13 documents found, page 1 of 2
Porquê publicar os "Consentimentos Informados" em Angiologia e Cirurgia vascular?
Moutinho, Mariana; Nogueira, Clara; Lopes, Alice; Rodrigues, Marta; Ferreira, Rita; Rodrigues, Roger; Gonçalves, Ana; Bastos Gonçalves, FredericoAs questões éticas da especialidade constituíram sempre uma preocupação da Sociedade Portuguesa Angiologia e Cirurgia Vascular traduzida, inclusivamente, na formação de um Núcleo de Ética Profissional. A necessidade de conferir aos médicos o consentimento para as intervenções após o devido esclarecimento é uma aquisição relativamente recente. Por exemplo, os gregos achavam que a participação d...
Emergent Endovascular Repair For Primary Aortoenteric Fistula
Marques, Isabel; Vieira, Mário; Ferreira, Ana; Abreu, Rodolfo; Rodrigues, Roger; Vilaça, Luís; Oliveira, JoãoWe report the case of a 64-year-old male with significant cardiac comorbidities who reported three episodes of gastrointestinal bleeding. In the third episode, he presented massive hematemesis, anaemia and hypotension. Despite a standard upper endoscopy, a computed tomography (CT) showed an infrarenal abdominal aortic aneurysm and densification of the aortic fat cover. A primary aortoenteric fistula, with acute...
CLINICAL AND MUTATIONAL ANALYSIS OF A COHORT OF PORTUGUESE PATIENTS WITH PARAGA...
Rodrigues, Roger; R. Almeida, Maria; Carreiro, João; Assunção, António; Braga, Sandrina; Sousa, Joel; Camacho, Nelson; Garrido, Pedro; Maia, MiguelIntroduction: Representing 0.03% of all tumors, paragangliomas (PGLs) are extremely rare. During the past 15 years, there has been a significant progress in the knowledge of the genetics of PGLs. Germline mutations in succinate dehy- drogenase (SDH) genes are the commonest genetic cause of PGL. Objective: Given the high clinical relevance of the SDH status, we aimed to evaluate the diagnostic and prognostic val...
ENDOVASCULAR TREATMENT OF AN AXILLARY ARTERIAL INJURY FOLLOWING A TRAUMATIC SHO...
Rodrigues, Roger; Moura, Diogo; G. Agostinho, Alfredo; Fonseca, ManuelAxillary artery injury after a shoulder dislocation is an extremely rare condition. Open surgery is the classical treat- ment of such lesions, consisting of direct suture at the site of the rupture or arterial reconstruction with a patch or a bypass. We report the case of a 74-years-old man who suffered a vascular and neurological injury after a recurrent glenohumeral joint dislocation and was treated with a co...
ANEURISMAS VERDADEIROS DO MEMBRO SUPERIOR: REVISÃO DA EXPERIÊNCIA DE UM SERVIÇO
Botelho de Melo, Mafalda; Pereira, Bárbara; Rodrigues, Roger; Antunes, Luís; Fonseca, Manuel; Gonçalves, ÓscarIntrodução: Os aneurismas verdadeiros do membro superior são raros e o seu tratamento visa a prevenção de complicações como a embolização distal, a compressão de estruturas neurovasculares adjacentes ou a rotura. Objetivo: O objetivo deste estudo é rever a casuística de um serviço no tratamento cirúrgico de aneurismas verdadeiros do membro superior. Métodos: Foi realizado um estudo retrospetivo entre Janeiro de...
AORTIC MURAL THROMBUS
Varino, Juliana; Rodrigues, Roger; Pereira, Bárbara; Moreira, Mário; Gonçalves, ÓscarAortic mural thrombus is a rare clinical finding in the absence of aneurysm or atherosclerosis but an important source of noncardiogenic emboli with a difficult diagnosis and a high rate of complications, including high mortality. It appears to occur more frequently in young adults usually with underlying pro-thrombotic disorder. With the increasing use of high resolution imaging, the asymptomatic mural thrombu...
NOVA MUTAÇÃO DO GENE SDHD EM PACIENTES COM PARAGANGLIOMAS DO CORPO CAROTÍDEO
Rodrigues, Roger; Almeida, Maria; Carreiro, João; Mendes, Carolina; Varino, Juliana; Marinho, André; Pereira, Bárbara; Moreira, Mário; Botelho, MafaldaParagangliomas (PGLs) are neuroendocrine neoplasms that can occur throughout the body wherever there is paraganglia. Representing 0.03% of all tumours, PGLs are extremely rare. Although predominantly benign and amenable to cure by surgical ressection, up to 6% can be malignant. To date, three genes have been identified that are associated with Familial PGLs. All three encode subunits (D, B and C) of the enzyme ...
RADIAL ARTERY MYOCOTIC ANEURYSM SECONDARY TO STREPTOCOCCUS BOVIS ENDOCARDITIS
Mendes, Carolina Lobo; Rodrigues, Roger; Marinho, André; Varino, Juliana; Antunes, Luís; Albuquerque Matos, António; Gonçalves, ÓscarPeripheral mycotic aneurysms are rare complications of infective endocarditis. The case of a 49-year-old man with a radial artery aneurysm in a context of infective endocarditis caused by Streptococcus bovis in the postoperative period of mechanical aortic valve replacement by homograft is reported. After diagnostic confirmation by Doppler scan, we chose to resect the aneurysmal sac with termino-terminal anasto...
ISCHAEMIA IN THE NEONATE–CASE REPORT
Rodrigues, Roger; Anacleto, Gabriel; Mendes, Carolina; Varino, Juliana; Marinho, André; Pereira, Bárbara; Moreira, Mário; Correia, Mafalda; Lima, PedroIntroduction: Peripheral ischaemia and gangrene in a neonate is rare,with fewer than a hundred cases reported in the literature. Neonatal limb ischaemia present considerable challenges in diagnosis and management. The published literature is limited to case reports and case series and there are no large trials comparing different therapies. Objectives: The authors describe the case of a 4-day newborn transferre...
TEVAR FOLLOWING A PENETRATING AORTIC ULCER COMPLICATED WITH A LATE PSEUDOANEURY...
Marinho, Andre; Mendes, Carolina Lobo; Rodrigues, Roger; Pereira, Bárbara; Moreira, Mário; Correia, Mafalda; Lima, Pedro; Antunes, Luis; Fonseca, ManuelIntroduction: The thoracic aortic diseases are a major cause contributing to the high mortality rate of the cardiovascular disease. Recent high resolution radiologic studies have allowed us to get new perspectives related to their etiopathogenesis and the different stages of the acute aortic syndrome (AAS). Clinical case: This case report is about a 51 years old male patient that was referred to the ER with a s...