Publications by authors named "D Galbiati"
The incidence, risk factors and prognostic implications of acute kidney injury (AKI) in patients undergoing redo cardiac surgery are still poorly defined. We prospectively collected data on 394 consecutive redo patients between January 2011 and October 2020. Patients were divided into groups according to the occurrence of different degrees of postoperative AKI (No AKI vs.
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- This study examines the long-term outcomes of minimally invasive mitral valve repair (MIMVR) in patients with degenerative mitral regurgitation, focusing on survival rates and recurrence of heart issues.
- It finds that all primary repair techniques (quadrangular resection, edge-to-edge repair, and artificial chordae implantation) show high survival rates over 1, 10, and 20 years, indicating the procedures are beneficial long-term.
- The study highlights that the quadrangular resection and edge-to-edge techniques have better outcomes for preventing moderate mitral regurgitation recurrence compared to artificial chordae, with low re-operation rates across all methods and pre-discharge residual issues predicting future repair failures.
Article Synopsis
- Infective endocarditis (IE) remains a serious and potentially life-threatening condition, even with advancements in diagnosis and treatment, largely influenced by demographic changes and the use of medical devices.
- Recent guidelines from organizations like the ESC and AHA have clarified the diagnostic and therapeutic approaches to IE, emphasizing the importance of timely surgical intervention for about half of those affected to prevent complications like heart failure and embolism.
- The guidelines also stress the need for a specialized endocarditis team to manage various systemic complications that can impact surgical timing and patient outcomes, while considering factors such as the type of endocarditis and anatomical challenges during surgery.
Preoperative anemia has been associated with increased morbidity and mortality after cardiac surgery, but little is known about its prognostic value in the setting of redo procedure. A retrospective, observational cohort study of prospectively collected data was undertaken on 409 consecutive patients referred for redo cardiac procedures between January 2011 and December 2020. The EuroSCORE II calculated an average mortality risk of 25.
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