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O cromossoma X em investigações de parentesco biológico - casos de estudo
Dourado, Catarina; Dario, Ana Rita; Garcia, Rita; Amorim, António; Carvalho, MónicaEm investigações de parentesco biológico recorre-se, habitualmente, ao estudo de polimorfismos de short tandem repeats (STRs) autossómicos para obtenção do perfil genético dos indivíduos e posterior averiguação de possíveis relações biológicas. No entanto, surgem por vezes perícias complexas, sejam devidas ao tipo de intervenientes da perícia, sejam devidas a alterações genéticas (mutações), que exigem o recurs...
Giant Renal Tumor with Inferior Vena Cava Thrombus – a Case Report
F. Ribeiro, Tiago; Soares Ferreira, Rita; Garcia, Rita; Bento, Rita; Fidalgo, Helena; Ferrito, Fernando; Aragão de Moraisa, José; Ferreira, Maria EmiliaINTRODUCTION: Vascular migration and venous tumor thrombus are infrequent but unique aspects of renal cell carcinoma, and these features have signifcant therapeutic and prognostic implications. We report a case of renal neoplasm with a vena cava tumor thrombus treated with surgical resection and adjuvant chemotherapy. CASE REPORT: A 53-year-old, otherwise healthy woman presented to the emergency department due ...
Fenestrated Physician-Modified Endografts (PMEGs) - a Viable Option for Urgent ...
Bento, Rita; Alves, Gonçalo; Rodrigues, Gonçalo; Garcia, Rita; Ribeiro, Tiago; Cardoso, Joana; Soares Ferreira, Rita; Ferreira, Maria EmiliaINTRODUCTION: Fenestrated and branched stent graft technology has come a long way over the past few years, enabling the treatment of complex juxtarenal aneurysms, thoracoabdominal aneurysms, and arch pathologies. Many innovations have been developed, namely device and delivery optimization and technical tricks. These concepts have proven to work well when there is sufficient time to plan and manufacture a custo...
Giant renal tumor with inferior vena cava thrombus – a case report
Ribeiro, Tiago F.; Soares Ferreira, Rita; Garcia, Rita; Bento, Rita; Fidalgo, Helena; Ferrito, Fernando; Aragão de Morais, José; Ferreira, Maria EmíliaINTRODUCTION: Vascular migration and venous tumor thrombus are infrequent but unique aspects of renal cell carcinoma, and these features have significant therapeutic and prognostic implications. We report a case of renal neoplasm with a vena cava tumor thrombus treated with surgical resection and adjuvant chemotherapy. CASE REPORT: A 53-year-old, otherwise healthy woman presented to the emergency department due...
Fenestrated Physician-Modified Endografts (PMEGs) - a viable option for urgent ...
Bento, Rita; Alves, Gonçalo; Rodrigues, Gonçalo; Garcia, Rita; Ribeiro, Tiago; Cardoso, Joana; Soares Ferreira, Rita; Ferreira, Maria EmíliaINTRODUCTION: Fenestrated and branched stent graft technology has come a long way over the past few years, enabling the treatment of complex juxtarenal aneurysms, thoracoabdominal aneurysms, and arch pathologies. Many innovations have been developed, namely device and delivery optimization and technical tricks. These concepts have proven to work well when there is sufficient time to plan and manufacture a custo...
Clinical outcomes after vena cava thrombectomy for renal cell carcinoma with ve...
Pais, Fábio; Aragão de Morais, José; Quintas, Ana; Soares Ferreira, Rita; Catarino, Joana; Correia, Ricardo; Bento, Rita; Garcia, RitaINTRODUCTION: Renal cell carcinoma (RCC) frequently progress to involve the inferior vena cava (IVC) and even the right atrium (RA). Nephrectomy and eradication of the tumour thrombus, can extend survival and prevent symptoms of venous congestion. The authors evaluated the institutional experience of a tertiary center in the surgical management of RCC patients with tumour thrombi invading the IVC. METHODS: Retr...
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approa...
Henrique, Alberto; Quintas, Anita; Aragão Morais, José; Oliveira Martins, Francisco; Garcia, Rita; Bento, Rita; Pais, Fábio; Ferreira, Maria EmíliaINTRODUCTION: Secondary Aortoesophageal fistula (AEF) is a rare but serious complication following thoracic endovascular aneurysm repair (TEVAR), which may lead to fatal outcomes. CASE REPORT: We present the case of a 62-year-old patient developing a secondary AEF one-month after TEVAR. The patient was managed in a staged approach: first, an oesophagus defunctionalisation by cervical oesophagus stapling, follow...
Octopus endograft technique in complex aortic pathologies – a retrospective sin...
F. Ribeiro, Tiago; Soares Ferreira, Rita; Garcia, Rita; Bento, Rita; Pais, Fábio; Cardoso, Joana; Bastos Gonçalves, Frederico; Emília Ferreira, MariaINTRODUCTION: Fenestrated/branched EVAR (f/bEVAR) are associated with lower peri-operative major complications, when compared to open repair in complex aortic pathologies. However, f/bEVAR is limited by the waiting time for customized graft production and has specific anatomic limitations. Alternatively, adapting outside instructions-for-use, readily available off-the-shelf devices has been used with variable s...
Mycotic aortic aneurysm: a ticking time-bomb!
Bento, Rita; Rodrigues, Gonçalo; Alves, Gonçalo; Garcia, Rita; Pais, Fábio; Ferreira, Maria EmíliaINTRODUCTION: Mycotic or primary infected aortic aneurysms comprise aproximately 1.3% of all aortic aneurysms and may be caused by septic emboli to the vasa vasorum, by haematogenous spread during bacteraemia or by direct extension of an adjacent infection leading to an infectious degeneration of the arterial wall and aneurysm formation. The objective of this report is to describe a clinical case of a complicat...
Comparison of single- and multistage strategies during fenestrated-branched end...
Dias-Neto, Marina; Tenorio, Emanuel R.; Huang, Ying; Jakimowicz, Tomasz; Mendes, Bernardo C.; Kölbel, Tilo; Sobocinski, Jonathan; Bertoglio, LucaObjective: The aim of this study was to compare outcomes of single or multistage approach during fenestrated-branched endovascular aortic repair (FB-EVAR) of extensive thoracoabdominal aortic aneurysms (TAAAs). Methods: We reviewed the clinical data of consecutive patients treated by FB-EVAR for extent I to III TAAAs in 24 centers (2006-2021). All patients received a single brand manufactured patient-specific o...