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Iatrogenic aortic pseudoaneurysm: A forgotten complication

Almeida, S; Bico, P; Almeida, AR; Laranjeira Santos, A; Banazol, N; Fragata, J; Rabaçal, C

Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a ...


Iatrogenic Aortic Pseudoaneurysm: a Forgotten Complication

Almeida, S; Bico, P; Almeida, AR; Laranjeira, A; Banazol, N; Fragata, J; Rabaçal, C

Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a ...


Forma rara de edema pulmonar agudo:a proposito de um caso clínico

Ricardo, J; Anaya, MJ; Barbosa, M; André, N; Magno, P; Morais, J; Proença, G; Rabaçal, C; Gil, V

Apresentamos o caso de um homem de 21 anos, que foi submetido a apendicectomia sob anestesia geral e que imediatamente após a extubação desencadeou quadro de edema putmonar agudo. A propósito, faremos uma breve revisão da literatura, enfatizando os mecanismos fisiopatotógicos subjacentes e os aspectos mais importantes do diagnóstico e tratamento.


Effectiveness and safety of levosimendan in clinical practice

Silva-Cardoso, J; Ferreira, J; Oliveira-Soares, A; Martins-de-Campos, J; Fonseca, C; Lousada, N; Ilídio-Moreira, J; Rabaçal, C; Damasceno, A; Amorim, S

BACKGROUND: In previous randomized studies levosimendan improved hemodynamics and clinical course, with a still unclear effect on prognosis. There are, however, few data regarding its effects when used in daily practice. AIMS: We evaluated the clinical effectiveness and safety of levosimendan in the treatment of acute systolic heart failure (SHF) in daily practice conditions. METHODS: In this prospective, multi...



The Manchester Triage System in acute coronary syndromes

Matias, C; Oliveira, R; Duarte, R; Bico, P; Mendonça, C; Nuno, L; Almeida, A; Rabaçal, C; Afonso, S

INTRODUCTION: A growing number of hospitals have implemented the Manchester Triage System (MTS) in their Emergency Department (ED), so as to better prioritize the evaluation of those attending these departments. OBJECTIVES: To assess whether the MTS was used effectively in patients admitted to the hospital with a diagnosis of acute coronary syndrome (ACS). METHODS: We evaluated 114 consecutive patients admitted...


Síndrome de Brugada Complicado de Morte Súbita

Rabaçal, C; Mendonça, C; Nuno, L; Almeida, A; Afonso, S

Brugada syndrome is an electrocardiographic diagnosis that is increasingly recognized as a cause of sudden cardiac death. The authors present a clinical case of a patient with a family history of sudden death, in whom a diagnosis of Brugada syndrome had been established, and who died suddenly. They also present a brief review of the main findings of this entity, particularly the diagnostic criteria and treatmen...


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