Paolo Berretta
The transition toward minimally invasive cardiac surgery is no longer solely about reducing incision size; it is about creating a standardized, versatile, and sustainable concept. The direct-view transaxillary approach represents a significant evolution that is...
In this session, cardiothoracic surgery experts gathered to discuss transaxillary valve surgery, options to avoid patients-prosthesis mismatch, aortic valve replacement (AVR), and transcatheter aortic valve implantation (TAVI). These presentations were...
The authors report the case of a 73-year-old man with a history of acute type A aortic dissection, who was treated with urgent hemiarch repair and later underwent endovascular arch...
This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos. Prosthetic valve endocarditis (PVE) is a life-threatening condition that...
Hypertrophic obstructive cardiomyopathy is a heterogeneous cardiac disease with a complex anatomical substratum. Surgery is fundamental not only in bringing symptoms relief, but also survival benefit. In experienced centers, surgery...
In this video, we show in a step-by-step fashion how we could perform what is, to the best of our knowledge, the first total arch replacement with Frozen Elephant Trunk...
Postoperative stroke after cardiac surgery is a rare but catastrophic complication. Most commonly, it results from embolic dislodgement of atherosclerotic debris that may occur during surgical manipulation of the ascending...
Type Ia endoleak represents a major complication after TEVAR implantation (1). The treatment of choice to obtain the closure of the proximal leak includes a) total arch replacement with a...
While the number of minimally invasive interventions being offered is gradually growing, patients’ requests for interventions associated with minimized trauma and faster recovery often remain unfulfilled (1). Currently, most lines...
In patients with hypertrophic obstructive cardiomyopathy, sparing the mitral valve can be a great challenge for the cardiac surgeon. In fact, the anatomy of this disease is greatly inconstant with...
Bentall surgery, often required in patients with an aortic valve prosthesis infection, represents a great surgical challenge. Extensive periannular abscess with annular destruction and friable infected tissues may hamper a...
While anatomical and clinical indications to transcatheter aortic valve interventions are expanding, surgical aortic valve replacement (AVR) continues to progress, as demonstrated by improving clinical outcomes in contemporary patients’ cohorts...
Aortic root reoperation represents a great challenge for the cardiovascular surgeon, with a hospital mortality that ranges between 8% and 15% in the literature [1-4]. Arch repair interventions with zone...









