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144 results on '"Pasta, Vittorio"'

1. Stent-Assisted Coil Embolization of a Saccular Visceral Aortic Aneurysm: Case Report and Review of the Literature

Author

Gibello, Lorenzo, Varetto, Gianfranco, Pasta, Vittorio, Ripepi, Matteo, Discalzi, Andrea, and Verzini, Fabio

Abstract

Purpose: We present the results of unconventional endovascular treatment of a voluminous (65 mm) saccular visceral aortic aneurysm in a 78-year-old woman. Patient was deemed unfit for open surgery due to comorbidities. Fenestrated or branched endografting was also excluded due to the small diameter of the aorta, the severe stenosis at the origin of celiac trunk, and the anomalous origin of superior mesenteric artery arising infrarenally.Case Report: After a preliminary selective angiography of the superior mesenteric artery showing valid anastomotic network with celiac trunk branches, an aortic self-expandable bare stent (Jotec E-XL) was deployed in the visceral aorta. Aneurysm sac embolization (Penumbra detachable Ruby Coils) in a coil-jailing technique was performed. Finally, an aortic cuff endograft (Gore) was deployed immediately above the origin of the left renal artery to cover the wide neck of the saccular aneurysm and improve sac exclusion. Hospital stay was uneventful, computed tomography (CT) at 12-month demonstrated aneurysm shrinkage to 62 mm without images of endoleak. Literature review showed how this technique has successfully been applied to manage similar cases of postsurgical and posttraumatic saccular aortic aneurysms in high-risk patients; however, long-term results are still unknown.Conclusion: Coil-jail technique for the treatment of saccular aortic aneurysms can be considered an alternative when open surgery or conventional endovascular treatment is not feasible. Technical success and mid-term outcomes are promising but strict follow-up is recommended.Clinical Impact This study aims to share the unconventional endovascular treatment of a visceral aortic aneurysm in a patient unfit both for open and traditional endovascular surgery. To the best of our knowledge this is one of the first cases published in Literature, for this reason, a step-by-step video has been created to describe the procedure. Literature review was then performed to analyze midterm results of this technique. Despite being a treatment that is not recommended for conventional cases, the knowledge of endovascular devices and techniques may help to manage or simplify complex aortic diseases.

Published
2024
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2. Contralateral axillary metastases from breast cancer: Personal experience and review of literature

Author

Pasta, Vittorio, Urciuoli, Paolo, Valerio D'Orazi, Sottile, Daniela, Monti, Massimo, and Adriano Redler

Subjects
controlateral axillary lymph node metastasis, Carcinoma, Ductal, Breast, Breast Neoplasms, Neoplasms, Second Primary, Chemoradiotherapy, Adjuvant, Risk Assessment, limph node metastasis, Treatment Outcome, Breast cancer, Lymphatic Metastasis, Axilla, Humans, Female, Neoplasm Invasiveness, Lymph Nodes, Neoplasm Staging
Abstract

The contralateral axillary lymph node metastasis (CAM) from breast cancer are very rare, and pose a number of classification problems and therefore also on the surgery attitude to be adopted and the subsequent surgical oncological approach, making a distinction between synchronous and metachronous cases. You must always wait for a reasonable period of time to exclude the presence of an occult cancer in the contralateral breast. You make assumptions about the lymphatic pathways that determine this metastasis underlining that in the literature (rare) cases are reported in which the lymphoscintigraphic sentinel lymph node search has shown an uptake of contralateral axillary lymph nodes.Breast cancer, Controlateral axillary lymph node metastasis, Lymph node metastasis.

Published
2014

3. Oncoplastic central quadrantectomies

Author

Pasta, Vittorio, primary, D’Orazi, Valerio, additional, Merola, Raffaele, additional, Frusone, Federico, additional, Amabile, Maria Ida, additional, De Luca, Alessandro, additional, Buè, Rosanna, additional, and Monti, Marco, additional

Published
2016
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6. Duodenal tumors: four case reports

Author

Pasta, Vittorio, Biffoni, Marco, Martino, Giovanni, Malavenda, Ms, Sottile, D, Marinaccio, L, Merola, R, Vergine, Massimo, Bernieri, Mg, Monti, Massimo, Redler, Adriano, and Bernieri, MARIA GIULIA

Subjects
Adult, Male, Duodenal Neoplasms, Humans, Female, Middle Aged, Aged, Duodenal cancer, Duodenal carcinoid, Duodenal somathostatinoma, Duodenal surgery
Abstract

We report 4 cases of neuroendocrine tumors of the duodenum. Signs and symptoms were non-specific. The choice of surgery depended on the site and stage of the tumor and any concomitant diseases.

Published
2013

7. Rete testis adenomatous hyperplasia

Author

Martino, Giovanni, Pasta, Vittorio, Ciardi, Antonio, Palmieri, Andrea, Marinaccio, Lucia, Maria Stella Malavenda, and Monti, Massimo

Subjects
Rete testis pseudotumor Testicular sparing surgery Testis benign tumor
Published
2013

10. An uncommon association between parathyroid adenoma and Hodgkin disease

Author

Pasta, Vittorio, Redler, Adriano, Palmieri, Andrea, Chiarini, S, Merola, R, and Monti, Massimo

Subjects
Adenoma, Parathyroid Neoplasms, Humans, Female, Middle Aged, Hodgkin Disease
Abstract

The Authors refer their experience of a patient operated for adenoma of the inferior parathyroid of left lobe associated to a limphoadenopathy fom HD. Diagnostic and therapeutical approach are described. The literature of these last decades reports a single case with similar characteristics, but not with the same association. Numerous neoplasias associated more frequently with parathyroid adenoma are mentioned and the probable causes of this association. Although the associations with other affections of the hemolymphopoietic system are relatively frequent, the causes of the rarity of the association between parathiroid adenoma and HD remain unknown.

Published
2011

24. Pseudosarcomatous lesions: report of two cases

Author

Pasta, Vittorio, Torcasio, A, Tintisona, O, Veneroso, S, Sardella, B, Vergine, Massimo, Amabile, MARIA IDA, D'Aulerio, A, Chiarini, S, Stella, S, and Monti, Massimo

Published
2006

31. [Rare pathology of the breast: adenoma of the nipple]

Author

Bianchini, G. P., De Villa, F., Vergine, Massimo, Pasta, Vittorio, and Monti, Massimo

Subjects
Adenoma, Adult, Diagnosis, Differential, Nipples, Humans, Breast Neoplasms, Female
Abstract

Adenoma of the nipple is a benign pathology which histologically interests the epithelium of the galactophorous ducts. This pathology looks like Paget's disease both macroscopically and microscopically, therefore an exact differential histologic diagnosis is needed with the breast's carcinoma to undertake the most timely surgical therapy.

Published
2002

32. Le cisti spleniche non parassitarie

Author

Pasta, Vittorio, Tintisona, O., Veneroso, S., Telera, M., Rivolta, R., Bianchini, G. P., Merlino, G., and Monti, Massimo

Published
2001

37. [Criteria of choice in prosthetic surgery of laparocele]

Author

Marco Monti, Antonio Brescia, Vergine, Massimo, Boccaccini, F., Monti, Massimo, Antonucci, D., Bianchini, G. P., Di Matteo, Filippo Maria, Pasta, Vittorio, and Palazzini, Giorgio

Subjects
Adult, Male, Humans, Female, Middle Aged, Surgical Mesh, Tomography, X-Ray Computed, Polytetrafluoroethylene, Hernia, Ventral, Abdominal Muscles, Aged
Abstract

The employment of prosthesis in abdominal plastic surgery for incisional hernia has contributed to a remarkable improvement in the results of this surgery. The current use of PTFEe, according to the Authors experience, proves to be effective. Both satisfactory functional results and evident aesthetic advantages are obtained. The Authors report their experience in the treatment of the median incisional hernia also by means of a polypropylene mesh. The latter was shaped in a very original way thanks to a technique borrowed from plastic surgery. The complete mobilization of the ombilicus, by a circular incision, allowed the Authors to insert this prosthesis symmetrically under the rectus abdominis muscles for the entire extension of the incisional hernia.

Published
1998

38. ['Esthetic' ambulatory phlebectomy per mini-incisions: indications and technique]

Author

Vergine, Massimo, Boccaccini, F., Marco Monti, Antonucci, D., Bianchini, G. P., Pasta, Vittorio, Di Matteo, Filippo Maria, Monti, Massimo, and Mele, M.

Subjects
Adult, Male, Varicose Veins, Ambulatory Surgical Procedures, Humans, Minimally Invasive Surgical Procedures, Female, Bandages, Vascular Surgical Procedures
Published
1998

39. [Reconstruction of the defect in the parotid region]

Author

Pasta, Vittorio, DE ANTONI, Enrico, Antonucci, D, DI MATTEO, Filippo Maria, and Monti, Massimo

Subjects
Male, Time Factors, Head and Neck Neoplasms, Carcinoma, Squamous Cell, Humans, Surgical Flaps, Aged, Follow-Up Studies, Parotid Neoplasms
Abstract

The authors report their experience in the surgical management of a patient with an ulcerated tumor of the neck extending to the parotid region. The different types of reconstruction after radical surgery as well as the choice and reasons that have suggested the use of pectoralis major myocutaneous flap are discussed.

Published
1997

46. Breast Mondor’s disease: Diagnosis and management of six new cases of this underestimated pathology.

Author

Pasta, Vittorio, D’Orazi, Valerio, Sottile, Daniela, Del Vecchio, Luca, Panunzi, Andrea, and Urciuoli, Paolo

Subjects
*VENOUS thrombosis diagnosis, *VENOUS thrombosis treatment, *BREAST, *BREAST diseases, *NONSTEROIDAL anti-inflammatory agents, *VENOUS thrombosis, *THERAPEUTICS, BREAST disease diagnosis
Abstract

Mondor’s disease is an unusual and little-known pathology of the breast, characterized by superficial thrombophlebitis. The causes are still unresolved. Most of the patients do not fall under case studies of the scientific literature, given the reported incidence rate between 0.5% and 0.8%. The Mondor’s disease patients are not always properly identified, and they are frequently treated as outpatients, even considering the benign course of the disease which often spontaneously resolves without any medical therapy. We report here six new cases of Mondor’s disease, two of them were likely due to a trauma and were easily resolved with the use of non-steroidal anti-inflammatory drugs; the third one was apparently due to the stretching of the mammary veins in a patient with gigantomastia; the fourth one was subsequent to hormonal stimulation for in vivo fertilization and following gestation; and the last two cases (one was a man) were diagnosed after undergoing surgery for breast carcinoma. [ABSTRACT FROM AUTHOR]

Published
2015
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47. Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report.

Author

PASTA, VITTORIO, SOTTILE, DANIELA, URCIUOLI, PAOLO, VECCHIO, LUCA DEL, CUSTURERI, FILIPPO, and D'ORAZI, VALERIO

Subjects
*CHONDROSARCOMA, *BREAST cancer, *MASTECTOMY, *CANCER chemotherapy, *ONCOLOGIC surgery
Abstract

Breast chondrosarcoma is a rare sarcoma that mainly occurs in females >50 years old. To the best of our knowledge, only 16 cases were reported in the literature prior to 2013 and all patients were surgically treated by mastectomy, with or without lymphadenectomy, which was occasionally preceded by neoadjuvant chemotherapy. However, the literature does not report the benefit of mastectomy compared with a more conservative surgery. The present study reports a novel case of extraskeletal chondrosarcoma of the breast. A 63-year-old female patient presented with a neoplasm localized in the upper-outer quadrant of the right breast. The palpable lesion with sharp margins was a firm parenchymatous mass, which was confirmed by ultrasonography and mammography. The patient underwent conservative quadrantectomy instead of mastectomy, followed by post-surgical chemotherapy. A positron emission tomography scan performed five months subsequent to the surgery revealed no remnants of the disease. The patient underwent a strict clinical and instrumental follow-up, and two and half years after surgery, there are no signs of recurrent disease. In conclusion, the present case is currently one of the two cases in which a more conservative quadrantectomy was performed, instead of mastectomy. This surgical approach did not lead to metastasis and resulted in a good follow-up for the patient. [ABSTRACT FROM AUTHOR]

Published
2015
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48. [The criteria for choosing the surgical approach to cervicomediastinal goiters]

Author

Pasta, Vittorio, Marco Monti, Nudo, R., Marchesi, Maurizio, Calcopietro, F., Francesco Tartaglia, Romani, C., Rossi, P., Catania, Antonio, and Monti, Massimo

Subjects
Sternum, Italy, Thoracotomy, Goiter, Substernal, Mediastinum, Humans, Retrospective Studies
Abstract

The retrospective analysis of a series of 350 cases of intrathoracic goiters, out of a total of 5,000 thyroid operations derived from the joined case records of the 3rd General Surgery Institute (Director: Prof. G. Di Matteo) and the 8th Chair of Surgical Pathology (Director: Prof. F.P. Campana), has induced the authors to reconsider the surgical approach to this pathology on the basis of anatomo-surgical factors.

Published
1991

50. Cystic Hygroma of the Breast: A Rare Lesion

Author

Torcasio, Angelo, primary, Veneroso, Stefano, additional, Amabile, Maria Ida, additional, Biffoni, Marco, additional, Martino, Giovanni, additional, Monti, Massimo, additional, Tintisona, Orlando, additional, and Pasta, Vittorio, additional

Published
2006
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