6 documents found, page 1 of 1
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.
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...
Platelet count drop after rapid deployment aortic valve implantation
Sena, André; Ferreira, Ricardo; Nobre, Mariana; Ferreira, Hugo; Junqueira, Nádia; Velho, Tiago; Silva, Joana; Gonçalves, João; Guerra, NunoBackground: A transient postoperative drop in platelet count is an expected finding after aortic valve replacement using extracorporeal circulation. The implantation of the Perceval valve has been associated with a more intense drop of platelet count compared to other bio-prostheses. This study analyses and compares the platelets progression associated with the Perceval and Intuity valves. Methods: The data was...
PLATELET COUNT DROP AFTER RAPID DEPLOYMENT AORTIC VALVE IMPLANTATION
Sena, André; Ferreira, Ricardo; Nobre, Mariana; Ferreira, Hugo; Junqueira, Nádia; Velho, Tiago; Silva, Joana; Gonçalves, João; Guerra, NunoBackground: A transient postoperative drop in platelet count is an expected finding after aortic valve replacement using extracorporeal circulation. The implantation of the Perceval valve has been associated with a more intense drop of platelet count compared to other bio-prostheses. This study analyses and compares the platelets progression associated with the Perceval and Intuity valves. Methods: The data was...