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Diaphragmmatic eventration: long-term follow-up and results of open-chest plica...
Calvinho, P; Bastos, C; Bernardo, JE; Eugénio, L; Antunes, MJObjective: Diaphragmmatic eventration is a relatively uncommon entity with a simple surgical correction technique - plication of the diaphragm. This study aims to assess the clinical and ventilatory impact of this technique. Materials: From April 1988 to February 2007, we operated on 20 patients (12 men) with diaphragmmatic eventration using the postero-lateral approach and correction by radial plication. The m...
Lung metastases from colorectal cancer: surgical resection and prognostic factors
Rama, N; Monteiro, A; Bernardo, JE; Eugénio, L; Antunes, MJOBJECTIVE: To analyse our experience with excision of lung metastases from colorectal carcinoma (CRC), and to evaluate clinically relevant prognostic factors, identifying the cluster of patients who would benefit from this procedure. METHODS: Sixty-one patients, 42 men (69%), with primary CRC who underwent 94 curative resections of pulmonary metastases were retrospectively reviewed. Age was 30-80 years (mean 61...
Primary left atrial haemangioendothelioma
Messias, P; Bernardo, JE; Antunes, MJWe describe the case of a 21-year-old female patient with epithelioid haemangioendothelioma of the roof of the left atrium. The patient underwent radical resection of the tumour with large disease-free margins, which required reconstruction of left and right atrial superior walls. The prognosis is unpredictable, but life expectancies ranging from 1 to 20 years have been described. There is no single treatment t...
Diagnostic value of surgical lung biopsy: comparison with clinical and radiolog...
Coutinho, GF; Pancas, R; Magalhães, E; Bernardo, JE; Eugénio, L; Antunes, MJOBJECTIVE: To determine overall and disease-related accuracy of the clinical/imagiological evaluation for pulmonary infiltrates of unknown aetiology, compared with the pathological result of the surgical lung biopsy (SLB) and to evaluate the need for the latter in this setting. METHODS: We conducted a retrospective review of the experiences of SLB in 366 consecutive patients during the past 5 years. The presump...
Cirurgia do aspergiloma pulmonar: curativa?
Bernardo, JE; Calvinho, P; Eugénio, L; Antunes, MJIntroduction.In lhe last few decades, there has been an increase in fungal diseases, especially in those caused by Aspergillus.The aim of this retrospective study was to confirm or ascertain whether surgical intervention to pulmonary aspergiloma can result in a cure or long term palliative treatment with improvement of quality of life. Methods and materiais. From 1989 to 2001, 23 patients with mean age of 44.1 ...
Mediastinitis after aorto-coronary bypass surgery
Antunes, PE; Bernardo, JE; Eugénio, L; Oliveira, JF; Antunes, MJOBJECTIVES: To identify risk factors in 60 cases of mediastinitis amongst 2512 patients (2.3%) subjected to isolated coronary bypass surgery from March 1988 through December 1995, treated by a closed irrigation/drainage system. PATIENTS AND METHODS: The mean age of the 60 patients was 56.9 +/- 6.8 years (45-81 years) and 55 (91.6%) were male. Early mediastinal reexploration was performed in all cases immediate...
Surgery of chest wall deformities
Matos, AC; Bernardo, JE; Fernandes, LE; Antunes, MJOBJECTIVE: To evaluate the medium-term results of 77 surgical corrections in patients with chest wall deformities, 53 (68.8%) with pectus excavatum and 24 with pectus carinatum, operated upon from 1985 to 1994. METHODS: The mean age of the patients was 14.7 years (4-39 years) and 77% were younger than 15 years of age. There were 59 male (76.7%) and 18 female patients. Only four had a family history of the malf...
Coronary artery bypass surgery with intermittent aortic cross-clamping
Antunes, MJ; Bernardo, JE; Oliveira, JM; Fernandes, LE; Andrade, CMDespite the generally accepted use of cardioplegia for myocardial protection during cardiac revascularization and other operations, non-cardioplegic methods have been used by many surgeons throughout the world. We have prospectively studied 229 patients consecutively subjected to isolated coronary artery bypass surgery from March 1990 to February 1991 by a single surgeon who used intermittent aortic cross-clamp...
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