18 documents found, page 1 of 2
Unmasking an Anomalous Vein: Surgical Repair of Left Upper Pulmonary Vein Drain...
Resende, Maria; Madeira, Márcio; Silva, Cláudia; Marques, Marta; Abecasis, MiguelPartial anomalous pulmonary venous return (PAPVR) is a rare congenital anomaly characterized by one or more pulmonary veins draining into the systemic venous system. We present the case of a 51-year-old woman with PAPVR involving the left upper pulmonary vein (LUPV) draining into the left innominate vein via a vertical vein, diagnosed after investigation of progressive dyspnea and lower limb edema. The diagnosi...
Managing The Mitral Valve In Hcm Surgery: Tips And Tricks
Ranchordás, Sara; Abecasis, Miguel; Quintana, EduardMitral regurgitation (MR) in hypertrophic cardiomyopathy (HCM) patients is mainly due to systolic anterior motion (SAM) of the mitral valve (MV). However, other mechanisms contributing to mitral regurgitation may coexist as a result of further structural abnormalities. SAM might occur because of the increased septal thickness alone or due to simultaneous MV or subvalvular apparatus anomalies, such as mitral lea...
The Risk Of Waiting Up To One Year For Cardiac Surgery
Madeira, Márcio; Neves, Jose; Nolasco, Tiago; Marques, Marta; Abecasis, Miguel; Sousa-Uva, MiguelIntroduction: Cardiac disease is associated with a risk of death, both by the cardiac condition and by comorbidities. The waiting time for surgery begins with the onset of symptoms and includes referral, completion of the diagnosis and surgical waiting list (SWL). This study was conducted during the COVID-19 pandemic, which affected surgical capacity and patients’ morbidities. Methods: The cohort includes 1914 ...
Infective Endocarditis: A Prospective Registry Of Surgical Lesions
Ranchordás, Sara; Madeira, Márcio; Oliveira, Paulo; Marques, Marta; Abecasis, Miguel; Andrade, Maria João; Sousa Uva, Miguel; Neves, José PedroIntroduction: Infective endocarditis morbidity and mortality remains high. Surgery is performed in about half of endocarditis cases, being the ideal setting to evaluate endocarditis lesions. The aim of this study was to register and describe endocarditis lesions found during surgery; find predictors of morbidity and mortality and correlate lesions found in echocardiogram vs. surgery. Materials and Methods: One ...
Triple valve surgery: long-term follow-up from a single centre
Veiga Oliveira, Paulo; Madeira, Márcio; Ranchordás, Sara; Nolasco, Tiago; Marques, Marta; Sousa-Uva, Miguel; Abecasis, Miguel; Neves, José PedroAims: The aims of this study were to analyze early and late outcomes of TVS and identify predictors of short and long- term poor prognosis. Methods: Single centre retrospective study with 130 patients who underwent TVS between 2007 and 2020. Most of the patients were female (72.3%), mean age of 64.4 years; 61.1% were in New York Heart Association class III/IV, with a EuroSCORE II of 7.5%. Univariable and Multiv...
Extracorporeal Membrane Oxygenation: The First 10 Years Experience of a Portugu...
Meireles, Daniel; Abecasis, Francisco; Boto, Leonor; Camilo, Cristina; Abecasis, Miguel; Neves, José Pedro; Soares, Zélia Cristo; Vieira, MarisaIntroduction: In Portugal, extracorporeal membrane oxygenation (ECMO) is used in pediatric patients since 2010. The aim of this study was to describe the clinical characteristics of patients, indications, complications and mortality associated with the use of ECMO during the first 10-years of experience in the Pediatric Intensive Care Unit located in Centro Hospitalar Universitário Lisboa Norte. Material and me...
Extracorporeal Membrane Oxygenation: The First 10 Years Experience of a Portugu...
Meireles, Daniel; Abecasis, Francisco; Boto, Leonor; Camilo, Cristina; Abecasis, Miguel; Neves, José Pedro; Soares, Zélia Cristo; Vieira, MarisaIntroduction: In Portugal, extracorporeal membrane oxygenation (ECMO) is used in pediatric patients since 2010. The aim of this study was to describe the clinical characteristics of patients, indications, complications and mortality associated with the use of ECMO during the first 10-years of experience in the Pediatric Intensive Care Unit located in Centro Hospitalar Universitário Lisboa Norte.Material and Met...
CARDIAC SURGERY IN PATIENTS WITH DIALYSIS-DEPENDENT END STAGE RENAL FAILURE: SI...
Ranchordas, Sara; Madeira, Márcio; Pereira, Tiago; Branco, Patrícia; Gaspar, Augusta; Marques, Marta; Calquinha, José; Abecasis, Miguel; Neves, José P.Background: Patients under dialysis have a high cardiovascular risk and they are at increased risk when submitted to cardiac surgery. Aim of the study: to evaluate morbidity, early and late mortality, and predictive factors of mortality in patients under dialysis who underwent cardiac surgery. Methods: A retrospective observational study was performed including all dialysis dependent patients who underwent card...
PATIENT PROSTHESIS MISMATCH IN STENTED BIOLOGIC AORTIC VALVE PROSTHESIS: 10 YEA...
Madeira, Márcio; Ranchordás, Sara; Oliveira, Paulo; Nolasco, Tiago; Marques, Marta; Sousa-Uva, Miguel; Abecasis, Miguel; Neves, JoséObjectives: The goal of this study is to establish the relation between aortic bio prosthesis, patient prosthesis mismatch (PPM) and short-term mortality and morbidity as well as and long-term mortality. Methods: This is a single center retrospective study with 812 patients that underwent isolated stented biologic aortic valve replacement between 2007 and 2016. The projected indexed orifice area was calculated ...
ECMO in Neonates with Congenital Diaphragmatic Hernia: The Experience of a Port...
Miranda, Mariana; Abecasis, Francisco; Almeida, Sofia; Torres, Erica; Boto, Leonor; Camilo, Cristina; Neves, José Pedro; Abecasis, MiguelIntroduction: The use of extracorporeal membrane oxygenation (ECMO) is considered by many authors as one of the most important technological advances in the care of newborns with congenital diaphragmatic hernia. The main objective of this study was to report the experience of a Portuguese ECMO center in the treatment of congenital diaphragmatic hernia.Material and Methods: Descriptive retrospective study of new...