42 documents found, page 1 of 5
The challenging management of acute mesenteric ischemia - too frail or too late?
Pinelo,Andreia; Loureiro,Luís; Mendes,Daniel; Rocha,Henrique; Almeida,Henrique; Queirós,Miguel; Cabral,João; Machado,RuiAbstract Introduction: Acute mesenteric ischemia (AMI) presents a life-threatening emergency, requiring a high degree of suspicion for timely diagnosis. Despite advancements in the management of these patients, in-hospital mortality rates remain high. This study aims to assess the outcomes and prognostic factors in patients with AMI. Methods: A retrospective single-center analysis of all patients undergoing eme...
TEVAR for primary aortic mural thrombus: when and how?
Cabral,João M.; Almeida,Paulo; Rego,Duarte; Mendes,Daniel; Silva,Ivone; Machado,RuiAbstract Introduction: Primary aortic mural thrombus (PAMT) is a rare cause of peripheral embolization that has been associated with hypercoagulable states. Anticoagulation is usually the first-line strategy, but has been associated with a significant risk of recurrent embolization. Case-report: A 51-year-old male patient with a history of right lung carcinoma underwent a follow-up computed tomography angiograp...
What is hidden behind persistent Inferior vena cava thrombosis?
Cabral,João M.; Mendes,Daniel; Pereira,Carlos; Silva,Ivone; Machado,RuiAbstract Background: Primary tumors of the inferior vena cava (IVC) are rare. They most commonly arise from the smooth muscle of the IVC walls, known as leiomyomas. Case report: A 49-year-old male patient presented to the emergency department with right leg swelling. He had undergone varicose vein extraction surgery one month before presentation. Doppler ultrasound revealed thrombosis of the right iliac and fem...
Management of spontaneous carotid artery rupture: navigating life-threatening c...
Pinelo,Andreia; Mendes,Daniel; Martins,Joana; Cardoso,Samuel; Machado,RuiAbstract Background: Carotid pseudoaneurysms are extremely rare, and their inherent instability and unpredictability require prompt evaluation and intervention to mitigate potential neurological complications or prevent life-threatening bleeding and airway obstruction. We present a case report of spontaneous internal carotid artery (ICA) rupture. Case report: An eighty-eight-year-old male with a history of non-...
Considerations on the treatment for aortoiliac aneurysmal disease with concomit...
Veterano,Carlos; Antunes,Inês; Veiga,Carlos; Mendes,Daniel; Rocha,Henrique; Castro,João; Pinelo,Andreia; Pinto,Pedro Sá; Almeida,RuiAbstract Introduction: Ectopic kidneys with concomitant aortoiliac aneurysmal disease have been previously reported in the literature, however its exact prevalence is unknown. The objective of this review is to summarize current knowledge on the treatment this special group of patients. Methods: A non-systematic literature research was performed on the treatment of aortoiliac aneurysmal disease in patients with...
Transposição de veia ovárica como um tratamento cirúrgico menos invasivo para a...
Antunes,Inês; Pereira,Carlos; Veterano,Carlos; Veiga,Carlos; Mendes,Daniel; Rocha,Henrique; Castro,João; Pinelo,Andreia; Almeida,RuiResumo Introdução: O fenómeno de nutcracker refere-se à compressão da veia renal esquerda (VRE), habitualmente entre a aorta e a artéria mesentérica superior. Quando sintomático, designa-se síndrome de nutcracker. Os sintomas/sinais estão relacionados com o desenvolvimento de hipertensão venosa renal e o diagnostico depende da conjugação da clínica e alterações laboratoriais na presença de critérios imagiológic...
Endovascular approach as first-line therapy for congenital arteriovenous malfor...
Pinelo,Andreia; Loureiro,Luís; Almeida,Paulo; Mendes,Daniel; Veterano,Carlos; Castro,João; Rocha,Henrique; Almeida,RuiAbstract Introduction: Congenital vascular malformations are entities with a broad spectrum of presentations and variable prognosis. They typically present at a young age and are historically associated with extensive resection surgeries and with high morbidity. This study aims to evaluate the results of arteriovenous malformations (AVMs) embolization as a first-line approach in lesions which are not suitable f...
Light induced amaurosis: a rare symptom of carotid stenosis
Almeida,Henrique Andrade de; Teixeira,Sérgio; Loureiro,Luís; Veiga,Carlos; Mendes,Daniel; Veterano,Carlos; Rocha,Henrique Guedes da; Castro,João DiogoAbstract Introduction: Light induced amaurosis refers to a transient monocular or binocular vision loss triggered by bright lights. Like amaurosis fugax, light induced amaurosis is associated with carotid artery stenosis but they differ from each other in presentation and pathophysiology. It is thought to be an impairment in the regeneration of retinal visual pigments caused by the inability of carotid circulat...
Rare Isolated Trapezium Fracture: Clinical Case Presentation
Branco,Pedro Martins; Baptista,Carolina; Mendes,DanielAbstract Isolated trapezium fractures are rare, accounting for 0.4% of the hand injuries. As these injuries are often imperceptible on plain radiographs, diagnosis in the Emergency Department setting is challenging. Computed tomography scan can be helpful in the diagnosis. The gold standard treatment for trapezium fractures is still debatable. A 54 years-old male patient presented to an Emergency Department fol...
The Vascular Surgery Emergency Department in times of COVID-19 pandemic.
Rocha,Henrique; Silva,Ivone; Antunes,Inês; Veiga,Carlos; Mendes,Daniel; Veterano,Carlos; Castro,João; Pinelo,Andreia; Machado,Rui; Almeida,RuiAbstract Background: The surge of the COVID-19 pandemic in Portugal and the implemented public health measures were accompanied with a noticeable decrease in patients’ attendance to the Emergency Department (ED). Objectives: This study aims to evaluate the impact of COVID-19 pandemic on Vascular Surgery ED admissions, by comparing clinical and demographic characteristics of patients visiting the ED during the p...