8 documents found, page 1 of 1
An Unexpected Association in a Patient with Heart Failure Presenting a Surgical...
Alegria, S; Simões, O; Almeida, AR; Silva e Castro, J; Laranjeira, A; Pereira, HBicuspid aortic valve (BAV) is the most common form of congenital heart disease and frequently leads to premature valvular dysfunction. BAV is associated with aortic wall abnormalities and a high prevalence of ascending aorta dilatation and coarctation of the aorta (CoA). Consequently, in patients with BAV a careful assessment of the valve, and also of the aortic root and the ascending aorta, should be performe...
Type B Aortic Dissection with Retrograde Intramural Hematoma and Pulmonary Embo...
Hyde Congo, K; Tomás, A; Laranjeira, A; Afonso, D; Fragata, JWe report the case of 67-year old male patient who was admitted with a 2-week history of progressively worsening chest pain and dyspnea. Diagnostic investigation showed a type B aortic dissection with a retrograde intramural hematoma and bilateral pulmonary embolism. These simultaneous findings highly complicated patient management. Patient was started on anticoagulation therapy with partial resolution of pulmo...
Percutaneous Closure of a Large Ascending Aortic Pseudoaneurysm
Afonso Nogueira, M; Fiarresga, A; de Sousa, L; Galrinho, A; Santos, N; Nobre, I; Laranjeira, A; Cruz Ferreira, RPseudoaneurysm of the ascending aorta is a rare complication, usually after thoracic surgery or trauma. Since surgical repair is associated with very high morbidity and mortality, percutaneous closure has been described as an alternative. In this regard, we present a case in which a symptomatic large pseudoaneurysm of the ascending aorta was treated percutaneously due to the high surgical risk. Despite the tech...
Carcinoma de Células Renais com Trombo Gigante na Veia Cava Inferior: Abordagem...
Furtado, A; Graça, B; Bastos Gonçalves, F; Ferrito, F; Morais, A; Laranjeira, AA nefrectomia radical associada a trombectomia da veia cava inferior constitui a única opção terapêutica passível de melhoria prognóstica dos carcinomas de células renais com trombos venosos major. Descrevemos o caso de um homem, 55 anos, com o diagnóstico de tumor renal com trombo intra-cávico de grandes dimensões. O doente foi alvo de uma abordagem multidisciplinar, tendo sido submetido a nefrectomia radical ...
Iatrogenic Aortic Pseudoaneurysm: a Forgotten Complication
Almeida, S; Bico, P; Almeida, AR; Laranjeira, A; Banazol, N; Fragata, J; Rabaçal, CPseudoaneurysms 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 ...
Reparação Híbrida do Arco Aórtico: Experiência Inicial do Hospital de Santa Marta
Rodrigues, H; Castro, JM; Valentim, H; Laranjeira, A; Ferreira, E; Albuquerque e Castro, J; Fragata, J; Mota Capitão, LObjectives: To retrospectively review the hybrid treatment of the aortic arch with supra-aortic debranching and endo- vascular stent-graft repair in a single institution. Methods: From 2007 to 2010, all patients submitted to aortic debranching procedures were entered into a prospective database analysis. For the present study, only patients with sealing zones 0 and 1, according to the Ishimaru classification, w...
Carcinoma Hepatocelular Metastático: Massa Auricular Direita como Manifestação ...
Afonso, DV; Laranjeira, A; Galrinho, A; Fragata, JNos doentes com carcinoma hepatocelular a incidência de metástases cardíacas é de 0.67-3%. Mesmo na ressecção com intuito curativo, o prognóstico é reservado, sendo a sobrevida aos 5 anos de 12-39%. Descrevemos um caso clínico, pouco habitual, de um indivíduo do sexo masculino, de 51 anos de idade, que apresentava uma massa localizada à aurícula direita, diagnosticada por exame histopatológico, como sendo metás...
Dissecção da Aorta Ascendente Associada a Sarcoma Primário da Aorta. Caso Clínico
Afonso, DV; Laranjeira, A; Ferro, A; Ferreira, ML; Fragata, JOs tumores primários da aorta são raros e já têm sido associados a dissecção aórtica, sendo como tal reconhecido o sarcoma da íntima, muito agressivo, com potencial metastático precoce. Uma vez confirmado o diagnóstico, a ressecção cirúrgica pode ser curativa, não deixando o prognóstico de ser reservado, resultando na mortalidade na maioria dos casos. Descrevemos um caso de uma dissecção aórtica do tipo A, com ...