I publisched three papers after my retirement: My last paper  was published in 2019 and is  a summary and a conclusion of  my little contribution to the cardiac surgery research: the editor of the EC Clinical & Medical Case Reports categorized it as a " Conceptual Paper". The title is : "The Research of Outcome: Investigating  Results of New Technologies in Medicine, Giulio Rizzoli (2019) 2(7): 330-333 "  which can be downloaded at:

https://www.ecronicon.com/eccmc/pdf/ECCMC-02-00079.pdf

My penultimate paper was  a case report describing a postoperative intensive care complication: "Pharyngeal hemorrhage: a catatrophic post-operative event" Giulio Rizzoli and Ivo Tiberio EJBPS (2017) 4(11):91-95 which can be read  to this address: https://www.researchgate.net/publication/324862240_PHARYNGEAL_HEMORRHAGE_A_CATASTROPHIC_POST-OPERATIVE_EVENT_European_Journal_of_Biomedical_AND_Pharmaceutical_sciences  .  This paper reports an unfortunate case I attended at the end of my carrier. It was the consequence of a missmatch between increasing case volume vs. restricted resources imposed by healthcare economy, resulting in a decreased safety of the surgical environment, both for the patient and for the attending surgeon. It describes a typical example of malpractice in which a series of medical omissions were consecutively dismally aligned, resulting in patient’s death and my earlier retirement. It begann with a very long-lasting surgical case requiring the use of extracorporeal circulation, a double anti-aggregated patient, a fast track extubation and an Intensive Care Unit staffed with a second year anesthesia resident: lacking of video-laryngoscope, capnography, cricothyroidotomy set and training. It resulted in the inability to diagnose and neutralize an extremely rare and previously unknown complication related to intramuscular hemorrhage  of the middle and lower muscle of the pharynx resulting in a massive obstructive muscular infarction and in the late death of the patient as a consequence of severe anoxy of the brain. 

My  last  paper was written in 2010 and submitted few days prior to retiring  and was  juged as potentially acceptable from the Editor of JTCVS but finally refused because, being retired, I was not able to satisfy the request of a single reviewer who complained the lack of echo data. Seven year later, solicited from I an independent journal.&nbsp, I published it 88 "Twenty year patient survival and 17 year complications of isolated Mitral Biocor Standard porcine prosthesis Rizzoli G et Al. . (2017) J Clin Exp Cardiolog 8:508  . doi: 10.4172/2155-9880.1000508