Publications by authors named "A Musazzi"
A non-functional middle mediastinal paraganglioma is a rare entity. We describe a case of a 67-year-old woman with a diagnosis of a big mediastinal paraganglioma by endobronchial ultrasound transbronchial needle aspiration after chest CT and 18F-fluorodeoxyglucose positron-emission tomography. The nine centimeter in length tumor was located between the superior vena cava and the posterior portion of the ascending aorta, compressing the left atrium and the trachea and main left bronchus, posteriorly, surrounding the right pulmonary artery.
View Article and Find Full Text PDFLong-term survival after surgical treatment for post-infarction mechanical complications: results from the Caution study.
Eur Heart J Qual Care Clin Outcomes
December 2024
Article Synopsis
- Mechanical complications (MCs) following acute myocardial infarction (AMI) are rare but serious, with surgery being the recommended treatment; this study evaluated outcomes of patients who underwent such surgeries from 2001 to 2019.
- Among 720 patients analyzed, the average age was 70, with the majority being male; the most frequent complication was ventricular septal rupture, leading to a significant in-hospital mortality rate of 37.4%.
- Despite high immediate mortality, long-term survival rates for hospital survivors were promising, showing 65.7% survival at 10 years, with older age and postoperative low cardiac output syndrome being key factors influencing overall mortality.
Article Synopsis
- - Left ventricular free-wall rupture (LVFWR) is a serious complication following acute myocardial infarction (AMI), with surgery being the typical treatment, though limited data exists on its effectiveness and safety over time.
- - The study analyzed 35 patients who underwent surgical repair for LVFWR from 1990 to 2019, revealing an in-hospital mortality rate of 28.6% and identifying age over 75, preoperative cardiac arrest, and concurrent ventricular septal rupture as key risk factors for early death.
- - Follow-up showed that among survivors, long-term survival rates were promising, with 82.5% surviving at 3 years and 55.2% at 12 years, suggesting that while the
Survival and Recurrence of Endocarditis following Mechanical vs. Biological Aortic Valve Replacement for Endocarditis in Patients Aged 40 to 65 Years: Data from the INFECT-Registry.
J Clin Med
December 2023
Article Synopsis
- Infective endocarditis (IE) often requires surgery, and this study evaluates how different types of aortic valve replacements (AVR) affect long-term survival and recurrence of endocarditis in patients aged 40 to 65.
- A total of 549 patients were analyzed, with a notable trend toward decreased use of mechanical prostheses compared to biological ones over time.
- Results showed that patients with mechanical prostheses had significantly higher survival rates and lower recurrence of endocarditis compared to those with biological prostheses.
Impact of COVID-19 on incidence and outcomes of post-infarction mechanical complications in Europe.
Interdiscip Cardiovasc Thorac Surg
December 2023
Objectives: Post-acute myocardial infarction mechanical complications (post-AMI MCs) represent rare but life-threatening conditions, including free-wall rupture, ventricular septal rupture and papillary muscle rupture. During the coronavirus disease-19 (COVID-19) pandemic, an overwhelming pressure on healthcare systems led to delayed and potentially suboptimal treatments for time-dependent conditions. As AMI-related hospitalizations decreased, limited information is available whether higher rates of post-AMI MCs and related deaths occurred in this setting.
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