Castiglioni Alessandro Professore associatoMedicineMED/23 – Chirurgia cardiaca

Biography

Publications

Biography

Education

Scientific High School Diploma, 1987, Liceo Scientifico Collegio Rotondi , Gorla Minore (VA)

Graduation in Medicine and Surgery, 1993, Università degli Studi di Milano, 110/110 cum laude

Thoracic Surgery Specialty, 1998, Università degli Studi di Milano.

Cardiac Surgery Specialty, 2007, Università degli Studi di Milano Bicocca.

National Scientific Abilitation, Associate Professor, 2017, Italian Ministry of University and Research

Professional qualification

IRCCS OSPEDALE SAN RAFFAELE: Cardiac Surgery Unit

Resident

Sep.93-Nov.98

IRCCS OSPEDALE SAN RAFFAELE: Cardiac Surgery Unit

First Surgeon Assistant

Dec.01-Nov.17

ACCREDITED STRUCTURE HUMANITAS MATER DOMINI CASTELLANZA (VA): Cardiology

Consultant Cardiac Surgeon

Jan.01-Today

IRCCS OSPEDALE SAN RAFFAELE: Cardiac Surgery Unit

Simple Functional Unit Head, Ward

Jan.02-Nov.17

UNIVERSITA’ VITA SALUTE SAN RAFFAELE: Cardiac Surgery Specialty School

Secretary
Jan. 05-Today

UNIVERSITA’ VITA SALUTE SAN RAFFAELE: Cardiac Surgery Specialty School

Contract Professor
Jan. 05-Mar.17

IRCCS OSPEDALE SAN RAFFAELE: Cardiac Surgery Unit

Simple Structure Activity Area Coordinator, Operative Rooms

Jan.08-Nov.17

IRCCS OSPEDALE SAN RAFFAELE: Cardiac Surgery Unit

AORTIC TEAM Project Cardiac Surgery Supervisor

Jan.08-Today

ACCREDITED STRUCTURE CLINICA CITTA’ STUDI MILANO: Cardiology

Consultant Cardiac Surgeon

Jan.12-Today

PUBLIC HOSPITAL GUIDO SALVINI: Cardiology Departments of Rho, Garbagnate and Bollate (MI) Hospitals

Consultant Cardiac Surgeon

Jan.13-Today

IRCCS OSPEDALE SAN RAFFAELE: Cardiac Surgery Unit

TAVI Project Cardiac Surgery Supervisor

Jan.13-Today

UNIVERSITA’ VITA SALUTE SAN RAFFAELE: Cardiac Surgery Specialty School

Associate Professor (Disciplinary Profile MED/23, Cardiac Surgery)

Mar.17-Today

IRCCS OSPEDALE SAN RAFFAELE: Cardiac Surgery Unit

Chief of Cardiac Surgery Unit

Nov.17-Today

 

Other Activities
Reviewer of the European Journal of Cardiothoracic Surgery.ISSN 1010-7940 since 01-01-2007 to today  

Memberships

Member of the main european and national association of the cardiac surgery/cardiology area

Expertise

Chief of the Cardiac Surgery Unit of Ospedale San Raffaele, internationally renowned for cardiac valvulopaties surgical treatment, in particular for mitral valve repair.

I have expertise in the whole range of adult structural cardiopathies; I have a long time experience in the multidisciplinary collaboration to surgically treat complex aorta aneurisms and in the trascatheter treatment of the aortic valve, as surgical supervisor of the Aortic Team Project and of the TAVI Project respectively.

Publications

1: Kumar S, Gayle JA, Mogalapalli A, Hussain ST, Castiglioni A. Escitalopram Induced Torsade de Pointes and Cardiac Arrest in a Patient With Surgically Treated Mitral Valve Prolapse. Cureus. 2020 Dec 7;12(12):e11960. doi:10.7759/cureus.11960. PMID: 33425536; PMCID: PMC7788002.

2: Ripa M, Chiappetta S, Castiglioni B, Agricola E, Busnardo E, Carletti S,Castiglioni A, De Bonis M, La Canna G, Oltolini C, Pajoro U, Pasciuta R, Tassan Din C, Scarpellini P; Ospedale San Raffaele Endocarditis Team. Impact of surgical timing on survival in patients with infective endocarditis: a time-dependent analysis. Eur J Clin Microbiol Infect Dis. 2021 Jan 7. doi:10.1007/s10096-020-04133-x. Epub ahead of print. PMID: 33411176.

3: Carino D, Lapenna E, Ascione G, Ruggeri S, Del Forno B, Castiglioni A,
Alfieri O, De Bonis M. Is mitral annuloplasty an effective treatment for severe atrial functional mitral regurgitation? J Card Surg. 2021 Jan 2. doi: 10.1111/jocs.15273. Epub ahead of print. PMID: 33386760.

4: Godino C, Sisinni A, Pivato CA, Adamo M, Taramasso M, Parlati A, Italia L, Voci D, Scotti A, Munaf˜ A, Buzzatti N, Denti P, Ancona F, Fiore G, Sala A,Vergara P, Bodega F, Ruffo MM, Curello S, Castiglioni A, De Bonis M, Alfieri O,Agricola E, Maisano F, Metra M, Colombo A, Margonato A; MiZŸBr registry.
Prognostic Value of Pre-operative Atrial Fibrillation in Patients With Secondary
Mitral Regurgitation Undergoing MitraClip Implantation. Am J Cardiol. 2020 Dec
30:S0002-9149(20)31371-0. doi: 10.1016/j.amjcard.2020.12.043. Epub ahead of print. PMID: 33359201.

5: Carino D, Denti P, Ascione G, Del Forno B, Lapenna E, Ruggeri S, Agricola E, Buzzatti N, Verzini A, Meneghin R, Scandroglio AM, Monaco F, Castiglioni A, Alfieri O, De Bonis M. Is the EuroSCORE II reliable in surgical mitral valve repair? A single-centre validation study. Eur J Cardiothorac Surg. 2020 Dec 14:ezaa403. doi: 10.1093/ejcts/ezaa403. Epub ahead of print. PMID: 33313790.

6: Baccelli A, Lapenna E, Del Forno B, Schiavi D, Meneghin R, Giambuzzi I, Ruggeri S, Castiglioni A, Alfieri O, De Bonis M. Long-term results of mitral repair with complete semi-rigid rings vs posterior flexible bands. Ann Thorac Surg. 2020 Dec 1:S0003-4975(20)32034-8. doi: 10.1016/j.athoracsur.2020.11.006. Epub ahead of print. PMID: 33275928.

7: Belluschi I, Alfieri O, Montorfano M, Castiglioni A. Low left main coronary ostium: when surgery is still more appropriate than transcatheter aortic valve implantation. Eur J Cardiothorac Surg. 2020 Nov 23:ezaa415. doi: 10.1093/ejcts/ezaa415. Epub ahead of print. PMID: 33225362.

8: Bargagna M, Trumello C, Sala A, Blasio A, Castiglioni A, Alfieri O, De Bonis
M. Left Circumflex Artery Injury After Mitral Valve Surgery: An Algorithm
Management Proposal. Ann Thorac Surg. 2020 Jul 31:S0003-4975(20)31217-0. doi:
10.1016/j.athoracsur.2020.05.160. Epub ahead of print. PMID: 32745514.

9: Godino C, Bodega F, Melillo F, Rubino F, Parlati ALM, Cappelletti A, Mazzone P, Mattiello P, Della Bella P, Castiglioni A, Alfieri O, De Bonis M, Montorfano M, Tresoldi M, Filippi M, Zangrillo A, Salerno A, Cera M, Margonato A; INSIgHT(Italian NOACs San Raffaele Hospital registry investigators. Inappropriate dose of nonvitamin-K antagonist oral anticoagulants: prevalence and impact on clinical outcome in patients with nonvalvular atrial fibrillation. J Cardiovasc Med (Hagerstown). 2020 Oct;21(10):751-758. doi: 10.2459/JCM.0000000000001043. PMID: 32740435.

10: Del Forno B, Castiglioni A, Alfieri O, De Bonis M. Reply to Sˆ et al. Eur J Cardiothorac Surg. 2021 Jan 4;59(1):286. doi: 10.1093/ejcts/ezaa226. PMID: 32666078.

11: Abboud S, Trumello C, Sanvito F, Lapenna E, Castiglioni A, Alfieri O,
Doglioni C, De Bonis M. Mesothelial or monocytic incidental cardiac excrescence on anterior leaflet of mitral valve. J Card Surg. 2020 Sep;35(9):2418-2421. doi: 10.1111/jocs.14827. Epub 2020 Jul 6. PMID: 32627263.

12: Del Forno B, De Bonis M, Agricola E, Melillo F, Schiavi D, Castiglioni A, Montorfano M, Alfieri O. Mitral valve regurgitation: a disease with a wide spectrum of therapeutic options. Nat Rev Cardiol. 2020 Dec;17(12):807-827. doi: 10.1038/s41569-020-0395-7. Epub 2020 Jun 29. PMID: 32601465.

13: Redaelli P, Belluschi I, Bertoglio L, Verzini A, Chiesa R, Castiglioni A. Frozen elephant trunk: debranch first technique. Ann Cardiothorac Surg. 2020 May;9(3):257-258. doi: 10.21037/acs.2020.03.02. PMID: 32551266; PMCID: PMC7298245.

14: Monaco F, Nardelli P, Denaro G, De Luca M, Franco A, Bertoglio L,
Castiglioni A, Zangrillo A. First experience with a ROTEM-enhanced transfusion algorithm in patients undergoing aortic arch replacement with frozen elephant trunk technique. A theranostic approach to patient blood management. J Clin Anesth. 2020 Nov;66:109910. doi: 10.1016/j.jclinane.2020.109910. Epub 2020 May 30. PMID: 32485539.

15: Belluschi I, Redaelli P, Iaci G, Verzini A, Alfieri O, Castiglioni A.
Surgery from the future: Performing a safe valve-in-valve explantation. Multimed Man Cardiothorac Surg. 2020 May 18;2020. doi: 10.1510/mmcts.2020.019. PMID: 32459076.

16: Belluschi I, De Bonis M, Alfieri O, Del Forno B, Alamanni F, Polvani G, Pompilio G, Roberto M, Merlino LG, Troise G, Triboldi A, Di Credico G, Odinolfi FE, Giamberti A, Frigiola A, De Vincentiis C, Menicanti L, Monaco F, Melisurgo G, Scandroglio AM, Ambrosio A, Bottinelli E, Castiglioni A. First reorganization in Europe of a regional cardiac surgery system to deal with the coronavirus-2019 pandemic. Eur J Cardiothorac Surg. 2020 Jul 1;58(1):25-29. doi: 10.1093/ejcts/ezaa185. PMID: 32437514; PMCID: PMC7314078.

17: Lapenna E, Nisi T, Ruggeri S, Trumello C, Del Forno B, Schiavi D, Meneghin R, Castiglioni A, Alfieri O, De Bonis M. Edge-to-Edge Mitral Repair Associated With Septal Myectomy in Hypertrophic Obstructive Cardiomyopathy. Ann Thorac Surg. 2020 Sep;110(3):783-789. doi: 10.1016/j.athoracsur.2020.03.095. Epub 2020 May 7. PMID: 32389564.

18: Belluschi I, Buzzatti N, Romano V, De Backer O, Søndergaard L, Karady J, Maurovich-Horvat P, Rahgozar K, De Bonis M, Castiglioni A, Colombo A, Alfieri O, Montorfano M, Latib A. CT-scan theoretical analysis for aortic cross-clamp and opening after transcatheter aortic valve implantation. EuroIntervention. 2020 May 4:EIJ-D-19-00991. doi: 10.4244/EIJ-D-19-00991. Epub ahead of print. PMID:32364502.

19: Trumello C, Giambuzzi I, Del Forno B, Bargagna M, Blasio A, Ruggeri S, Meneghin R, Schiavi D, Nascimbene S, Castiglioni A, Alfieri O, De Bonis M. Re-repair after previous mitral valve reconstruction: handle with care! Interact Cardiovasc Thorac Surg. 2020 Jul 1;31(1):35-41. doi: 10.1093/icvts/ivaa057. PMID: 32300775.

20: De Bonis M, Zancanaro E, Lapenna E, Trumello C, Ascione G, Giambuzzi I, Ruggeri S, Meneghin R, Abboud S, Agricola E, Del Forno B, Buzzatti N, Monaco F, Pappalardo F, Castiglioni A, Alfieri O. Optimal versus suboptimal mitral valve repair: late results in a matched cohort study. Eur J Cardiothorac Surg. 2020 Aug 1;58(2):328-334. doi: 10.1093/ejcts/ezaa103. PMID: 32298423.

21: Belluschi I, Lapenna E, Blasio A, Del Forno B, Giacomini A, Ruggeri S, Schiavi D, Castiglioni A, Alfieri O, De Bonis M. Excellent long-term results with minimally invasive edge-to-edge repair in myxomatous degenerative mitral valve regurgitation. Interact Cardiovasc Thorac Surg. 2020 Jul 1;31(1):28-34. doi: 10.1093/icvts/ivaa048. PMID: 32221590.

22: Buzzatti N, Romano V, Ancona M, Stella S, Sala A, Agricola E, Castiglioni A, De Bonis M, Montorfano M. Odd Residual Regurgitation After Mitral Valve-in-Ring: One You Can Fix! JACC Cardiovasc Interv. 2020 Jun 8;13(11):1372-1375. doi: 10.1016/j.jcin.2020.02.006. Epub 2020 Mar 16. PMID: 32192983.

23: Del Forno B, Ascione G, Lapenna E, Trumello C, Ruggeri S, Belluschi I, Verzini A, Iaci G, Ferrara D, Schiavi D, Meneghin R, Castiglioni A, Alfieri O, De Bonis M. Is myocardial revascularization really necessary in patients with³50% but <70% coronary stenosis undergoing valvular surgery? Eur J Cardiothorac Surg. 2020 Aug 1;58(2):343-349. doi: 10.1093/ejcts/ezaa047. PMID: 32187351.

24: Carino D, Denti P, Buzzatti N, Stella S, Ancona F, Agricola E, Castiglioni A, Ottavio A, De Bonis M. MitraClip XTR Implantation to Treat Torrential Tricuspid Regurgitation After Failed Annulopasty. Ann Thorac Surg. 2020 Sep;110(3):e165-e167. doi: 10.1016/j.athoracsur.2020.01.050. Epub 2020 Mar 3. PMID: 32142810.

25: Belluschi I, Buzzatti N, Blasio A, Romano V, De Bonis M, Castiglioni A, Montorfano M, Alfieri O. Self-expandable valve-in-valve treatment for failing sutureless aortic bioprosthesis. J Card Surg. 2020 Feb;35(2):477-479. doi: 10.1111/jocs.14365. Epub 2019 Nov 25. PMID: 31765015.

26: Belluschi I, Verzini A, Bertoglio L, Castiglioni A. Emergency aortic arch replacement using the debranch-first technique with a custom-made prosthesis. J Card Surg. 2020 Jan;35(1):229-231. doi: 10.1111/jocs.14285. Epub 2019 Oct 15. PMID: 31614014.

27: Melillo F, Ancona F, Calvo F, Fisicaro A, Stella S, Capogrosso C, Spoladore R, Denti P, Melisurgo G, Lapenna E, Pappalardo F, Castiglioni A, Margonato A, Agricola E. Loss of Leaflet Insertion After Percutaneous Mitral Valve Repair Requiring Left Ventricular Assist Device Implantation: Usefulness of 3D Multiplanar Reconstruction. J Invasive Cardiol. 2019 Sep;31(9):E274-E276. PMID: 31478896.

28: Lapenna E, De Bonis M, Giambuzzi I, Del Forno B, Ruggeri S, Cireddu M, Gulletta S, Castiglioni A, Alfieri O, Della Bella P, Benussi S. Long-term Outcomes of Stand-Alone Maze IV for Persistent or Long-standing Persistent Atrial Fibrillation. Ann Thorac Surg. 2020 Jan;109(1):124-131. doi: 10.1016/j.athoracsur.2019.05.061. Epub 2019 Jul 17. PMID: 31325420.

29: Reimer D, Russell R, Khallouq BB, Kauffman C, Hernandez C, Cendán J,
Castiglioni A. Pre-clerkship medical students' perceptions of medical
professionalism. BMC Med Educ. 2019 Jul 1;19(1):239. doi: 10.1186/s12909-019-1629-4. PMID: 31262283; PMCID: PMC6604300.

30: Bertoglio L, Fittipaldi A, Giambuzzi I, Redaelli P, Verzini A, Cambiaghi T, Bargagna M, Alfieri O, Chiesa R, Castiglioni A. Preliminary Results of Debranch-First Technique in Frozen Elephant Trunk Procedures. Ann Thorac Surg. 2019 Nov;108(5):1345-1353. doi: 10.1016/j.athoracsur.2019.04.010. Epub 2019 May 10. PMID: 31082360.

31: Stella S, Melillo F, Capogrosso C, Fisicaro A, Ancona F, Latib A, Montorfano M, Colombo A, Alfieri O, Castiglioni A, Margonato A, Agricola E. Intra-procedural monitoring protocol using routine transthoracic echocardiography with backup trans-oesophageal probe in transcatheter aortic valve replacement: a single centre experience. Eur Heart J Cardiovasc Imaging. 2020 Jan 1;21(1):85-92. doi: 10.1093/ehjci/jez066. PMID: 30977790.

32: Agricola E, Ancona F, Baldetti L, Stella S, Capogrosso C, Margonato A, Colombo A, Castiglioni A, Fisicaro A, Montorfano M, Alfieri O, Latib A. Nuove possibilitˆ terapeutiche nel trattamento dell’insufficienza tricuspidale [New therapeutic options for the treatment of tricuspid regurgitation]. G Ital Cardiol (Rome). 2019 Feb;20(2):85-96. Italian. doi: 10.1714/3093.30856. PMID: 30747924.

33: Torre DM, Hernandez CA, Castiglioni A, Durning SJ, Daley BJ, Hemmer PA, LaRochelle J. The Clinical Reasoning Mapping Exercise (CResME): a new tool for exploring clinical reasoning. Perspect Med Educ. 2019 Feb;8(1):47-51. doi: 10.1007/s40037-018-0493-y. PMID: 30666584; PMCID: PMC6382623.

34: Buzzatti N, Denti P, Scarfò IS, Giambuzzi I, Schiavi D, Ruggeri S,
Castiglioni A, De Bonis M, La Canna G, Alfieri O. Mid-term outcomes (up to 5 years) of percutaneous edge-to-edge mitral repair in the real-world according to regurgitation mechanism: A single-center experience. Catheter Cardiovasc Interv. 2019 Sep 1;94(3):427-435. doi: 10.1002/ccd.28029. Epub 2018 Dec 27. PMID: 30592134.

35: Colangelo N, Giambuzzi I, Moro M, Pasqualini N, Aina A, De Simone F, Blasio A, Alfieri O, Castiglioni A, De Bonis M. Mycobacterium chimaera in heater-cooler units: new technical approach for treatment, cleaning and disinfection protocol. Perfusion. 2019 May;34(4):272-276. doi: 10.1177/0267659118814691. Epub 2018 Dec 12. PMID: 30541392.

 

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