Pathoanatomic Findings and Treatment During Hypertrophic Obstructive Cardiomyopathy Surgery: The Role of Mitral Valve.

Background: To assess the role of the mitral valve apparatus (leaflets, chordae and papillary muscles, (PM)) in left ventricle outflow tract (LVOT) obstruction, and results of the surgical treatment for hypertrophic obstructive cardiomyopathy (HOCM).

Methods: Twenty-eight consecutive patients (58±11years, 53% female) undergoing HOCM surgery from 2007 to 2016 at our institute were retrospectively reviewed. Endpoints included the involvement of the mitral valve in LVOT obstruction, mortality, and changes in clinical and echocardiographic characteristics after HOCM surgery.

Aortic surgery in Marfan patients with severe pectus excavatum.

Aims: The optimal surgical management of the aortic root phenotype Marfan patients with severe pectus excavatum is a subject of debate. All the available literature were reviewed according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) principles in order to assess the early outcomes of both pectus excavatum and aortic repair techniques.

Methods: Searches were done in PubMed and MEDLINE electronic databases dating from July 1953 to December 2015.

Systemic or Endoventricular Thrombolysis to Treat HeartWare Left Ventricle Assist Device Thrombosis: A Clinical Dilemma.

Endoventricular thrombolytic procedure (ETP) has been used to treat continuous-flow left ventricle assist device (CF-LVAD) thrombosis. The study aims to investigate the occurrence of complications after ETP. Data were retrospectively reviewed and analyzed in a series of patients who underwent CF-LVAD followed by ETP.

Chronic Stanford type A aortic dissection.

: Chronic evolution of type A acute aortic dissection is not frequently observed in untreated patients because of the high mortality rate. Chronic aortic dissection is usually asymptomatic and may be incidentally discovered following an asymptomatic acute dissection. The life expectancy in these patients is prolonged by graft replacement therapy when the aortic diameter exceeds 55 mm.

The frozen elephant trunk for the treatment of chronic dissection of the thoracic aorta: a multicenter experience.

Background: Because of the extensive involvement of the aorta, surgical treatment of its chronic dissection continues to represent a surgical challenge. We conducted a study of a multicenter experience to describe a multicenter experience in the treatment of this complex pathology, using the frozen elephant trunk (FET) technique.

Methods: Between January 2005 and May 2010, 240 patients underwent treatment with the FET technique and had their clinical data collected in the International E-vita Open Registry.

[Extensive disease of the thoracic aorta: hybrid treatment with the frozen elephant trunk technique].

Background: Aneurysms of the aortic arch extending beyond the origin of the left subclavian artery represent a challenging pathology in aortic surgery and, most commonly, are treated with different surgical, endovascular or hybrid two-staged procedures. In 2006, we initiated an intense surgical program with the frozen elephant trunk procedure that, combining together conventional surgery with endovascular techniques, allows single-stage treatment of patients with extended disease of the thoracic aorta. We here describe our surgical technique and the results with the single-stage frozen elephant trunk procedure.

Short- and midterm results after hybrid treatment of chronic aortic dissection with the frozen elephant trunk technique.

Objective: The purpose of this study was to examine our experience with the frozen elephant trunk in patients with chronic aortic dissection.

Methods: In our Institution, between January 2007 and August 2010, 49 patients (mean age: 59.6 ± 9.

Treatment of complex disease of the thoracic aorta: the frozen elephant trunk technique with the E-vita open prosthesis.

Objective: The treatment of complex aortic pathologies of the thoracic aorta remains a challenging issue in aortic surgery. The most recent development of the classic elephant trunk technique, the 'frozen elephant trunk' technique, represents the combination of an endovascular approach with a conventional surgical treatment for a hybrid approach.

Methods: Between January 2007 and July 2008, 34 patients were operated on for complex pathologies of the thoracic aorta using the frozen elephant trunk technique.