Publications by authors named "Piciche M"
Article Synopsis
- The study aimed to compare early and late mortality rates in patients with acute isolated tricuspid valve infective endocarditis (TVIE) who underwent either valve repair or replacement.
- A total of 149 patients from a larger registry were evaluated, revealing a 9% early mortality rate and showing that valve repair had lower mortality and complication rates compared to replacement, although these differences were not statistically significant.
- The research concluded that both surgical options resulted in low recurrence rates and good long-term survival for TVIE patients, indicating that the type of surgery has minimal impact on overall outcomes.
COVID-19, Acute Myocardial Injury, and Infarction.
Card Electrophysiol Clin
March 2022
Severe acute respiratory syndrome coronavirus-2 can affect the cardiovascular system yielding a wide range of complications, including acute myocardial injury. The myocardium can be damaged by direct viral invasion or indirect mechanisms, sustained by systemic inflammation, immune-mediated response, and dysregulation of the renin-angiotensin system. Myocardial injury affects about one-quarter of patients with COVID-19, can manifest even in the absence of previous cardiovascular disease, and is associated to higher mortality rates and long-term sequelae.
View Article and Find Full Text PDFObjective: To analyze Italian Cardiac Surgery experience during the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) identifying risk factors for overall mortality according to coronavirus disease 2019 (COVID-19) status.
Methods: From February 20 to May 31, 2020, 1354 consecutive adult patients underwent cardiac surgery at 22 Italian Centers; 589 (43.5%), patients came from the red zone.
Editorial commentary: The role of philosophy of life approaching type A acute aortic dissection.
Trends Cardiovasc Med
October 2022
From the descending thoracic aorta to orthotopic position: a pivotal step for aortic valve surgery.
J Cardiovasc Surg (Torino)
October 2021
An increased need of extracorporeal membrane oxygenation (ECMO) support is going to become evident as treatment of SARS-CoV-2 respiratory distress syndrome. This is the first report of the Italian Society for Cardiac Surgery (SICCH) on preliminary experience with COVID-19 patients receiving ECMO support. Data from 12 Italian hospitals participating in SICCH were retrospectively analyzed.
View Article and Find Full Text PDFArticle Synopsis
- Patients with liver cirrhosis undergoing cardiac surgery face high risks of mortality and complications, highlighting a lack of extensive studies on their outcomes.
- A retrospective study analyzed 144 patients from 2000-2017, assessing their liver conditions using Child-Turcotte-Pugh and MELD scores, revealing significant differences in health outcomes based on liver health classification.
- While the overall 1-year and 5-year survival rates were 82% and 77% respectively, mortality rates were notably higher than previous predictive models, showing poorer outcomes particularly in patients with advanced cirrhosis.
Editoral commentary: Cardiac involvement in SARS-CoV-2-associated inflammatory syndromes.
Trends Cardiovasc Med
October 2020
Objectives: Endocarditis after the Bentall procedure is a severe disease often complicated by a pseudoaneurysm or mediastinitis. Reoperation is challenging but conservative therapy is not effective. The aim of this study was to assess short- and midterm outcomes of patients reoperated on for Bentall-related endocarditis.
View Article and Find Full Text PDFInternal mammary arteries (IMAs), via angiogenesis/arteriogenesis, have great potential for developing collaterals. This generally occurs when ischemia involves the inferior limbs or heart. Although this phenomenon may be spontaneous, it seems to be promoted by iatrogenic or voluntary occlusion of the IMAs.
View Article and Find Full Text PDFBackground: To assess early and late mortality in patients with isolated acute tricuspid valve infective endocarditis (TVIE) using data from a multicenter registry.
Methods: From 1983 to 2018, isolated acute TVIE was surgically treated in 157 (3.8%) patients [mean age 47 ± 16 years (range 15-86 years), 25% females].
Background: Before the advent of CABG, standardized in the late '60s by Favaloro and Effler, patients with myocardial ischemia underwent indirect and heterogeneous off-pump methods of myocardial revascularization.
Methods & Results: Indirect revascularization, such as periaortic nerve plexus interruption, Vineberg operation, Sen procedure and, less remotely, TMR Laser and stem cell transplantation, represented some of the ways to achieve myocardial revascularization. Nowadays, direct coronary revascularization is the only established technique and may be performed either on-pump or off-pump.
Old methods of myocardial revascularization to treat refractory angina.
J Cardiovasc Med (Hagerstown)
May 2018
Potentialities of the internal mammary arteries and refractory angina.
Trends Cardiovasc Med
May 2018
Introduction: Aortic valve surgery is no exception to the general rule that history is a cycle in many fields. This manuscript aims to assist readers in transitioning from past to present and on into the future within the field of aortic valve surgery.
Methods: The existing literature has been examined, including old and modern articles published on pubmed, old articles non visible on pubmed, old and recent books on the history of medicine, looking for similarities and repetitions in techniques and surgical approaches to the aortic valve in the past and the current times.