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TURNER SYNDROME – AN UNUSUAL CAUSE FOR AORTIC DISSECTION
Augusto, Rita; Campos, Jacinta; Coelho, Andreia; Coelho, Nuno; Pinto, Evelise; Semião, Carolina; Ribeiro, João; Brandão, Daniel; Canedo, AlexandraTurner syndrome (TS) is a disorder of female development with cardinal features of short stature and congenital cardiovascular defects. Congenital or acquired cardiological problems occur commonly in TS, being potentially progressive and responsible for severe complications, such as aortic dissection in young women. Accordingly, we describe a case of type A aortic dissection occurring in a woman with TS, highli...
SUPERIOR MESENTERIC ARTERY PSEUDOANEURYSM RUPTURE: A RARE COMPLICATION OF PANCR...
Semião, Carolina; Branão, Daniel; Nogueira, Clara; Gouveia, Ricardo; Augusto, Rita; Coelho, Nuno; Pinto, Evelise; Ribeiro, João; Peixoto, JoãoPseudoaneurysms after gastro-intestinal tract surgery are rare. Most of them occur after biliary tract and pancreatic surgery. They can lead to potentially serious consequences, such as rupture, hemorrhage and death. For these reasons, pseudoaneurysms should be diagnosed and treated as soon as possible. ; A formação de pseudoaneurismas após cirurgia gastrointestinal é rara. A maioria ocorre após cirugia do...
EVAR POST-IMPLANTATION SYNDROME – CAN HEMATOLOGICAL VALUES HELP US?
Augusto, Rita; Coelho, Nuno; Semião, Ana; Pinto, Evelise; Ribeiro, João; Peixoto, João; Fernandes, Luís; Brandão, Daniel; Canedo, AlexandraIntroduction: Post-implantation syndrome (PIS) is the clinical and biochemical expression of an inflammatory response following endovascular repair of an aortic aneurysm (EVAR). The reported incidence in literature varies from 14-60%. Recentently, a study has demonstrated that red blood cell distribution width (RDW) is an independent biomarker predictor of the PIS in patients submitted to EVAR in the early post...
RADIAL PULSATILE MASS — APPEARANCES CAN BE DECEIVING
Semião, Ana Carolina; Nogueira, Clara; Coelho, Andreia; Gouveia, Ricardo; Augusto, Rita; Coelho, Nuno; Pinto, Evelise; Ribeiro, João; Peixoto, JoãoAdventitial cystic disease (ACD) is a rare condition. It affects mostly the popliteal artery, with few cases reported affecting the radial artery. This condition is characterized by accumulation of mucinous content at the adventitious layer. ; A doença quística da adventícia é uma condição rara. Afecta sobretudo a artéria poplítea, com poucos casos relatados que afectem a artéria radial. Esta doença é car...
PROGNOSTIC IMPACT OF PREOPERATIVE INFLAMMATORY BIOMARKERS IN ACUTE LIMB ISCHEMI...
Coelho, Nuno Henriques; Augusto, Rita; Pinto, Evelise; Semião, Carolina; Ribeiro, João; Peixoto, João; Fernandes, Luís; Martins, Victor; Gregório, TiagoIntroduction: In many areas of Medicine, biomarkers have been proving their value in disease management. The inclusion of inflammatory biomarkers in acute limb ischemia (ALI) decision-making remains debatable due to the scarce literature evidence. Nevertheless, much attention has been held towards the prognostic value of these simple, readily available and low-cost biomarkers might have. Therefore, this review ...
TRAUMATIC POPLITEAL ARTERY INJURY – A RARE LESION THAT CAN'T BE MISSED
Machado, Marta; Coelho, Nuno; Maximiano, Pedro; Pinto, Evelise; Semião, Ana Carolina; Peixoto, João; Fernandes, Luís; Brandão, Pedro; Canedo, AlexandraIntroduction: Traumatic popliteal artery injury is a rare clinical entity, but it is the most common cause of amputation in injured extremities.The aim of this study was to report the incidence of popliteal artery injury after knee trauma and report therapeutic management and results. Methods and material: ICD-10/ ICD-9 codes (S85.0/904.41; S83.1/836.5; S83.4; S83.5; S72,4/821.2; S82,1/823.0) were used to ident...
RETROGRADE APPROACH: GOING FURTHER IN ENDOVASCULAR TECHNIQUES DEDICATED TO CRIT...
Augusto, Rita; Campos, Jacinta; Coelho, Andreia; Coelho, Nuno; Pinto, Evelise; Semião, Ana Carolina; Ribeiro, João; Peixoto, João; Brandão, DanielIntroduction: Endovascular techniques have been revolutionizing the revascularization of patients with chronic limb threatening ischemia (CLTI), showing consistently high limb salvage rates. However, endovascular recanalization of infrapopliteal occlusive disease can be technically demanding and the failure rate for these types of lesions is about 20%. In that case, an alternative vascular access may be require...
TYPE B AORTIC INTRAMURAL HEMATOMA – WHEN A SHEEP BECOMES A WOLF
Coelho, Nuno Henriques; Nogueira, Clara; Martins, Victor; Campos, Jacinta; Coelho, Andreia; Augusto, Rita; Pinto, Evelise; Semião, CarolinaIntroduction: Type B aortic intramural hematoma (B-IMH) has a complex and variable natural history: it can remain stable and resolve spontaneously or progress to dissection, aneurysm, ulcer or even rupture. The possibility of disease progression, frequently with mild or no symptomatology, poses a significant treatment dilemma. Clinical Case: We report a case of a 60 year-old-female diagnosed with an a...
PARALLEL GRAFT TECHNIQUE: UMA ALTERNATIVA PARA O TRATAMENTO DE PATOLOGIA DO ARC...
Augusto, Rita; Campos, Jacinta; Coelho, Andreia; Coelho, Nuno; Pinto, Evelise; Semião, Carolina; Ribeiro, João; Peixoto, João; Brandão, DanielTreatment of aortic pathologies involving the aortic arch represents a great challenge for vascular surgeons. Endografting techniques, comparing to open surgery, are less invasive approaches. However, an adequate proximal landing zone remains a challenge and, regarding this issue, parallel graft techniques represent a viable endovascular treatment option in patients with challenging aortic arch pathology by ext...
ENDOVASCULAR MANAGEMENT AND OUTCOMES OF VISCERAL ARTERIAL ANEURYSMS — SINGLE CE...
Coelho, Nuno Henriques; Campos, Jacinta; Coelho, Andreia; Augusto, Rita; Semião, Carolina; Pinto, Evelise; Ribeiro, João; Peixoto, João; Martins, VictorIntroduction: Over the past decade, endovascular treatment (EVT) is taking over visceral arterial aneurysms treatment considering its effectiveness, safety and minimal invasiveness. Methods: We retrospectively evaluated our department experience in visceral arterial aneurysms endovascular approach from 2009 to 2019. Results: From 2009 to 2019, nineteen visceral artery aneurysms were submitted to EVT (mean age 6...