THE “BACK TO THE FUTURE” OF CARDIOTHORACIC SURGERY: HIGH–RISK INTERVENTIONAL PROCEDURE TURNED DOWN TO CONVENTIONAL CARDIAC SURGERY Article Swipe
Pasquale Totaro
,
Marina Aiello
,
Stefano Pelenghi
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartjsupp/suae036.074
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartjsupp/suae036.074
Background Structural interventional cardiology has been introduced at the beginning of our century to address high–risk patient suffering from severe aortic stenosis. Since then several technique and technology have been proposed to address an increasing population of patients and mitral valve diseases have been also addressed. While several authors are pushing up the indications for structural interventional procedures, however, we are experiencing some situations were conventional surgery is considered an alternative to high risk interventional procedures. Here we present a peculiar case of “back to the future” in cardiothoracic surgery. Case Description A 76 yo female patient, was referred to our Division from a peripheral Hospital suffering from severe aortic stenosis and coronary artery diseases. Medical history of the patient included persistent AF, COPD, arterial peripheral vascular disease, moderate chronic renal insufficiency and moderate dilatation of ascending aorta. Patient was previously assessed by another Centre and a percutaneous treatment (PTCA+TAVI) was proposed. Due to further admission for cardiac failure–related symptoms, however, patient was urgently referred to our Division. Fig 1 and 2 summarized clinical findings. “Heart team” evaluation, based also on the product specialist evaluation, considered the patient not suitable for interventional procedure due to the high risk of sub–optimal medium–term prognosis. Due to further clinical deterioration an extremely high–risk surgical procedure was mandatory. Results Surgical procedure included a sutureless aortic valve replacement, a MV plasty, a double coronary graft + a cpmbined carotid endoarterectomy. Postoperative course was free from significant complications and the patient was discharged to rehabilitation clinic on 15th postoperative days. Conclusion Despite interventional procedure are continuing to increase either as number of procedure either as complexity of diseases treated, conventional cardiac surgery remains still the only option for treatment in many clinical scenario. As a sort of “back to the future” situation, patient originally referred for interventional procedures are turned down due to the high risk of sub–optimal results. In such condition conventional cardiac surgery, performed with high level of accuracy could represent the last and only treatment option for high risk patients.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/eurheartjsupp/suae036.074
- https://academic.oup.com/eurheartjsupp/article-pdf/26/Supplement_2/ii33/57682511/suae036.074.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396967947
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396967947Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/eurheartjsupp/suae036.074Digital Object Identifier
- Title
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THE “BACK TO THE FUTURE” OF CARDIOTHORACIC SURGERY: HIGH–RISK INTERVENTIONAL PROCEDURE TURNED DOWN TO CONVENTIONAL CARDIAC SURGERYWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-04-01Full publication date if available
- Authors
-
Pasquale Totaro, Marina Aiello, Stefano PelenghiList of authors in order
- Landing page
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https://doi.org/10.1093/eurheartjsupp/suae036.074Publisher landing page
- PDF URL
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https://academic.oup.com/eurheartjsupp/article-pdf/26/Supplement_2/ii33/57682511/suae036.074.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://academic.oup.com/eurheartjsupp/article-pdf/26/Supplement_2/ii33/57682511/suae036.074.pdfDirect OA link when available
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Medicine, Cardiothoracic surgery, Cardiac surgery, Surgery, Interventional cardiology, General surgeryTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.procedures | 302 |
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| abstract_inverted_index.endoarterectomy. | 235 |
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| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 3 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
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| citation_normalized_percentile.is_in_top_10_percent | False |