Paolo Magagna

Dr
  • Country: IT

Activities

Recorded video case

INTERDISCIPLINARY PROJECT: “3D PRINTING” AND AORTIC DISEASE FROZEN ELEPHANT TRUNK USING THE NEW E-VITA OPEN PLUS NEO (JOTEC R), AORTIC VALVE REPLACEMENT, MITRAL VALVE ANULOPLASTY, LEFT SUBCLAVIAN REVASCULARIZATION USING LEFT MAMMARY ARTERY

Clinical Summery

  • 1st February 2017, underwent an ascending aorta replacement, debranching of the Innominate artery and left common carotid artery for the acute aortic dissection
  • The patient presented pseudoaneurysm at level of aortic root, a residual dissection of the aortic arch and of the descending thoracic aorta and a moderate-severe aortic and mitral valve insufficiency
  • Depression of LV function

Surgical Tecnique

  • Aortic Valve Replacement with Stentless biological prosthesis Medtronic Freestyle n 25
  • Mitral Annuloplasty using Memo 4D n 28
  • Ascending aorta and aortic arch replacement with debranching of the Innominate artery and left common carotid artery
  • Frozen Elephant Trunk using E-vita Open plus NEO n 26
  • Unfavorable anatomy for LSA revascularization
  • Left subclavian artery revascularization using Left Mammary Artery

Thanks so much

Dr. Loris Salvador , Dr. Nicola Lamascese, Dr. Alessandro Favaro, Dr. Michele Gallo, dr. Daniele Zoni, Dr. Cheti Benazzato (anesthesiologist) , Mrs. Noemi D’Amato (perfusionist) , Mrs. Cristina Rabaglio (nurse), Mrs. Laura Chiarello (nurse)

Dr. Carlo Campana (3d printing engineer),

Mr. Luciano Ghiotto (3d printing specialist),

Dr. Leonardo Costa (biomedical engineer)

SISMA spa, StefanPlast, Valle Autotrasporti, ULSS8 Berica

 

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February 24, 2021 2 Comments
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Case report

J MINISTERNOTOMY FOR ASCENDING AORTA AND RAPID DEPLOYMENT VALVE REPLACEMENT

We present a case of ascending an rapid deployment aortic valve replacement (Edwards Intuity Elite Prosthesis) thorough a J Ministernotomy approach in old patient.

January 4, 2020 No Comments
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Case report

Ministernotomy for ascending aorta and aortic arch replacement with left carotid artery, right carotid artery and left axillary artery debranching.

Clinical Summary
– 28 year old male
– Traumatic aortic injury (TAI)
– Endovascular treatment
Complications
– Aortic arch and brachiocephalic trunk dissection
– Right carotid artery and left sublcavian artery occlusion
– Stroke
– Orthostatic Hypotension (Extracranial Steal Syndromes from Disease of the Aortic Branches?)
Surgery Technique
– Femoro-femoral and right axillary artery cannulation
– The aorta was accessed through a Ministernotomy

February 7, 2019 No Comments
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Case report

Giant Aneurysm of the Ascending Aorta: Replacement of the Ascending Aorta and the Aortic Root with a Porcine Bioprosthesis (Freestyle Inclusion Technique)

In this case report, we present a special freestyle technique treating a gigantic ascending aortic aneurysm, replacing the aortic root and ascending aorta with a porcine bioprosthesis.

November 4, 2018 No Comments
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Vascular images

Step-by-Step. OFF-PUMP TRIPLE EXTRA-ANATOMICAL BY-PASS

1. The heart is accessed through a full midline sternotomy
2. An off-pump coronary artery bypass graft is performed on the left anterior descending artery using a saphenous vein graft and 7-0 prolene continuous suture
3. The aorta is partially clamped with a side clamp and is opened through a longitudinal incision, about 2 cm length
4. A prosthesis is sutured onto the aorta with a continuous 4-0 prolene suture
5. One branch of the prosthesis is passed behind the ascending aorta,

August 8, 2018 1 Comment
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