Publications by authors named "R Hacini"

Article Synopsis
  • A study comparing aortic valve repair and replacement in patients with aortic root aneurysm showed no significant differences in overall patient outcomes up to 4 years, although repairs slightly favored fewer valve-related deaths and major bleeding incidents.
  • The multicentric CAVIAAR study included 261 patients, with 130 receiving valve repair and 131 receiving valve replacement, measuring various adverse events and outcomes after the procedures.
  • Despite similar primary outcomes, repair patients experienced a notable decrease in certain complications, suggesting potential benefits of valve repair that warrant further long-term research.
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Article Synopsis
  • The study aimed to compare outcomes after two different treatments for aortic root aneurysms: a standardized valve repair technique versus mechanical valve replacement.
  • A total of 261 patients were included, with no significant differences in 30-day mortality rates between the two groups, although the repair group showed a trend toward fewer major valve-related complications.
  • The new repair technique effectively reduced aortic insufficiency in most patients at discharge, suggesting it may provide similar short-term outcomes while potentially lowering long-term risks compared to valve replacement.
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Aim: Circulatory failure following surgery for type A aortic dissection is frequent and associated with a high mortality rate. The intra-aortic balloon pump (IABP) is used to treat postcardiotomy cardiogenic shock but aortic dissection is traditionally a contraindication. In 10 patients we used IABP for severe cardiogenic shock following aortic dissection surgery, here we report on the short and midterm results.

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Renovascular hypertension is usually due to an atherosclerotic artery stenosis or a fibromuscular dysplasia. We describe an uncommon cause of renal ischemia. A 66-year-old woman was admitted for severe hypertension.

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The Northern French Alps Emergency Network (RENAU) has a main objective the improvement of the quality of the care in the field of the emergency medical treatment. With this French medical system, we developed a procedure allowing the detachment of a medical-surgical team of the university hospital to help general hospital team in the event of immediate vital emergency situation with untransportable patient. We reported the successful implementation of this support strategy for a 51-year-old patient arrived in a hospital of the network in extremely serious hemodynamic shock due to an important hemorrhagic pericardial effusion with tamponnade 1 day after percutaneous closure of the patent foramen ovale (PFO).

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