Associazione Nazionale Medici Cardiologi Ospedalieri

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TOTAL ENDOSCOPIC MITRAL VALVE REPAIR IN A MARFAN GIRL WITH BARLOW DISEASE AND CHEST DEFORMITY WITH A VIRTUAL AND AUGMENTED REALITY TECHNOLOGY SUPPORT
Anno:
2025
Objective: We present a case of a 18 years old girl with Marfan syndrome presented with severe mitral regurgitation (MR) in a degenerative Barlow disease with prolapse of both leaflets. Methods: Chest X-rays showed a severe kyphoscoliosis combined with a pectus excavatum. The patient refused full sternotomy for psychological and cosmetic reasons….
AORTIC ROOT REPLACEMENT WITH SUB-ANNULAR IMPLANTATION FOR INFECTIVE ENDOCARDITIS: EARLY AND MID-TERM RESULTS
Anno:
2025
Objectives: prosthetic valve endocarditis (PVE) frequently entails a periannular extension with invasion and destruction of nearby structures. Thus, surgeons are faced with challenging anatomies that often require complex surgical approaches. Herein, we report the early and midterm outcomes of a high‐risk series of patients with PVE undergoing aortic root…
Atypical anterior annuloplasty for mitral repair in severe posterior mitral annular calcification
Anno:
2025
PREMISE: managing of mitral annular calcification (MAC) in mitral repair surgery (MRS) remains debated and exciting. The MAC’s pathophysiology in MV prolapse knows many and complex mechanisms: 1st step in MAC genesis is related to the abnormal MV geometry and mechanics, especially of the posterior mitral leaflet (PL). In…
CONTEMPORARY OUTCOMES OF DEGENERATIVE MITRAL VALVE SURGERY IN A REGIONAL TERTIARY CARE CENTER
Anno:
2025
Objective: As percutaneous mitral valve techniques become more prevalent, it is important to evaluate the contemporary outcomes of surgical mitral valve interventions. This study assessed the current results and procedural trends of mitral valve surgery for degenerative mitral regurgitation (DMR) at a regional tertiary care center. Methods: Data were analyzed…
FRACTIONATED PROCEDURAL RISK OF MORTALITY IN A VERY FRAIL PATIENT: CASE REPORT OF A TAILORED HYBRID APPROACH
Anno:
2025
Introduction Staged hybrid strategies for combined cardiac diseases demonstrated to provide the best therapeutic option in high-risk patients while reducing drawbacks of surgical and/or percutaneous procedures alone. In particular, dividing the overall risk of morbidity and mortality of a concomitant procedure into a staged hybrid approach, factorization of each…
Virtual Reality Planning for Complex Late Sequelae in Valve Surgery
Anno:
2025
Objective: Virtual reality (VR) is becoming widely available in the medical field. Its application in surgery is not always clear and straightforward. However, in complex anatomical and uncommon situations, it may be decisive in visualizing preoperatively the surgical scenario, analyse and move through different anatomical planes and ultimately plan…
SURGICAL OUTCOMES AND SEX DIFFERENCES IN CORONARY ARTERY BYPASS GRAFT SURGERY.
Anno:
2025
Aim. Coronary artery bypass grafting (CABG) is the most commonly performed cardiac surgery globally. The aim of the study is to investigate outcome of CABG according to participant sex in the real word. Methods. We retrospective analysed 20337 CABG operations performed in an Italian Region, Lazio, using a regional administrative dataset. Results. Between…
30-day mortality assessment after surgical repair of acute type A aortic dissection
Anno:
2025
Background: Untreated acute type A aortic dissection has a bad prognosis. However, mortality rates remain high even for those patients which underwent a surgical procedure, depending on presentation symptoms, age and comorbidities. Adverse events such as neurological attacks and peripheral or visceral malperfusion may complicate these cases. Our aim is to…
UNCONVENTIONAL TEVAR PROCEDURE THROUGH ASCENDING AORTA
Anno:
2025
An 80-year-old male with a medical history of hypertension, dyslipidemia, smoking, multi-district arteriopathy, cerebrovascular encephalopathy, and COPD was admitted with severe, acute, retrosternal, and interscapular pain and dyspnea. Angio-CT showed "unrupted aneurysm of the aortic arch, near the origin of the left subclavian artery, bovine aortic arch, left hemothorax…
EARLY CLINICAL OUTCOMES OF MINIMALLY INVASIVE REVASCULARIZATION STRATEGIES
Anno:
2025
Introduction: Minimally invasive revascularization techniques for myocardial revascularization (MICS) of the left anterior descending coronary artery (LAD) with the left internal thoracic artery (LITA) include robot-assisted (RACAB) or direct left minithoracotomy (MIDCAB) approaches. These strategies, alone or combined with PCI in a hybrid setting, provide excellent survival outcomes while…