Publications by authors named "A Giamberti"
Background: A Norwood procedure performed after 14 days of life is notably burdened by a high mortality. We analysed the real risk and which other factors influence the mortality in late Norwood procedures.
Methods: A single-centre, retrospective review of a series of consecutive patients who underwent a surgical Norwood procedure from January 2019 until December 2023.
Despite the clinical results of the Fontan operation have certainly improved, it still presents with an inherent surgical risk of death and early morbidities. This is a retrospective clinical study of children undergoing Fontan operation in 9 congenital cardiac centers in Italy between 1990 and 2023. Clinical and surgical data were collected via a dedicated RedCap database.
View Article and Find Full Text PDFBackground: The increasing complexity of congenital cardiac surgery has led to greater utilization of extracorporeal membrane oxygenation (ECMO) support for children post-surgery. This study aims to identify risk factors for mortality and brain injury in pediatric patients requiring post-cardiotomy ECMO and to evaluate their neurological outcomes.
Methods: This retrospective study includes pediatric patients with congenital heart diseases who required ECMO after surgery.
Article Synopsis
- The study compares outcomes of cardiac surgery in adults with congenital heart disease (ACHD) and those with acquired heart disease, highlighting the growing ACHD population.
- While ACHD patients are younger and undergo more previous operations, they experience lower surgical mortality and shorter ICU stays compared to acquired disease patients.
- Overall, the surgical treatment of ACHD has excellent results, showing comparable or better outcomes than those for acquired cardiac conditions.
Advanced holographic visualization techniques are becoming increasingly important in clinical practice, not only for diagnostic purposes but also in the planning of interventional or surgical procedures. The traditional approach for visualizing anatomic structures is based on standard imaging modalities such as echocardiography, cardiac magnetic resonance (CMR) and cardiac CT scan (CCT) which, however, can only provide two-dimensional (2D) images thus limiting 3D perception. Many recent studies have shown that the use of 3D imaging modalities such as augmented reality, virtual reality, mixed reality and holography improve the short and long-term outcome of percutaneous or surgical procedures.
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