Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular最新文献_第10页

Surgical treatment of concomitant severe heart disease and lung cancer. 伴发严重心脏病和肺癌的外科治疗。

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2019-01-01

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

{"title":"Surgical treatment of concomitant severe heart disease and lung cancer.","authors":"Tiago Adrega, João Pedro Monteiro, Susana Lareiro, Miguel Guerra, Luís Vouga","doi":"","DOIUrl":"","url":null,"abstract":"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 review our experience with cases undergoing combined surgical treatment of both heart disease and lung cancer, aiming to analyse patients' characteristics, operative technical considerations and related outcomes. A total of five patients were included, with two synchronous procedures, two cases with lung surgery being performed first and one case commenced with cardiac surgery. All cancers were non-small-cell lung carcinoma or carcinoid tumors and cardiac disease was mostly represented by severe aortic stenosis. Lobectomy was performed in two thirds of patients and minimally invasive techniques were used in 60% of the procedures. All valvular patients received a bioprosthesis. There was one immediate complication, with good recovery on follow-up, and there were no late events (median follow-up of 1,8 ±1,1 months). The analysis of these cases highlights the complex nature of these challenging patients and reinforces the importance of devoting efforts to offer the most suitable solutions for each scenario.","PeriodicalId":87136,"journal":{"name":"Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular","volume":"26 1","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37256205","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}

引用次数: 0

Minimally invasive aortic coarctation correction and aortic valve replacement without syetnotomy. 微创主动脉缩窄矫正及主动脉瓣置换术。

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

Paulo Neves, Paulo Ponce, Pedro Braga, Luís Vouga

引用次数: 0

Clinical outcomes after digital subtraction angiography versus computed tomography angiography in the preoperative evaluation of lower limb peripheral artery disease. 数字减影血管造影与计算机断层血管造影在下肢外周动脉疾病术前评估中的临床结果

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

Catarina Marques, Marina Dias-Neto, Sérgio Sampaio

{"title":"Clinical outcomes after digital subtraction angiography versus computed tomography angiography in the preoperative evaluation of lower limb peripheral artery disease.","authors":"Catarina Marques, Marina Dias-Neto, Sérgio Sampaio","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Digital subtraction angiography (DSA) was considered the gold standard method for peripheral artery disease (PAD) evaluation. Notwithstanding, recent developments of computed tomography angiography (CTA) have improved the specificity and sensibility of this method. The main objective of this study is to characterize a cohort of patients with lower limb PAD and clarify if there are differences upon groups using different preoperative imaging methods (DSA or CTA).Methods: This retrospective study focused on patients with PAD that underwent surgical intervention (endovascular revascularization or open surgery). CTA group included all patients submitted to this method as their pre-operative exam, between March 2009 and April 2017. DSA group included patients submitted to DSA as their pre-operative exam within the same period. The groups were compared regarding intervention details, ankle-brachial index (ABI) variation, reintervention, major amputation and mortality rates, and hospital length of stay.Results: One hundred and two patients were included (33 CTA and 69 DSA). DSA group presented more below the knee lesions with TASC C or D classification (p=0.002), as well as runoff vessels scarcity (p=0.001). There were no differences in the endovascular/open surgery ratio (p=0.308), ABI alteration with intervention (p=0.860), reintervention rates (p=0.236), major amputation (p=0.999), mortality (p=0.574), or hospital length of stay (p=0.933).Conclusion: CTA seems to achieve equivalent performance to DSA for morphological and therapeutic planning of PAD. Nevertheless, extrapolation to patients with TASC C or D distal lesions cannot be performed.","PeriodicalId":87136,"journal":{"name":"Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular","volume":"25 3-4","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36825778","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}

引用次数: 0

Mini-sternotomy versus full sternotomy aortic valve replacement: a single-centre experience. 小胸骨切开vs全胸骨切开主动脉瓣置换术:单中心经验。

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

Patrícia M Castro, Francisca A Saraiva, Rui J Cerqueira, Soraia Moreira, Mário J Amorim, Adelino F Leite-Moreira, Filipe Macedo

{"title":"Mini-sternotomy versus full sternotomy aortic valve replacement: a single-centre experience.","authors":"Patrícia M Castro, Francisca A Saraiva, Rui J Cerqueira, Soraia Moreira, Mário J Amorim, Adelino F Leite-Moreira, Filipe Macedo","doi":"","DOIUrl":"","url":null,"abstract":"Background: full sternotomy (FS) is the gold standard approach to perform surgical aortic valve replacement (AVR). However, potential advantages of a less traumatic approach fomented the development of so-called minimally invasive procedures, which include upper mini-sternotomy (MS).Objective: to compare immediate postoperative clinical results and mid-term mortality after AVR through MS and FS.Methods: single-centre retrospective study including all patients who underwent isolated AVR through MS between January 1, 2011 and July 31, 2017. These were then matched with patients who underwent the same procedure through FS and by the same surgeons who performed MS, using coarsened exact matching for the variables age, gender, body mass index and diabetes mellitus. Groups were later characterized and compared regarding postoperative results using Qui- -squared and Mann-Whitney tests and regarding mid-term mortality through Kaplan-Meier curves.Results: we included 82 patients (n=41 in each group). Aortic cross clamp [78 vs. 63 minutes, p=0.001] and cardiopulmonary bypass times [107 vs. 90 minutes, p=0.002] were significantly longer in the MS group vs. FS group, respectively. Although without reaching statistical significant difference, a smaller percentage of patients from the MS group required red blood cells transfusions during surgery (39.0% vs. 53.7%, p=0.184). Similar results were found regarding mechanical ventilation, inotropic support, morphine infusion, intensive care unit length of stay and incidence of de novo atrial fibrillation. Cumulative survival at 6 years was 86.7% after MS and 88.5% after FS (p=0.650).Conclusions: Aortic valve replacement through MS seems to be a safe alternative to the gold standard FS.","PeriodicalId":87136,"journal":{"name":"Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular","volume":"25 3-4","pages":"119-126"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36825775","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}

引用次数: 0

[Aneurysmal disease - a multifocal pathology with regard to a clinical case.] [动脉瘤性疾病-临床病例的多灶性病理分析]

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

André Marinho, Carolina Lobo Mendes, Juliana Varino, Manuel Fonseca, António Albuquerque Matos

{"title":"[Aneurysmal disease - a multifocal pathology with regard to a clinical case.]","authors":"André Marinho, Carolina Lobo Mendes, Juliana Varino, Manuel Fonseca, António Albuquerque Matos","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: True para-anastomotic aneurysms are a rare complication of arterial surgery.Objective: This paper aims to describe the clinical case of a 73 years-old patient, with history of a left above-the- -knee amputation due to an occluded popliteal aneurysm, admitted for surgical treatment of a contralateral popliteal aneurysm.Results: A bypass between the right distal superficial femoral artery (SFA) and the distal popliteal artery was performed using autologous vein. Two years after the index surgery, aneurysmatic degeneration of the native artery was found on ultrasound, with 1.7 cm at the proximal anastomosis, and 1.4 cm distally. We kept surveillance, however, 12 years after surgery, he had a proximal true para-anastomotic aneurysm of the SFA with 4.8 cm. So, resection with interposition of a prosthetic graft between the native artery and the venous conduit of the previous bypass was performed. At this time the popliteal artery at the distal anastomosis had, approximately, 1.8 cm, so we chose to remain vigilant. Seventeen years after surgery, it measured 3.2 cm, in computed tomographic angiography. Therefore, total aneurysmectomy was performed and, due to redundancy of the previous bypass venous conduit caused by progressive dilation restricted to the distal popliteal artery, we did a termino-terminal reanastomosis to the normal sized popliteal artery. After 20 months, he is asymptomatic, with distal pulses present, without clinical nor radiological signs of aneurysmal degeneration.Discussion and conclusion: This work aims to highlight the relevance of the follow up, not only on a clinical basis but also radiological, since we are dealing with a diffuse pathology that can appear in any arterial segment without symptoms.","PeriodicalId":87136,"journal":{"name":"Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular","volume":"25 3-4","pages":"141-144"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36869106","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}

引用次数: 0

[Welcome to SPCCTV 4D Visions18]. [欢迎来到SPCCTV 4D vision]。

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

Gonçalo Cabral

引用次数: 0

Uniportal video-assisted thoracoscopic lobectomy: how we do it! 单门户视频胸腔镜肺叶切除术:我们如何做!

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

Susana Lareiro, Joana Rei, Pedro Fernandes, José Miranda, Miguel Guerra

引用次数: 0

[The doctor, the boss and the innovation! The good, the bad and the ugly!] 医生、老板、创新!好的，坏的，丑的!］

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

Miguel Guerra

引用次数: 0

Minimal invasive cardiac mass resection, post-thoracic radiotherapy: a safe approach? 微创心脏肿块切除术，胸后放疗:一种安全的方法?

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

Nádia Junqueira, Ricardo Ferreira, Tiago Velho, Nuno Guerra, Ângelo Nobre

引用次数: 0

Abstracts of the SPCCTV 4D Visions 18. SPCCTV 4D影像摘要18。

Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular Pub Date : 2018-07-01

引用次数: 0