Giuseppe Petrone has completed his degree in medicina and surgery at the age of 24 years from Second University of Naples (Italy) and he is specialist in Cardiovascular surgery since May 2015. He worked as Registrar and Clinical Fellow in Hammersmith Hospital (Imperial College, London) for a year (from May 2014 to April 2015). He is Resident in the Cardiovascular Department of “Heart Centre – City of Alessandria”. He has been invited to discuss his research projects in occasion of important meeting (59th annual conference of the Israel Heart society, Tel Aviv 2012; 61st annual conference of the Israel Heart society, Tel Aviv 2014, Heart Valve Society meeting, New York 2014; Mitral Valve Conclave, New York 2015; EACTS,Amsterdam 2015; he has published 4 papers in reputed journals
Background: Since 1996, we have developed an innovative technique of ventriculoplasty, the “Twist Technique”(TT). The procedure performed has the purpose of preserving not only the volume and the shape of the LV but, above all, to restore the physiologic counterclockwise (CCW) twist of the cardiac apex through a rearrangement of its fibers, rebuilding the natural apical vortex of the LV. We present our experience in LV remodeling. Methods: From 1996 to 2015, 289 patients with post-infarction LV aneurysm underwent reconstructive procedures. Mean age was 56.4 ± 7.3 years. Average LV ejection fraction (EF) was 38.9% ± 11.6%. LV reconstruction was performed by using the TT in 265 patients (91.7%). Jatene technique is performed. Afterwards, the orifice closure is obtained performing the TT: a running 2-0 polypropylene suture orients cardiac fibers remodeling heart apex in a cone shape; stitches are outdistanced of 1 cm on the lateral side of the endocardial wall and of 1/2 cm on the endocardial septum. The distal and akinetic portion of the septum is folded and therefore excluded. In 257 patients (88.9%) concomitant myocardial revascularization was performed. Results: Perioperative mortality was 2.4%. Mean follow-up was 8.45 ± 4.2 years. Actuarial survival rate at 13 years was 73 %. The physiological movement of the new apex, that unfolds in a natural CCW twist, considerably improved LV EF. Mean post-operatively EF was 46.1 ± 9.3 %. Conclusion: LV remodeling using the TT reproduces physiological CCW torsion of the cardiac apex, it is a safe surgical procedure with low perioperative mortality and excellent long-term survival.
Sonjoy Biswas has completed his MS (Cardiothoracic Surgery) under University of Dhaka, Bangladesh in 2013 and FCPS (Cardiovascular Surgery) in 2015 under Bangladesh College of Physicians and Surgeons (BCPS). He has been exposed to almost every facets of both adult and congenital heart surgeries in Bangladesh. He worked as a Registrar in Cardiac Surgery at National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh while doing these case reports till December, 2015. Now, he has been working in United Hospital Limited, Dhaka, Bangladesh as a Specialist in the Department of Cardiac Surgery
Management of adult coarctation of aorta surgically is difficult. Moreover, concomitant acquired disease with it becomes more challenging and complex. Staged surgical procedures exhibit more complexity. We have depicted our experiences of single-staged surgery for those cases. From June, 2013 till to date we have performed 4 single staged repair for coarctation of aorta with concomitant acquired cardiac diseases at our centre. In this series, age ranged from 20 to 49 years, all were male. Out of four, one case of operated coarctation of aorta with severe MR died on the 11th post-operative day due to ARDS. Single-staged surgery for intracardiac procedure along with co-arctation of aorta is safe, cost effective and reproducible. Key wards: Coarctation of aorta, single-staged surgery, mitral regurgitation etc.