was performed in 39 patients (85%) and closure of false aneurysm in 7. Univariate and multivariate analysis on 22 perioperative variables were performed. Results: In-hospital mortality was 6.5% (3 patients). The postoperative course was complicated in 19 (41%). At multivariate analysis, perioperative myocardial infarction was a risk factor for hospital mortality (2 patients). Survival was 88% at 1 year and 74% at 5 years. No differences were found in survival according to redo indication. Freedom from reoperation on the aortic root was 100% at 1 year and 90% at 5 years. Conclusions: Reoperation on the aortic root can be performed with acceptable mortality and good midterm and long-term outcome; however, the postoperative complication rate is still high. [Copyright &y& Elsevier]
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- 2010
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16. Reconsidered surgical aortic valve replacement after declined transcatheter valve implantation
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Luthra, Suvitesh, Leiva-Juarez, Miguel M, Malvindi, Pietro G, Navaratanaraja, Manoraj, Curzen, Nick, and Ohri, Sunil K
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Background Outcomes for high surgical risk patients who declined transcatheter aortic valve implantation (TAVI) and then reconsidered for conventional aortic valve replacement (rSAVR) for severe calcific aortic stenosis are not well known.Methods This single-centre, case–control study (rSAVR vs Conservative group) retrospectively analysed patients for rSAVR (2009–2019). Multivariable logistic regression was used to identify independent predictors of composite of neurological sequelae/renal failure/deep sternal wound infection/re-exploration and death. Survival was compared using Kaplan–Meier curves and log-rank test. A Cox proportional hazards model was used to determine predictors of survival.Results TAVI was denied in 519/1095 patients, 114(10.4%) had rSAVR (cases) and 405 (37%) were managed conservatively (controls). Mean age for rSAVR was 80 years (IQR: 73.5–85 years). The commonest reason for declining TAVI was prohibitive high risk due to multiple comorbidities. Among rSAVR, hospital mortality was 2.2% and stroke was 4.4%. Median follow-up was conservative; 14.4 months versus rSAVR; 34.8 months. Five-year survival was conservative; 12.6% versus rSAVR; and 59.5% (overall conservative; 38.0% vs. rSAVR; 60.5%, p< 0.001). rSAVR was protective (hazard ratio [HR]: 0.37, 95% confidence interval [CI]: 0.26, 0.51, p< 0.001) and high comorbidities had high hazard (HR: 1.57, 95% CI: 1.19, 2.07, p= 0.001). rSAVR had fewer hospital readmission episodes (Conservative; 13.6/patient-year vs. rSAVR; 6.9/patient-year, p= 0.002).Conclusions rSAVR may be considered in high surgical risk elderly patients who have been declined TAVI in centres with low operative mortality. rSAVR may be superior to conservative management in carefully selected patients.
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- 2022
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17. David operation: Single center 10-year experience
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Malvindi, P. G., Cappai, A., Basciu, A., Giuseppe Raffa, Barbone, A., Citterio, E., Ornaghi, D., Tarelli, G., and Settepani, F.
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Adult ,Male ,Reoperation ,Time Factors ,Aortic Valve Insufficiency ,Heart Valve Diseases ,Kaplan-Meier Estimate ,Prosthesis Design ,Disease-Free Survival ,Blood Vessel Prosthesis Implantation ,Postoperative Complications ,Bicuspid Aortic Valve Disease ,Risk Factors ,Humans ,Cardiac Surgical Procedures ,Aged ,Aged, 80 and over ,Middle Aged ,Aortic Aneurysm ,Blood Vessel Prosthesis ,Aortic Dissection ,Treatment Outcome ,Italy ,Aortic Valve ,Replantation ,Acute Disease ,Chronic Disease ,Female - Abstract
Aortic valve-sparing operation has been progressively widely performed for the treatment of aortic root aneurysm. Nowadays, this procedure has been proposed even in presence of a bicuspid aortic valve, severe aortic regurgitation or in primary aortic dissection repair. We present our ten-year experience focusing on mid-term echocardiographic follow-up.Between June 2002 and February 2012, 139 patients (mean age of 61±12 years) underwent aortic valve-sparing operation with valve reimplantation. Twenty-seven patients (19%) had bicuspid aortic valve; in eighteen cases (13%) cusp motion or anatomical abnormalities concurred in determining aortic regurgitation and needed an adjunct cusp repair. A Gelweave Valsalva™ graft was implanted in all the patients.The mortality pre-discharge was 0.7% (1 patient). The cumulative 1-year, 5-years and 8-years survival rates were 99%, 93% and 87% respectively. Postoperative aortic regurgitation more than mild degree (2+/4+) was the only significant risk factors for redo aortic valve surgery Freedom from reoperation due to aortic valve regurgitation was 96% at 1 year, 90% at 5 years and 86% at 8 years. When comparing freedom from reoperation in patients with bicuspid vs tricuspid aortic valve, no differences were found (P=0.31) and the rate of aortic valve reoperation was significantly higher (P0.001) in patients who received leaflet's repair.The durability of valve reimplantation was found to be excellent in patients with tricuspid aortic valve and normal or nearly normal cusps. Cusp prolapse and complication after cusp repair turned out to be the main causes for early failure.
18. Epicardial Pacing Wire Migration Into The Thoracic Aorta.
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Malvindi, Pietro G., Margari, Vito, Favale, Antonella, Kounakis, Georgios, Visicchio, Giuseppe, Paparella, Domenico, and Carbone, Carmine
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- 2018
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19. Penetrating Trauma of the Thoracic Aorta Caused by a Knitting Needle.
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Tamburrini, Alessandro, Rehman, Syed M., Votano, Daniela, Malvindi, Pietro G., Nordon, Ian, Allison, Robert, and Miskolczi, Szabolcs
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- 2017
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20. Surgery for Bentall endocarditis: short- and midterm outcomes from a multicentre registry
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Francesco Santini, Giovanni Troise, Ugolino Livi, Sandro Sponga, Michele Danilo Pierri, Antonio Salsano, Antonio Messina, Roberto Lorusso, Marco Picichè, Marco Di Eusanio, Daniele Maselli, Diego Cugola, Giuseppe Cagnoni, Uberto Bortolotti, Michele De Bonis, Michele Di Mauro, Domenico Paparella, Ruggero De Paulis, Cesare Beghi, Pietro Giorgio Malvindi, Guglielmo Mario Actis Dato, Carlo Antona, Giangiuseppe Cappabianca, Paolo Centofanti, Mauro Rinaldi, Davide Pacini, Carlo De Vincentiis, Samuel Mancuso, Alberto Pozzoli, Luca Weltert, Lorenzo Galletti, Alessandro Parolari, Loris Salvador, Giacomo Murana, CTC, MUMC+: MA Med Staf Spec CTC (9), RS: Carim - V04 Surgical intervention, Sponga S., Mauro M.D., Malvindi P.G., Paparella D., Murana G., Pacini D., Weltert L., De Paulis R., Cappabianca G., Beghi C., De Vincentiis C., Parolari A., Messina A., Troise G., Salsano A., Santini F., Pierri M.D., Eusanio M.D., Maselli D., Dato G.A., Centofanti P., Mancuso S., Rinaldi M., Cagnoni G., Antona C., Marco Piciche, Salvador L., Cugola D., Galletti L., Pozzoli A., De Bonis M., Lorusso R., Bortolotti U., Livia U., Sponga, S., Di Mauro, M., Malvindi, P. G., Paparella, D., Murana, G., Pacini, D., Weltert, L., De Paulis, R., Cappabianca, G., Beghi, C., De Vincentiis, C., Parolari, A., Messina, A., Troise, G., Salsano, A., Santini, F., Pierri, M. D., Di Eusanio, M., Maselli, D., Actis Dato, G., Centofanti, P., Mancuso, S., Rinaldi, M., Cagnoni, G., Antona, C., Piciche, M., Salvador, L., Cugola, D., Galletti, L., Pozzoli, A., De Bonis, M., Lorusso, R., Bortolotti, U., and Livi, U.
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Aortic valve ,Male ,Bentall procedure ,030204 cardiovascular system & hematology ,AORTIC ROOT REPLACEMENT ,0302 clinical medicine ,Mitral valve ,Aortic root ,Registries ,Heart Valve Prosthesis Implantation ,Endocarditis ,Hazard ratio ,General Medicine ,Middle Aged ,Mediastinitis ,medicine.anatomical_structure ,Treatment Outcome ,Heart Valve Prosthesis ,SURGICAL-TREATMENT ,Female ,Cardiology and Cardiovascular Medicine ,Aortic surgery ,Adult ,Aged ,Aortic Valve ,Humans ,Reoperation ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Preoperative care ,03 medical and health sciences ,medicine ,MANAGEMENT ,INFECTIVE ENDOCARDITIS ,TERM-FOLLOW-UP ,business.industry ,GRAFT ,Perioperative ,medicine.disease ,Surgery ,030228 respiratory system ,PROSTHETIC VALVE ENDOCARDITIS ,ASCENDING AORTA ,business - Abstract
OBJECTIVES Endocarditis after the Bentall procedure is a severe disease often complicated by a pseudoaneurysm or mediastinitis. Reoperation is challenging but conservative therapy is not effective. The aim of this study was to assess short- and midterm outcomes of patients reoperated on for Bentall-related endocarditis. METHODS Seventy-three patients with Bentall procedure-related endocarditis were recorded in the Italian registry. The mean age was 57 ± 14 years and 92% were men; preoperative comorbidities included hypertension (45%), diabetes (12%) and renal failure (11%). The logistic EuroSCORE was 25%; the EuroSCORE II was 8%. RESULTS Preoperatively, 12% of the patients were in septic shock; left ventricular-aortic discontinuity was present in 63% and mitral valve involvement occurred in 12%. The most common pathogens were Staphylococcus aureus (22%) and Streptococci (14%). Reoperations after a median interval of 30 months (1–221 months) included a repeat Bentall with a bioconduit (41%), a composite mechanical (33%) or biological valved conduit (19%) and a homograft (6%). In 1 patient, a heart transplant was required (1%); in 12%, a mitral valve procedure was needed. The hospital mortality rate was 15%. The postoperative course was complicated by renal failure (19%), major bleeding (14%), pulmonary failure (14%), sepsis (11%) and multiorgan failure (8%). At multivariate analysis, urgent surgery was a risk factor for early death [hazard ratio 20.5 (1.9–219)]. Survival at 5 and 8 years was 75 ± 6% and 71 ± 7%, with 3 cases of endocarditis relapse. CONCLUSIONS Surgery is effective in treating endocarditis following the Bentall procedure although it is associated with high perioperative mortality and morbidity rates. Endocarditis relapse seems to be uncommon.
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- 2020
21. David operation: single center 10-year experience.
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Malvindi PG, Cappai A, Basciu A, Raffa GM, Barbone A, Citterio E, Ornaghi D, Tarelli G, and Settepani F
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- Acute Disease, Adult, Aged, Aged, 80 and over, Aortic Dissection complications, Aortic Dissection diagnosis, Aortic Dissection mortality, Aortic Aneurysm complications, Aortic Aneurysm diagnosis, Aortic Aneurysm mortality, Aortic Valve Insufficiency diagnosis, Aortic Valve Insufficiency etiology, Aortic Valve Insufficiency mortality, Bicuspid Aortic Valve Disease, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation adverse effects, Blood Vessel Prosthesis Implantation instrumentation, Blood Vessel Prosthesis Implantation mortality, Cardiac Surgical Procedures adverse effects, Cardiac Surgical Procedures mortality, Chronic Disease, Disease-Free Survival, Female, Heart Valve Diseases complications, Heart Valve Diseases diagnosis, Heart Valve Diseases mortality, Humans, Italy, Kaplan-Meier Estimate, Male, Middle Aged, Postoperative Complications surgery, Prosthesis Design, Reoperation, Replantation, Risk Factors, Time Factors, Treatment Outcome, Aortic Dissection surgery, Aortic Aneurysm surgery, Aortic Valve abnormalities, Aortic Valve surgery, Aortic Valve Insufficiency surgery, Blood Vessel Prosthesis Implantation methods, Cardiac Surgical Procedures methods, Heart Valve Diseases surgery
- Abstract
Aim: Aortic valve-sparing operation has been progressively widely performed for the treatment of aortic root aneurysm. Nowadays, this procedure has been proposed even in presence of a bicuspid aortic valve, severe aortic regurgitation or in primary aortic dissection repair. We present our ten-year experience focusing on mid-term echocardiographic follow-up., Methods: Between June 2002 and February 2012, 139 patients (mean age of 61±12 years) underwent aortic valve-sparing operation with valve reimplantation. Twenty-seven patients (19%) had bicuspid aortic valve; in eighteen cases (13%) cusp motion or anatomical abnormalities concurred in determining aortic regurgitation and needed an adjunct cusp repair. A Gelweave Valsalva™ graft was implanted in all the patients., Results: The mortality pre-discharge was 0.7% (1 patient). The cumulative 1-year, 5-years and 8-years survival rates were 99%, 93% and 87% respectively. Postoperative aortic regurgitation more than mild degree (>2+/4+) was the only significant risk factors for redo aortic valve surgery Freedom from reoperation due to aortic valve regurgitation was 96% at 1 year, 90% at 5 years and 86% at 8 years. When comparing freedom from reoperation in patients with bicuspid vs tricuspid aortic valve, no differences were found (P=0.31) and the rate of aortic valve reoperation was significantly higher (P<0.001) in patients who received leaflet's repair., Conclusion: The durability of valve reimplantation was found to be excellent in patients with tricuspid aortic valve and normal or nearly normal cusps. Cusp prolapse and complication after cusp repair turned out to be the main causes for early failure.
- Published
- 2015
22. Combined cardiac surgery and total thyroidectomy: our experience and review of the literature.
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Testini M, Poli E, Lardo D, Lissidini G, Gurrado A, Scrascia G, Malvindi PG, Rubino G, Piccinni G, and de Luca Tupputi Schinosa L
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- Aged, Coronary Artery Disease complications, Critical Care, Female, Goiter complications, Heart Valve Diseases complications, Humans, Italy, Length of Stay, Male, Middle Aged, Risk Assessment, Time Factors, Treatment Outcome, Cardiac Surgical Procedures adverse effects, Coronary Artery Disease surgery, Goiter surgery, Heart Valve Diseases surgery, Thyroidectomy adverse effects
- Abstract
Background: The prevalence of thyroid disease in patients with cardiac disease can be as high as 11.2%. Combined thyroid and cardiovascular surgery has rarely been reported., Methods: Ten patients (6 female, 4 male, age range 51-73 years) had total thyroidectomy and cardiac surgery in the same procedure in our surgical department. Six patients had coronary artery disease; four patients had valvulopathy. The thyroid goiter was retrosternal in 6 patients., Results: Mean stay in the intensive care unit was 46.4 hours; the postoperative course was complicated by transient right laryngeal nerve palsy in one case and by transient hypocalcemia in the patients in whom a parathyroid autotransplantation was performed (n = 3). There was one case of hemodynamic compromise needing vasoactive drug support; the mean hospital stay was 8.4 days., Conclusions: Our experience and our review of the literature suggest that a single-stage procedure is safe and feasible and must be preferred to different operations as it has an acceptable peri-operative and anesthesiological risk., (© Georg Thieme Verlag KG Stuttgart · New York.)
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- 2010
- Full Text
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