SC - Sistema Cardiovascular (doenças cardiovasculares)
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Browsing SC - Sistema Cardiovascular (doenças cardiovasculares) by Author "Antunes, N."
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- Pulmonary embolism with thromboembolus in transitPublication . Silva-Vieira, M.; Anjo, D.; Antunes, N.; Cyrne-Carvalho, H.; Torres, S.
- Successful management of Listeria monocytogenes pericarditis: case report and review of the literature.Publication . Dias, V.; Cabral, S.; Anjo, D.; Vieira, M.; Antunes, N.; Carvalheiras, G.; Gomes, C.; Meireles, A.; Mendonça, T.; Torres, S.Listeria monocytogenes, although an uncommon cause of illness in the general population, is feared principally because of the morbidity and mortality associated with CNS infections. Cardiovascular involvement with L. monocytogenes is very rare, and has been limited to endocarditis. We describe a case of Listeria pericarditis, which occurred in a 60-year-old man with Child-Pugh B cirrhosis who presented to the emergency department with asthenia, anorexia, and respiratory distress. The echocardiogram showed severe pericardial effusion and after pericardiocentesis, L. monocytogenes was isolated in the culture of pericardial fluid. After surgical pericardiectomy with draining of the pericardial effusion and antibiotic treatment with ampicillin, the patient experienced a slow, but full recovery. Documentation of L. monocytogenes pericarditis is an extremely rare entity with very scarce reports in medical literature, and is usually associated with a very poor prognosis. A case report is presented together with a review of the literature.
- Triple, simultaneous, very late coronary stent thrombosisPublication . Silva-Vieira, M.; Luz, A.; Anjo, D.; Antunes, N.; Santos, M.; Cyrne-Carvalho, H.; Torres, S.Abstract Coronary artery stent thrombosis is an uncommon but potentially catastrophic complication. The risk of very late stent thrombosis (VLST) raises important safety issues regarding the first generation of drug-eluting stents (DES). Although several complex mechanisms for VLST have been suggested and various predictors have been described, its pathophysiology is not completely understood and it is not known whether longer-term dual antiplatelet therapy reduces the risk. We present a rare case of simultaneous very late DES thrombosis in the three vascular territories, following discontinuation of antiplatelet therapy seven years after stent placement, presenting as cardiogenic shock.