Dell’Aquila, A.M. (Angelo Maria)

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2010 - 20112

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    Giant left atrial thrombus 17 years after orthotopic heart transplantation
    (Oxford University Press, 2010) Bastarrika, G. (Gorka); Dell’Aquila, A.M. (Angelo Maria); Levy-Praschker, B.G. (Beltran G.); Rabago, G. (Gregorio)
    We present the case of a 66-year-old woman who underwent orthotopic heart transplantation 17 years earlier for dilated cardiomyopathy. After 7 years allograft coronary vasculopathy developed requiring coronary artery angioplasty. In year 15 postoperatively she experienced congestive heart failure and she became symptomatic requiring diuretics and digoxin treatment. In year 16 postoperatively a routine coronary computed tomography (CT) angiography study revealed a giant thrombus in the left atrium. The patient had had no thromboembolicrelated symptoms. Anticoagulation therapy was introduced and the patient has not presented any thromboembolic-related complication. As the symptoms of cardiac insufficiency worsened we decided to evaluate the patient for re-transplantation.
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    Surgical treatment of aortobronchial fistula after thoracic endograft failure
    (BioMed Central, 2011) Dell’Aquila, A.M. (Angelo Maria); Gallo, A. (Alina); Mastrobuoni, S. (Stefano); Olavide, I. (Isidro); Martin-Trenor, A. (Alejandro)
    Endovascular stent grafting has been recently considered as a less invasive alternative to either medical therapy or open surgical treatment for many patients with descending thoracic aortic disease. Late complications are rarely described in literature. Herein, we described the occurrence of an aorto-bronchial fistula and a retro-A dissection in a 73-year-old man after stent-grafting for a penetrating atherosclerotic ulcer (PAU) of the descending thoracic aorta and the successful surgical technique adopted in order to remove the stent-graft.