14 documents found, page 1 of 2
Surgical aortic valve replacement in octogenarians: single-center perioperative...
Velho, Tiago R.; Goncalves, Joao; Pereira, Rafael Maniés; Ferreira, Ricardo; Sena, André; Junqueira, Nádia Viviana; Ângelo, EurídiceIntroduction and objectives: Aortic stenosis is the most common valvular heart disease. The number of octogenarians proposed for intervention is growing due to increased lifespan. In this manuscript we aim to evaluate perioperative outcome and long-term survival after surgical aortic valve replacement (SAVR) in octogenarians, comparing patients with low surgical risk (EuroscoreII <4%) with intermediate-high ris...
Conduction Disorders And Their Clinical Impact After Sutureless/Rapid Deploymen...
Ferreira, Ricardo; Figueiral, Marta; Sena, André; Pereira, Filipe; Junqueira, Nádia; Velho, Tiago; Almeida, Ana; Nobre, Angelo; Pinto, FaustoIntroduction: Aortic stenosis remains the number one heart valve pathology. The drive to improve the surgical outcomes brought to focus rapid deployment valves (RDV), which reduce aortic cross-clamping and cardio-pulmonary bypass (CPB) times. However, some centers have reported a higher rate of conduction abnormalities and permanent pacemaker (PPM) implantation. The aim of this study was to investigate the inci...
Ascending Aorta Sacular Aneurysm
Carvalho Guerra, Nuno; Velho, Tiago; Sena, André; Nobre, Ângelo. A 83 year old woman with history of arterial hypertension, hypothyroidism, obesity, chronic renal insufficiency and incipient dementia was transferred to our hospital after complaints of chest pain. Investigation revealed a sacular ascending aortic aneurysm with the aneurysmal sac adjacent to the sternum. Due to her age, cognitive state and risk of sternal entry, she was refused for surgery. She was discharge...
Internal Mammary Artery Skeletonization - Review Of Current Evidence
Carvalho Guerrra, Nuno; Velho, Tiago; Sena, André; Nobre, ÂngeloInternal mammary artery (IMA) harvesting is a central part in coronary artery bypass grafting (CABG). The technique of harvesting the IMA - pedicled, skeletonized, or semi-skeletonized, may influence intra-operatory and postoperatory outcomes. We aim to review current evidence regarding the advantages and disadvantages of these techniques, and their performance in certain subsets of patients.
Sutureless bioprosthesis for aortic valve replacement: surgical and clinical ou...
Ferreira, Ricardo; Rua, Nuno; Sena, André; Velho, Tiago R.; Goncalves, Joao; Junqueira, Nádia; Almeida, Ana G.; Nobre, Angelo; Pinto, Fausto J.Background: Aortic valve stenosis is the most common adult valve disease in industrialized countries. The aging population and the increase in comorbidities urge the development of safer alternatives to the current surgical treatment. Sutureless bioprosthesis has shown promising results, especially in complex procedures and in patients requiring concomitant surgeries. Objectives: Assess the clinical and hemodyn...
Pandemic and Necropolitical State: an essay on Public Policies and the worsenin...
Sena, André; Rodrigues, MarianaThis article aims to reflect on three distinct and interconnected thematic axes: the COVID-19 pandemic, the government's action manifested in the implementation of emergency public policies, and the background of structural racism and necropolitics as factors that guide the way how the State manages the health crisis. First, this work presents a brief overview of the pandemic and some reflections from the socia...
AGE IS NOT JUST A NUMBER FOR A RAPID DEPLOYMENT VALVE IN OCTOGENARIANS
Velho, Tiago R.; Carvalho Guerra, Nuno; Ferreira, Hugo; Maniés Pereira, Rafael; Sena, André; Ferreira, Ricardo; Nobre, ÂngeloIntroduction: Aortic valve stenosis (AS) is the most common valvular pathology in the elderly and surgery (AVR) remains the gold-standard. However, transcatheter aortic valve replacement (TAVI) has become an emerging alternative to surgery. In a recent survey from the European Society of Cardiology, 9,4% stated that age was the main reason to propose for TAVI. Methods: Single-center retrospective study includin...
SURGICAL TREATMENT OF AN ADVANCED STAGE THYMOMA IN A GOOD’S SYNDROME PATIENT – ...
Sena, André; Ferreira, Ricardo; Gonçalves, João; Nobre, ÂngeloWe report a rare case of an advanced stage thymoma with right superior pulmonary lobe, superior vena cava, innominate vein and pericardium invasion in a patient with Good’s syndrome. In a multidisciplinary discussion, surgical resection was deemed the best initial approach, since invaded structures could be safely managed. The tumor was fully resected and included partial resection of the superior pulmonary lob...
TWELVE YEARS OF COMPLETE ATRIOVENTRICULAR SEPTAL DEFECT REPAIR
Sena, André; Sheytanov, Ventsislav; Liebrich, Markus; Narr, Anita; Schweigmann, Ulrich; Uhlemann, Frank; Doll, Nicolas; Tzanavaros, IoannisBackground: Surgical repair is the standard treatment for complete atrioventricular septal defect. At our institution, this repair is performed by single patch, modified single patch or two patch techniques, according to the surgeon preferences and the surgical anatomy of the defect. The goal of this study was to evaluate our results from the last twelve years. Methods: From June 2006 to June 2018, 81 children ...
STERNAL CHONDROSSARCOMA
Carvalho Guerra, Nuno; Velho, Tiago; Sena, André; Nobre, ÂngeloA 28 year old woman presented a painless pre-sternal mass since childhood. At 25 years old, after pregnancy, the mass turned painful and started growing. A percutaneous biopsy diagnosed osteochondroma (Figure 1). Figure 1 Figure 2 A B She underwent partial sternectomy (Figure 2 a) and closure of the sternal defect with a Marlex mesh (Figure 2 b). Histology revealed grade 1 chondrossarcoma with free surgical mar...