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  1. Article ; Online: Unexpected diagnosis following screening breast ultrasound

    Federico Cammertoni / Piergiorgio Bruno / Natalia Pavone / Piero Farina / Christian Colizzi / Antonella Coli / Massimo Massetti

    Clinical Case Reports, Vol 8, Iss 10, Pp 2073-

    2020  Volume 2075

    Abstract: Abstract Any instrumental examination may lead to unexpected diagnosis that in turn can radically change the clinical pathway of a patient. ...

    Abstract Abstract Any instrumental examination may lead to unexpected diagnosis that in turn can radically change the clinical pathway of a patient.
    Keywords cardiothoracic surgery ; cardiovascular disorders ; mediastinum ; teratoma ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Delayed massive subcutaneous emphysema following Robicsek closure

    Natalia Pavone / Federico Cammertoni / Piergiorgio Bruno / Giovanni Alfonso Chiariello / Giovanni Graziano / Massimo Massetti

    Clinical Case Reports, Vol 7, Iss 12, Pp 2588-

    2019  Volume 2589

    Abstract: Abstract A surgical procedure may lead to unusual and unexpected clinical scenario. Good medical practice should always keep it in mind. So, a broken sternal steel wire was the rare cause of massive emphysema. ...

    Abstract Abstract A surgical procedure may lead to unusual and unexpected clinical scenario. Good medical practice should always keep it in mind. So, a broken sternal steel wire was the rare cause of massive emphysema.
    Keywords cardiothoracic surgery ; cardiovascular disorders ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2019-12-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  3. Article ; Online: Clinical Impact of Heart Team Decisions for Patients With Complex Valvular Heart Disease

    Francesco Burzotta / Francesca Graziani / Carlo Trani / Cristina Aurigemma / Piergiorgio Bruno / Antonella Lombardo / Giovanna Liuzzo / Marialisa Nesta / Gaetano Antonio Lanza / Enrico Romagnoli / Gabriella Locorotondo / Antonio Maria Leone / Natalia Pavone / Claudio Spalletta / Gemma Pelargonio / Tommaso Sanna / Nadia Aspromonte / Franco Cavaliere / Filippo Crea /
    Massimo Massetti

    Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 11, Iss

    A Large, Single‐Center Experience

    2022  Volume 11

    Abstract: Background A multidisciplinary approach might be pivotal for the management of patients with valvular heart disease (VHD), but clinical outcome data are lacking. Methods and Results At our institution, since 2014, internal guidelines recommended heart ... ...

    Abstract Background A multidisciplinary approach might be pivotal for the management of patients with valvular heart disease (VHD), but clinical outcome data are lacking. Methods and Results At our institution, since 2014, internal guidelines recommended heart team consultations for patients with VHD. The clinical/echocardiographic characteristics, treatment recommendations, performed treatment, and early clinical outcomes of consecutive, hospitalized patients with VHD undergoing heart team evaluation were collected. Surgical risk was prospectively assessed by the EuroSCORE II and STS‐PROM. The primary end point of the study was early mortality. A total of 1004 patients with VHD with high clinical complexity (mean age, 75 years; mean EuroSCORE II, 9.4%; mean STS‐PROM, 5.6%; 48% ischemic heart disease; 29% chronic kidney disease, 9% oncologic/hematologic diseases) were enrolled. The heart team recommended an interventional treatment for 807 (80%) patients and conservative management for 197 (20%) patients. Management crossovers occurred in only 5% of patients. The recommended intervention was cardiac surgery for 230 (23%) patients, percutaneous treatment in 516 (51%) patients, and hybrid treatment in 61 (6%) patients. Early mortality occurred in 24 patients (2.4%) and was independently predicted by aortic stenosis, left ventricular ejection fraction, pulmonary artery systolic pressure, and conservative management recommendation. In patients referred to treatment, observed early mortality (1.7%) was significantly lower (P<0.001) than expected on the bases of both the STS‐PROM (5.2%) and EuroSCORE II (9.7%). Conclusions Within the limitations of its single‐center and observational design, the present study suggests that heart team–based management of patients with complex VHD is feasible and allows referral to a wide spectrum of interventions with promising early clinical results.
    Keywords cardiac surgery ; heart team ; hybrid interventions ; mortality ; precision medicine ; TAVI ; Diseases of the circulatory (Cardiovascular) system ; RC666-701
    Subject code 610 ; 616
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

    More links

    Kategorien

    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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