Dr. Troise Giovanni

Scientific Lyceum at Liceo Scientifico Statale “Principe Umberto di Savoia” in Catania - Italy (1970-1975). Graduated in 1975 with the score of 60 out of 60.
Medical school at “Università degli Studi” in Catania – Italy (1976-1982). Graduated as “Doctor in Medicine and Surgery” with the score of 110 out of 110 cum Laude on July 6th, 1982.
Specialization in “Cardio-vascular surgery” at “Università degli Studi” in Bari - Italy (1982-1987)
Certified as “Specialist in Cardio-vascular surgery” with the score of 50 out of 50 cum Laude on July 11th, 1987. 

Visit or training periods in other Centers  

- Institute of Cardiovascular Research – Sion (Switzerland)
From 26 july to 2 august 1991
Cooperation with the Institute “Mario Negri” of Bergamo, for animal experiments about the treatment of rejection after cardiac transplantation. 
- Institute of Cardiac Surgery, University of Chieti (Italy)
From 29 march 1993 to 2 april 1993
Visitor.  Use of preformed arterial conduits in myocardial revascularization.
- Institute of Cardiac Surgery, Catholic University of Leuven (Belgium)
From 31 may 1993 to 24 june 1993
Visitor.  Routinary use of bilateral mammary arteries in myocardial revascularization and myocardial protection with ventricular fibrillation and intermittent aortic cross-clamp.
- Institute of Cardiac Surgery, University of Chieti (Italy)
From 18 july 1994 to 22 july 1994
Visitor.  Myocardial revascularization with arterial conduits. 
- Institute of Cardiac Surgery, Catholic University of Leuven (Belgium)
From 1 august 1995 to 31 may 1996
Fellow staff-member.
- Center of Cardiovascular Surgery, Lione (France)
From 22 to 23 april 2002
Visitor.  Mitral surgical repair with minimally invasive techniques (endoscopic surgery).
- Department of Cardiothoracic Surgery, University of Helsinki (Finland)
From 9 to 10 september 2002
Visitor. Endoscopic IMA harvesting with VISTA-3D visualization system and AESOP robotic arm.
 

• Fellow at the Cardiac Surgery Department of the University in Catania (Italy), from August 8th, 1980 to July  5th, 1982. 
• Fellow at the General Surgery Division of the Hospital “F. Veneziale” in Isernia (Italy), from September 1th, 1982 to August 31th, 1983. 
• Fellow at the Cardio-vascular Surgery Department of the University “G. D’Annunzio” in Chieti (Italy) from February 1985 to August 1987.
• Fellow at the Cardiac Surgery Department of the Hospital “Ospedali Riuniti” in Bergamo (Italy) from September 1th, 1987 to May 9th, 1989.
• Appointed “Assistente Cardiochirurgo” on a full-time base as Cardiac Surgeon at the Cardiac Surgery Department of the Hospital “Ospedali Riuniti” in Bergamo (Italy) from May 9th, 1989 to July 31th, 1996. 
• Appointed “Aiuto Cardiochirurgo” on a full-time base as Cardiac Surgeon at the Cardiac Surgery Unit of the Hospital “Ospedali Riuniti” in Bergamo (Italy) from August 1th, 1996 to August 31th, 1997. 
• Surgeon of the “Cardiac Transplantation Program” at the Hospital “Ospedali Riuniti” in Bergamo (Italy) from June 1989 to August 1997.
• Appointed “Aiuto Cardiochirurgo” on a full-time base as Cardiac Surgeon at the Cardiac Surgery Unit of the Hospital “Poliambulanza Foundation” in Brescia (Italy) from September 1th, 1997 to September 30th, 
• Director of the Cardiac Surgery Unit of the Hospital “Poliambulanza Foundation” in Brescia (Italy) from October 1th, 2004  up to now.  

Since 1987, the year when he began to work in the cardiosurgical department of Bergamo, he dealt with congenital heart disease and starting from 1989, he also dealt with cardiac transplantation and mechanical ventricular assistance, concerning both surgical and pre- and post-operative treatment.

He personally performed 95 cardiac transplantations.

In the field of myocardial protection he collaborated to the improvement and introduction of a continuous controlled retrograde normothermic perfusion technique of the heart during transplantation, in order to reduce cold ischemic time.

He was the first one to describe and introduce such methodology, as well as the first to use it in performing personally the first cardiac transplantation.

From several years he is interested in coronary heart disease surgery, particularly towards the use of arterial grafts for myocardial revascularization. 

In Bergamo he introduced the use of the radial artery as alternative way to the saphenous vein in cases where it is not possible to use it or when you wish a totally arterial myocardial revascularization, associating it to the two mammaries.

From 1/8/95 to 31/5/96, during a stage with a role of “supervisor” in the cardiosurgical department of the Catholic University of Leuven (Belgium), under the guide of Prof. Paul Sergeant (one of the greatest international representatives in the field of coronary surgery), he was able to improve his knowledge and surgical technique concerning the extensive use of the two mammary arteries.

From September 1997 he was responsible for less invasive surgery program at Poliambulanza Foundation Hospital. In this field, concerning coronary surgery program without extra corporeal circulation, more than 93% of coronary by-pass (CABG) operations in the centre are performed without using cardiopulmonary bypass.

He carried out an original system of coronary stabilization  and a modified retractor for coronary surgery without CPB through mini-sternotomy.

From the year 2000 he extended his interests to the surgical treatment of permanent atrial fibrillation (AF). In this field, regarding the association of permanent AF and mitral pathology, he performed 48 cases of “autotransplantations” (valve surgery in association with reductive plastic surgery of left atrium with complete isolation of pulmonary veins isolation through heart removal and following replacement) with satisfactory initial results (about 88% of the patients had a restore of sinus rhythm, which continued throughout the following time).

He is particularly skilled and experienced in  conservative surgery of  both mitral and aortic valves. In the operative unit of cardiac surgery of  Poliambulanza Foundation Hospital many patients coming from different areas of Italy are successfully treated with conservative surgical valve therapy. From several years he deals with “restoring” surgery of left ventricle in patients suffering of ischemic heart disease with severe left ventricle dysfunction.  An interdisciplinary  unit named UNISCO (UNità Interdisciplinare per la cura dello SCOmpenso cardiaco acuto e cronico) was also created inside the operative unit of cardiac surgery, in order to  draw special attention to chronic and acute  heart failure.

For many years, he is interested in left ventricle “reshaping” surgery in patients with ischemic cardiomyopathy and severe left ventricular dysfunction. In the cardiac surgey unit directed by dott. Troise a sub-unit called “UNISCO” has been created for the heart failure patients care.

Since march 2011, he has been implanting “sutureless” aortic prosthesis (Sorin Perceval-S). As “proctor” for Sorin Company, he has been involved in the training of several italian and foreign surgeons.

• Scientific Reviewer for the XXII and XXIII National Congress of SICCH (2002 – 2006)
• Reviewer of the “Journal of Medical & Biological Engineering”
• President of  “Area Lombarda” of the Italian Society of Cardiac Surgery (SICCH) from October 2004
• Director of the “Off-pump coronary surgery” program at Poliambulanza Foundation, from 1997.
• STICH Trial Surgical Investigator
• Referring member of the Italian Society of Cardiac Surgery at the Cerebro-vascular Committee of Regione Lombardia
• Professor of cardiac surgery at the Medical Nursing Faculty of the Catholic University in Brescia

• He performed more than 3600 major cardiac procedures
• He is author and co-author in 80 articles and 78 abstracts published on italian and international journals
• He attended about 130 national and international congresses, most of them as speaker or moderator.