{"title":"Abstracts of the SPCCTV 4D VISIONS 2024 - Intensive Care.","authors":"Pjctvs Journal","doi":"10.48729/pjctvs.555","DOIUrl":"https://doi.org/10.48729/pjctvs.555","url":null,"abstract":"","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 4","pages":"263-268"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mini Atrial Septal Defect Closure In Dextrocardia With Situs Inversus By Left Anterolateral Thoracotomy(Lalt) Approach - A Surgical Challenge.","authors":"Gowtham Thakut, Aneesh Lawande, Herin Patel, Archit Patel, Kartik Patel","doi":"10.48729/pjctvs.482","DOIUrl":"https://doi.org/10.48729/pjctvs.482","url":null,"abstract":"<p><strong>Background: </strong>ASD is a relatively rare subset among patients with situs inversus dextrocardia with concordant AV connection and a minimally invasive approach in dextrocardia has yet to be standardized. The present case describes a case surgical closure of ostium secundum ASD by left mini-thoracotomy approach in patient with dextrocardia and situs inversus.</p><p><strong>Case presentation: </strong>The present case describes a 44-year female patient of ostium secundum ASD in dextrocardia with situs inversus. The patient was operated for minimal invasive ASD closure by left anterolateral thoracotomy approach (LALT). The procedure has achieved good clinical and cosmetic results Conclusion: This article describes surgical techniques to overcome the challenges in subset of dextrocardia with situs inversus patients.</p>","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 4","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Filipa Jácome, José Ramos, José Teixeira, Humberto Cristino, Marina Dias-Neto
{"title":"Jejunal Artery Aneurysm Exclusion With Immediate Vascular Reconstruction: A Case Report.","authors":"Filipa Jácome, José Ramos, José Teixeira, Humberto Cristino, Marina Dias-Neto","doi":"10.48729/pjctvs.466","DOIUrl":"https://doi.org/10.48729/pjctvs.466","url":null,"abstract":"<p><p>A 44 year-old previously healthy woman presented a persistent epigastric pain. Computed tomography revealed a saccular aneurysm with a diameter of 25x20 mm in the first jejunal artery and also a stenosis in the celiac trunk associated with median arcuate ligament syndrome, turning the hepatic perfusion dependent of the gastroduodenal artery flow. Through a midline laparotomy, celiac axis was exposed, and median arcuate ligament released for median arcuate ligament syndrome treatment. A tangential resection of the aneurysm was done, preserving the flow in the jejunal artery. Arterial closure was achieved through an anastomosis between the jejunal artery and the bevelled pancreatoduodenal artery. One of the duodenal branches was also re-implanted in the jejunal artery. The patient's post-operative course was uneventful. At 1 year after the surgery, patient is asymptomatic and with patency of the reconstructed arteries.</p>","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 4","pages":"45-47"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Otherwise, inoperable. The role of ECMO in thoracic surgery - focus on the mediastinum.","authors":"Carlos Pinto, Roberto Roncon, Paolo Mendogni","doi":"10.48729/pjctvs.540","DOIUrl":"https://doi.org/10.48729/pjctvs.540","url":null,"abstract":"<p><p>The use of extracorporeal membrane oxygenation (ECMO) in surgery is expanding as the medical community started adopting it, with good results, for procedures with high risk of respiratory and hemodynamic instability. This technique provided the possibility to reduce the number of patients previously considered inoperable because of these limitations. Thymic epithelial tumors (TETs) are rare neoplastic mediastinal lesions, with a reported incidence of 0.3 per million. They are indolent and associated with a delayed diagnosis, as symptoms arise late. Some can reach such dimensions that surgery without ECMO support would render these patients at risk of heart/great vessels or/and respiratory compression of prohibitive surgical risk or even inoperable. This report aims to update information on ECMO support in surgery for prevascular mediastinal masses, focusing on pre-operatory assessment, ECMO implantation, patient selection and surgical results.</p>","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 4","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abstracts of the SPCCTV 4D VISIONS 2024 - Vascular Surgery.","authors":"Pjctvs Journal","doi":"10.48729/pjctvs.554","DOIUrl":"https://doi.org/10.48729/pjctvs.554","url":null,"abstract":"","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 4","pages":"163-262"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abstracts of the SPCCTV 4D VISIONS 2024 - Cardiac Surgery.","authors":"Pjctvs Journal","doi":"10.48729/pjctvs.552","DOIUrl":"https://doi.org/10.48729/pjctvs.552","url":null,"abstract":"","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 4","pages":"59-106"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaret Soares, Filipa Jácome, José Fernando Ramos, Marina Dias-Neto
{"title":"Imaging Red Flags In A Symptomatic Abdominal Aortic Aneurysm.","authors":"Margaret Soares, Filipa Jácome, José Fernando Ramos, Marina Dias-Neto","doi":"10.48729/pjctvs.498","DOIUrl":"https://doi.org/10.48729/pjctvs.498","url":null,"abstract":"","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 4","pages":"53-54"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin Duh, Christopher Levy, Panagiotis Volteas, Stefanos Giannopoulos, George Koudounas, Dimitrios Virvilis
{"title":"A Timeline From Index Procedure To Complex Reinterventions For Thoracoabdominal Aortic Dissection.","authors":"Kevin Duh, Christopher Levy, Panagiotis Volteas, Stefanos Giannopoulos, George Koudounas, Dimitrios Virvilis","doi":"10.48729/pjctvs.434","DOIUrl":"https://doi.org/10.48729/pjctvs.434","url":null,"abstract":"<p><p>The optimal management of acute type A aortic dissection (ATAAD) remains a controversial subject. While some surgeons opt for a hemiarch approach to minimize bypass and cross-clamping time, others prefer partial or total arch replacement to prevent the need for additional operations. The advent of hybrid approaches offers a variety of options to the aortic surgeon in treating ATAAD. Herein, we present a complex case of ATAAD requiring multistage reconstruction of the aortic arch and its branch vessels utilizing hybrid techniques. A 67-year-old man presented with chest pain and hypertension, leading to diagnosis of ATAAD. He initially underwent hemiarch replacement, which required multiple further interventions secondary to progressive thoracic aorta aneurysmal dilation, innominate artery dissection, and subclavian steal syndrome. A hybrid approach of open and endovascular techniques was utilized to treat the patient's pathology. ATAAD represents a challenging clinical entity in its acute, subacute, and long-term management. Currently, no consensus exists on ideal initial management of this disease. Nonetheless, new techniques such as fenestration of thoracic endografts can be utilized for the subsequent operations. Individualized care tailored to each case is the most effective management of this intricate disease.</p>","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 3","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Margarida Silva, André Soeiro, Gonçalo Coutinho, David Prieto
{"title":"An Unusually Large Ascending Aortic Aneurysm.","authors":"Ana Margarida Silva, André Soeiro, Gonçalo Coutinho, David Prieto","doi":"10.48729/pjctvs.471","DOIUrl":"https://doi.org/10.48729/pjctvs.471","url":null,"abstract":"","PeriodicalId":74480,"journal":{"name":"Portuguese journal of cardiac thoracic and vascular surgery","volume":"31 3","pages":"87-88"},"PeriodicalIF":0.0,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}