9 documents found, page 1 of 1
RENAL AUTOTRANSPLANTATION: A SOLUTION FOR DIFFERENT COMPLEX SITUATIONS
Pinto Sousa, Pedro; Sá Pinto, Pedro; Machado, Rui; Almeida, RuiIntroduction: Renal autotransplantation (RA) is a safe and effective procedure to reconstruct the urinary tract which first successful surgery was performed by Hardy in 1963. The main indications reported to perform a RA generally include renovascular disease, ureteral pathologies and neoplastic disease. Furthermore, RA may be useful as an ultimate recourse in preventing kidney loss in highly selected patients,...
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS
Pinto Sousa, PedroUterine fibroids are the most common solid pelvic tumors in women, frequently causing hypomenorrhea.They normally do not carry an increased risk for deep venous thrombosis (DVT) unless they reach a considerable size conditioning inferior vena cava and pelvic veins compression.Postthrombotic iliac vein obstructive lesions resulting from a prior episode of DVT may lead to clinical signs and symptoms of chronic ve...
Endovascular Y-reconstruction of chronic ilio-cava occlusion
Figueiredo Braga, Sandrina; Carrilho, Celso; Correia Simões, João; Pinto Sousa, Pedro; Mesquita, AmílcarINTRODUCTION: Inferior vena cava (IVC) agenesis is a rare pathology, associated with an increased risk of iliofemoral deep venous thrombosis (DVT), a frequent cause of disabling post-thrombotic syndrome (PTS). CASE REPORT: Authors present a case of bilateral iliofemoral thrombosis in a patient with IVC agenesis, successfully treated at a European reference center. Patient was submitted to an endovascular Y reco...
Isolated common iliac artery aneurysm with specific anatomical considerations
Pinto Sousa, Pedro; Sá Pinto, PedroIntroduction: Iliac artery aneurysms (IAA) are a rare entity with a prevalence lower than 2% in the general population involving typically the common iliac artery in 70-90%. Case-report: This is the clinical case of an 88 years-old male patient with an isolated giant IAA, 84mm maximum diameter, diagnosed following a four-month period of lower abdominal discomfort and pelvic hyperemic mass. The IAA was successfu...
ENDOVASCULAR TREATMENT OF A SYMPTOMATIC THORACIC AORTA THROMBI
Pinto Sousa, Pedro; Sá Pinto, PedroAortic mural thrombus is a rare condition with 0.45% incidence in the general population, being the thoracic aorta the most affected portion. In the absence of an atherosclerotic wall lesion, other specific conditions should be studied and excluded. The authors describe two clinical cases of a 64 years old male and a 48 years old female that despite a non- -atherosclerotic diseased aorta, had a thoracic mural t...
WHICH ANEURYSM CHARACTERISTICS PREDICT EVAR NON-SUCCESS?
Pinto Sousa, Pedro; Brandão, Pedro; Canedo, AlexandraIntroduction: Hostile anatomic characteristics in patients undergoing endovascular abdominal aortic aneurysm repair (EVAR) may lead to technical non-success, late complications, reintervention or death. Objective: To analyze specific anatomical features of abdominal aortic aneurysms and to study the association with postoperative endoleak and survival. Methods: Retrospective review of all consecutive elective E...
HILAR RENAL ARTERY ANEURYSM – EX-VIVO RECONSTRUCTION AND AUTOTRANSPLANTATION
Pinto Sousa, Pedro; Matos, Arlindo; Almeida, Rui; Sá Pinto, PedroRenal artery aneurysm (RAA) is a rare entity with an estimated prevalence of 0.09%. The majority present asymptomatically and the diagnosis is made incidentally during an imaging test. Indications to treat have been subject of intense debate, nevertheless, there seems to be some consensus that RAA’s greater than 2 cm in diameter, expanding, with thrombus or in pregnant women should be treated. Treatment options...
SURGICAL TREATMENT OF A SPONTANEOUS RUPTURE OF A MYCOTIC ANEURYSM
Pinto Sousa, Pedro; Teixeira, Sérgio; Almeida, Rui; Sá Pinto, PedroSaccular mycotic aorto-iliac aneurysms are rare but, when ruptured, they are an important life-threatening condition. We present the case of a 52 years-old male transferred from another hospital and admitted to the emergency room with a ruptured iliac artery aneurysm. He complained of persistent fever and abdominal discomfort that swiftly established as hemorrhagic shock. Image study with computed tomographic a...
PENETRATING TRAUMA TO THE AXILLARY ARTERY
Pinto Sousa, Pedro; Lobo, Miguel; Canedo, AlexandraAxillary artery injuries due to penetrating trauma are relatively uncommon. Management of these injuries is challenging due to the complex local anatomy, rigid chest walls, and associated injuries. Open exposure with direct open vascular repair has been the mainstay of operative management. We report a clinical case of a 51-year-old man victim of penetrating trauma to the axillary artery caused by a chain-saw a...