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Endovascular Y-reconstruction of chronic ilio-cava occlusion
Figueiredo Braga, Sandrina; Carrilho, Celso; Correia Simões, João; Pinto Sousa, Pedro; Mesquita, AmílcarINTRODUCTION: Inferior vena cava (IVC) agenesis is a rare pathology, associated with an increased risk of iliofemoral deep venous thrombosis (DVT), a frequent cause of disabling post-thrombotic syndrome (PTS). CASE REPORT: Authors present a case of bilateral iliofemoral thrombosis in a patient with IVC agenesis, successfully treated at a European reference center. Patient was submitted to an endovascular Y reco...
ENDOMETRIOSIS - UNUSUAL AETIOLOGY OF INGUINAL SWELLING
Longras, Catarina; Figueiredo Braga, Sandrina; Carrilho, Celso; Mesquita, AmílcarA 42 years-old female presented with right inguinal swelling with one year of evolution. Magnetic resonance imaging was suggestive of inguinal endometriosis adherent to femoral vessels. Due to the rarity of this pathology (prevalence 0.3-0.6%), clinical suspicion is essential. Surgical excision is the treatment of choice.
RARE COMBINATION OF ANATOMICAL VARIATIONS
Figueiredo Braga, Sandrina; Ferreira, Joana; Mesquita, AmílcarCongenital variation of right aortic arch (prevalence 0.05%), aberrant left subclavian artery (posterior to the oesophagus) and 28*26mm diameter Kommerell diverticulum (prevalence 0.4-2.3%), with tracheal deviation and extrinsic esophageal compression. Symptomatic or >55mm diameter Kommerell’s diverticulum should be considered for repair due to their risk of rupture.
ENDOANCHOR IMPLANTATION FOR TREATMENT OF ENDOLEAK
Figueiredo Braga, Sandrina; Correia Simões, João; Carrilho, Celso; Ferreira, Joana; Mesquita, AmílcarThe authors describe a clinical case of correction of a type 1A endoleak after EVAR using endo-anchors. An 85-year old female was referred due to an abdominal aortic aneurysm. The patient´s previous medical history included hypertension, dyslipidemia, renal insufficiency and multiple abdominal surgeries (appendicectomy, classic cholecystectomy and hysterectomy). The aneurysm had 7.5 cm diameter with an angulate...
NEOINTIMAL HYPERPLASIA
Figueiredo Braga, Sandrina; Rocha Neves, João; Ferreira, Joana; Carrilho, Celso; Correia Simões, João; Mesquita, AmílcarNeointimal hyperplasia is a physiologic healing response to injury to the blood vessel wall, involving all the three arterial layers and it occurs in the presence of internal (endovascular) or external (surgical) injury. It is a highly complex process involving several tissues (perivascular, vessel wall, and blood) and numerous cell lineages with multiple molecular signaling networks. So, there is a number of p...
AORTOILIAC OCLUSION AND MESENTERIC ISCHEMIA: DIFFERENT MANIFESTATIONS, THE SAME...
Figueiredo Braga, Sandrina; Carrilho, Celso; Ferreira, Joana; Mesquita, AmílcarHomem de 69 anos, hipertenso, fumador e com cardiomiopatia desenvolveu quadro de dor abdominal, retorragias e perda ponderal (10 kg), acompanhado de parestesias nos pés. Por doença arterial periférica grau III de Leriche-Fontaine e isquemia mesentérica crónica (Fig. 1) foi submetido a bypass aorto-bifemoral com extensão à artéria mesentérica superior (Fig. 2). Aos 4 anos de seguimento apresenta-se assintomático...
RECURRENT INGUINAL LYMPHOCELE – A THERAPEUTIC CHALLENGE
Longras, Catarina; Figueiredo Braga, Sandrina; Carrilho, Celso; Mesquita, AmílcarRecurrent lymphocele after repair of crural hernia without resolution after several aspirations and injections of sclerosing agents. Reintervention with lymphatic marking (injection of patent blue dye at the interdigital level, Figure 1 a) Lymphatic marking through injection of patent blue dye at the interdigital level. b) Surgical approach of the inguinal region. Figure 1), followed by en bloc removal of the g...
PORTOMESENTERIC VENOUS GAS AND INTESTINAL PNEUMATOSIS – RADIOLOGICAL SIGNS OF M...
Longras, Catarina; Figueiredo Braga, Sandrina; Aleixo, Sara; Moreira, RicardoComputed tomography showing portal and mesenteric venous gas and intestinal pneumatosis, rare radiological signs that, together, favor the diagnosis of mesenteric ischemia (70% of cases). When present, mortality is around 40-90%. Surgical exploration is mandatory with assessment of the extent of intestinal ischemia and appropriate treatment.