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 ...
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...
Introduction: In Portugal, extracorporeal membrane oxygenation (ECMO) is used in pediatric patients since 2010. The aim of this study was to describe the clinical characteristics of patients, indications, complications and mortality associated with the use of ECMO during the first 10-years of experience in the Pediatric Intensive Care Unit located in Centro Hospitalar Universitário Lisboa Norte. Material and me...
Introduction: In Portugal, extracorporeal membrane oxygenation (ECMO) is used in pediatric patients since 2010. The aim of this study was to describe the clinical characteristics of patients, indications, complications and mortality associated with the use of ECMO during the first 10-years of experience in the Pediatric Intensive Care Unit located in Centro Hospitalar Universitário Lisboa Norte.Material and Met...
Cold agglutinins (CA) are autoantibodies whose clinical significance depends upon titer and thermal amplitude. Patients, which undergo cardio-pulmonary bypass and especially hypothermic cardioplegia myocardial protection, represent a challenge regarding operative management, as tissue temperature should be maintained above the threshold of agglutination. We report on a case in which the presence of CA was disco...
A 72 year-old men admitted for a two week old myocardial infarction had a septal intra-myocardial cavity at first echocardiographic evaluation (A,B). Cardiac magnetic resonance showed extensive no-reflow on the septum (C). Owing to clinical stability, a conservative strategy was decided. Without a complete VSD (D), fibrosis filled the gap in two weeks (E), followed by a septal remodelling scar (F).
Introduction: The use of extracorporeal membrane oxygenation (ECMO) is considered by many authors as one of the most important technological advances in the care of newborns with congenital diaphragmatic hernia. The main objective of this study was to report the experience of a Portuguese ECMO center in the treatment of congenital diaphragmatic hernia.Material and Methods: Descriptive retrospective study of new...
Atualmente a utilização de ECMO (oxigenação por membrana extracorporal) constitui a terapêutica de última linha no tratamento da insuficiência respiratória de doentes com hérnia diafragmática congénita. Apresentam-se os casos de dois recém-nascidos com hérnia diafragmática esquerda grave, com hipoxemia e hipertensão pulmonar refratárias às medidas máximas de terapêutica convencional, que necessitaram de suporte...