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  1. Article ; Online: Safety of del Nido cardioplegia during frozen elephant trunk procedure: A case report of first experience in complex aortic surgery.

    Comentale, Giuseppe / Pilato, Emanuele

    Perfusion

    2023  , Page(s) 2676591231157202

    Abstract: We report the case of a 74 years-old male who underwent frozen elephant trunk due to a huge aortic arch aneurysm related to a type 1A endoleak after thoracic endovascular aortic repair where cardioplegic arrest was achieved using the Del Nido ... ...

    Abstract We report the case of a 74 years-old male who underwent frozen elephant trunk due to a huge aortic arch aneurysm related to a type 1A endoleak after thoracic endovascular aortic repair where cardioplegic arrest was achieved using the Del Nido cardioplegia.
    Language English
    Publishing date 2023-02-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 645038-6
    ISSN 1477-111X ; 0267-6591
    ISSN (online) 1477-111X
    ISSN 0267-6591
    DOI 10.1177/02676591231157202
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy.

    Romeo, Maria Grazia / Pilato, Emanuele / Giordano, Raffaele / Comentale, Giuseppe / Iannelli, Gabriele / Romeo, Domenico / Miserrafiti, Bruna / Di Tommaso, Luigi

    Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace

    2024  

    Abstract: We report the case of an incidental finding of a huge aneurysm of the ascending aorta with a congenital bicuspid aortic valve type 0-lateral. This severe condition was totally unknown to the patient, who was asymptomatic for cardiovascular disease. The ... ...

    Abstract We report the case of an incidental finding of a huge aneurysm of the ascending aorta with a congenital bicuspid aortic valve type 0-lateral. This severe condition was totally unknown to the patient, who was asymptomatic for cardiovascular disease. The aneurysmal mass involved the entire mediastinum, altering the normal anatomical relations, so the operative strategy was modified intraoperatively, tailoring the surgical technique to the anatomical conditions found. Despite a delayed awakening, the patient had an uncomplicated postoperative course. Therefore, this case highlights the importance of not underestimating nonspecific, seemingly harmless symptoms and signs that may reveal potentially catastrophic pathologies, while also focusing on the surgical technique used. The modified Cabrol procedure, while an underutilized technique, if present in the cardiac surgeon's "arsenal," can represent a life-saving strategy in complex cases requiring an aortic valve and ascending aorta replacement.
    Language English
    Publishing date 2024-03-18
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1160940-0
    ISSN 1122-0643 ; 1120-0391
    ISSN 1122-0643 ; 1120-0391
    DOI 10.4081/monaldi.2024.2936
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sars-Cov-2 infection as a possible risk factor for prosthesis endocarditis: A challenging redo-Bentall for subvalvular abscess.

    Romeo, Maria Grazia / Comentale, Giuseppe / Cirillo, Vera / Pilato, Emanuele

    Journal of cardiac surgery

    2022  Volume 37, Issue 9, Page(s) 2845–2848

    Abstract: Background: Candida Parapsilosis is an unusual agent of prosthetic endocarditis in immunocompetent individuals but Coronavirus disease 2019 is reported to be associated with a transient immunodeficency that exposes patientes to opportunistic infections.! ...

    Abstract Background: Candida Parapsilosis is an unusual agent of prosthetic endocarditis in immunocompetent individuals but Coronavirus disease 2019 is reported to be associated with a transient immunodeficency that exposes patientes to opportunistic infections.
    Case report: We describe a dreadful case of Candida Parapsilosis endocarditis in a transient immunosuppressed patient recently infected with severe acute respiratory syndrome-Coronavirus 2019.
    Conclusion: Considering that the symptoms of Candida Parapsilosis infection and the symptoms of Coronavirus disease-2019 may overlap, it is important never to understimate the non-specific symptoms to improve patient outcome, especially in patient with previous Coronavirurs disease-2019 infection and with prosthetic material grafting.
    MeSH term(s) Abscess/etiology ; Abscess/microbiology ; Abscess/surgery ; COVID-19/complications ; COVID-19/immunology ; Candida parapsilosis/isolation & purification ; Candidiasis/etiology ; Candidiasis/microbiology ; Endocarditis/etiology ; Endocarditis/microbiology ; Endocarditis/surgery ; Heart Valve Prosthesis/adverse effects ; Heart Valve Prosthesis/microbiology ; Humans ; Immunocompromised Host ; Reoperation ; Risk Factors ; SARS-CoV-2
    Language English
    Publishing date 2022-06-25
    Publishing country United States
    Document type Case Reports
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.16729
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Pulmonary embolism and Sars-Cov-2 infection: A new indication for surgical pulmonary endarterectomy?

    Pilato, Emanuele / Manzo, Rachele / Comentale, Giuseppe

    Heart & lung : the journal of critical care

    2020  Volume 49, Issue 4, Page(s) 352

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Endarterectomy ; Humans ; Pandemics ; Pneumonia, Viral ; Prevalence ; Pulmonary Embolism ; SARS Virus ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-18
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 193129-5
    ISSN 1527-3288 ; 0147-9563
    ISSN (online) 1527-3288
    ISSN 0147-9563
    DOI 10.1016/j.hrtlng.2020.05.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: COVID-19 and ischemic heart disease emergencies: What cardiac surgery should expect?

    Pilato, Emanuele / Manzo, Rachele / Comentale, Giuseppe

    Journal of cardiac surgery

    2020  Volume 35, Issue 5, Page(s) 1161

    MeSH term(s) Acute Coronary Syndrome/complications ; Acute Coronary Syndrome/psychology ; Acute Coronary Syndrome/surgery ; Acute Coronary Syndrome/therapy ; COVID-19 ; Cardiac Care Facilities ; Cardiac Surgical Procedures ; Coronavirus Infections/psychology ; Coronavirus Infections/transmission ; Cross Infection/psychology ; Cross Infection/transmission ; Emergencies ; Fear ; Humans ; Infectious Disease Transmission, Professional-to-Patient/prevention & control ; Myocardial Ischemia/complications ; Myocardial Ischemia/psychology ; Myocardial Ischemia/surgery ; Myocardial Ischemia/therapy ; Pandemics ; Patient Acceptance of Health Care/psychology ; Pneumonia, Viral/psychology ; Pneumonia, Viral/transmission
    Keywords covid19
    Language English
    Publishing date 2020-04-17
    Publishing country United States
    Document type Letter
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.14556
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Sars-Cov-2 interference in HEME production: is it the time for an early predictive biomarker?

    Comentale, Giuseppe / Manzo, Rachele / Pilato, Emanuele

    Journal of molecular medicine (Berlin, Germany)

    2020  Volume 98, Issue 8, Page(s) 1053–1054

    MeSH term(s) Aminolevulinic Acid/metabolism ; Betacoronavirus/pathogenicity ; Biomarkers/analysis ; COVID-19 ; Coronavirus Infections/metabolism ; Coronavirus Infections/virology ; Heme/biosynthesis ; Host-Pathogen Interactions ; Humans ; Interleukin-6/blood ; Pandemics ; Pneumonia, Viral/metabolism ; Pneumonia, Viral/virology ; Porphobilinogen/metabolism ; Porphobilinogen/urine ; SARS-CoV-2 ; Thrombosis/etiology ; Viral Proteins/metabolism
    Chemical Substances Biomarkers ; IL6 protein, human ; Interleukin-6 ; ORF8 protein, SARS-CoV-2 ; Viral Proteins ; Heme (42VZT0U6YR) ; Porphobilinogen (74KHC72QXK) ; Aminolevulinic Acid (88755TAZ87)
    Keywords covid19
    Language English
    Publishing date 2020-06-29
    Publishing country Germany
    Document type Letter
    ZDB-ID 1223802-8
    ISSN 1432-1440 ; 0946-2716
    ISSN (online) 1432-1440
    ISSN 0946-2716
    DOI 10.1007/s00109-020-01945-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Type A Aortic Dissection in an 11-month-old Infant With Loeys-Dietz Syndrome.

    Comentale, Giuseppe / D'Andrea, Claudia / Pilato, Emanuele / Oppido, Guido

    The Annals of thoracic surgery

    2021  Volume 112, Issue 4, Page(s) e287–e289

    Abstract: Type A aortic dissection is a very uncommon finding in children, especially among infants, where no cases seem to have been described. We report the case of an 11-month-old boy with Loeys-Dietz syndrome and asymptomatic type A aortic dissection involving ...

    Abstract Type A aortic dissection is a very uncommon finding in children, especially among infants, where no cases seem to have been described. We report the case of an 11-month-old boy with Loeys-Dietz syndrome and asymptomatic type A aortic dissection involving the aortic root that was successfully repaired.
    MeSH term(s) Age Factors ; Aneurysm, Dissecting/diagnosis ; Aneurysm, Dissecting/etiology ; Aneurysm, Dissecting/surgery ; Blood Vessel Prosthesis Implantation ; Humans ; Infant ; Loeys-Dietz Syndrome/complications ; Loeys-Dietz Syndrome/diagnosis ; Loeys-Dietz Syndrome/surgery ; Male
    Language English
    Publishing date 2021-02-04
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2021.01.045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Incidental finding of rare and huge asymptomatic pseudoaneurysm after Bentall procedure: A challenging case report.

    Comentale, Giuseppe / Pinna, Giovanni B / Parisi, Valentina / Manzo, Rachele / Pilato, Emanuele

    Journal of cardiac surgery

    2022  Volume 37, Issue 6, Page(s) 1773–1775

    Abstract: We report the case of a 62-year-old male who underwent urgent cardiac surgery due to the incidental finding of a huge and asymptomatic coronary button pseudoaneurysm at an 18-month outpatients clinic follow-up requiring a very complex preoperative ... ...

    Abstract We report the case of a 62-year-old male who underwent urgent cardiac surgery due to the incidental finding of a huge and asymptomatic coronary button pseudoaneurysm at an 18-month outpatients clinic follow-up requiring a very complex preoperative planning.
    MeSH term(s) Aneurysm, False/diagnostic imaging ; Aneurysm, False/etiology ; Aneurysm, False/surgery ; Cardiac Surgical Procedures/adverse effects ; Humans ; Incidental Findings ; Male ; Middle Aged ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Postoperative Complications/surgery
    Language English
    Publishing date 2022-03-14
    Publishing country United States
    Document type Case Reports
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.16415
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The Norwood operation performed with the heart beating and no prosthetic materials.

    Comentale, Giuseppe / Cucchi, Marta / D'Andrea, Claudia / Pilato, Emanuele / Oppido, Guido

    Multimedia manual of cardiothoracic surgery : MMCTS

    2022  Volume 2022

    Abstract: The Norwood procedure performed with the heart beating is a useful and attractive way to perform the stage I palliation for hypoplastic left heart syndrome. It allows completion of the surgical procedure without stopping the heart and without using deep ... ...

    Abstract The Norwood procedure performed with the heart beating is a useful and attractive way to perform the stage I palliation for hypoplastic left heart syndrome. It allows completion of the surgical procedure without stopping the heart and without using deep hypothermia and circulatory arrest. Therefore it could be an attractive solution for reducing the adverse effects of the operation and the rate of postoperative complications. Moreover, this technique avoids the use of prosthetic materials, thus minimizing long-term complications and reoperations, and promotes a more physiological growth of the anatomical structures. However, the high level of expertise required to perform this type of complex neonatal procedure with the heart beating may be limited to only a few centers in the world thus far.
    MeSH term(s) Humans ; Hypoplastic Left Heart Syndrome/surgery ; Infant, Newborn ; Norwood Procedures ; Palliative Care ; Postoperative Complications/surgery ; Reoperation ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2022-04-01
    Publishing country England
    Document type Video-Audio Media
    ZDB-ID 2280156-X
    ISSN 1813-9175 ; 1813-9175
    ISSN (online) 1813-9175
    ISSN 1813-9175
    DOI 10.1510/mmcts.2022.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: A Rare Case of Effusive-Constrictive Pericarditis Caused by

    Iavazzo, Annarita / Pinna, Giovanni Battista / Romeo, Maria Grazia / Mileo, Emilio / Pilato, Emanuele / Di Tommaso, Luigi

    Medicina (Kaunas, Lithuania)

    2022  Volume 58, Issue 6

    Abstract: A 70-year-old male patient was admitted to the emergency room in cardiac arrest. The patient was resuscitated and then referred to our cardiac surgery department, where he was diagnosed with suspected effusive constrictive pericarditis. A failed trial of ...

    Abstract A 70-year-old male patient was admitted to the emergency room in cardiac arrest. The patient was resuscitated and then referred to our cardiac surgery department, where he was diagnosed with suspected effusive constrictive pericarditis. A failed trial of TEE-guided pericardiocentesis led to the decision of surgical intervention. Sternotomy was performed and revealed pericardial thickening and very dense adhesions involving the pericardium and both pleurae, suggesting a neoplastic disease. An extensive pericardiectomy and bilateral pleural decortication were performed. After surgery, the patient improved significantly and was discharged from the intensive care unit 24 h later. Pericardial thickening, dense adhesions, the amount and color of pericardial fluid and the aspect of epicardial tissue increased our suspicion of neoplastic disease. Histological samples were sent to be analyzed immediately; a few days later, they were unexpectedly negative for any neoplastic disease but showed a group-B-hemolytic
    MeSH term(s) Aged ; Humans ; Male ; Pericardial Effusion/microbiology ; Pericardial Effusion/surgery ; Pericardiectomy ; Pericardiocentesis ; Pericarditis, Constrictive/surgery ; Streptococcal Infections/complications ; Streptococcus agalactiae
    Language English
    Publishing date 2022-05-25
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina58060699
    Database MEDical Literature Analysis and Retrieval System OnLINE

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