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  1. Article ; Online: Images in cardiovascular medicine voluminous left main stem to pulmonary artery fistula: A conservative approach.

    Botta, Luca / Amodio, Ciro / Savini, Carlo / Pacini, Davide

    Journal of cardiac surgery

    2020  Volume 35, Issue 5, Page(s) 1098–1099

    Abstract: The presence of a coronary arteriovenous fistula is almost rare in the adult population, even rare when associated with aortic valve insufficiency. Management and treatment options can vary and depend on a single patient. In our case, a large fistula ... ...

    Abstract The presence of a coronary arteriovenous fistula is almost rare in the adult population, even rare when associated with aortic valve insufficiency. Management and treatment options can vary and depend on a single patient. In our case, a large fistula with a rounded origin started from the roof of the left main stem, just attached to the wall of the aortic root, and finished with a very narrowed end in the pulmonary trunk. Due to its anatomical position and to the potential complications related to a proximal surgical closure as well as the incidental discovery in adult age (without signs or symptoms until the operation), we decided to have a conservative approach, leaving untouched the fistula. No intraoperative, perioperative, and follow-up signs of myocardial ischemia were observed.
    MeSH term(s) Arteriovenous Fistula/therapy ; Computed Tomography Angiography ; Conservative Treatment ; Coronary Vessel Anomalies ; Humans ; Male ; Middle Aged ; Pulmonary Artery/abnormalities ; Rare Diseases ; Tomography, X-Ray Computed
    Language English
    Publishing date 2020-03-16
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.14483
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Frozen Elephant Trunk in Right Aberrant Subclavian Artery.

    Di Marco, Luca / Amodio, Ciro / Mariani, Carlo / Costantino, Antonino / Pacini, Davide

    The Annals of thoracic surgery

    2021  Volume 113, Issue 4, Page(s) e287–e289

    Abstract: Aberrant right subclavian artery is a relatively rare congenital anomaly of the aortic arch. A 74-year-old woman was referred to our cardiac surgery department for chest pain. Computed tomography angiography scan showed an acute aortic dissection and ... ...

    Abstract Aberrant right subclavian artery is a relatively rare congenital anomaly of the aortic arch. A 74-year-old woman was referred to our cardiac surgery department for chest pain. Computed tomography angiography scan showed an acute aortic dissection and revealed an aberrant right subclavian artery routed behind the trachea. We performed supracoronary ascending aorta and total arch replacement with the frozen elephant trunk technique. The aberrant right subclavian artery was then anastomosed termino-terminal to one branch of the Thoraflex (Vascutek, Glasgow, Scotland) arch graft. Postoperative computed tomography scan indicated a successful reconstruction of the aortic arch, proving the open stent-grafting technique as a useful and effective approach for aortic disease with aberrant right subclavian artery.
    MeSH term(s) Aged ; Aorta, Thoracic/abnormalities ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/surgery ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis Implantation/methods ; Cardiovascular Abnormalities/complications ; Cardiovascular Abnormalities/diagnostic imaging ; Cardiovascular Abnormalities/surgery ; Female ; Humans ; Subclavian Artery/abnormalities ; Subclavian Artery/diagnostic imaging ; Subclavian Artery/surgery
    Language English
    Publishing date 2021-06-29
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2021.06.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: How to mimic a type A intramural hematoma: A case of IgG4-related aortitis associated with cerebral hemorrhage.

    Leone, Alessandro / Votano, Daniela / Amodio, Ciro / Fiaschini, Costanza / Berardi, Marianna / Pacini, Davide

    Journal of cardiac surgery

    2021  Volume 37, Issue 1, Page(s) 252–254

    Abstract: IgG4-related aortitis is an inflammatory condition of the aorta, characterized by aortic wall thickening and periaortic soft-tissue involvement. Therefore, this condition can mimic an aortic intramural hematoma (IMH), due to similar radiological findings. ...

    Abstract IgG4-related aortitis is an inflammatory condition of the aorta, characterized by aortic wall thickening and periaortic soft-tissue involvement. Therefore, this condition can mimic an aortic intramural hematoma (IMH), due to similar radiological findings. We hereby report the case of an IgG4-related aortitis misdiagnosed as an IMH, associated with cerebral hemorrhage, possibly due to cerebral vascular system involvement.
    MeSH term(s) Aorta ; Aortitis/diagnosis ; Aortitis/diagnostic imaging ; Cerebral Hemorrhage ; Hematoma/diagnostic imaging ; Humans ; Immunoglobulin G
    Chemical Substances Immunoglobulin G
    Language English
    Publishing date 2021-10-28
    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.16116
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: "Why is frozen elephant trunk better than classical elephant trunk?"

    Di Marco, Luca / Mariani, Carlo / Murana, Giacomo / Amodio, Ciro / Campanini, Francesco / Berardi, Marianna / Leone, Alessandro / Pacini, Davide

    Indian journal of thoracic and cardiovascular surgery

    2022  Volume 38, Issue Suppl 1, Page(s) 70–78

    Abstract: The treatment of complex aortic arch disease, in chronic or acute setting, has always represented a fascinating challenge for the heart surgeon also because, often, the involvement of the aortic arch is associated with a simultaneous involvement of the ... ...

    Abstract The treatment of complex aortic arch disease, in chronic or acute setting, has always represented a fascinating challenge for the heart surgeon also because, often, the involvement of the aortic arch is associated with a simultaneous involvement of the ascending aorta and of the proximal portion of the descending thoracic aorta. In recent years, there have been many surgical and/or endovascular techniques and approaches in a single step or multiple steps proposed with the aim of treating and simplifying these complex conditions. The first procedure available for this purpose was the conventional elephant trunk technique, proposed by the German surgeon Hans Borst, back in 1983. In the following years, the technique has undergone modifications, up to what is nowadays considered its most modern evolution, represented by the frozen elephant trunk which allows managing the proximal descending thoracic aorta using the antegrade release of a self-expandable stent graft. In this review article, we try to analyze the advantages and drawbacks of both techniques from clinical and practical points of view.
    Language English
    Publishing date 2022-03-25
    Publishing country India
    Document type Journal Article
    ZDB-ID 2164386-6
    ISSN 0973-7723 ; 0970-9134
    ISSN (online) 0973-7723
    ISSN 0970-9134
    DOI 10.1007/s12055-021-01302-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A rescue transcatheter solution for early sutureless basal ring infolding.

    Loforte, Antonio / Comentale, Giuseppe / Coppola, Giuditta / Amodio, Ciro / Botta, Luca / Saia, Francesco / Taglieri, Nevio / Marrozzini, Cinzia / Savini, Carlo / Pacini, Davide

    Journal of cardiac surgery

    2021  Volume 37, Issue 3, Page(s) 697–699

    Abstract: We report the case of an 83-year-old woman treated with a "rescue" valve-in-valve transcatheter aortic valve implantation because of an early basal ring partial collapse of a sutureless valve, probably due to septal hypertrophy. ...

    Abstract We report the case of an 83-year-old woman treated with a "rescue" valve-in-valve transcatheter aortic valve implantation because of an early basal ring partial collapse of a sutureless valve, probably due to septal hypertrophy.
    MeSH term(s) Aged, 80 and over ; Aortic Valve/surgery ; Aortic Valve Stenosis/diagnostic imaging ; Aortic Valve Stenosis/surgery ; Female ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation ; Humans ; Transcatheter Aortic Valve Replacement
    Language English
    Publishing date 2021-12-30
    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.16196
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Use of the frozen elephant trunk technique for type B aortic dissection and aberrant right subclavian artery: an anatomic repair of the "arteria lusoria".

    Murana, Giacomo / Di Marco, Luca / Amodio, Ciro / Costantino, Antonino / Di Bartolomeo, Roberto / Leone, Alessandro / Pacini, Davide

    Annals of cardiothoracic surgery

    2020  Volume 9, Issue 3, Page(s) 254–256

    Language English
    Publishing date 2020-05-28
    Publishing country China
    Document type Editorial
    ZDB-ID 2713627-9
    ISSN 2304-1021 ; 2225-319X
    ISSN (online) 2304-1021
    ISSN 2225-319X
    DOI 10.21037/acs.2020.03.15
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: AVR in patients with anomalous course of the circumflex artery without prosthetic downsizing.

    Botta, Luca / Amodio, Ciro / Pagano, Vincenzo / Di Marco, Luca / Leone, Alessandro / Loforte, Antonio / Martin-Suarez, Sofia / Savini, Carlo / Pacini, Davide

    Journal of cardiac surgery

    2020  Volume 35, Issue 11, Page(s) 3125–3127

    Abstract: An anomalous origin of the left circumflex coronary artery that arises as a side branch of the right coronary artery and encircles the aortic annulus is usually an incidental finding. However, in patients undergoing aortic valve/root procedures, its ... ...

    Abstract An anomalous origin of the left circumflex coronary artery that arises as a side branch of the right coronary artery and encircles the aortic annulus is usually an incidental finding. However, in patients undergoing aortic valve/root procedures, its existence can significantly complicate the surgical treatment. We report our operative strategy with three different prostheses without valve downsizing.
    MeSH term(s) Aortic Valve/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/methods ; Coronary Vessel Anomalies/surgery ; Coronary Vessels/surgery ; Heart Valve Prosthesis Implantation/methods ; Humans ; Prosthesis Design
    Language English
    Publishing date 2020-08-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.14927
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Current status in decision making to treat acute type A dissection: limited versus extended repair. The Bologna approach.

    Leone, Alessandro / Murana, Giacomo / Di Marco, Luca / Coppola, Giuditta / Berardi, Marianna / Amodio, Ciro / Botta, Luca / Pacini, Davide

    The Journal of cardiovascular surgery

    2020  Volume 61, Issue 3, Page(s) 272–277

    Abstract: The best surgical treatment for acute type A aortic dissection (AAAD) is still a strongly debated issue of every cardiac surgeon. The successful result is obtained by taking into consideration both the preoperative and intraoperative aspects, such as ... ...

    Abstract The best surgical treatment for acute type A aortic dissection (AAAD) is still a strongly debated issue of every cardiac surgeon. The successful result is obtained by taking into consideration both the preoperative and intraoperative aspects, such as cerebral, visceral or coronary malperfusion before surgery. More conservative approaches or more aggressive treatments are different strategies with their pros and cons to face the same problem, especially for the aortic arch management. The expertise of the center, the perfect surgical timing and a dedicated aortic team composed of expert aortic surgeons, anesthesiologist, radiologist and cardiologist are important but not mandatory to achieve the best results in this type of surgery since is not possible to offer it in all the hospitals. The accurate assessment of the aortic anatomy has to be performed, including the extension of the dissection process, the exact location of the entry and re-entry tears, the aortic diameters, the distribution of visceral vessels between the true and the false lumen and the assessment of perfect size of the prosthesis to avoid the oversize since it may cause new entry site in the descending thoracic aorta. We reviewed and analyzed different scenarios and techniques used for the aortic arch replacement in patients with AAAD, taking into consideration that the aim of surgery is to save patients life.
    MeSH term(s) Acute Disease ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm/diagnostic imaging ; Aortic Aneurysm/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Clinical Decision-Making ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Evidence-Based Medicine ; Humans ; Patient Selection ; Postoperative Complications/etiology ; Prosthesis Design ; Risk Assessment ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2020-01-23
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 80143-4
    ISSN 1827-191X ; 0021-9509
    ISSN (online) 1827-191X
    ISSN 0021-9509
    DOI 10.23736/S0021-9509.20.11229-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Total aortic arch replacement with frozen elephant trunk (Thoraflex).

    Di Marco, Luca / Pacini, Davide / Murana, Giacomo / Mariani, Carlo / Amodio, Ciro / Di Bartolomeo, Roberto

    Annals of cardiothoracic surgery

    2018  Volume 7, Issue 3, Page(s) 451–453

    Language English
    Publishing date 2018-08-22
    Publishing country China
    Document type Editorial
    ZDB-ID 2713627-9
    ISSN 2304-1021 ; 2225-319X
    ISSN (online) 2304-1021
    ISSN 2225-319X
    DOI 10.21037/acs.2018.04.05
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The frozen elephant trunk surgery: a systematic review analysis.

    Di Marco, Luca / Murana, Giacomo / Fiorentino, Mariafrancesca / Amodio, Ciro / Mariani, Carlo / Leone, Alessandro / Di Bartolomeo, Roberto / Pacini, Davide

    Indian journal of thoracic and cardiovascular surgery : official organ, Association of Thoracic and Cardiovascular Surgeons of India

    2019  Volume 35, Issue Suppl 2, Page(s) 118–126

    Abstract: The frozen elephant trunk might be considered one of the most appreciated innovations during the last decades to treat complex thoracic aortic lesions. Many useful tips have been progressively introduced to standardize the procedures and, nowadays, the ... ...

    Abstract The frozen elephant trunk might be considered one of the most appreciated innovations during the last decades to treat complex thoracic aortic lesions. Many useful tips have been progressively introduced to standardize the procedures and, nowadays, the improved post-operative outcomes contributed to spread the procedure. The following article will provide a comprehensive review analysis of the Frozen Elephant Trunk (FET) technique, throughout the current available devices, possible surgical indications and primary post-operative complications.
    Language English
    Publishing date 2019-04-26
    Publishing country India
    Document type Journal Article
    ZDB-ID 2164386-6
    ISSN 0973-7723 ; 0970-9134
    ISSN (online) 0973-7723
    ISSN 0970-9134
    DOI 10.1007/s12055-019-00815-0
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