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Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly pa...

Pereira da Silva, F; Donato, P; Donato, Henrique; Jorge, E; Ferreira, MJ; Caseiro-Alves, F

We report the imaging findings of an uncommon coronary vascular termination anomaly, with fistula to the pulmonary artery. This 70 year old female patient presented unstable angina, showing a coronary artery fistula depicted in coronary angiogram from the left coronary to the pulmonary artery, with no significant atherosclerotic pathology. Due to development of ventricular tachycardia in stress echocardiogram e...


Collteral loop approach from left to right liver lobe: Endovascular recanalizat...

Pereira da Silva, F; Donato, P; Caseiro-Alves, F

We report the approach to a 29 year old patient presenting with the diagnosis of a Budd-Chiari Syndrome, with clinical deterioration after initial anticoagulation treatment. The patient was proposed to endovascular treatment. Through intra-hepatic shunting seen at angiography, and from a left to right liver lobe, a guide-wire was passed retrogadely and allowed sufficient support to perform hepatic vein angiopla...



Congenital Thoracic Venous Anomalies in Adults: Morphologic MR Imaging

Ruano, CA; Marinho-da-Silva, A; Donato, P

Congenital anomalies of the thoracic veins are rare yet important developmental abnormalities, usually classified into systemic and pulmonary. They may be encountered incidentally; as such the radiologist must be aware of their imaging presentation and clinical relevance. Furthermore, to understand these anomalies, knowledge of the embryological development and of the normal anatomy of the thoracic veins is req...


Peripheral nerve ultrasound – anatomy and technique for diagnosis and procedures

Mota, SJ; Pereira da Silva, FM; Gil-Pereira, M; Donato, Henrique; Donato, P; Caseiro-Alves, F


Left atrial dysfunction in type 2 diabetes mellitus: insights from cardiac MRI

Graça, B; Ferreira, MJ; Donato, P; Castelo-Branco, M; Caseiro-Alves, F

OBJECTIVES: The left atrium (LA) modulates left ventricular filling through reservoir, conduit and booster pump functions. Only limited data exist on LA involvement in type 2 diabetes mellitus (DM2). This study sought to assess LA function in asymptomatic DM2 with cardiac MRI. We hypothesized that cardiac MRI can detect LA dysfunction in asymptomatic DM2. METHODS: Forty-five patients with asymptomatic DM2 and 2...


Left Ventricular Diastolic Function in Type 2 Diabetes Mellitus and the Associa...

Graça, B; Donato, P; Ferreira, MJ; Castelo-Branco, M; Caseiro-Alves, F

OBJECTIVE: The purpose of this study was to compare cardiac MRI-derived parameters of left ventricular (LV) diastolic function between uncomplicated type 2 diabetes mellitus (DM2) and normoglycemic control subjects and to evaluate whether these parameters of LV diastolic function are related to coronary atherosclerosis. SUBJECTS AND METHODS: We prospectively studied 41 subjects with DM2 and 21 normoglycemic con...


Thoracic, abdominal and musculoskeletal involvement in Erdheim-Chester disease:...

Antunes, C; Graça, B; Donato, P

BACKGROUND: Erdheim-Chester disease (ECD) is a rare, non-Langerhans cell histiocytosis with characteristic radiological and histological features. This entity is defined by a mononuclear infiltrate consisting of lipid-laden, foamy histiocytes that stain positively for CD68 and negatively for CD1a. Osseous involvement is constant and characteristic. Extra-osseous lesions may affect the retroperitoneum, lungs, sk...


Caracterização por RM cardíaca e técnica de realce tardio de um pseudoaneurisma...

Andrade, LC; Donato, P; Ferreira, MJ; Caseiro-Alves, F

Left ventricular pseudoaneurysm is a rare complication of myocardial infarction. Differentiation between true and false aneurysms, although difficult, is crucial, because of the different treatment options they entail. We present a rare case of a giant pseudoaneurysm of the left ventricle related with a previous myocardial infarction. The present case highlights the pivotal role of magnetic resonance imaging fo...


Cardiovascular magnetic resonance imaging assessment of diastolic dysfunction i...

Graça, B; Ferreira, MJ; Donato, P; Castelo-Branco, M; Caseiro-Alves, F

OBJECTIVES: Asymptomatic left ventricular (LV) diastolic dysfunction is increasingly recognised as an important diagnosis. Our goal was to study the prevalence and gender differences in subclinical LV diastolic dysfunction, using cardiovascular magnetic resonance imaging (CMR) at 3 T. METHODS: We prospectively studied 48 volunteers (19 male and 29 female, mean age 49 ± 7 years) with no evidence of cardiovascula...


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