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3 results on '"Stefania Trimboli"'

1. Clinical features of muscle cramp in 14 dogs

Author

Teresa Gagliardo, Roberta Ruggeri, Andrea Di Paola, Massimo Baroni, Giunio B. Cherubini, Antonella Gallucci, Cristian Falzone, Stefania Trimboli, Andrey Albul, and Gualtiero Gandini

Subjects
canine, hypocalcemia, hypoparathyroidism, muscle cramps, Veterinary medicine, SF600-1100
Abstract

Abstract Background Muscle cramps (MCs) are prolonged, involuntary, painful muscle contractions characterized by an acute onset and short duration, caused by peripheral nerve hyperactivity. Objectives To provide a detailed description of the clinical features and diagnostic findings in dogs affected by MCs. Animals Fourteen dogs. Methods Multicenter retrospective case series. Cases were recruited by a call to veterinary neurologists working in referral practices. Medical records and videotapes were searched for dogs showing MCs. The follow‐up was obtained by telephone communication with the owner and the referring veterinarian. Results Three patterns of presentation were identified depending on the number of affected limbs and presence/absence of migration of MCs to other limbs. In 9/14 (64%) of dogs, MCs were triggered by prompting the dogs to move. 8/14 (58%) dogs were overtly painful with 6/14 (42%) showing mild discomfort. The cause of MCs was hypocalcemia in 11/14 (79%) dogs: 9 dogs were affected by primary hypoparathyrodism, 1 dog by intestinal lymphoma and 1 dog by protein losing enteropathy. In 3/14 cases (21%) the cause was not identified, and all 3 dogs were German Shepherds. Conclusions and Clinical Importance Muscle cramps can manifest in 1 of 3 clinical patterns. Muscle cramps are elicited when dogs are encouraged to move and do not always appear as painful events, showing in some cases only discomfort. The main cause of MCs in this study was hypocalcemia consequent to primary hypoparathyroidism. In dogs having MCs of unknown etiology, idiopathic disease or paroxysmal dyskinesia could not be ruled out.

Published
2021
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2. Coronary artery spasm after off-pump coronary artery by-pass grafting

Author

Francesco Santini, Guido Oppido, Alessandro Mazzucco, and Stefania Trimboli

Subjects
Pulmonary and Respiratory Medicine, Coronary angiography, Male, medicine.medical_specialty, Heart disease, Coronary Vasospasm, Coronary Angiography, Internal medicine, medicine.artery, medicine, Humans, Coronary Artery Bypass, Aged, business.industry, General Medicine, medicine.disease, body regions, Transplantation, stomatognathic diseases, medicine.anatomical_structure, Coronary Artery Vasospasm, Right coronary artery, Cardiology, Surgery, Cardiology and Cardiovascular Medicine, Complication, business, Artery
Abstract

The immediate postoperative period of patients undergoing off-pump coronary artery by-pass grafting can be severely complicated by unsuspected coronary artery spasm. A case of right coronary artery spasm possibly induced by myocardial stabilisation technique is presented.

Published
2003

3. The ross procedure for replacement of the bicuspid aortic valve: mid-term results from 55 consecutive cases

Author

Francesco, Santini, Giovanni Battista, Luciani, Luca, Barozzi, Mario, Lusini, Stefania, Trimboli, Stefano, Restivo, and Alessandro, Mazzucco

Subjects
Adult, Heart Valve Prosthesis Implantation, Male, Adolescent, Heart Valve Diseases, Child Welfare, Stroke Volume, Middle Aged, Severity of Illness Index, Ventricular Function, Left, Postoperative Complications, Treatment Outcome, Italy, Echocardiography, Aortic Valve, Humans, Mitral Valve, Female, Child, Follow-Up Studies, Retrospective Studies
Abstract

A congenitally dysfunctioning bicuspid aortic valve may require surgical treatment in children and young adults. This retrospective study evaluated mid-term clinical results obtained with the Ross procedure in this patient group.Between July 1994 and December 2000, 55 patients (48 males, seven females; mean age 27+/-10 years; range: 7-49 years) underwent replacement of a diseased bicuspid aortic valve (stenosis in six cases (11%); insufficiency in 36 (65%); mixed lesion in 13 (24%)) with a pulmonary autograft. Mean NYHA functional class was 1.7. Five patients (9%) had healed endocarditis and six (11%) had previous cardiac surgery. The autograft was inserted as a subcoronary implant in two cases (4%), as a root in 40 (73%), and as a cylinder in 13 (23%). The right ventricular outflow tract was reconstructed with a cryopreserved pulmonary homograft in all cases. Mean cardiopulmonary bypass and aortic cross-clamp times were 207+/-34 min and 162+/-18 min, respectively.No early or late deaths had occurred at a mean follow up of 31+/-19 months. Two patients (4%) were re-explored for bleeding. Four patients (7%) experienced intraoperative coronary complications which resolved without sequelae. Two-dimensional echocardiographic evaluation of neoaortic valve competence at six months revealed no evidence of aortic valve regurgitation in 46 patients (84%), trivial regurgitation in seven (13%), mild regurgitation in one patient (2%), and moderate regurgitation in one patient. The latter patient (subcoronary implant) required reoperation. At six months, the degree of regression of left ventricular mass compared (versus preoperative) was 34+/-13% (p0.05). Three patients (5%) showed mild dilatation (4 cm) of the neoaortic root after two years follow up. All patients are currently asymptomatic, in NYHA class I, and enjoy a normal social lifestyle.The Ross procedure may be offered as a low-risk alternative in adolescents and young adults with a bicuspid aortic valve. Although the inclusion cylinder technique might help to prevent root dilatation, continued patient evaluation with regard to root sizing, evidence of neoaortic valve degeneration and homograft dysfunction is required in the long term.

Published
2002

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