This case presents a curious diagnosis in young male presenting with chest pain. The first imaging tests suggested the presence of hypovascular left atrial tumor. After cardiac magnetic resonance and exclusion extra-cardiac lesions, sarcoma emerged as main diagnostic hypothesis. Unexpectedly, histopathological study revealed absence malignancy, identifiable inflammatory muscle tissue, fibrosis. pattern was compatible myofibroblastic tumor diagnosis, rare entity uncertain behavior but known...

Introdução: A hesitação vacinal é reconhecida pela Organização Mundial da Saúde como uma das principais ameaças à saúde global, tendo adquirido contornos singulares no contexto pandemia COVID-19. Os profissionais de são reconhecidos fontes informação mais confiáveis relativamente vacinação. sua posição perante a imunização constitui um fator determinante intenção recomendar terceiros, com potencial repercussão na taxa adesão vacina população geral. O objetivo deste estudo foi caracterizar do...

Primary heart neoplasms are rare occurring with an estimated incidence of 0.0017-0.19%. Myxoma is the most prevalent primary tumor. The right atrium unusual localization, only in 15-20% myxoma cases. We report a case massive atrial causing tricuspid valve obstruction and presenting as syncope exertional dyspnea. This illustrates influence myxoma's size, position mobility well patient's body posture respiration to development signs symptoms. Three-dimensional echocardiography proved useful...

Persistent left ventricular (LV) hypertrophy after surgery is frequent, but its clinical relevance controversial. We evaluated if residual LV (LVH) associated with outcomes aortic valve replacement (AVR) for severe stenosis (AS). analysed and echocardiographic parameters before AVR, in a prospective cohort of 132 patients AS. The mean follow-up was 6.0 ± 1.5 years. Clinical endpoints were all-cause death combination as non-fatal cardiovascular hospitalization. At myocardial biopsies collagen...

To identify potential predictors of prolonged length hospital stay in patients submitted to lung resection surgery.

Papillary fibroelastoma (PFE) is a rare primary benign tumor of cardiac origin that predominantly affects the valves. Although most patients are asymptomatic, serious complications may result given their propensity for embolization. Advances in imaging technology have enabled earlier detection and more accurate characterization these tumors. We report case series, describing clinical presentation, treatment outcome. Institutional records tertiary center between 1997 2015 were reviewed all...

To investigate the effects of left ventricular (LV) pressure overload and diabetes on apelinergic system.Pressure was established in rats by supra-renal aortic-banding. Six weeks later, induced streptozotocin (65 mg/kg, intraperitoneal), resulting four groups: sham, banded (BA), diabetic (DM) diabetic-banded (DM-BA). Twelve LV function structure were evaluated echocardiography biopsies plasma samples collected. Furthermore, LV-endomyocardial procured from aortic stenosis mitral patients...

Abstract Aims: We reviewed the long-term survival, autonomy, and quality of life (QoL) elderly patients undergoing aortic valve replacement (AVR). Methods: Records ≥75 years old that underwent AVR from 2002 to 2006 were retrospectively analyzed. Functional status was classified with Barthel Index (BI). QoL presumed as self-perception well-being after AVR. Independent predictors mortality identified using Cox proportional hazards model. Results: included 114 patients, a mean age 78.5 ± 2.5...

Conduction disturbances requiring permanent pacemaker (PM) implantation occur in 3–12% of patients after aortic valve replacement (AVR). Our aim was to assess long-term PM dependency and its predictors these patients. We conducted a retrospective study all consecutive undergoing AVR between January 2004 December 2010. Absence sinus rhythm or atrial fibrillation with appropriate ventricular response at pacing rate 30 bpm for 10 s defined as dependency. Ninety-one underwent during follow-up...

New models of aortic bioprostheses have proven excellent early haemodynamic profile, but their mid and long-term performance warrants further systematic assessment. The aim this study is to report clinical St. Jude Medical Trifecta bioprosthesis during 5 years implantation.We performed a single centre, retrospective, observational descriptive including all 556 individuals who underwent valve replacement (AVR) with the (between July 2011 June 2016). Survival re-intervention were censored in...

Doente do género masculino, de 50 anos idade, ex-toxicodependente, admitido no Serviço Cardiologia por endocardite fúngica da válvula aórtica complicada insuficiência grave, enfartes cerebrais e pseudoaneurisma artéria ilíaca comum direita. Enquanto aguardava transferência para o serviço cirurgia cardiotorácica, doente apresentou isquemia arterial aguda membro inferior esquerdo, tendo realizado tromboembolectomia femuro-distal esquerda. Posteriormente, foi submetido à substituição prótese...

Background: Work accidents (WA) due to percutaneous or mucocutaneous injury are extremely frequent among health professionals. The notification of these ensures not only the compliance with legal requirements, but it also enables institutions develop, implement and evaluate strategies prevent them. This study aimed estimate proportion underreporting work caused by lesions in a hospital setting, as well its determinants. Methods: A self-administered questionnaire was made available all...

Infectious thoracic aortitis is a rare entity in the antibiotic era and usually appears patients with prior aortic disease and/or associated infective endocarditis. Infected nonaneurysmal aorta will likely progress to mycotic aneurysm if left untreated. In most of reports, infectious presents aneurysm. We report case patient aortitis, probably secondary purulent meningitis, early diagnosed by transesophageal echocardiogram.

Fungal prosthetic valve endocarditis is an extremely severe form of infective endocarditis, with poor prognosis and high mortality despite treatment. Candida albicans the most common etiological agent for this rare but increasingly frequent condition. We present a case fungal due to C. following aortic pulmonary replacement in 38-year-old woman history surgically corrected tetralogy Fallot, prior acute renal failure need catheter-based hemodialysis. Antifungal therapy liposomal amphotericin...

Cardiac surgery is the second most frequent aetiology of left ventricular pseudoaneurysm (LVP). Left apical venting a recognized cause LVP. Prompt surgical treatment usually needed since there high risk rupture and spontaneous closure very rare. We describe case ventricle following venting.

Resumo Fundamento: Pouco se sabe sobre o impacto da estenose aórtica (EA) grave na rigidez e ocorre alguma alteração após a remoção barreira de EA com cirurgia substituição válvula (SVA). Objetivo: Estimar as mudanças velocidade onda pulso carotídeo-femoral (VOP) SVA definir os preditores VOP alta em pacientes grave. Métodos: Estudo coorte retrospectivo unicêntrico, incluindo submetidos à [...]

The following case report demonstrates a surgical biopsy performed through subxiphoid uniportal video-assisted thoracoscopic surgery approach. patient was 35-year-old male, non-smoker, obese, with history of arterial hypertension. He referred for thoracic consultation because nonspecific interstitial pneumonia suspected. histological analysis confirmed the pneumonia. We describe procedure step by step. postoperative course uneventful. approach is associated less pain than transthoracic...

A 50-year-old man with a history of drug addiction was admitted to the cardiology department for aortic valve fungal endocarditis complicated by severe regurgitation, cerebral infarcts and right common iliac artery pseudoaneurysm. While awaiting transfer cardiothoracic surgery department, patient presented acute arterial ischemia left leg, distal patellofemoral embolectomy successfully performed. The then transferred center replaced bioprosthetic valve. After 14 days he referred vascular...

Abstract This prospective experimental study aimed to compare effects of 3 different home-based postoperative respiratory muscle training protocols – inspiratory, expiratory and combined, in the patients’ recovery, regarding safety function, pulmonary physical fitness, activity (PA), dyspnoea quality life (QoL). Patients were divided four groups Usual Care (UCare), inspiratory (IMT), (EMT) or combined (CombT) according group allocation. Significant treatment*time interactions found for...