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Mycotic Aneurysm in an Immunocompromised Patient with Pneumonia and Spondylodis...
Figueiredo, Adriana; Fidalgo, Helena; Tavares, Carolina; Gueifão, Inês; Gonçalves, Daniela; Alves, Gonçalo; Camacho, Nelson; Ferreira, Maria EmiliaBACKGROUND: Mycotic aneurysm is a rare entity with rapid progression, which can be fatal without adequate treatment. The incidence of rupture is greater than that of degenerative aneurysms and is associated with a high mortality rate. CASE REPORT: We report the case of a 58-year-old man with a known history of HIV infection with good immunovirological staging, treated squamous cell carcinoma of the anal canal a...
Fenestrated Physician-Modified Endografts (PMEGs) - a Viable Option for Urgent ...
Bento, Rita; Alves, Gonçalo; Rodrigues, Gonçalo; Garcia, Rita; Ribeiro, Tiago; Cardoso, Joana; Soares Ferreira, Rita; Ferreira, Maria EmiliaINTRODUCTION: Fenestrated and branched stent graft technology has come a long way over the past few years, enabling the treatment of complex juxtarenal aneurysms, thoracoabdominal aneurysms, and arch pathologies. Many innovations have been developed, namely device and delivery optimization and technical tricks. These concepts have proven to work well when there is sufficient time to plan and manufacture a custo...
Characterization of Anopheles Species and Entomological Indicators Following In...
Domingos, André; Direito, Ana; Alves, Gonçalo; Máquina, Paulo; Jorge, Cani Pedro; Martins, José F.; Koekemoer, Lizette L.; Lopes, Sergio; Garcia, LuzalaMalaria remains a significant public health challenge in Angola, particularly in Cuando Cubango province. This study aimed to characterize the local Anopheles mosquito population, evaluate the impact of indoor residual spraying (IRS) on key entomological indicators, and assess the community knowledge, attitudes, and practices (KAP) related to malaria and vector control. Mosquito collections were conducted indoo...
Mycotic aneurysm in an immunocompromised patient with pneumonia and spondylodis...
Figueiredo, Adriana; Fidalgo, Helena; Tavares, Carolina; Gueifão, Inês; Gonçalves, Daniela; Alves, Gonçalo; Camacho, Nelson; Ferreira, Maria EmílaBACKGROUND: Mycotic aneurysm is a rare entity with rapid progression, which can be fatal without adequate treatment. The incidence of rupture is greater than that of degenerative aneurysms and is associated with a high mortality rate. CASE REPORT: We report the case of a 58-year-old man with a known history of HIV infection with good immunovirological staging, treated squamous cell carcinoma of the anal canal a...
Fenestrated Physician-Modified Endografts (PMEGs) - a viable option for urgent ...
Bento, Rita; Alves, Gonçalo; Rodrigues, Gonçalo; Garcia, Rita; Ribeiro, Tiago; Cardoso, Joana; Soares Ferreira, Rita; Ferreira, Maria EmíliaINTRODUCTION: Fenestrated and branched stent graft technology has come a long way over the past few years, enabling the treatment of complex juxtarenal aneurysms, thoracoabdominal aneurysms, and arch pathologies. Many innovations have been developed, namely device and delivery optimization and technical tricks. These concepts have proven to work well when there is sufficient time to plan and manufacture a custo...
Leriche syndrome after visceral aortic revascularization – what now?
Bento, Rita; Alves, Gonçalo; Bastos Gonçalves, Frederico; Rodrigues, Gonçalo; Ferreira, Rita; Ferreira, Maria EmíliaINTRODUCTION: Thoraco-bifemoral bypass (TBF) is an alternative to aorto-bifemoral bypass (ABF) or axilobifemoral bypass for severe aortoiliac occlusive disease. TBF may be particularly useful in select patients with concurrent visceral aortic branch vessel disease, infrarenal aortic occlusions, or after failed ABF. We describe a clinical case of a symptomatic Leriche syndrome in the presence of concurrent visce...
Uma disseção muito complicada: um caso clínico
Tavares, Carolina; Pinto, Vanda; Figueiredo, Adriana; Fidalgo, Helena; Alves, Gonçalo; Garcia, Ana Catarina; Ferreira, Maria EmíliaINTRODUÇÃO: A disseção aórtica aguda tipo B (DAAB) é uma síndrome aórtica aguda que apresenta elevada taxa de mortalidade. Atualmente, na fase aguda, preconiza-se o tratamento médico nos casos de DAAB não complicada, ficando a cirurgia reservada para os casos de DAAB complicada (rutura, síndrome de malperfusão, dor/hipertensão ref ratária, expansão rápida ou progressão proximal/distal). A cirur...
Secondary aortoenteric fistula after endovascular aortic aneurysm repair – a na...
Gueifão, Inês; Quintas, Anita; Alves, Gonçalo; Ribeiro, Tiago; Pais, Fábio; Henrique, Alberto; Ferreira, Maria EmíliaINTRODUCTION: Endovascular aortic repair (EVAR) has become the technique of choice in most vascular centres for abdominal aortic aneurysms (AAA). However, due to its low incidence, literature regarding secondary aortoenteric fistula (AEF) as an EVAR complication is still scarce. We aim to summarise the latest evidence on the topic through a narrative review. METHODS: We conducted a MEDLINE literature search and...
Mycotic aortic aneurysm: a ticking time-bomb!
Bento, Rita; Rodrigues, Gonçalo; Alves, Gonçalo; Garcia, Rita; Pais, Fábio; Ferreira, Maria EmíliaINTRODUCTION: Mycotic or primary infected aortic aneurysms comprise aproximately 1.3% of all aortic aneurysms and may be caused by septic emboli to the vasa vasorum, by haematogenous spread during bacteraemia or by direct extension of an adjacent infection leading to an infectious degeneration of the arterial wall and aneurysm formation. The objective of this report is to describe a clinical case of a complicat...
Outcomes of elective and non-elective fenestrated-branched endovascular aortic ...
Dias-Neto, Marina; Vacirca, Andrea; Huang, Ying; Baghbani-Oskouei, Aidin; Jakimowicz, Tomasz; Mendes, Bernardo C.; Kolbel, Tilo; Sobocinski, JonathanObjective: To describe outcomes after elective and non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs). Background: FB-EVAR has been increasingly utilized to treat TAAAs; however, outcomes after non-elective versus elective repair are not well described. Methods: Clinical data of consecutive patients undergoing FB-EVAR for TAAAs at 24 centers (200...