Explanipedia

Open surgical revascularization after IL-6 blockade for Takayasu arteritis: A case report Open

Mariana Nobre, Tiago Bessa Magalhães, Ângelo Nobre, Luís Mendes Pedro, Joana Martins · 2025

•IL-6 blockade enabled disease quiescence before open supra-aortic revascularisation.•Open aorto-carotid bypass restored cerebral perfusion in critical Takayasu arteritis.•Multidisciplinary timing of surgery and biologic therapy optimised …

Lesões precursoras de câncer de colo de útero no Amazonas: vulnerabilidades e perspectivas em saúde pública Open

Jornandes Dias da Silva, Ângelo Nobre, David Gonçalves · 2025

O câncer de colo de útero continua sendo um dos maiores desafios de saúde pública no Brasil, particularmente no estado do Amazonas, onde aspectos socioeconômicos, geográficos e estruturais agravam a taxa de incidência e mortalidade entre m…

Prognostic impact of small size sutureless prostheses: results for 241 patients from an international registry Open

Giuseppe Santarpino, Roberto Lorusso, Giovanni Concistrè, José Cuenca Castillo, Vincenzo Argano , et al. · 2025

Study number 587/2015.

Predicting the Burden for Surgical Aortic Valve Replacement in a Tertiary Centre: The Impact of Aged Populations for the Next Decades Open

Rafael Maniés Pereira, Nuno Carvalho Guerra, João Moreira Gonçalves, Ricardo Ferreira, Ângelo Nobre , et al. · 2025

Background/Objectives: The incidence of aortic stenosis (AS) is predicted to rise with the aging population, emerging as a growing public health challenge in developed countries, leading to an increased demand for intervention. Our aim is …

Predicting the Number of Surgical Aortic Valve Replacements in a Tertiary Hospital Over the Next 20 Years Using Portuguese Census Data Open

Rafael Maniés Pereira, Nuno Guerra, João Gonçalves, Ricardo Ferreira, Ângelo Nobre , et al. · 2024

Objectives The incidence of aortic stenosis (AS) is predicted to rise with the aging population, emerging as a growing public health challenge in developed countries, leading to increased demand for intervention. Our aim is to predict the …

Renal cell carcinoma with inferior vena cava thrombus: Survival and prognostic factors in surgically treated patients Open

Miguel Miranda, Joana Polido, M. Fernandes, Filipe Lopes, T. Oliveira , et al. · 2024

Introduction: Renal cell carcinoma (RCC) often develops a tumor thrombus extending into the inferior vena cava (IVC). Radical nephrectomy with IVC thrombectomy is the standard treatment, although prognostic factors are yet to be properly e…

Preoperative statin therapy for adults undergoing cardiac surgery Open

Miguel Marques Antunes, A Nunes-Ferreira, Gonçalo S. Duarte, Ryan Gouveia e Melo, Bárbara Rodrigues , et al. · 2024

In this updated Cochrane review, we found no evidence that statin use in the perioperative period of elective cardiac surgery was associated with any clinical benefit or worsening, when compared with placebo or standard of care. Compared w…

Role of myocardial microRNAs in the long-term ventricular remodelling of patients with aortic stenosis Open

André F. Gabriel, Marina C. Costa, Daniel Caldeira, Rui Plácido, J Rigueira , et al. · 2024

Aims We hypothesize that miRs are key players in the dynamics of the hypertrophy phenotype in aortic stenosis (AS) patients. In our study, we aimed to identify the transcriptional patterns (protein-coding transcripts and miRs) from myocard…

Surgical aortic valve replacement in octogenarians: Single-center perioperative outcomes and five-year survival Open

Tiago R. Velho, João Gonçalves, Rafael Maniés Pereira, Ricardo Ferreira, André Sena , et al. · 2024

SAVR in patients ≥80 years is associated with low in-hospital mortality, although a significant proportion of patients develop complications. Long-term follow-up up to five years after surgery is acceptable in octogenarians with low surgic…

The evolution of management of type B aortic dissection in a series of 100 consecutive cases in a tertiary center Open

A. de M. Lopes, Luís Mendes Pedro, Ryan Gouveia e Melo, Mariana Moutinho, Gonçalo Sobrinho , et al. · 2023

Management of TABD carried an overall mortality of 14% during a 16-year period, but the appropriate use of endovascular technology has substantially reduced in-hospital mortality.

Post-infarction ventricular septal defect surgery in Portugal Open

Pedro Magro, André Soeiro, Nuno Guerra, Gonçalo F. Coutinho, Pedro E. Antunes , et al. · 2023

Our results are comparable with previous reports regarding mortality, risk factors and concomitant procedures. Timing of surgery remains a controversial issue. Later closure seems to be advantageous, however, there is significant observati…

PERSISTENT LEFT SUPERIOR VENA CAVA WITH AGENESIS OF THE RIGHT SUPERIOR VENA CAVA IN A PATIENT WITH COMPLETE ATRIOVENTRICULAR BLOCK Open

Tiago R. Velho, Hugo Ferreira, Nuno Guerra, Javier Gallego, Ângelo Nobre · 2021

Persistant left superior vena cava is a rare systemic venous anomaly that can be associated with agenesis of the right superior vena cava. It is usually assymptomatic and discovered incidentally during surgery or other procedures. The auth…

Post-Dissection Thoraco-Abdominal Aneurysms: Results from Open and Endovascular Repair Open

Ryan Gouveia e Melo, Jorge Campos, Pedro Garrido, A. de M. Lopes, Ruy Fernandes e Fernandes , et al. · 2021

CONCOMITANT ASCENDING AORTIC REPLACEMENT AND AORTIC VALVE REPLACEMENT USING RAPID DEPLOYMENT BIOPROSTHESIS Open

Ricardo Ferreira, Nádia Junqueira, Ricardo Arruda, Ângelo Nobre · 2021

Introduction: The association between aortic valve disease and dilatation of the ascending aorta is well known and concomitant surgery is recommended when the aortic diameter is higher than 45mm. The use of the rapid deployment valves allo…

COMBINED PERICARDIECTOMY AND BEATING HEART CORONARY ARTERY BYPASS GRAFTING Open

Nádia Junqueira, Ricardo Ferreira, Ricardo Bernardo, Ângelo Nobre · 2021

50-years-old male with three vessels coronary lesions. Intraoperatively thickened constrictive pericardium with multi-loculated hematic effusion. Ante-phrenic pericardiectomy was performed and the heart released posteriorly, allowing mobil…

SURGICAL TREATMENT OF AN ADVANCED STAGE THYMOMA IN A GOOD’S SYNDROME PATIENT – CASE REPORT Open

André Sena, Ricardo Ferreira, João Gonçalves, Ângelo Nobre · 2021

We 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 wa…

DEFINITIVE TREATMENT OF PRIMARY SPONTANEOUS PNEUMOTHORAX: A 10-YEAR EXPERIENCE Open

Eva Brysch, João Gonçalves, Ricardo Ferreira, André Sena, Francisco Freitas , et al. · 2021

Objectives: Primary spontaneous pneumothorax (PSP) is defined as a pneumothorax without obvious underlying lung disease. Definitive treatment should be offered to patients with recurrent or persistent PSP. The aim of this study was to comp…

GIANT PLEURAL TUMOR AND SEVERE HYPOGLYCEMIA: DOEGE-POTTER SYNDROME IN A PREVIOUSLY HEALTHY FEMALE Open

Nádia Junqueira, João Nunes Caldeira, Ricardo Ferreira, F L da Costa, Joana Silva , et al. · 2021

Introduction: Doege–Potter’s syndrome is a rare paraneoplastic syndrome, consisting in hypoglycemia and solitary fibrous tumor of the pleura. These tumors represent <5% of all pleural tumours and can only be cured by surgery. In this artic…

An Incident of a Massive Pulmonary Embolism following Acute Aortic Dissection. A Case Report Open

Sofia Fernandes, Mariana Rodrigues, C Barreiros, Hugo Côrte-Real, Ricardo Ferreira , et al. · 2021

Acute aortic dissection and acute pulmonary embolism are two life-threatening emergencies. The presented case is of an 81-year-old man who has been diagnosed with an acute Stanford type A aortic dissection and referred to a tertiary hospit…

Bioprosthetic aortic valve degeneration: a review from a basic science perspective Open

Tiago R. Velho, Rafael Maniés Pereira, Frederico Leon Arrabal Fernandes, Nuno Guerra, Ricardo Melo Ferreira , et al. · 2020

Background The increase in the prevalence of aortic stenosis due to an aging population has led to an increasing number of surgical aortic valve replacements. Over the past 20 years, there has been a major shift in preference from mechanic…

POST-DISSECTION THORACO-ABDOMINAL ANEURYSMS: RESULTS OF OPEN AND ENDOVASCULAR REPAIR Open

Ryan Gouveia e Melo, Jorge Campos, Pedro Garrido, A. de M. Lopes, Ruy Fernandes e Fernandes , et al. · 2020

Introduction/Objectives: Repair of post-dissection thoraco-abdominal aortic aneurysms (PD-TAAA) is a complex challenge. Choosing the correct approach to manage these aneurysms is not straightforward as both open and endovascular strategies…

Giant Left Ventricular (Pseudo?) Aneurysm Complicating Anterior Myocardial Infarction Open

R Fernandes, Teresa Mota, Pedro Azevedo, Sandra Cunha, Dina Bento , et al. · 2020

Inframammary approach for addressing anterior mediastinal tumours: initial experience Open

Ricardo Ferreira, Nádia Junqueira, Mariana Rodrigues, Ângelo Nobre · 2020

Video-assisted thoracoscopic surgery (VATS) and robot assisted thoracic surgery (RATS) account for most of the minimally invasive procedures. However, VATS has certain limitations in terms of deep perception and manoeuvrability, and RATS h…

P871 Giant left ventricular (pseudo?)aneurysm complicating anterior myocardial infarction Open

R Menezes Fernandes, T Mota, Pedro Azevedo, João Bispo, J Guedes , et al. · 2020

Introduction Clinical approach of cardiac aneurysms and pseudoaneurysms is significantly distinct. Therefore, it is crucial to accurately differentiate these two entities, which could be a real challenge. Case report We describe a case of …

Electrocatéter como causa iatrogénica de insuficiência cardíaca direita – relato de um caso Open

Manuel Toscano, Zélia Neves, Carla Matias, Madalena Carvalho, Regina Ribeiras , et al. · 2019

Resumo: O progresso técnico associado aos cuidados de saúde tem permitido uma melhoria da sobrevida e da qualidade de vida dos doentes, não sendo, no entanto, isento de complicações.Apresenta‐se o caso de uma doente de 74 anos, com históri…

Pacemaker lead as an iatrogenic cause of right heart failure: Case report Open

Manuel Toscano, Zélia Neves, Carla Matias, Madalena Carvalho, Regina Ribeiras , et al. · 2019

Technical advances in health care have improved patient survival and quality of life, but are not devoid of complications. We present the case of a 74-year-old woman with a history of hypertensive heart disease with preserved systolic func…

Aortic Dissection Repair Using the STABILISE Technique Associated with Arch Procedures: Report of Two Cases Open

A. de M. Lopes, Ryan Gouveia e Melo, Miguel Gomes, Pedro Garrido, Nádia Junqueira , et al. · 2019

Lymphangioma of the heart as a rare tumor: A case report Open

Nádia Junqueira, Ricardo Ferreira, João Gonçalves, Ângelo Nobre · 2018

There is no specific investigation for diagnosing cardiac lymphangiomas, and though benign, they should be considered in the differential diagnosis of other malignant diseases of the mediastinum and definitive pathologic diagnosis is manda…

Surgical Epicardial CRT-D Implantation in a Patient with Complete Obstruction of the Superior Vena Cava Open

Gustavo Lima da Silva, Nuno Cortez‐Dias, João de Sousa, Ângelo Nobre, Fausto J. Pinto · 2018

Introducao As diretrizes atuais definem claramente o subconjunto de pacientes com insuficiencia cardiaca que se beneficiam da implantacao do dispositivo. Embora a primeira implantacao do dispositivo transvenoso produza uma alta taxa de suc…

An alternative approach for addressing mediastinal tumours through mini-invasive surgery Open

Nádia Junqueira, Ricardo Ferreira, André Sena, Ângelo Nobre · 2017

This approach allows a complete visualization of the mediastinum and total dissection of the tumour safely around vascular and nervous structures. The pain is minimal because there is no real rib spread but instead an anterior displacement…

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