Publications by authors named "Sabrina Manganiello"

Background: Women's participation in the surgical workforce has increased. The aim of the study is to acquire objective data regarding practice, training, satisfaction, and discrimination of women surgeons working in cardiothoracic and vascular surgery in Italy.

Methods: An 83-item questionnaire was distributed through social media and sent to e-mails of women surgeons from November through December 2020.

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Purpose: To describe bleeding and thrombotic events and their risk factors in patients receiving extracorporeal membrane oxygenation (ECMO) for severe coronavirus disease 2019 (COVID-19) and to evaluate their impact on in-hospital mortality.

Methods: The ECMOSARS registry included COVID-19 patients supported by ECMO in France. We analyzed all patients included up to March 31, 2022 without missing data regarding bleeding and thrombotic events.

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Background: Valve-sparing aortic root replacement with the David procedure is an alternative to the Bentall procedure in patients with aortic root aneurysm. The aim of this study was to describe our long-term experience with this technique and the predictive factors of late failure.

Methods: Between January 1998 and August 2019, 300 consecutive patients underwent a David procedure.

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Background: Structural valve deterioration (SVD) remains the major determinant of bioprosthesis durability. The aim of this study was to investigate the SVD incidence, predictors and outcomes in patients aged 50 years and younger after bioprosthetic aortic valve replacement (bAVR).

Methods: We retrospectively analyzed 73 consecutive patients ≤50 years old who underwent bioprosthetic AVR at our center between 2005 and 2015.

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Background: Minimally invasive direct coronary artery bypass (MIDCAB) is a well-established, low-impact surgical procedure for revascularization of the left descending coronary artery with the left internal mammary artery. This study aimed to evaluate safety, overall survival, and freedom from major adverse cardiocerebral-related events (MACCE) after 20 years of MIDCAB.

Methods: This study retrospectively collected a series of 141 patients who underwent MIDCAB between 1997 and 2017, to assess long-term outcome.

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Background: Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality. The present paper reports procedural outcomes and complications of our lead extraction experience.

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Article Synopsis
  • Valve-in-Valve (VIV) Transcatheter Aortic Valve Replacement (TAVR) is now the preferred treatment for high-risk patients with failing aortic bioprostheses, while VIV-Transcatheter Mitral Valve Replacement (TMVR) is also an option for select high-risk patients.
  • The case presented involved a patient who required emergency balloon-expandable transapical mitral VIV implantation due to severe stenosis of a mitral bioprosthesis, which was successfully completed without complications.
  • The outcome suggests that transcatheter transapical VIV implantation is a viable and effective option even in critical situations.
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Article Synopsis
  • - The study investigates the recurrence of atrial fibrillation (AF) in patients after undergoing transcatheter ablation, focusing on both symptomatic and asymptomatic cases through continuous ECG monitoring.
  • - Out of 113 patients, only 35% showed AF recurrences when relying on symptoms and scheduled ECGs, but continuous monitoring revealed that 66% experienced recurrences, with nearly half being asymptomatic.
  • - It was found that patients with symptomatic AF recurrences were generally older and had a higher AF burden, indicating that traditional follow-up methods may significantly underestimate the true rate of AF recurrences.
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Chronic thromboembolic pulmonary hypertension is associated with adverse prognosis. Early diagnosis is important to better identify patients who would benefit from a well established therapeutic strategy. The purpose of our study was to evaluate long-term incidence of undiagnosed chronic thromboembolic pulmonary hypertension after acute pulmonary embolism and the utility of a long-term follow-up including an echocardiographic-based screening programme to early detect this disease.

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