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View article: Aortic valve repair with annuloplasty
Aortic valve repair with annuloplasty Open
OBJECTIVES Aortic valve repair procedures for aortic valve regurgitation have been progressively adopted in the last decades. We analysed our results with an external ring annuloplasty and/or leaflet repair. METHODS From April 2014 to Dece…
View article: CT scan as a tool to evaluate root reconstruction and aortic valve repair
CT scan as a tool to evaluate root reconstruction and aortic valve repair Open
Cardiac computed tomography (CT) is an important tool in the management of patients with aortic root and ascending aorta dilatation. It complements echocardiography by providing high-resolution, three-dimensional images that enhance the as…
View article: Impact of bicuspid aortic valve orifice orientation on simple ascending aorta replacement
Impact of bicuspid aortic valve orifice orientation on simple ascending aorta replacement Open
Ascending aorta replacement in bicuspid valves may interfere with aortic root geometry, depending on the orientation of the valve orifice. Leaflet prolapse may be induced and cause valve regurgitation.
View article: Evolution over time of aortic root anatomy after aortic valve reimplantation
Evolution over time of aortic root anatomy after aortic valve reimplantation Open
After a mean of 4 years of follow-up, no significant modification of the relationships among aortic root components occurred. The proximal edge of the polyethylene terephthalate graft lies at the ventricular-arterial junction at a slightly…
View article: Simplified reimplantation: A bailout in fragile aortic wall remnants
Simplified reimplantation: A bailout in fragile aortic wall remnants Open
Simplified reimplantation is a reliable bailout in the case of fragile aortic wall remnants.
View article: Different Oxidative Stress and Inflammation Patterns of Diseased Left Anterior Descending Coronary Artery versus Internal Thoracic Artery
Different Oxidative Stress and Inflammation Patterns of Diseased Left Anterior Descending Coronary Artery versus Internal Thoracic Artery Open
Background. Oxidative stress and inflammation are typically implied in atherosclerosis pathogenesis and progression, especially in coronary artery disease (CAD). Our objective was to investigate the oxidative stress and inflammation burden…
View article: Robotic Mitral Valve Repair: Impact of Experience on Results and Complex Mitral Disease Treatment
Robotic Mitral Valve Repair: Impact of Experience on Results and Complex Mitral Disease Treatment Open
Background/Objectives: Robotically assisted mitral valve (MV) surgery is the least invasive surgical approach to the MV. The aim of the present study is to report our experience with robotically assisted MV repair, trying to define how exp…
View article: Systematic adjustment of root dimensions to cusp size in aortic valve repair: a computer simulation
Systematic adjustment of root dimensions to cusp size in aortic valve repair: a computer simulation Open
OBJECTIVES Aortic valve repair requires the creation of a normal geometry of cusps and aortic root. Of the different dimensions, geometric cusp height is the most difficult to change while annular and sinotubular dimensions can be easily m…
View article: Robotic Mitral Valve Repair: impact of experience on costs, results, and complex mitral disease treatment
Robotic Mitral Valve Repair: impact of experience on costs, results, and complex mitral disease treatment Open
Background. Robotically assisted mitral valve (MV) surgery is the least invasive surgical approach to the MV. The aim of the present study is to report 10-year experience with robotically assisted MV repair trying to define how experience …
View article: Temporary intravascular shunts and limb salvage in civilian vascular trauma
Temporary intravascular shunts and limb salvage in civilian vascular trauma Open
Background Temporary intravascular shunts (TIVS) may allow quick revascularization and distal reperfusion, reducing the ischemic time (IT) when an arterial injury occurs. Furthermore, TIVS temporarily restore peripheral perfusion during th…
View article: Aortic Valve Replacement: Understanding Predictors for the Optimal Ministernotomy Approach
Aortic Valve Replacement: Understanding Predictors for the Optimal Ministernotomy Approach Open
Introduction. The most common minimally invasive approach for aortic valve replacement (AVR) is the partial upper mini-sternotomy. The aim of this study is to understand which preoperative computed tomography (CT) features are predictive o…
View article: Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine
Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine Open
Epigenetic modifications play a fundamental role in the progression of coronary artery disease (CAD). This panoramic review aims to provide an overview of the current understanding of the epigenetic mechanisms involved in CAD pathogenesis …
View article: Managing Tako-Tsubo with Delayed Systolic Anterior Motion and Right Ventricle Dysfunction after Mitral Valve Repair
Managing Tako-Tsubo with Delayed Systolic Anterior Motion and Right Ventricle Dysfunction after Mitral Valve Repair Open
Takotsubo syndrome is a rare and serious condition, often induced by major physical or psychological stress. Both its diagnosis and treatment could be challenging; herein we describe a complex case of Takotsubo syndrome following mitral va…
View article: Twenty-year experience of aortic valve reimplantation using the Valsalva graft
Twenty-year experience of aortic valve reimplantation using the Valsalva graft Open
OBJECTIVES Over the past 20 years, valve-sparing aortic root replacement has aroused increasing interest because of a progressive attitude towards the preservation of natural tissue. Aortic reimplantation is the most used technique to spar…
View article: Mitral repair of myxomatous valves with simple annuloplasty: a follow-up up to 12 years
Mitral repair of myxomatous valves with simple annuloplasty: a follow-up up to 12 years Open
OBJECTIVES Diffuse myxomatous mitral valve degeneration (DMD) represents a challenge in the reparative mitral valve surgery. A subgroup of patients with symmetrical DMD can be effectively treated with a simple band-annuloplasty with good e…
View article: MANAGING TAKO-TSUBO WITH DELAYED SYSTOLIC ANTERIOR MOTION AND RIGHT VENTRICLE DYSFUNCTION AFTER MITRAL VALVE REPAIR
MANAGING TAKO-TSUBO WITH DELAYED SYSTOLIC ANTERIOR MOTION AND RIGHT VENTRICLE DYSFUNCTION AFTER MITRAL VALVE REPAIR Open
Takotsubo syndrome is a rare and serious condition, often induced by major physical or psychological stress. Both its diagnosis and treatment could be challenging; herein we describe a complex case of Takotsubo syndrome following mitral va…
View article: A direct correlation between commissural orientation and annular shape in bicuspid aortic valves: a new anatomical and computed tomography classification
A direct correlation between commissural orientation and annular shape in bicuspid aortic valves: a new anatomical and computed tomography classification Open
OBJECTIVES The shape of the aortic annulus is still under debate. Recent findings suggest a possible gradual spectrum of circularity from tricuspid aortic valves (TAVs), to type 1 bicuspid aortic valves (BAVs) to type 0 BAVs. BAVs have bee…
View article: Long-term follow-up of Bentall procedure using the Perimount bioprosthesis and the Valsalva graft
Long-term follow-up of Bentall procedure using the Perimount bioprosthesis and the Valsalva graft Open
OBJECTIVES Bentall procedure is the gold standard for aortic root pathologies when valve repair is not feasible. The development of durable bioprosthetic valves and improved vascular conduits allowed the implementation of bioprosthetic com…
View article: Ascending aorta disruption after thoracic blunt trauma
Ascending aorta disruption after thoracic blunt trauma Open
Blunt traumatic aortic injury is the second leading cause of death after motor vehicle accidents. The most frequent localisation of aortic lesion is the isthmus, especially in those who survived the accident. Here we report a case of blunt…
View article: Morphological modification of the aortic annulus in tricuspid and bicuspid valves after aortic valve reimplantation: an electrocardiography-gated computed tomography study†
Morphological modification of the aortic annulus in tricuspid and bicuspid valves after aortic valve reimplantation: an electrocardiography-gated computed tomography study† Open
OBJECTIVES: Aortic valve-sparing operations have been shown to produce fewer valve-related complications than valve replacement. The aortic root is a morphological and functional unit in which the annulus plays an important role on dynamis…
View article: Open and endovascular treatment by covered and multilayer stents in the therapy of renal artery aneurysms: mid and long term outcomes in a single center experience
Open and endovascular treatment by covered and multilayer stents in the therapy of renal artery aneurysms: mid and long term outcomes in a single center experience Open
Based on our experience it seems that most of RAAs may be treated by endovascular technique. The ex vivo autotransplantation represents the first-line treatment in hilar and intraparenchymal aneurysms. Multilayer stents seem to have good o…
View article: Optimizing the exposure in minimally invasive mitral surgery: a new left atrial retractor system
Optimizing the exposure in minimally invasive mitral surgery: a new left atrial retractor system Open
Optimal exposure of the mitral valve is paramount in minimally invasive surgery (MIS) and a prerequisite for successful mitral valve repair or replacement. We report the concept of a new left atrial retractor (Karl Storz GmbH, Tuttlingen, …