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Managing The Mitral Valve In Hcm Surgery: Tips And Tricks
Ranchordás, Sara; Abecasis, Miguel; Quintana, EduardMitral regurgitation (MR) in hypertrophic cardiomyopathy (HCM) patients is mainly due to systolic anterior motion (SAM) of the mitral valve (MV). However, other mechanisms contributing to mitral regurgitation may coexist as a result of further structural abnormalities. SAM might occur because of the increased septal thickness alone or due to simultaneous MV or subvalvular apparatus anomalies, such as mitral lea...
Endoscopic Vein Harvesting – How Do We Do It?
Veiga Oliveira, Paulo; Madeira, Márcio; Alves, Inês; Ranchordás, Sara; Pedro Neves, JoséThe saphenous vein graft (SVG) remains the most used conduit as a second graft in Coronary Artery Bypass Grafting (CABG).1 Traditionally, surgeons harvest SVG with an open approach, making a long incision along the medial part of the leg or thigh. This procedure can potentially result in important complications, such as delayed wound healing, postoperative pain and infection.2 Thus, less invasive techniques for...
Infective Endocarditis: A Prospective Registry Of Surgical Lesions
Ranchordás, Sara; Madeira, Márcio; Oliveira, Paulo; Marques, Marta; Abecasis, Miguel; Andrade, Maria João; Sousa Uva, Miguel; Neves, José PedroIntroduction: 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 ...
Triple valve surgery: long-term follow-up from a single centre
Veiga Oliveira, Paulo; Madeira, Márcio; Ranchordás, Sara; Nolasco, Tiago; Marques, Marta; Sousa-Uva, Miguel; Abecasis, Miguel; Neves, José PedroAims: 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...
PATIENT PROSTHESIS MISMATCH IN STENTED BIOLOGIC AORTIC VALVE PROSTHESIS: 10 YEA...
Madeira, Márcio; Ranchordás, Sara; Oliveira, Paulo; Nolasco, Tiago; Marques, Marta; Sousa-Uva, Miguel; Abecasis, Miguel; Neves, JoséObjectives: The goal of this study is to establish the relation between aortic bio prosthesis, patient prosthesis mismatch (PPM) and short-term mortality and morbidity as well as and long-term mortality. Methods: This is a single center retrospective study with 812 patients that underwent isolated stented biologic aortic valve replacement between 2007 and 2016. The projected indexed orifice area was calculated ...
Simple mesothelial pericardial cyst in a rare location
Ranchordás, Sara; Gomes, Catarina; Abecasis, Miguel; Gouveia, Rosa; Abecasis, João; Lopes, Luís R.; Fazendas, PaulaPericardial cysts are rare and generally benign intrathoracic lesions, most frequently located in the cardiophrenic angles, but other locations have been described. We present a case of a pericardial cyst in a previously undescribed site. Our patient presented with a cyst in the interventricular septum which was discovered as an incidental finding. After surgical excision of the cyst, it was described pathologi...