13 documents found, page 1 of 2
Autopsy image following aortic arch parallel grafting of a ruptured aortic aneu...
Gouveia e Melo, Ryan; Fernandes e Fernandes, Ruy; Silvestre, Luís; Mendes Pedro, Luís; Fernandes e Fernandes, JoséAn 85-year-old man was admitted with a ruptured thoracic aortic aneurysm involving the mid/distal arch (bovine aortic arch) and proximal descending thoracic aorta. An emergent endovascular repair was performed with zone 0 TEVAR using a COOK® Zenith Thoracic Alpha endograft and endo-debranching of the innominate artery (IA) and left carotid artery (LCA) using parallel (chimney) grafts through right axillary and ...
POST-DISSECTION THORACO-ABDOMINAL ANEURYSMS: RESULTS OF OPEN AND ENDOVASCULAR R...
Gouveia e Melo, Ryan; Campos, Jorge; Garrido, Pedro; Lopes, Alice; Fernandes e Fernandes, Ruy; Silvestre, Luís; Sobrinho, Gonçalo; Ministro, AugustoIntroduction/Objectives: Repair of post-dissection thoraco-abdominal aortic aneurysms (PD-TAAA) is a complex challenge. Choosing the correct approach to manage these aneurysms is not straightforward as both open and endovascular strategies are valid. Our aim was to analyze and compare the results of PD-TAAA treated by endovascular or open surgery. Methods: A seven-year (January-2013 and May-2020) single-center ...
Clinical aspects and present challenges of the seat belt aorta
Melo, Ryan; Amorim, Pedro; Soares, Tony; Fernandes E Fernandes, Ruy; Ministro, Augusto; Garrido, Pedro; Fernandes e Fernandes, José; Pedro, Luís MObjective: Seat belt aorta is rare and difficult to manage. The lack of data and follow-up increases the complexity of treating such patients. We aimed to create a decision algorithm by reviewing our current experience and analyzing the presentation and management of our patients. Methods: We performed a descriptive case series based on retrospective analysis of all consecutive patients admitted with the diagno...
Clinical outcomes of aortic arch hybrid repair in a real-world single-center ex...
Soares, Tony; Melo, Ryan; Amorim, Pedro; Ministro, Augusto; Sobrinho, Gonçalo; Silvestre, Luís; Fernandes E Fernandes, Ruy; Martins, CarlosObjective: Aortic arch aneurysmal disease remains a therapeutic challenge. For patients unsuitable for standard open surgery, hybrid repair with debranching of the supra-aortic arteries followed by thoracic endovascular grafting has been shown to be an effective solution. The aim of this study was to report the clinical outcomes of a single-institution experience using hybrid aortic arch repair. Methods: The ca...
OS MÉDICOS, A INOVAÇÃO E A RESPONSABILIDADE — FACTOS E LIÇÕES A PROPÓSITO DE UM...
Fernandes e Fernandes, José.
SECONDARY AORTOENTERIC FISTULA – AN UNCOMMON SOLUTION FOR A COMPLEX CASE
Ferreira, Tiago; Ministro, Augusto; Martins, Pedro; Evangelista, Ana; Moutinho, Mariana; Fernandes e Fernandes, JoséIntroductionSecondary aortoenteric fistula is a fearsome complication of aortic surgery due to its high morbidity and mortality. Therapeutic decision-making is mostly determined by the possibility of concomitant prosthetic infection. Case reportWe present the case of a 55 year old male patient with previous juxta-renal aortic aneurysm resection and tube graft interposition. A left kidney infarction was detected...
Complex aortic revascularization
Manuel, Viviana; Soares, Tony; Tiago, José; Martins, Pedro; Silva Nunes, José; Martins, Carlos; Fernandes e Fernandes, JoséIntroduction: In the event of aortoiliac occlusive disease when revascularization from the infrarenal aorta is contraindicated, the axillary-femoral bypass surgery is the most common option, but it shows substantially inferior patency rates. Material and methods: A retrospective analysis of six patients, submitted to surgery between 2003 and 2014, by the same surgical team, is presented. Results: All six patien...
Aortoesophageal fistula in a patient with carcinoma of the esophagus - Case report
Queiroz de Sousa, Gonçalo; Fernandes e Fernandes, Ruy; Mendes Pedro, Luís; Garrido, Pedro; Silvestre, Luís; Costa, Paulo; Fernandes e Fernandes, JoséPrimary aortoesophgeal fistulas (AEF) are a rare but life-threatening condition because of substantial hemorrhage, requiring fast treatment to ensure patient survival. We report a case of a 69-year-old male with diagnosis of squamous cell carcinoma of the esophagus who suffered an episode of hematemesis and hemorrhagic shock. Gastrointestinal (GI) endoscopy revealed an ulcerated lesion with pulsatile hemorrhage...
Contained rupture of a femoral anastomotic pseudoaneurysm
Ferreira, Tiago; Martins, Pedro; Evangelista, Ana; Ministro, Augusto; Fernandes e Fernandes, JoséN/A
Rectus femoris muscle flap based on proximal insertion mobilization to cover a ...
Silvestre, Luís; Pedro, Luís M; Fernandes E Fernandes, Ruy; Silva, Emanuel; Fernandes e Fernandes, JoséThe rectus femoris (RF) muscle flap, which is widely used to cover groin infected vascular grafts, is usually harvested through distal tendon division and an extensive muscle elevation and transposition into the groin wound defect. A case of a vascular prosthetic graft infection in the groin was successfully controlled after coverage with an RF flap that was harvested based on proximal portion mobilization inst...