113 results on '"Teodori, G"'
Search Results
2. Mediastinitis due toNocardia asteroides after cardiac transplantation
- Author
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Thaler, F., Gotainer, B., Teodori, G., Dubois, C., and Loirat, Ph.
- Published
- 1992
- Full Text
- View/download PDF
3. The Italian study of the Mitroflow postoperative results (ISTHMUS): a 20-year, multicenter evaluation of Mitroflow pericardial bioprosthesis
- Author
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ISTHMUS Investigators, Lorusso, R, Gelsomino, S, De Cicco, G, Vizzardi, E, Faggiano, P, Carella, R, Billè, G, Teodori, G, Caimmi, P, Dato, GA, Casabona, R, Welter, L, De Paulis, R, Calafiore, AM, Di Mauro, M, Di Credico, G, Leva, C, Messina, A, Villa, E, Troise, G, Borghetti, V, Pardini, A, Medici, D, Sala, A, Citterio, E, Barbone, A, Vitali, E, Tarelli, G, FORMICA, FRANCESCO, PAOLINI, GIOVANNI, Isthmus, I, Lorusso, R, Gelsomino, S, De Cicco, G, Vizzardi, E, Faggiano, P, Carella, R, Billè, G, Teodori, G, Caimmi, P, Dato, G, Casabona, R, Welter, L, De Paulis, R, Calafiore, A, Di Mauro, M, Di Credico, G, Leva, C, Messina, A, Villa, E, Troise, G, Borghetti, V, Pardini, A, Medici, D, Sala, A, Citterio, E, Barbone, A, Vitali, E, Tarelli, G, Formica, F, and Paolini, G
- Subjects
Pulmonary and Respiratory Medicine ,Male ,Reoperation ,medicine.medical_specialty ,Pediatrics ,medicine.medical_treatment ,Aortic Valve Insufficiency ,Prosthesis Design ,Prosthesis ,Interquartile range ,medicine ,Postoperative results ,Endocarditis ,Humans ,Mitroflow, biologica valve, aortic valve ,Coronary Artery Bypass ,Aged ,Aged, 80 and over ,Bioprosthesis ,Heart Valve Prosthesis Implantation ,business.industry ,General Medicine ,Aortic Valve Stenosis ,medicine.disease ,Surgery ,Prosthesis Failure ,MED/23 - CHIRURGIA CARDIACA ,medicine.anatomical_structure ,Treatment Outcome ,Embolism ,Italy ,Cardiothoracic surgery ,Concomitant ,Aortic Valve ,Heart Valve Prosthesis ,Female ,Cardiology and Cardiovascular Medicine ,business ,Epidemiologic Methods ,Pericardium ,Artery - Abstract
Objective: A multicentre experience with the Mitroflow pericardial bioprosthesis has been evaluated longitudinally over a 20-year period. Methods: From 1988 through 2008, 1591 patients (mean age, 75.3 ± 6.8 years, and 60.1% female) from 12 centres had a Mitroflow in the aortic position. Concomitant coronary artery bypass was performed in 41.9% (n = 666) of patients, urgency/emergency surgery in 9.5% (n = 152) and replacement of degenerated prosthesis in 2.3% (n = 36). Follow-up (7.447 patient-years) was 99.2% complete. Median follow-up was 61.9 months (interquartile range (IQR) 30.8-90.9 months). The study was carried out following American Association for Thoracic Surgery/Society for Thoracic Surgeons/European Association for Cardio-Thoracic Surgery (AATS/STS/EACTS) Guidelines for reporting valve morbidity and mortality. Results: The early (30-day) mortality was 6.5% (n = 104). Actuarial survival rates at 10, 15 and 18 years were 53%, 34% and 27%, respectively (2.2 patient/year). Re-operation was required in 96 patients (5.9%), of whom 59 patients (3.7%) for structural valve degeneration. Actuarial freedom from prosthetic valve degeneration at 18 years was 65.5% (78% in patients >70 years) with a linearised rate of 1.4 patient/year (0.8 patient/year in patients >70 years). At 18 years, freedom from embolism was 82% (0.9 patient/year), freedom from valve endocarditis was 89% (0.6 patient/year) and freedom from bleeding episodes was 95% (0.2 patient/year), respectively. Conclusions: This independent multicentre study indicates that the Mitroflow pericardial bioprosthesis provides favourable long-term postoperative results with a low rate of valve-related events and need of re-intervention, particularly in patients older than 70 years.
- Published
- 2011
4. The Italian study on the Mitroflow postoperative results (ISTHMUS): a 20-year,multicentre evaluation of Mitroflow pericardial bioprosthesis
- Author
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Lorusso, R, Gelsomino, S, De Cicco, G, Vizzardi, Enrico, Faggiano, P, Carella, R, Billè, G, Teodori, G, Caimmi, P, Dato, Ga, Casabona, R, Welter, L, De Paulis, R, Calafiore, Am, Di Mauro, M, Di Credico, G, Leva, C, Messina, A, Villa, E, Troise, G, Borghetti, V, Pardini, A, Medici, D, Sala, A, Citterio, E, Barbone, A, Vitali, E, Tarelli, G, Formica, F, and Paolini, G.
- Published
- 2011
5. THE ISTHMUS STUDY. LONG-TERM ITALIAN EVALUATION OF CLINICALPERFORMANCE OF MITROFLOW SYNERGY PERICARDIAL BIOPROSTHESIS
- Author
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Lorusso, R, Gelsomino, S, De Cicco, G, Billè, G, Mariscalco, G, Sala, ANDREA ANTONIO, Carella, R, Pardini, A, Borghetti, V, Leva, C, Di Credico, G, Formica, F, Paolini, G, Caimmi, P, Teodori, G, Medici, D, De Paulis, R, Weltert, L, Di Mauro, M, Calafiore, Am, Actis Dato, G, Csabona, R, Barbone, A, Citterio, E, Vitali, E, Messina, A, and Troise, G.
- Published
- 2008
6. Surgical Treatment of Adult VSDs
- Author
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Hoyle, B., primary and Teodori, G., additional
- Published
- 2014
- Full Text
- View/download PDF
7. Redo Triple Coronary Artery Bypass Graft on a Jehovah’s Witness Patient: A “Tailored” Approach
- Author
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Teodori, J, primary, Rampersad, K, additional, Teodori, G, additional, Rampersad, A, additional, Roopchan, R, additional, Hanoman, H, additional, and Angelini, G, additional
- Published
- 2014
- Full Text
- View/download PDF
8. Paclitaxel and docetaxel enhance the metabolism of doxorubicin to toxic species in human myocardium
- Author
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Minotti G, Saponiero A, Licata S, Pierantonio MENNA, Am, Calafiore, Teodori G, and Gianni L
- Subjects
Bridged-Ring Compounds ,Dose-Response Relationship, Drug ,Paclitaxel ,Myocardium ,Antineoplastic Agents ,Drug Synergism ,Heart ,Vinorelbine ,Docetaxel ,Vinblastine ,Antineoplastic Agents, Phytogenic ,Doxorubicin ,Tubulin ,Antineoplastic Combined Chemotherapy Protocols ,Humans ,Taxoids - Abstract
Doxorubicin cardiotoxicity is a multifactorial process in which the alcohol metabolite doxorubicinol mediates the transition from reversible to irreversible damage. We investigated whether the tubulin-active taxane paclitaxel increases conversion of doxorubicin to doxorubicinol, thus explaining the high incidence of congestive heart failure when doxorubicin is used with paclitaxel. Specimens of human myocardium from patients undergoing bypass surgery were processed to obtain cytosolic fractions in which doxorubicin was converted to doxorubicinol by NADPH-dependent aldo/keto or carbonyl reductases. In this model, clinically relevant concentrations of paclitaxel (1-2.5 microM) increased doxorubicinol formation by mechanisms consistent with allosteric modulation of the reductases. Stimulation was observed over a broad range of basal enzymatic activity, and was accompanied by a similar pattern of enhanced formation of doxorubicinol aglycone, a metabolite potentially involved in the reversible phase of cardiotoxicity. The closely related analogue docetaxel had effects similar to paclitaxel, but increased doxorubicinol formation over a narrower range of enzymatic activity. The unrelated tubulin-active alkaloid vinorelbine had no effect. These results demonstrate that taxanes have a unique potential for enhancing doxorubicin metabolism to toxic species in human myocardium. The effects on doxorubicinol formation provide clues to explain the clinical pattern of doxorubicin-paclitaxel cardiotoxicity and also caution against the potential toxicity of combining docetaxel with high cumulative doses of doxorubicin.
- Published
- 2001
9. The Italian study of the Mitroflow postoperative results (ISTHMUS): a 20-year, multicenter evaluation of Mitroflow pericardial bioprosthesis
- Author
-
Isthmus, I, Lorusso, R, Gelsomino, S, De Cicco, G, Vizzardi, E, Faggiano, P, Carella, R, Billè, G, Teodori, G, Caimmi, P, Dato, G, Casabona, R, Welter, L, De Paulis, R, Calafiore, A, Di Mauro, M, Di Credico, G, Leva, C, Messina, A, Villa, E, Troise, G, Borghetti, V, Pardini, A, Medici, D, Sala, A, Citterio, E, Barbone, A, Vitali, E, Tarelli, G, Formica, F, Paolini, G, ISTHMUS Investigators, Dato, GA, Calafiore, AM, FORMICA, FRANCESCO, PAOLINI, GIOVANNI, Isthmus, I, Lorusso, R, Gelsomino, S, De Cicco, G, Vizzardi, E, Faggiano, P, Carella, R, Billè, G, Teodori, G, Caimmi, P, Dato, G, Casabona, R, Welter, L, De Paulis, R, Calafiore, A, Di Mauro, M, Di Credico, G, Leva, C, Messina, A, Villa, E, Troise, G, Borghetti, V, Pardini, A, Medici, D, Sala, A, Citterio, E, Barbone, A, Vitali, E, Tarelli, G, Formica, F, Paolini, G, ISTHMUS Investigators, Dato, GA, Calafiore, AM, FORMICA, FRANCESCO, and PAOLINI, GIOVANNI
- Abstract
Objective: A multicentre experience with the Mitroflow pericardial bioprosthesis has been evaluated longitudinally over a 20-year period. Methods: From 1988 through 2008, 1591 patients (mean age, 75.3 ± 6.8 years, and 60.1% female) from 12 centres had a Mitroflow in the aortic position. Concomitant coronary artery bypass was performed in 41.9% (n = 666) of patients, urgency/emergency surgery in 9.5% (n = 152) and replacement of degenerated prosthesis in 2.3% (n = 36). Follow-up (7.447 patient-years) was 99.2% complete. Median follow-up was 61.9 months (interquartile range (IQR) 30.8-90.9 months). The study was carried out following American Association for Thoracic Surgery/Society for Thoracic Surgeons/European Association for Cardio-Thoracic Surgery (AATS/STS/EACTS) Guidelines for reporting valve morbidity and mortality. Results: The early (30-day) mortality was 6.5% (n = 104). Actuarial survival rates at 10, 15 and 18 years were 53%, 34% and 27%, respectively (2.2 patient/year). Re-operation was required in 96 patients (5.9%), of whom 59 patients (3.7%) for structural valve degeneration. Actuarial freedom from prosthetic valve degeneration at 18 years was 65.5% (78% in patients >70 years) with a linearised rate of 1.4 patient/year (0.8 patient/year in patients >70 years). At 18 years, freedom from embolism was 82% (0.9 patient/year), freedom from valve endocarditis was 89% (0.6 patient/year) and freedom from bleeding episodes was 95% (0.2 patient/year), respectively. Conclusions: This independent multicentre study indicates that the Mitroflow pericardial bioprosthesis provides favourable long-term postoperative results with a low rate of valve-related events and need of re-intervention, particularly in patients older than 70 years.
- Published
- 2011
10. Reoperative coronary surgery with and without cardiopulmonary bypass.
- Author
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Teodori G, Iacò AL, Di Mauro M, Cini R, Di Giammarco G, Vitolla G, Calafiore AM, Teodori, G, Iacò, A L, Di Mauro, M, Cini, R, Di Giammarco, G, Vitolla, G, and Calafiore, A M
- Published
- 2000
11. Early and late outcome in bypassed patient submitted to reoperation for coronary atherosclerosis disease
- Author
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Teodori, G., primary, Calafiore, A.M., additional, D'Apolito, A., additional, Romanazzi, F., additional, Gallina, S., additional, D'Angelo, R., additional, Teodori, G., additional, and Barsotti, A., additional
- Published
- 1997
- Full Text
- View/download PDF
12. Poster session 3: Miscellaneous
- Author
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Potpara, T., primary, Grujic, M., additional, Ostojic, M., additional, Vujisic, B., additional, Polovina, M., additional, Mujovic, N., additional, Hatzinikolaou-Kotsakou, E., additional, Reppas, E., additional, Beleveslis, T. H., additional, Moschos, G., additional, Kotsakou, M., additional, Tsakiridis, K., additional, Simeonidou, E., additional, Papandreou, A., additional, Tsigas, G., additional, Michalakeas, C., additional, Tsitlakidis, C., additional, Alexopoulos, D., additional, Lekakis, J., additional, Kremastinos, D. T., additional, Poci, D., additional, Backmn, L., additional, Karlsson, T. H., additional, Edvardsson, N., additional, Golzio, P.- G., additional, Vinci, M., additional, Amellone, C., additional, Jorfida, M., additional, Veglio, V., additional, Gaido, E., additional, Trevi, G. P., additional, Bongiorni, M. G., additional, Ding, L., additional, Hua, W. E. I., additional, Zhang, S. H. U., additional, Chen, K. E. P. I. N. G., additional, Wang, F. Z., additional, Chen, X. I. N., additional, Dokumaci, B., additional, Dokumaci, A. S., additional, Ozyildirim, S., additional, Yolcu, M., additional, Uyan, C., additional, Nicolas-Franco, S., additional, Rodriguez Gonzalez, J., additional, Albacete-Moreno, C., additional, Ruiz-Villa, G., additional, Sanchez-Martos, A., additional, Bixquert-Genoves, D., additional, Skoczynski, P., additional, Gajek, J., additional, Zysko, D., additional, Porebska, M., additional, Josiak, K., additional, Mazurek, W., additional, Providencia, R. A., additional, Silva, J., additional, Seca, L., additional, Gomes, P. L., additional, Barra, S., additional, Mota, P., additional, Nascimento, J., additional, Leitao-Marques, A. M., additional, Kikuchi, Y., additional, Brady, P. A., additional, Erne, P., additional, Val-Mejias, J., additional, Schwab, J., additional, Schimpf, R., additional, Orlov, M., additional, Mattioni, T., additional, Amlie, J., additional, Sacher, F., additional, Lahitton, B., additional, Laborderie, J., additional, Wright, M., additional, Haissaguerre, M., additional, Berger, T., additional, Zwick, R., additional, Dichtl, W., additional, Stuehlinger, M., additional, Pachinger, O., additional, Hintringer, F., additional, Toli, K., additional, Koutras, K., additional, Stauropoulos, J., additional, Vichos, S., additional, Mantas, J., additional, Rodriguez Artuza, C. R., additional, Hidalgo L, J. A., additional, Garcia, A., additional, Fumero, P., additional, Perez, A., additional, Rangel, I., additional, Perl, S., additional, Stiegler, P., additional, Kollmann, A., additional, Rotman, B., additional, Lercher, P., additional, Anelli-Monti, M., additional, Tscheliessnigg, K. H., additional, Pieske, B. M., additional, Nakamura, K., additional, Naito, S., additional, Kumagai, K., additional, Goto, K., additional, Iwamoto, J., additional, Funabashi, N., additional, Oshima, S., additional, Komuro, I., additional, Stavropoulos, J., additional, Koutras, D., additional, Di Biase, L., additional, Beheiry, S., additional, Hongo, R., additional, Horton, R., additional, Morganti, K., additional, Hao, S., additional, Javier Sanchez, J., additional, Natale, A., additional, Digby, G., additional, Parfrey, B., additional, Morriello, F., additional, Lim, L., additional, Hopman, W. M., additional, Simpson, C. S., additional, Redfearn, D. P., additional, Baranchuk, A., additional, Madsen, T., additional, Schmidt, E. B., additional, Toft, E., additional, Christensen, J. H., additional, Patel, D., additional, Shaheen, M., additional, Sonne, K., additional, Mohanty, P., additional, Dibiase, L., additional, Horton, R. P., additional, Sanchez, J. E., additional, Krynski, T., additional, Stec, S. M., additional, Stanke, A., additional, Baszko, A., additional, Kulakowski, P., additional, Rondano, E., additional, Bortnik, M., additional, Occhetta, E., additional, Teodori, G., additional, Caimmi, P. P., additional, Marino, P. N., additional, Osmancik, P., additional, Peroutka, Z., additional, Herman, D., additional, Stros, P., additional, Budera, P., additional, Straka, Z., additional, Petrac, D., additional, Radeljic, V., additional, Delic-Brkljacic, D., additional, Manola, S., additional, Pavlovic, N., additional, Inama, G., additional, Pedrinazzi, C., additional, Adragao, P., additional, Arribas, F., additional, Landolina, M., additional, Merino, J. L., additional, De Sousa, J., additional, Gulizia, M., additional, Neuzil, P., additional, Holy, F., additional, Skoda, J., additional, Petru, J., additional, Sediva, L., additional, Kralovec, S., additional, Brada, J., additional, Taborsky, M., additional, Takami, M., additional, Yoshida, A., additional, Fukuzawa, K., additional, Takami, K., additional, Kumagai, H., additional, Tanaka, S., additional, Itoh, M., additional, Hirata, K., additional, Jacques, F., additional, Champagne, J., additional, Doyle, D., additional, Charbonneau, E., additional, Dagenais, F., additional, Voisine, P., additional, Dumont, E., additional, Aboelhoda, A., additional, Nawar, M., additional, Khadragui, I., additional, Loutfi, M., additional, Ramadan, B., additional, Makboul, G., additional, Gianfranchi, L., additional, Pacchioni, F., additional, Bettiol, K., additional, Alboni, P., additional, Gallardo Lobo, R., additional, Pap, R., additional, Bencsik, G., additional, Makai, A., additional, Marton, G., additional, Saghy, L., additional, Forster, T., additional, Stockburger, M., additional, Trautmann, F., additional, Nitardy, A., additional, Just-Teetzmann, M., additional, Schade, S., additional, Celebi, O., additional, Krebs, A., additional, Dietz, R., additional, Pastore, C. A., additional, Douglas, R. A., additional, Samesima, N., additional, Martinelli Filho, M., additional, Nishioka, S. A. D., additional, Pastor Fuentes, A., additional, Perea, J., additional, Tur, N., additional, Berzal, B., additional, Boldt, L. H., additional, Polotzki, M., additional, Posch, M. G., additional, Perrot, A., additional, Lohse, M., additional, Rolf, S., additional, Ozcelik, C., additional, Haverkamp, W., additional, Tunyan, L. G., additional, Grigoryan, S. V., additional, Barsheshet, A., additional, Abu Sham'a, R., additional, Kuperstein, R., additional, Feinberg, M. S., additional, Sandach, A., additional, Luria, D., additional, Eldar, M., additional, Glikson, M., additional, Vatasescu, R.- G., additional, Berruezo, A., additional, Iorgulescu, C., additional, Fruntelata, A., additional, Dorobantu, M., additional, Chaumeil, A., additional, Philippon, F., additional, O'hara, G., additional, Blier, L., additional, Molin, F., additional, Gilbert, M., additional, Paslawska, U., additional, Noszczyk-Nowak, A., additional, Skrzypczak, P., additional, Nicpon, J., additional, Chevallier, S., additional, Van Oosterom, A., additional, Pruvot, E., additional, Iga, A., additional, Igarashi, M., additional, Itou, H., additional, Fujino, T., additional, Tsubota, T., additional, Yamazaki, J., additional, Yoshihara, K., additional, Arsenos, P., additional, Gatzoulis, K., additional, Dilaveris, P., additional, Gialernios, T., additional, Papaioannou, T., additional, Masoura, K., additional, Archontakis, S., additional, Stefanadis, C., additional, Nasr, G. M., additional, Khashaba, A., additional, Osman, H., additional, El-Barbary, M., additional, Heinke, M., additional, Heinke, T., additional, Ismer, B., additional, Kuehnert, H., additional, Surber, R., additional, and Figulla, H. R., additional
- Published
- 2009
- Full Text
- View/download PDF
13. Use of the inferior epigastric artery for CABG
- Author
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Teodori, G., primary, Caimmi, P.-P., additional, Toscano, T., additional, and Bernardi, M., additional
- Published
- 2006
- Full Text
- View/download PDF
14. Repeated surgery for recurrent dissection of the aorta
- Author
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Brizard C, Jean Bachet, Claude Dubois, Gilles D. Dreyfus, Bertrand Goudot, Delentdeker P, Denis Brodaty, Teodori G, and Daniel Guilmet
- Subjects
Pulmonary and Respiratory Medicine ,Adult ,Male ,Reoperation ,medicine.medical_specialty ,Emergency Medical Services ,medicine.medical_treatment ,Dissection (medical) ,Acute dissection ,Revascularization ,Aortic disease ,Marfan Syndrome ,Aortic valve replacement ,Recurrence ,medicine.artery ,medicine ,Humans ,Aorta ,Aged ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,Aortic Aneurysm ,Aortic Dissection ,cardiovascular system ,Female ,Radiology ,Cardiology and Cardiovascular Medicine ,Complication ,business ,Follow-Up Studies - Abstract
Emergency surgery of acute dissection of the ascending aorta is generally a palliative procedure aimed at preventing the vessel from rupturing into the pericardium. Evolving dissecting aneurysm or recurrence of the dissection process is, therefore, a common complication and may lead to reoperation or death. Between January 1970 and December 1988, 133 patients were operated upon for acute dissection of the ascending aorta. During the same period, 22 patients underwent 26 reoperations for recurrent or evolving dissection. Eleven (50%) patients had Marfan's syndrome. Thirteen patients had been operated upon previously in our institution and 8 had been operated upon elsewhere. In 10 patients, the intimal tear had not been resected during the first operation. Operative procedures varied according to the pathoanatomical features and consisted generally of an extended resection of the aortic arch. Eight reoperations were performed as emergencies and 18 were performed electively. Hospital mortality rate was 18% (4/22). Late follow-up ranged from 3 to 153 months (mean: 55 months) for a cumulative follow-up of 998 months. Late mortality was 27% (5/18) for a linearized rate of 6% pt/yr. The actuarial risk of reoperations is 13.7% +/- 7% and 21% +/- 11% at 5 and 10 years, respectively. Marfan's syndrome and persistence of the primary intimal tear are considered the main risk factors of reoperation, while emergency and thoraco-abdominal replacement are the main risk factors at reoperation.
- Published
- 1990
15. Hemodynamic Effect of Intracoronary Administration of Levosimendan in the Anesthetized Pig
- Author
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Grossini, E, primary, Caimmi, P P, additional, Molinari, C, additional, Teodori, G, additional, and Vacca, G, additional
- Published
- 2005
- Full Text
- View/download PDF
16. Stable Coronary Artery Disease: Best Practices and Implementation in Trinidad and Tobago.
- Author
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McLean, R., Chacko, M., Teodori, G., Smith, B., Ramoutar, P., Thomas, C., Aleong, G., Maharaj, R., Gerstenblith, G., and Maughan, W.L.
- Subjects
HEART diseases ,CORONARY artery bypass ,MEDICAL societies ,MEDICAL conferences - Abstract
The article reports on the increasing prevalence of coronary artery disease (CAD) in Trinidad and Tobago. To address the problem, the Trinidad and Tobago Medical Association, in association with the Trinidad and Tobago Health Science Initiative and Johns Hopkins Medicine, sponsored a symposium on September 13, 2009. Highlights of the symposium are also provided.
- Published
- 2010
17. Associated coronary and cardiac anomalies in the tetralogy of Fallot. An angiographic study
- Author
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DABIZZI, R. P., primary, TEODORI, G., additional, BARLETTA, G. A., additional, CAPRIOLI, G., additional, BALDRIGHI, G., additional, and BALDRIGHI, V., additional
- Published
- 1990
- Full Text
- View/download PDF
18. Repeated surgery for recurrent dissection of the aorta
- Author
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BACHET, J, primary, BRIZARD, C, additional, GOUDOT, B, additional, DREYFUS, G, additional, TEODORI, G, additional, BRODATY, D, additional, DUBOIS, C, additional, DELENTDEKER, P, additional, and GUILMET, D, additional
- Published
- 1990
- Full Text
- View/download PDF
19. Intermittent antegrade warm blood cardioplegia in aortic valve replacement.
- Author
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Calafiore, Antonio M., Teodori, Giovanni, Bosco, Giovanni, Di Giammarco, Gabriele, Vitolla, Giuseppe, Fino, Carlo, Contini, Marco, Calafiore, A M, Teodori, G, Bosco, G, Di Giammarco, G, Vitolla, G, Fino, C, and Contini, M
- Published
- 1996
- Full Text
- View/download PDF
20. Coronary revascularization with the radial artery: new interest for an old conduit.
- Author
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Calafiore, Antonio M., Teodori, Giovanni, Giammarco, Gabriele, D'Annunzio, Erminio, Angelini, Romeo, Vitolla, Giuseppe, Maddestra, Nicola, Calafiore, A M, Teodori, G, Di Giammarco, G, D'Annunzio, E, Angelini, R, Vitolla, G, and Maddestra, N
- Published
- 1995
- Full Text
- View/download PDF
21. Surgery of aortic stenosis and lesions of the ascending aorta.
- Author
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Guilmet, D., Bachet, J., Dubois, C., Goudot, B., Brodaty, D., Delentdecker, P., Diaz, F., and Teodori, G.
- Abstract
Between 1978 and 1986, 442 aortic valvular replacements were performed for chronic calcified aortic stenosis. In 11 patients (2·5%, seven men and four women) replacement of the ascending aorta was associated with the valvular replacement, because of: seven supra-coronary aneurysms, two aneurysms involving the Valsalva sinuses, and two acute dissections of the ascending aorta. The repair of the ascending aorta consisted in inserting: one patch on one Valsalva sinus, seven supra coronary Dacron prostheses, three valved conduits (according to the Bentall technique). One patient died postoperatively (9%). [ABSTRACT FROM PUBLISHER]
- Published
- 1988
- Full Text
- View/download PDF
22. Right bundle-branch block in coronary artery disease: a hemodynamic and angiographic study.
- Author
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Dabizzi, R. P., Aiazzi, L., Barletta, G. A., and Teodori, G.
- Published
- 1988
- Full Text
- View/download PDF
23. Doxorubicin-Dependent Reduction of Ferrylmyoglobin and Inhibition of Lipid Peroxidation: Implications for Cardiotoxicity of Anticancer Anthracyclines
- Author
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Menna, P., Salvatorelli, E., Giampietro, R., Liberi, G., Teodori, G., Calafiore, A. M., and Minotti, G.
- Abstract
Lipid peroxidation has been proposed to mediate cardiotoxicity induced by doxorubicin (DOX) and other anticancer anthracyclines; however, there have been reports showing that DOX can also inhibit lipid peroxidation. Here we characterized the effects of DOX on the oxo-ferryl moiety [FeIV&dbd;O, MbIV] of H
2 O2 -activated myoglobin, a lipid oxidant likely formed in the heart during treatment with DOX. MbIV was formed in vitro by reacting 100 μM H2 O2 with 50 μM horse heart metmyoglobin (MbIII). Spectral studies showed that DOX reduced MbIV to MbIII, half-maximal regeneration of MbIII occurring at ~18 μM DOX. Comparisons between DOX, its aglycone doxorubicinone, and other approved or investigational anthracyclines or model compounds (daunorubicin, idarubicin, aclarubicin, and naphthazarin), showed that DOX reduced MbIV through the hydroquinone moiety of its tetracyclic ring. DOX inhibited MbIV-dependent peroxidation of arachidonic acid, suppressing the formation of thiobarbituric acid-reactive substances with an IC50 of ~18 μM. Lipid peroxidation was inhibited also by the hydroquinone-containing daunorubicin and idarubicin but not by the hydroquinone-deficient aclarubicin; moreover, neither simple hydroquinone nor other known MbIV reductants (ascorbate, glutathione, and ergothioneine) reached measurable IC50 s in a micromolar range. DOX-dependent inhibition of lipid peroxidation correlated with its ability to reduce MbIV to MbIII in competition with arachidonic acid (r = 0.83, P = 0.029); it did not correlate with its ability to scavenge other free radical species [like e.g., peroxyl radicals generated through the thermal decomposition of 2,2-azo-bis(2-amidinopropane)]. DOX reduced MbIV and inhibited lipid peroxidation also when H2 O2 , MbIII and arachidonic acid were reacted in cytosol of human myocardial biopsies, a model developed to predict the cardiotoxic mode of action of DOX in patients. These results illustrate antioxidant properties of DOX, mediated by reduction of MbIV to MbIII, and cast doubts on lipid peroxidation as a causative mechanism of anthracycline-induced cardiotoxicity.- Published
- 2002
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24. Radial Artery for Myocardial Revascularization: Long-Term Clinical and Angiographic Results
- Author
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Iaco, A. L., Teodori, G., Giammarco, G. Di, Mauro, M. Di, Storto, L., Mazzei, V., Vitolla, G., Mostafa, B., and Calafiore, A. M.
- Published
- 2001
- Full Text
- View/download PDF
25. Off or On Bypass: What is the Safety Threshold?
- Author
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Iaco, A. L., Contini, M., Teodori, G., Mauro, M. Di, Giammarco, G. Di, Vitolla, G., Iovino, T., and Calafiore, A. M.
- Published
- 1999
- Full Text
- View/download PDF
26. Bilateral Internal Mammary Artery Grafting: Midterm Results of Pedicled Versus Skeletonized Conduits
- Author
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Calafiore, A. M., Vitolla, G., Iaco, A. L., Fino, C., Giammarco, G. D., Marchesani, F., Teodori, G., D'Addario, G., and Mazzei, V.
- Published
- 1999
- Full Text
- View/download PDF
27. Current results in off pump surgery.
- Author
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Contini, M, Iacò, A, Iovino, T, Teodori, G, Di Giammarco, G, Mazzei, V, Commodo, M, and Calafiore, A M
- Abstract
We reviewed our experience with myocardial revascularization without cardiopulmonary by-pass (CPB) to evaluate early- and mid-term results compared with those obtained using CPB.
- Published
- 1999
- Full Text
- View/download PDF
28. Multiple Arterial Conduits Without Cardiopulmonary Bypass: Early Angiographic Results
- Author
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Calafiore, A. M., Teodori, G., Giammarco, G. Di, Vitolla, G., Maddestra, N., Paloscia, L., Zimarino, M., and Mazzei, V.
- Published
- 1999
- Full Text
- View/download PDF
29. Left internal mammary elongation with inferior epigastric artery in minimally invasive coronary surgery.
- Author
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Calafiore, A M, Teodori, G, Di Giammarco, G, Vitolla, G, Contini, M, Maddestra, N, Paloscia, L, Iacò, A, and Gallina, S
- Abstract
Sometimes the left internal mammary artery (LIMA) is not long enough to reach a too lateral LAD when a left anterior small thoracotomy (LAST operation) is the surgical approach to graft the LAD. LIMA elongation with an inferior epigastric artery (IEA) can be an useful surgical option.
- Published
- 1997
- Full Text
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30. The LAST Operation: Techniques and Results Before and After the Stabilization Era
- Author
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Calafiore, A. M., Vitolla, G., Mazzei, V., Teodori, G., Giammarco, G. Di, Iovino, T., and Iaco, A.
- Published
- 1998
- Full Text
- View/download PDF
31. Minimally Invasive Coronary Artery Bypass Grafting on a Beating Heart
- Author
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Calafiore, A. M., Teodori, G., Giammarco, G. Di, Vitolla, G., Iaco, A., Iovino, T., Cirmeni, S., Bosco, G., Scipioni, G., and Gallina, S.
- Published
- 1997
- Full Text
- View/download PDF
32. Left Anterior Descending Coronary Artery Grafting via Left Anterior Small Thoracotomy Without Cardiopulmonary Bypass
- Author
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Calafiore, A. M., Giammarco, G. Di, Teodori, G., Bosco, G., D'Annunzio, E., Barsotti, A., Maddestra, N., Paloscia, L., Vitolla, G., and Sciarra, A.
- Published
- 1996
- Full Text
- View/download PDF
33. Midterm results after minimally invasive coronary surgery (last operation)
- Author
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Calafiore, A.M., Di Giammarco, G., Teodori, G., Gallina, S., Maddestra, N., Paloscia, L., Scipioni, G., Iovino, T., Contini, M., and Vitolla, G.
- Abstract
Background: Our experience with a left internal thoracic artery graft to the left anterior descending artery via a left anterior small thoracotomy is reviewed to evaluate midterm results. Methods: From November 1994 to April 1997, four hundred sixty patients were scheduled to undergo a left internal thoracic artery graft to the left anterior descending coronary artery via a left anterior small thoracotomy; 26 of these patients (5.7%) were converted and 434 of them had the operation. Two hundred fourteen patients (49.3%) had isolated disease of the left anterior descending artery, and 220 patients(50.7%) had multiple vessel disease. A sufficient length of the left internal thoracic artery was harvested to reach the left anterior descending artery. Results: Three hundred nine patients (71.2%) underwent extubation by hour 2. Mean intensive care unit stay was 4.2 +/- 4.5 hours; mean postoperative hospital stay was 66 +/- 29 hours; the 30-day mortality rate was 1.1%; the late mortality rate was 1.4%. Eighteen patients underwent reoperation early (@?30 days), and eight patients underwent reoperation late (>30 days) because of conduit/anastomotic malfunction. Four patients underwent reoperation with patent anastomosis for progression of disease (n = 3) or pericarditis (n = 1). Three patients had a percutaneous transluminal coronary angioplasty. Cumulating angiographic and stress Doppler flow assessment results, a patent anastomosis was obtained in 417 patients and a nonrestrictive anastomosis in 404 patients. Twenty-nine months after surgery, survival was 97.1% +/- 0.7% (95% confidence interval 90.5% to 100%) and event-free survival 89.4% +/- 1.2% (95% confidence interval 78.2% to 100%). In the last 190 patients, with our increased experience and better instruments, we obtained a patent anastomosis in 188 patients (98.9%) and a nonrestrictive anastomosis in 185 (97.4%). Conclusions: Left anterior small thoracotomy gives acceptable midterm results. Incidence of patent and nonrestrictive anastomoses was satisfactory, especially in the most recent part of our experience, when the learning curve ended.(J Thorac Cardiovasc Surg 1998;115:763-71)
- Published
- 1998
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34. Valutazione del trasporto solido nei corsi d'acqua marchigiani
- Author
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Becchi, I., Ciancetti, G. S. Tazioli G. F., Radicioni, Fabio, Teodori, G., Cesaroni, C., Nanni, G., and Mariotti, C.
- Published
- 1987
35. Surgery of aortic stenosis and lesions of the ascending aorta
- Author
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Jean Bachet, Diaz F, Teodori G, P Delentdecker, Claude Dubois, Bertrand Goudot, Denis Brodaty, and Daniel Guilmet
- Subjects
Adult ,Male ,medicine.medical_specialty ,Aneurysm ,medicine.artery ,Internal medicine ,Ascending aorta ,Medicine ,Humans ,cardiovascular diseases ,Aorta ,Aged ,business.industry ,Polyethylene Terephthalates ,Coronary Aneurysm ,Calcinosis ,Bentall technique ,Aortic Valve Stenosis ,Middle Aged ,medicine.disease ,Surgery ,Stenosis ,Paranasal sinuses ,medicine.anatomical_structure ,Aortic valve stenosis ,Aortic Valve ,Heart Valve Prosthesis ,Chronic Disease ,cardiovascular system ,Cardiology ,Valsalva Sinus ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Between 1978 and 1986, 442 aortic valvular replacements were performed for chronic calcified aortic stenosis. In 11 patients (2·5%, seven men and four women) replacement of the ascending aorta was associated with the valvular replacement, because of: seven supra-coronary aneurysms, two aneurysms involving the Valsalva sinuses, and two acute dissections of the ascending aorta. The repair of the ascending aorta consisted in inserting: one patch on one Valsalva sinus, seven supra coronary Dacron prostheses, three valved conduits (according to the Bentall technique). One patient died postoperatively (9%).
- Published
- 1988
36. Analisi Comparative di Trasporto Solido in due Bacini attrezzati della Marche: il Fiume Esino ed il F. Musone
- Author
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Tazioli, G. S., Radicioni, Fabio, Vivalda, P., Becchi, I., Pennacchioni, E., Teodori, G., and D'Agnolo, G.
- Published
- 1988
37. Metodologie sperimentali per la valutazione dell'erosione e del trasporto solido fluviale nelle Marche
- Author
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Tazioli, G. S., Mariotti, C., Radicioni, Fabio, and Teodori, G.
- Published
- 1987
38. Evaluation of atrial function after surgical ablation of atrial fibrillation: A Speckle tracking study
- Author
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Rondano, E., Bortnik, M., Occhetta, E., Teodori, G., Caimmi, P. P., and Paolo Marino
39. Mediastinitis due to Nocardia asteroides after cardiac transplantation.
- Author
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Thaler, F., Gotainer, B., Teodori, G., Dubois, C., Loirat, Ph., and Loirat, P
- Abstract
Nocardia infection classically occurs in immuno-compromized patients. Only a few cases of mediastinal infection due to this pathogen have been described in the literature. We report a patient who developed mediastinitis due to Nocardia asteroides after cardiac transplantation. The treatment was surgical debridement, dressing, sugaring and antibiotic therapy. The emergence of a severe acute renal failure possibly induced by drug interaction between Cyclosporin, cyclines and aminoglycosides, led us to modify the antimicrobial treatment. The intravenous use of Imipenem 2 g per day and Ciprofloxacin 400 mg per day for four weeks and then oral Ciprofloxacin 1.5 g per day for 1 year, was effective and allowed a good outcome, without any drug interaction with Cyclosporin, adverse effect, graft rejection episode or infection relapse. [ABSTRACT FROM AUTHOR]
- Published
- 1992
- Full Text
- View/download PDF
40. Minimally Invasive Mammary Artery Doppler Flow Velocity Evaluation in Minimally Invasive Coronary Operations
- Author
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Calafiore, A. M., Gallina, S., Iaco, A., Teodori, G., Iovino, T., Giammarco, G. Di, Mazzei, V., and Vitolla, G.
- Published
- 1998
- Full Text
- View/download PDF
41. Early- and Long-Term Outcomes of Mitral Valve Repair in a Low-Volume Centre in the Caribbean.
- Author
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Ramsingh RAE, Angelini GD, Rampersad RD, Rahaman NC, and Teodori G
- Subjects
- Follow-Up Studies, Humans, Mitral Valve surgery, Reoperation, Retrospective Studies, Treatment Outcome, Heart Valve Prosthesis Implantation, Mitral Valve Annuloplasty methods, Mitral Valve Insufficiency surgery
- Abstract
Introduction: This study examines early- and long-term outcomes of mitral valve repairs in a low-volume cardiac surgery centre in the Caribbean., Methods: Ninety-six consecutive patients underwent mitral valve repair from April 2009 to December 2018. Patients were divided into two groups: functional mitral regurgitation requiring simple mitral annuloplasty (FMR, n=63) or structural degenerative mitral regurgitation requiring more complex repair (DMR, n=33). Data collected prospectively were retrospectively analysed from the unit-maintained cardiac surgery database., Results: Thirty-day mortality in the whole series was 2.1%, with 3% in the FMR group and 0% in the DMR group. Early post-operative echocardiography in the FMR group demonstrated 51 patients (83.6%) without mitral regurgitation, 8 patients (13.1%) with trivial to mild regurgitation, and 2 patients (3.3%) with moderate regurgitation. However, at a mean follow-up of 98.2±50.8, only 21 patients (42.8%) were in NYHA class I, with 7 (14.2%) in class II, 16 (32.6%) in class III, and 5 (10.2%) in class IV. There were 9 cardiac-related deaths at final follow-up, with freedom from re-operation and survival of 98% and 75.6%, respectively. In the DMR group, early post-operative echocardiography demonstrated 29 patients (87.9%) without mitral regurgitation, 3 patients (9.1%) with trivial regurgitation and 1 patient (3.0%) with mild regurgitation. At a mean follow-up of 114.1±25.4 months, there was a good functional post-operative status in this group with 93.3% in NYHA class I, and 6.7% in class II. No patient required reintervention, 96.3% of patients had mild or no mitral regurgitation and survival was 90.9%., Conclusion: Despite challenges of maintaining skills in a low-volume centre, mitral valve repair can be performed safely with good early- and long-term results.
- Published
- 2022
- Full Text
- View/download PDF
42. Rupture of sinus of Valsalva aneurysm: case report and review of contemporary literature.
- Author
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Duval JL, Ramsingh RA, Rahaman NC, Rampersad RD, Angelini GD, and Teodori G
- Subjects
- Echocardiography, Female, Humans, Middle Aged, Aortic Aneurysm complications, Aortic Aneurysm diagnostic imaging, Aortic Aneurysm surgery, Aortic Rupture diagnostic imaging, Aortic Rupture surgery, Sinus of Valsalva diagnostic imaging, Sinus of Valsalva surgery
- Abstract
Sinus of Valsalva aneurysm rupture is a rare condition with a great potential for morbidity and mortality if not promptly diagnosed and managed. We present an unusual non-infected sinus of Valsalva aneurysm rupture in a 47-year-old female. This case report, a likely presentation of a late congenital heart defect, highlights the need for a high index of suspicion in a patient with atypical history of congestive cardiac failure.
- Published
- 2021
- Full Text
- View/download PDF
43. Adult cardiac surgery in Trinidad and Tobago during the COVID-19 pandemic: Lessons from a developing country.
- Author
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Ramsingh RAE, Duval JL, Rahaman NC, Rampersad RD, Angelini GD, and Teodori G
- Subjects
- Comorbidity, Elective Surgical Procedures methods, Female, Follow-Up Studies, Heart Diseases epidemiology, Humans, Male, Middle Aged, Retrospective Studies, Trinidad and Tobago epidemiology, COVID-19 epidemiology, Cardiac Surgical Procedures methods, Heart Diseases surgery, Pandemics, SARS-CoV-2
- Abstract
Background and Aim: The coronavirus disease 2019 (COVID-19) pandemic has seen the cancellation of elective cardiac surgeries worldwide. Here we report the experience of a cardiac surgery unit in a developing country in response to the COVID-19 crisis., Methods: From 6th April to 12th June 2020, 58 patients underwent urgent or emergency cardiac surgery. Data was reviewed from a prospectively entered unit-maintained cardiac surgery database. To ensure safe delivery of care to patients, a series of strict measures were implemented which included: a parallel healthcare system maintaining a COVID-19 cold site, social isolation of patients for one to 2 weeks before surgery, polymerase chain reaction testing for COVID-19, 72 hours before surgery, discrete staff assigned only to cardiac surgical cases socially isolated for 2 weeks as necessary., Results: The mean age at surgery was 59.7 ± 11 years and 41 (70.7%) were male. Fifty-two patients were hypertensive (90%), and 32 were diabetic (55.2%). There were three emergency type A aortic dissections. Forty-seven patients underwent coronary artery bypass graft surgery with all but three performed off-pump. Fourteen cases required blood product transfusion. One patient had postoperative pneumonia associated with chronic obstructive pulmonary disease. The median length of stay was 5.7 ± 1.8 days. All patients were discharged home after rehabilitation. There were no cases of COVID-19 infection among healthcare workers during the study period., Conclusion: These strategies allowed us to maintain a service for urgent and emergency procedures and may prove useful for larger countries when there is decrease in COVID-19 cases and planning for the restart of elective cardiac surgery., (© 2020 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals LLC.)
- Published
- 2020
- Full Text
- View/download PDF
44. Developing a cardiac surgery unit in the Caribbean: A reflection.
- Author
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Angelini GD, Ramsingh RAE, Rahaman NC, Rampersad RD, Rampersad A, Rampersad KA, and Teodori G
- Subjects
- Aged, Comorbidity, Coronary Artery Bypass mortality, Coronary Artery Disease ethnology, Diabetes Mellitus epidemiology, Female, Hospital Mortality, Humans, Hypertension epidemiology, Length of Stay, Male, Middle Aged, Trinidad and Tobago epidemiology, Coronary Artery Bypass statistics & numerical data, Coronary Artery Disease epidemiology, Coronary Artery Disease surgery, Health Services Accessibility statistics & numerical data, Surgery Department, Hospital statistics & numerical data, Thoracic Surgery
- Abstract
Background and Aim: Access to specialized cardiac surgery is a problem in emerging countries. Here, we reflect on the approach we used to establish a cardiac surgery unit in Trinidad and Tobago., Methods: The program started in 1993 with monthly visits by a team from Bristol Heart Institute. A group of local doctors, nurses, and perfusionists were identified for training, and a senior nurse moved to the island to start a teaching program. The visiting support was gradually reduced, and the local team gained independence in managing the service in 2006., Results: The initial low volume surgery increased to around 380 cases a year with the implementation of comprehensive service in 2006. Most patients required coronary artery bypass graft (CABG). In-hospital mortality declined from 5% in the nascent years to below 2% thereafter. In the last 5 years (2015-2019), 1764 patients underwent surgery (mean age 59.6 ± 10.8 years, 66% male). The majority were East-Indian-Caribbean (79.1%) or Afro-Caribbean (16.7%), half had diabetes, and two-thirds hypertension (EuroScore II 1.8 ± 1.9). The majority (1363 patients) underwent CABG (99.5% off-pump; conversion to on-pump 1.5%). The mean number of grafts was 2.5 ± 0.7 with 98.5% and 23.1% receiving one and two or more arterial grafts, respectively. In-hospital mortality was 1.1%, re-exploration for bleeding 2%, stroke 0.1%, mediastinitis 0.2%. The length of the postoperative hospital stay was 5.8 ± 2 days., Conclusion: Frequent outside visits complemented by training in an overseas center, and transfer of knowledge proved to be an effective strategy to develop a cardiac surgery unit in an emerging country with results comparable to accepted international standards., (© 2020 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals LLC.)
- Published
- 2020
- Full Text
- View/download PDF
45. Transfusion related acute lung injury with massive pulmonary secretion during cardiac surgery. A case report.
- Author
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Teodori J, Rampersad K, Teodori G, Roopchand R, and Angelini GD
- Subjects
- Acute Lung Injury pathology, Acute Lung Injury therapy, Aged, High-Frequency Ventilation, Humans, Male, Pulmonary Edema pathology, Pulmonary Edema therapy, Acute Lung Injury etiology, Cardiac Surgical Procedures adverse effects, Pulmonary Edema etiology, Transfusion Reaction
- Abstract
A Indo-Caribbean patient undergoing cardiac surgery developed Transfusion Related Acute Lung Injury (TRALI) with massive endobronchial secretion of clear fluid mimicking severe pulmonary edema. Hypoxemia and lung stiffness were so severe that didn't allow closure of the sternum on completion of surgery. The patient was treated with invasive ventilation, high positive pressure and % FiO2 and aggressive endotracheal suction. After several hours, secretions reduced spontaneously and the patient made an uneventful recovery.
- Published
- 2014
- Full Text
- View/download PDF
46. Evaluation of atrial function after surgical ablation of atrial fibrillation: a Speckle tracking study.
- Author
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Rondano E, Bortnik M, Occhetta E, Teodori G, Caimmi PP, and Marino P
- Subjects
- Aged, Atrial Fibrillation diagnostic imaging, Cardiac Surgical Procedures methods, Catheter Ablation, Female, Humans, Male, Retrospective Studies, Ultrasonography, Atrial Fibrillation physiopathology, Atrial Fibrillation surgery, Atrial Function
- Abstract
Aim: AIM of our study was to assess atrial function in patients who underwent atrial fibrillation (AF) surgical ablation by a novel echocardiographic technique (speckle tracking)., Methods: From February 2006 to April 2008, in 11 consecutive pts with paroxysmal or persistent AF (6 males, mean age 69.6±9.7 years) undergoing cardiac surgery, concomitant AF surgical ablation was performed with bipolar radiofrequency clamp (Cobra_Bipolar® system). These pts, all in stable sinus rhythm (SR), were echoed after a mean follow-up of 14.6±9.3 months from surgery. Speckle tracking was used to estimate global LA strain, peak strain and the standard deviation of the time-to-peak (% of R-R' interval) of the deformation of 6 segments identified along the septum, the roof and the lateral wall of LA in a 4-chamber view., Results: These patients showed a mild LA enlargement (mean volume 43.4±11.6 mL/sqm). In 5 of them (45.4%) no A waves were detected on MPWD and pulmonary venous flow, but speckle tracking showed preserved atrial function with a mean global strain of 5.5 ± 3.3 %, a mean peak strain of 10.4 ± 5.7 % and a TP-SD of 15.1±8.7 ms., Conclusion: Our study seems to show that surgical AF ablation has a lower impact on atrial function in comparison with data from literature about percutaneous catheter ablation. This is probably related to an higher sensitivity of this type of echocardiography evaluation, but this finding must be confirmed by other trials.
- Published
- 2013
47. Double patch repair through a single ventriculotomy for ischemic ventricular septal defects.
- Author
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Caimmi PP, Grossini E, Kapetanakis EI, Boido R, Coppo C, Scappellato F, Vacca G, and Teodori G
- Subjects
- Cohort Studies, Female, Heart Septal Defects, Ventricular diagnosis, Heart Septal Defects, Ventricular etiology, Humans, Male, Myocardial Infarction complications, Myocardial Infarction diagnosis, Myocardial Ischemia diagnosis, Myocardial Ischemia surgery, Prognosis, Resorcinols therapeutic use, Risk Assessment, Suture Techniques, Tensile Strength, Tissue Adhesives, Tissue Transplantation methods, Treatment Outcome, Ventricular Septal Rupture diagnosis, Ventricular Septal Rupture etiology, Cardiac Surgical Procedures methods, Heart Septal Defects, Ventricular surgery, Heart Ventricles surgery, Ventricular Septal Rupture surgery
- Abstract
We present a novel postinfarction ventricular septal defect repair, through a single ventriculotomy, using a biseptal double patch and gelatin-resorcinol-formaldehyde glue. This technique reduces the postoperative recurrence of ventricular septal defects by reducing the tension on the patch sutures and by preventing blood from infiltrating into the suture lines within the ventricular septal defect cavity., (Copyright (c) 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
48. Ventricular fibrillation in acute mitral valve insufficiency caused by chordae tendineae rupture: report of a surgically corrected case.
- Author
-
Bortnik M, Leverone M, Teodori G, Marcolongo M, Occhetta E, and Marino P
- Subjects
- Acute Disease, Aged, 80 and over, Angiocardiography, Cardiopulmonary Resuscitation, Chordae Tendineae surgery, Defibrillators, Implantable, Echocardiography, Doppler, Color, Female, Heart Arrest etiology, Heart Arrest therapy, Heart Rupture pathology, Heart Rupture surgery, Heart Valve Prosthesis Implantation, Humans, Mitral Valve Insufficiency pathology, Mitral Valve Insufficiency surgery, Secondary Prevention, Treatment Outcome, Ventricular Fibrillation pathology, Ventricular Fibrillation surgery, Chordae Tendineae injuries, Heart Rupture complications, Mitral Valve Insufficiency etiology, Ventricular Fibrillation etiology
- Abstract
In this report, we present the case of a previously healthy 80-year-old woman who was referred to surgery after a cardiac arrest due to ventricular fibrillation successfully resuscitated; the following evaluation revealed acute mitral regurgitation due to chordae tendineae rupture. After mitral valve repair, a single-chamber cardioverter-defibrillator was implanted for secondary prevention of sudden cardiac death. After 16 months of follow-up, the patient is asymptomatic without any further episodes of ventricular arrhythmias reported, underlying the pivotal role of mitral valve repair in the prevention of potentially lethal ventricular arrhythmias.
- Published
- 2009
- Full Text
- View/download PDF
49. Successful surgical treatment of a giant coronary aneurysm communicating with the right atrium.
- Author
-
Rognoni A, Ferrero V, Teodori G, and Ribichini F
- Subjects
- Aged, Aneurysm, False complications, Aneurysm, False diagnostic imaging, Coronary Aneurysm complications, Coronary Aneurysm diagnostic imaging, Coronary Angiography, Coronary Artery Disease complications, Coronary Artery Disease diagnostic imaging, Dyspnea diagnostic imaging, Dyspnea surgery, Heart Atria surgery, Humans, Ligation, Male, Severity of Illness Index, Tomography, X-Ray Computed, Treatment Outcome, Vascular Fistula complications, Vascular Fistula diagnostic imaging, Aneurysm, False surgery, Coronary Aneurysm surgery, Coronary Artery Bypass, Coronary Artery Disease surgery, Dyspnea etiology, Vascular Fistula surgery
- Abstract
Aneurysms of the coronary arteries are rare events. In most cases, such abnormalities are clinically silent and, when they cause symptoms, there are dyspnea and/or angina. Our report describes a case presenting with dyspnea; the admission electrocardiogram demonstrated largely spread ischemia in the lower-lateral leads and myocardial necrosis in the inferior wall. Selective coronary angiography disclosed severe three-vessel disease; aortic angiography revealed a large vascular neoformation, partly thrombosed, with multilobes and a wide communication with the ascending aorta; the oxygen run showed a slight, non-significant 'jump' at the level of the right atrium, confirming a possible left-to-right shunt. On open chest surgery, these alterations were confirmed. The principal aneurysm (6-7 cm) originating in right auricle gave rise to a localized pseudoaneurysm above the superior vena cava; the other three aneurysmal structures were situated along the course of the right coronary artery. After 2 years of clinical and echocardiographic control, the patient is symptom-free under conventional medical treatment.
- Published
- 2007
- Full Text
- View/download PDF
50. Intracoronary infusion of levosimendan to treat postpericardiotomy heart failure.
- Author
-
Caimmi PP, Grossini E, Molinari C, Vacca G, and Teodori G
- Subjects
- Aged, Coronary Vessels, Heart Failure etiology, Humans, Infusions, Intra-Arterial, Male, Simendan, Cardiotonic Agents administration & dosage, Coronary Artery Bypass adverse effects, Heart Failure drug therapy, Hydrazones administration & dosage, Pericardiectomy adverse effects, Pyridazines administration & dosage
- Abstract
Systemic hypotension limits the intravenous use of levosimendan, particularly in coronary disease. Published reports show that the intracoronary administration of levosimendan in animal models causes an increase of coronary blood flow without systemic hypotension. In this case report, the intracoronary administration of levosimendan bolus in a 74-year-old man with postpericardiotomy heart failure elicited beneficial cardiac effects, increasing both systolic and diastolic functions and blood flow in all of the grafts. No changes of heart rate and systemic arterial blood pressure were observed.
- Published
- 2006
- Full Text
- View/download PDF
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