Publications by authors named "G Panarello"
Cardiac myxomas extending from the right ventricle are uncommon and this rare condition is potentially associated with several risks and poor outcomes. We report the case of a patient with a right ventricular myxoma who had a recent haemorrhagic stroke due to an arteriovenous malformation. The preoperative and intraoperative managements were challenging and required several difficult choices by the medical team and consequently, a multidisciplinary approach and a benefit-risk evaluation were necessary to determinate timely surgical resection in an urgent situation, simultaneously avoiding delayed or improper treatments, achieving a successful outcome in a very high-risk situation.
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- SARS-CoV-2 infection can cause a wide range of neurological symptoms, from mild issues like headache and fatigue to serious conditions like seizures and encephalitis, with the exact cause still being researched.
- In a study of 73 solid organ transplant recipients who had COVID-19, 74% reported neurological symptoms, particularly myalgia, headache, and altered smell/taste, during and after their infection.
- Factors like oxygen therapy during illness were linked to neurological complications, while pre-existing neurological conditions and specific immunosuppressive drug levels did not significantly impact the likelihood of experiencing these symptoms.
Introduction: Antithrombin (AT) is a natural anticoagulant essential to enhancing the unfractionated heparin (UFH) anticoagulant effect. Its supplementation in the management of UFH-based anticoagulation during veno-venous extracorporeal membrane oxygenation (VV ECMO) has a strong pathophysiological rationale.
Methods: This is a single-center, retrospective cohort study of adult VV ECMO patients with anticoagulation maintained by UFH targeting an activated partial thromboplastin time (aPTT) of 40-50 s and AT activity >80%.
Introduction: Extracorporeal membrane oxygenation (ECMO) may act as a driver or propagator of systemic inflammation. In turn, cytokine release can modify thromboelastographic (TEG) tests which are commonly used for anticoagulation monitoring. In this context, antithrombin (AT) supplementation might further modify TEG.
View Article and Find Full Text PDFObjectives: To identify risk factors for surgical site infections following cardiosurgery in an area endemic for multidrug resistant organisms.
Design: Single-center, historical cohort study including patients who underwent cardiosurgery during a 6-year period (2014-2020).
Setting: Joint Commission International accredited, multiorgan transplant center in Palermo, Italy.