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Predictors of acute kidney injury associated with cardiopulmonary bypass

Moreira, Raquel; Jacinto, Tiago; Neves, Paulo; Vouga, Luís; Baeta, Cristina

To study the incidence of acute kidney injury (AKI) in the postoperative period of cardiac surgery in patients without preoperative renal insufficiency who underwent cardiac surgery with cardiopulmonary bypass (CPB), and to explore the association between the incidence of AKI and predictors related to CPB. Observational, cross-sectional study. Participants were divided in two groups, those who developed AKI in ...


SAFETY AND RISK FACTORS FOR THE MORBIDITY AND MORTALITY OF PNEUMONECTOMY: A RET...

Rei, Joana; Lareiro, Susana; Fernandes, Pedro; Castro, Patrícia; Costa, Sara S.; Miranda, José; Vouga, Luís; Guerra, Miguel

Objectives: Pneumonectomy is a procedure with high post-operative morbidity and mortality. This study aims to assess and identify possible risk factors that can affect post-operative outcome, therefore determining the safety of pneumonectomy in specific groups. Methods: A total of 63 patients submitted to pneumonectomy at our centre, from February 2008 to February 2018, were included in our retrospective study....


TOTAL AORTIC ARCH REPLACEMENT WITH E-VITA OPEN PLUS™ HYBRID PROSTHESIS – INITIA...

Lareiro, Nuno; Vieira, Manuela; Panzina, Ana; Milner, Tiago; Lareiro, Susana; Neves, Paulo; Ponce, Paulo; Vouga, Luís

Background: Complex pathology of the Thoracic Aorta constitutes a challenge, needing a complex and multidisciplinary approach. The hybrid stent graft prosthesis E-vita OPEN PLUS™ avoids a two-stage surgical approach in the surgical treatment of complex thoracic aortic disease. The E-vita Open Plus™ is estimated to generate cost savings compared with current two-stage repair from about 2 years after the procedur...


PREDICTORS OF ACUTE KIDNEY INJURY ASSOCIATED WITH CARDIOPULMONARY BYPASS

Moreira, Raquel; Jacinto, Tiago; Neves, Paulo; Vouga, Luís; Baeta, Cristina

Objectives: To study the incidence of acute kidney injury (AKI) in the postoperative period of cardiac surgery in patients without preoperative renal insufficiency who underwent cardiac surgery with cardiopulmonary bypass (CPB), and to explore the association between the incidence of AKI and predictors related to CPB. Methods: Observational, cross-sectional study. Participants were divided in two groups, those ...


UNIPORTAL VIDEO-ASSISTED THORACIC SURGERY ANATOMICAL RESECTIONS – DOES PREVIOUS...

Rei, Joana; Lareiro, Susana; Fernandes, Pedro; Guerra, Miguel; Miranda, José; Vouga, Luís

A high percentage of patients presenting for lung surgery are either current or former smokers, which is typically associated with many anatomical and physiological pulmonary changes. The influence of tobacco on postoperative pulmonary complications remains controversial. The main goal of this study was to analyse the effects of smoking on the risk of post-operative complications and morbidity in patients submi...


SURGICAL TREATMENT OF CONCOMITANT SEVERE HEART DISEASE AND LUNG CANCER

Adrega, Tiago; Monteiro, João Pedro; Lareiro, Susana; Guerra, Miguel; Vouga, Luís

The concomitant presentation of lung cancer and severe heart disease requiring intervention is a scenario that many clinicians have to face. Its common physiopathological substratum is unknown and it is believed that tobacco plays a role. From a surgical point of view, these patients pose various technical challenges and medical literature is scarce in providing solid answers. The aim of this report is to revie...


CORRECTION OF ADULT-TYPE VSD CAUSING AORTIC VALVE ENDOCARDITIS THROUGH AORTOTOMY

Monteiro, João Pedro; Rijo, Diogo; Simões Costa, Sara; Pereira, Rodolfo; Vieira, Manuela; Ponce, Paulo; Vouga, Luís; Neves, Paulo

Ventricular septal defects are the most common congenital abnormality diagnosed in children but account for only 10 percent of congenital heart defects in adults. Although many defects close spontaneously before adulthood, many others persist, predisposing to endocarditis, and other complications. Herein, we report a case of a known, asymptomatic, perimembranous ventricular septal defects that has complicated a...


Influence of EPICardial adipose tissue in HEART diseases (EPICHEART) study: Pro...

Mancio, Jennifer; Barros, António S.; Conceicão, Glória; Santa, Cátia; Pessoa-Amorim, Guilherme; Bartosch, Carla; Fragao-Marques, Mariana

Accumulation of epicardial adipose tissue (EAT) is associated with coronary artery disease (CAD) and increased risk of coronary events in asymptomatic subjects and low-risk patients, suggesting that EAT promotes atherosclerosis in its early stage. Recent studies have shown that the presence of CAD affects the properties of adjacent EAT, leading to dynamic changes in the molecular players involved in the interpl...


Incidência da fibrilação auricular após cirúrgia cardíaca: influência do tipo d...

Moreira, Soraia; Paulo, Nelson; Vouga, Luís; Jacinto, Tiago; Baeta, Cristina

A fibrilação auricular (FA) é a arritmia com maior incidência no pós-operatório da cirurgia cardíaca. Na cirurgia de substituição valvular (CSV) ela ocorre em cerca de 64% dos indivíduos e na cirurgia de revascularização do miocárdio (CRM) ela pode desencadear-se em 30-40% dos indivíduos. A sua incidência no pós-operatório pode ainda ser influenciada por fatores de risco pré e intraoperatórios. Estudar a incidê...


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