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BACKGROUND The risk of reoperation on the autograft and homograft is the major long-term drawback of the Ross procedure. The incidence and clinical implications of reoperations after the Ross procedure are reported. METHODS Between March 1992 and February 2010, 336 consecutive patients had a Ross procedure (mean follow-up, 6.2±4.9 years). Autograft(More)
In this work, we analyzed the prognostic significance of changes in hemoglobin during intensive care unit (ICU) stay in patients with acute coronary syndromes (ACS). We prospectively enrolled 591 patients (62 ± 14 years old, 73% male, 48% ST elevated myocardial infarction) free of blood cell transfusion or bleeding events. Changes in hemoglobin between(More)
OBJECTIVE Our objective was to analyze the long term survival of patient operated on for acute type A aortic dissection. METHODS Between 1990 and 2010, 226 patients underwent emergency surgical operation for acute type A aortic dissection. We have followed the long-term outcomes. RESULTS 144 patients were operated on with a supracommissural replacement(More)
T ranscatheter aortic valve replacement (TAVR) is a technique to treat patients with symptomatic aortic steno-sis and contraindications or at high risk for conventional surgical valve replacement. 1 Two revalving devices based on different technical concepts, self-expandable (SE) or balloon-expandable (BE), have been developed and are currently available.(More)
This case vignette relates the unknown association between systemic capillary leak syndrome, namely Clarkson's syndrome, and acute cardiac dysfunction. 'Central extra-corporeal life support (ECLS)' was needed for the management of an intractable cardiogenic shock. The acute cardiac condition completely resolved within few days. Pathology showed diffuse(More)
On a rare occasion, pulmonary artery dilatation can be complicated by an extrinsic compression of the left main coronary artery (LMCA) whose effects are immediately evident, whereas a delayed presentation is unusual. We report the uncommon case of a delayed acute coronary syndrome caused by the extrinsic compression of the LMCA due to pulmonary artery(More)
Survival after cardiac arrest depends on prompt and effective cardiopulmonary resuscitation (CPR). Resuscitative teams are more frequently using mechanical chest compression devices, as documented in physiologic and experimental data, suggesting that these devices are more effective than manual CPR. A 41-year-old male patient presented with an ST-elevation(More)
UNLABELLED Lipomatous hypertrophy of the interatrial septum is a rare benign cardiac disorder characterised by the accumulation of adipose tissue; data from several post mortem surveys report how the disorder represents 0.6% of all benign cardiac tumours. Generally asymptomatic, it frequently constitutes an incidental post mortem finding. The disorder may(More)
BACKGROUND Aortic root replacement with a pulmonary autograft (Ross procedure) can be performed as a treatment of aortic valve endocarditis, avoiding prosthetic valve implantation in septic context. We sought to assess long-term outcomes of the Ross procedure in this indication. METHODS From April 1992 to March 2009, the intervention was performed in 42(More)