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Mitral Valve Surgery for Rheumatic Lesions in Young Patients

Cardoso, B; Loureiro, P; Gomes, I; Gordo, A; Banazol, N; Fragata, I; Trigo, C; Pinto, MF; Fragata, J

BACKGROUND: The appropriateness of rheumatic mitral valve repair remains controversial due to the risks of recurrent mitral dysfunction and need for reoperation. The aims of this study were to determine the overall short- and long-term outcomes of pediatric rheumatic mitral valve surgery in our center. METHODS: Single-center, observational, retrospective study that analyzed the results of rheumatic mitral valve...


Iatrogenic aortic pseudoaneurysm: A forgotten complication

Almeida, S; Bico, P; Almeida, AR; Laranjeira Santos, A; Banazol, N; Fragata, J; Rabaçal, C

Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a ...


Iatrogenic Aortic Pseudoaneurysm: a Forgotten Complication

Almeida, S; Bico, P; Almeida, AR; Laranjeira, A; Banazol, N; Fragata, J; Rabaçal, C

Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a ...


Trombo na Aurícula Direita: Apresentação Rara da Deficiência do Inibidor do Ati...

Piçarra, B; Santos, AR; Dionísio, P; Vasconcelos, J; Banazol, N; Lourenço, S; Caetano, F

A presença de trombos móveis na aurícula direita são fenómenos raros, mas associados a uma elevada mortalidade. Apesar de a ecocardiografia ter permitido avanços no seu diagnóstico, a sua abordagem continua a ser motivo de debate. Neste artigo apresentamos o caso de uma doente do sexo feminino, de 24 anos, com antecedentes de tabagismo, obesidade e sob terapêutica anovulatória que recorre ao serviço de urgência...


An Unusual Aortic Valve Mass

Sousa, C; Banazol, N; Afonso, D; Pinto, E; Cardona, L; Branco, LM; Arsénio, A


Long-Term Survival with Heart Transplantation for Fibrosarcoma of the Heart

Coelho, PP; Banazol, N; Soares, RM; Fragata, J

Primary sarcoma of the heart is a rare disease that has an ominous prognosis with either medical or surgical therapy. We report a case of a 25-year-old woman with sarcoma of the heart who received a transplant and is clinically well after 7 years. We believe that transplantation must be considered in this kind of pathology for selected cases.


Quilopericárdio Primário Idiopático

Timóteo, AT; Albino, JP; Branco, LM; Banazol, N; Colarinha, P; Jalles, N; Cruz Ferreira, R

O quilopericárdio é uma entidade rara, que é encontrada mais frequentemente associada a traumatismos (com lesão do canal torácico), neoplasias e infiltrações por filária. As formas primárias são mais raras e associam-se a malformações da circulação linfática. Apresenta-se o caso clínico de um doente de 52 anos, sexo masculino, com o diagnóstico de quilopericárdio primário, sendo discutida a abordagem diagnóstic...


Degenerescência Caseosa da Calcificação do Anel Mitral: Revisão a Propósito de ...

Fernandes, RM; Branco, LM; Galrinho, A; Timóteo, AT; Tavares, A; Feliciano, J; Oliveira, R; Fiarresga, A; Mamede, A; Banazol, N; Roquette, J

Caseous calcification of the mitral annulus is a rare form of mitral annular calcification, whose etiology is not completely understood and which can lead to an erroneous diagnosis of intracardiac tumor. The authors describe the cases of six patients, five of them female, mean age 74.8 +/- 6.4 years (65-81). Four patients presented with heart failure, two with atrial fibrillation and five with hypertension. Rou...


Isolated Cleft of the Anterior Mitral Valve Leaflet

Timóteo, AT; Galrinho, A; Fiarresga, A; Branco, LM; Banazol, N; Leal, A; Fragata, J; Quininha, J

Isolated anterior mitral leaflet cleft (not associated with atrio-ventricular septal defect) is a rare cause of congenital mitral regurgitation, and the treatment consists of direct suturing of the cleft. We present a clinical case with this entity.


Cirurgias de Derivação do Ventrículo Pulmonar

Afonso, D; Coelho, PP; Banazol, N; Nogueira, G; Rebelo, M; Freitas, I; Trigo, C; Pinto, MF; Fragata, I; Fragata, J

Cavopulmonary connections have been extensively used in the palliation of complex forms of congenital heart disease requiring some form of right heart bypass. We examine the mid term outcomes of pulmonary ventricle bypass operations in a single institution and performed by the same surgical team. POPULATION: Between March 1999 and April 2006, 62 patients underwent pulmonary ventricle bypass operations: bidirect...


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