A5046521020- Infective Endocarditis Diagnosis and Management
- Cardiac Valve Diseases and Treatments
- Congenital Heart Disease Studies
- Congenital Diaphragmatic Hernia Studies
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Structural Anomalies and Repair
- Aortic Disease and Treatment Approaches
- Tracheal and airway disorders
- Cardiovascular Conditions and Treatments
- Myasthenia Gravis and Thymoma
- Lymphatic Disorders and Treatments
- Cardiac Arrest and Resuscitation
- Cardiac Arrhythmias and Treatments
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac tumors and thrombi
- Vascular anomalies and interventions
- Neonatal Respiratory Health Research
- Ultrasound in Clinical Applications
- Intensive Care Unit Cognitive Disorders
- Pituitary Gland Disorders and Treatments
- Cardiovascular Issues in Pregnancy
- Neuroendocrine Tumor Research Advances
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
Universidade Federal do Rio de Janeiro
2025
Hospital de São João
2015-2023
Universidade do Porto
2017-2022
Objective: Outcomes of low-risk patients may be affected by the overall acuity ICU to which they were admitted. Studies addressing this topic are very scarce and underlying mechanisms supporting association remain incompletely understood. Here, we investigated effects (defined as mean Simplified Acute Physiology Score 3 all admitted in bimester a given patient was admitted) organizational factors on outcomes with low risk dying ICUs. Design: Retrospective cohort study. Setting: One hundred...
Background Covid-19 was declared a pandemic by the World Health Organization (WHO) on 11 March 2020. Responses to this crisis integrated resource allocation for increased amount of infected patients while maintaining an adequate response other severe and life-threatening diseases. Though cardiothoracic are at high risk illness, postponing surgeries would translate mortality morbidity. We reviewed our practice during initial time pandemic, with emphasis safety protocols. Methods From 15 May...
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...
OBJECTIVES:The goal of this study was to compare the stentless Freedom Solo V R (FS) and stented Trifecta (TF) aortic bioprostheses with regard haemodynamic profile, left ventricular mass regression early late postoperative outcomes survival. METHODS:A longitudinal cohort consecutive patients undergoing valve replacement either FS or TF at 1 centre performed.Local databases national records were queried.Prosthesis haemodynamics dimensions obtained from echocardiograms.After propensity score...
Abstract Surgical aortic valve replacement (SAVR) alters the natural course of severe stenosis (AS). In this study, we aimed to determine effects disease on dynamic cerebral autoregulation and vasoreactivity (VR) assess their changes after SAVR. We recruited 23 patients diagnosed with AS eligible for SAVR 15 healthy matched controls. had lower mean VR CO 2 ( P = 0.005) than controls, but was preserved. Cerebral haemodynamics showed no significant change Patients smaller baseline areas...
Background: COVID-19 was declared a pandemic by the World Health Organization (WHO) on March 11st, 2020. Responses to this crisis integrated resource allocation for increased amount of infected patients, while maintaining an adequate response other severe and life-threatening diseases. Though cardiothoracic patients are at high risk Covid-19 illness, postponing surgeries would translate in mortality morbidity. We reviewed our practice during initial time pandemic, with emphasis safety...
Abstract Background and Aim: Pulmonary regurgitation is the most common complication in repaired tetralogy of Fallot patients. Severe chronic pulmonary can be tolerated for decades, but if not treated, it progress to symptomatic, irreversible right ventricular dilatation dysfunction. We investigated clinical associations with valve replacement among patients significative how interventional developments change their management. Methods: All adult who were followed at an CHD Clinic a single...
The beneficial effects of the institution high levels positive end-expiratory pressure (PEEP) after recruitment maneuvers are controversial. We aim to compare ARDS Network (ARDSNet) ventilatory strategy and open lung approach (OLA) applied in a sequential way, patients with acute injury/acute respiratory distress syndrome (ALI/ARDS).
A 31 +2 weeks gestational age, birthweight 1,490 g female was born after an emergency C-section due to abruptio placenta. The Apgar score 4/8/8, needing positive pressure followed by nasal continuous airway (NCPAP). One dose of poractant alfa administered in the first hour life. On day 4 (D4) life, 2D-echocardiogram performed a systolic murmur showed presence hemodynamically significant patent ductus arteriosus. After two cycles intravenous ibuprofen standard doses (three per cycle: 10...
PDA varies according to gestational age and birth weight; it is more frequent among girls too. According some series, about 30% of preterm infants with a weight below 1,500 g present hemodynamically significant (HS-PDA) in the first days life. Clinical course: On day 25 (D25) life, fluoroscopic exam confirmed diagnosis left hemidiaphragmatic paralysis. Due increase respiratory work despite support NCPAP for 18 X-ray repetition, we decided perform plication. She had good recovery after...
Anomalies of the systemic venous return to heart are infrequent, occurring more often in patients with congenital disease.We present a patient heterotaxy, univentricular circulation, and hemiazygos who underwent Kawashima procedure at 3 years age. Fourteen later, she developed increased cyanosis tiredness. The symptoms clearly improved after an off-pump derivation hepatic drainage from common atrium system.This rare case report addresses surgical challenges imposed by complex disease...
We report the clinical case of a 38 weeks gestational age neonate, antenatally diagnosed with left large macrocystic pulmonary malformation conditioning dextrocardia. At birth, he presented respiratory distress requiring non-invasive ventilation high-flow nasal cannula (HFNC). A inferior lobectomy was performed via thoracotomy on day 21 life. Histological features lesion were compatible congenital airway (CPAM) type I muci- nous cell clusters. No surgical complications reported and neonate...
Postoperative chylothorax can be a serious complication. We report on the case of neonate who had postoperative immediately after esophageal surgery that did not respond to conservative measures or first two attempts surgical management chylothorax. Lastly, successful pleuroperitoneal shunt was placed and patient discharge at 3-months-old. A is usually last option but may curative measure.
This large atrial mass was removed from a 33-yearold patient admitted to the emergency department for severe venous congestion. Its hard texture, grayish discolouration and wall infiltration prompted radical excision partial reconstruction. Histopathology compatible with thrombus, discarding malignancy.
COVID-19 pandemic forced a change in health care resources and provision due to the emergence of new group patients, requiring extraordinary protective measures adoption organization for treatment urgent or priority negative patients. We reviewed our practice during first period evaluate surgical outcomes identify if patients submitted thoracic surgery had an increased risk being infected die.We retrospectively results between 11th March 15th May 2020. Thirty underwent at Department...