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34 results on '"Tancredi, Fabrizio"'

21. The Dark Side of the Moon: The Right Ventricle

Author

Foschi, Massimiliano, primary, Di Mauro, Michele, additional, Tancredi, Fabrizio, additional, Capparuccia, Carlo, additional, Petroni, Renata, additional, Leonzio, Luigi, additional, Romano, Silvio, additional, Gallina, Sabina, additional, Penco, Maria, additional, Cibelli, Mario, additional, and Calafiore, Antonio, additional

Published
2017
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23. Intraoperative imaging to detect coronary stenosis in no-angiography patients.

Author

Di Giammarco, Gabriele, Marinelli, Daniele, Foschi, Massimiliano, Di Natale, Maurilio, Tancredi, Fabrizio, and Di Mauro, Michele

Abstract

Sometimes, patients scheduled for cardiac operations other than coronary artery bypass may be unsuitable for preoperative coronary angiography. We routinely use intraoperative high-resolution epicardial ultrasound to select the proper target for the graft and to check graft anastomosis integrity. We describe 3 patients who could not undergo preoperative coronary angiography for different reasons. In all cases, we discovered significant stenosis in the left anterior descending coronary artery, which required bypass grafting. Intraoperative verification by transit-time flow measurements confirmed the significant stenosis detected by imaging. [ABSTRACT FROM AUTHOR]

Published
2017
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29. Type A aortic dissection involving the carotid arteries: carotid stenting during open aortic arch surgery.

Author

Lentini, Salvatore, Tancredi, Fabrizio, Benedetto, Filippo, and Gaeta, Roberto

Abstract

Aortic dissection involving the arch can be complicated by extension to the supra-aortic branches. Carotid dissection may be symptomatic or asymptomatic at the time of surgery. Dissection or re-dissection of repaired carotid may happen later, with symptoms occurring days after the surgical repair, increasing the morbidity and mortality of those patients. We report a case of a patient with type A aortic dissection involving the aortic arch and extending to the supra-aortic branches. During surgery the dissection was seen extending to the distal carotid arteries with tears in the inner wall. After use of surgical glue as a sealant, seeing the persistent fragility and the presence of spiral form tears in the internal wall of the carotid arteries, intraoperative stenting of the common carotid arteries was performed using two stents to prevent carotid re-dissection and ischemic stroke in the postoperative period. In patients with aortic dissection and extension into the carotid arteries, especially with presence of tears of the inner wall, after use of a glue as a sealant of the two dissected layers, if the repaired artery wall results are still fragile, use of intraoperative carotid stenting may be of help in preventing late re-dissection.

Published
2009
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34. [Surgical treatment of chronic thromboembolic pulmonary hypertension with pulmonary endarterectomy].

Author

D'Armini AM, Zanotti G, Pozzi M, Nicolardi S, Tramontin C, Ruggieri VG, Morsolini M, Tancredi F, Monterosso C, and Viganò M

Subjects
Acute Disease, Chronic Disease, Humans, Hypertension, Pulmonary diagnosis, Hypertension, Pulmonary physiopathology, Patient Selection, Pulmonary Embolism diagnosis, Pulmonary Embolism physiopathology, Risk Factors, Endarterectomy, Hypertension, Pulmonary etiology, Hypertension, Pulmonary surgery, Pulmonary Artery surgery, Pulmonary Embolism complications, Pulmonary Embolism surgery
Abstract

Acute pulmonary embolism is the third most common cardiovascular disease in Italy with approximately 65 000 new cases a year. Appropriate medical therapy does not necessarily prevent evolution of acute pulmonary embolism into chronic thromboembolic pulmonary hypertension (CTEPH), which occurs in 0.1-4.0% of cases. In our country, there are approximately up to 2600 new CTEPH patients a year. CTEPH is a progressive and potentially lethal disease. Medical therapy is palliative and only surgery can modify its natural history. Pulmonary endarterectomy (PEA) is the treatment of choice and lung transplantation should be considered only when PEA is contraindicated. Currently, nearly 4000 PEAs have been performed worldwide. Approximately ten centers are able to carry out this intervention with excellent and permanent results. Solid experience and close multidisciplinary collaboration allow appropriate patient selection, rigorous surgical technique, and adequate postoperative management. All these aspects represent the key to the success in the treatment of CTEPH. After PEA, quality and expected length of life are similar to the age-matched general population and the only therapy required is oral anticoagulation.

Published
2006

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