Mechanical circulatory supports after pulmonary thrombo-endarterectomy: why, when and how

Pulmonary endarterectomy (PEA) has radically changed the long-term prognosis of patients with chronic thromboembolic pulmonary hypertension (CTEPH), but the postoperative course is often demanding due to significant hemodynamic and pulmonary circulation variations (1

To Treat or Not to Treat? This Is the Question… About the Incidental Finding of Double Sinus of Valsalva Aneurysm in A 91-Year-Old Woman

Sinus of Valsalva aneurysm is a very uncommon clinical finding and often requires emergency surgery due to its high risk of rupture. This educational text reports the case of a 91-year-old Italian women who was incidentally discovered to have a huge double aneurysm of the sinuses of Valsalva

Safety of del Nido cardioplegia during frozen elephant trunk procedure: A case report of first experience in complex aortic surgery

We report the case of a 74 years-old male who underwent frozen elephant trunk due to a huge aortic arch aneurysm related to a type 1A endoleak after thoracic endovascular aortic repair where cardioplegic arrest was achieved using the Del Nido cardioplegia

COVID-19 and ischemic heart disease emergencies: What cardiac surgery should expect?

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Sars-Cov-2 infection as a possible risk factor for prosthesis endocarditis: A challenging redo-Bentall for subvalvular abscess

Background: Candida Parapsilosis is an unusual agent of prosthetic endocarditis in immunocompetent individuals but Coronavirus disease 2019 is reported to be associated with a transient immunodeficency that exposes patientes to opportunistic infections. Case report: We describe a dreadful case of Candida Parapsilosis endocarditis in a transient immunosuppressed patient recently infected with severe acute respiratory syndrome-Coronavirus 2019. Conclusion: Considering that the symptoms of Candida Parapsilosis infection and the symptoms of Coronavirus disease-2019 may overlap, it is important never to understimate the non-specific symptoms to improve patient outcome, especially in patient with previous Coronavirurs disease-2019 infection and with prosthetic material grafting

Type A Aortic Dissection in an 11-month-old Infant With Loeys-Dietz Syndrome

Type A aortic dissection is a very uncommon finding in children, especially among infants, where no cases seem to have been described. We report the case of an 11-month-old boy with Loeys-Dietz syndrome and asymptomatic type A aortic dissection involving the aortic root that was successfully repaired

The Norwood operation performed with the heart beating and no prosthetic materials

The Norwood procedure performed with the heart beating is a useful and attractive way to perform the stage I palliation for hypoplastic left heart syndrome. It allows completion of the surgical procedure without stopping the heart and without using deep hypothermia and circulatory arrest. Therefore it could be an attractive solution for reducing the adverse effects of the operation and the rate of postoperative complications. Moreover, this technique avoids the use of prosthetic materials, thus minimizing long-term complications and reoperations, and promotes a more physiological growth of the anatomical structures. However, the high level of expertise required to perform this type of complex neonatal procedure with the heart beating may be limited to only a few centers in the world thus far