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Unmasking an Anomalous Vein: Surgical Repair of Left Upper Pulmonary Vein Drain...

Resende, Maria; Madeira, Márcio; Silva, Cláudia; Marques, Marta; Abecasis, Miguel

Partial anomalous pulmonary venous return (PAPVR) is a rare congenital anomaly characterized by one or more pulmonary veins draining into the systemic venous system. We present the case of a 51-year-old woman with PAPVR involving the left upper pulmonary vein (LUPV) draining into the left innominate vein via a vertical vein, diagnosed after investigation of progressive dyspnea and lower limb edema. The diagnosi...



The Risk Of Waiting Up To One Year For Cardiac Surgery

Madeira, Márcio; Neves, Jose; Nolasco, Tiago; Marques, Marta; Abecasis, Miguel; Sousa-Uva, Miguel

Introduction: Cardiac disease is associated with a risk of death, both by the cardiac condition and by comorbidities. The waiting time for surgery begins with the onset of symptoms and includes referral, completion of the diagnosis and surgical waiting list (SWL). This study was conducted during the COVID-19 pandemic, which affected surgical capacity and patients’ morbidities. Methods: The cohort includes 1914 ...


Endoscopic Vein Harvesting – How Do We Do It?

Veiga Oliveira, Paulo; Madeira, Márcio; Alves, Inês; Ranchordás, Sara; Pedro Neves, José

The saphenous vein graft (SVG) remains the most used conduit as a second graft in Coronary Artery Bypass Grafting (CABG).1 Traditionally, surgeons harvest SVG with an open approach, making a long incision along the medial part of the leg or thigh. This procedure can potentially result in important complications, such as delayed wound healing, postoperative pain and infection.2 Thus, less invasive techniques for...


Quantitative assessment of myocardial fibrosis by digital image analysis: an ad...

Abecasis, João; Cortez-Dias, Nuno; Pinto, Daniel Gomes; Lopes, Pedro; Madeira, Márcio; Ramos, Sancia; Gil, Victor; Cardim, Nuno; Félix, Ana

AIMS: Myocardial fibrosis (MF) is a common pathological process in a wide range of cardiovascular diseases. Its quantity has diagnostic and prognostic relevance. We aimed to assess if the complementary use of an automated artificial intelligence software might improve the precision of the pathologist´s quantification of MF on endomyocardial biopsies (EMB). Methods and results: Intraoperative EMB samples from 30...


Quantitative assessment of myocardial fibrosis by digital image analysis: an ad...

Abecasis, João; Cortez-Dias, Nuno; Pinto, Daniel Gomes; Lopes, Pedro; Madeira, Márcio; Ramos, Sancia; Gil, Victor; Cardim, Nuno; Félix, Ana

Aims: Myocardial fibrosis (MF) is a common pathological process in a wide range of cardiovascular diseases. Its quantity has diagnostic and prognostic relevance. We aimed to assess if the complementary use of an automated artificial intelligence software might improve the precision of the pathologist´s quantification of MF on endomyocardial biopsies (EMB). Methods and results: Intraoperative EMB samples from 30...


Infective Endocarditis: A Prospective Registry Of Surgical Lesions

Ranchordás, Sara; Madeira, Márcio; Oliveira, Paulo; Marques, Marta; Abecasis, Miguel; Andrade, Maria João; Sousa Uva, Miguel; Neves, José Pedro

Introduction: Infective endocarditis morbidity and mortality remains high. Surgery is performed in about half of endocarditis cases, being the ideal setting to evaluate endocarditis lesions. The aim of this study was to register and describe endocarditis lesions found during surgery; find predictors of morbidity and mortality and correlate lesions found in echocardiogram vs. surgery. Materials and Methods: One ...


Triple valve surgery: long-term follow-up from a single centre

Veiga Oliveira, Paulo; Madeira, Márcio; Ranchordás, Sara; Nolasco, Tiago; Marques, Marta; Sousa-Uva, Miguel; Abecasis, Miguel; Neves, José Pedro

Aims: The aims of this study were to analyze early and late outcomes of TVS and identify predictors of short and long- term poor prognosis. Methods: Single centre retrospective study with 130 patients who underwent TVS between 2007 and 2020. Most of the patients were female (72.3%), mean age of 64.4 years; 61.1% were in New York Heart Association class III/IV, with a EuroSCORE II of 7.5%. Univariable and Multiv...


CARDIAC SURGERY IN PATIENTS WITH DIALYSIS-DEPENDENT END STAGE RENAL FAILURE: SI...

Ranchordas, Sara; Madeira, Márcio; Pereira, Tiago; Branco, Patrícia; Gaspar, Augusta; Marques, Marta; Calquinha, José; Abecasis, Miguel; Neves, José P.

Background: Patients under dialysis have a high cardiovascular risk and they are at increased risk when submitted to cardiac surgery. Aim of the study: to evaluate morbidity, early and late mortality, and predictive factors of mortality in patients under dialysis who underwent cardiac surgery. Methods: A retrospective observational study was performed including all dialysis dependent patients who underwent card...


PATIENT PROSTHESIS MISMATCH IN STENTED BIOLOGIC AORTIC VALVE PROSTHESIS: 10 YEA...

Madeira, Márcio; Ranchordás, Sara; Oliveira, Paulo; Nolasco, Tiago; Marques, Marta; Sousa-Uva, Miguel; Abecasis, Miguel; Neves, José

Objectives: The goal of this study is to establish the relation between aortic bio prosthesis, patient prosthesis mismatch (PPM) and short-term mortality and morbidity as well as and long-term mortality. Methods: This is a single center retrospective study with 812 patients that underwent isolated stented biologic aortic valve replacement between 2007 and 2016. The projected indexed orifice area was calculated ...


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