Browsing by Issue Date, starting with "2006-04"
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- Hematuria after ureteraliliacPublication . PALACIOS, A.; MASSO, P.; OSORIO, L.; OLIVEIRA, A.; SOARES, J.; MARCELO, F.Arch Esp Urol. 2006 Apr;59(3):287-9. [Hematuria after ureteral-iliac aneurysm rupture] [Article in Spanish] Palacios A, Massó P, Osorio L, Oliveira A, Soares J, Marcelo F. Servicio de Urología, Hospital General de Santo Antonio, Porto, Portugal. aphmmx5@hotmail.com Abstract OBJECTIVE: Ureteral-iliac artery fistula is a rare condition. We perform a bibliographic review and report a case of ureter-iliac artery fistula reviewing its major differential diagnosis. METHODS: This case-study describes a patient with massive hematuria that presented a ureter-iliac artery fistula secondary to spontaneous rupture of an internal iliac artery aneurysm. RESULTS: 86 -year-old male patient with history of previous surgery for aneurysm and ureteral catheterization. CONCLUSIONS: This difficult diagnosis should be thought of in a patient with massive macroscopic hematuria and previous vascular surgery. The treatment is always surgery. PMID: 16724715 [PubMed - indexed for MEDLINE
- Myocardial bridging: retrospective analysis and scintigraphic testing of patients with no angiographically significant atherosclerotic coronary disease.Publication . Luz, A.C.; Silveira, J.; Palma, P.; Cyrne-Carvalho, H.; Albuquerque, A.; Amorim, I.; Gomes, L.Rev Port Cardiol. 2006 Apr;25(4):397-406. Myocardial bridging: retrospective analysis and scintigraphic testing of patients with no angiographically significant atherosclerotic coronary disease. [Article in English, Portuguese] Luz A, Silveira J, Palma P, Carvalho HC, Albuquerque A, Amorim I, Gomes L. SourceServiço de Cardiologia, Hospital Geral de Santo António, Porto, Portugal. andre_luz@sapo.pt Abstract INTRODUCTION AND OBJECTIVE: The clinical relevance of myocardial bridging (MB) is a matter of debate. The objective of this work was to examine its prevalence, clinical presentation, prognosis, and functional features on scintigraphy in a group of patients with no significant atherosclerotic coronary disease. METHODS: We retrospectively examined 7039 consecutive cardiac angiograms performed between January 1994 and December 2004, selecting cases in which MB was not accompanied by significant coronary disease (defined as luminal stenosis > 50%), valvular heart disease or cardiomyopathy. Patient characteristics such as age, gender, vascular risk factors and clinical presentation were recorded. We then contacted these patients by telephone to determine cardiovascular events since diagnosis (hospitalization, infarction, death) or symptoms of angina, and to invite them for myocardial perfusion scintigraphy (MPS) with stress testing. RESULTS: The prevalence of MB was 0.97% (68 patients). The study population without significant coronary disease, valvular heart disease or cardiomyopathy was composed of 31 subjects, mean age 51.45 +/- 13.77 years, 94% (29 patients) male. Clinical presentations were: non-ST elevation acute coronary syndromes with or without biomarkers of necrosis 34% (14 patients), stable angina 23% (7 patients), atypical chest pain 16% (5 patients), ST-elevation myocardial infarction 13% (4 patients), other 3% (1 patient). Left ventricular function was normal in all patients, and angiography showed MB of the left anterior descending artery, 63% (19 patients) in the mid portion, and 33% (12 patients) in the distal portion. All subjects were treated medically. We were able to contact 24 (77%) of the 31 patients, all of whom underwent MPS; mean time since angiography was 61.25 months, with no cardiovascular events (hospitalization, infarction, death) or symptomatic angina. MPS only identified three patients with findings consistent with anterior wall ischemia. CONCLUSIONS: In this series, 58% of the patients with MB and no significant atherosclerotic coronary disease presented with acute coronary syndromes. In all the subjects contacted, the prognosis had been good during the time since diagnosis. In the majority of them, no signs of ischemia were detected on MPS. PMID: 16869205 [PubMed - indexed for MEDLINE]
- Minimal invasive surgical of intersex abnormalities: our experiencePublication . Recamán, M.; Bonet, B.; Enes, C.; Cidade-Rodrígues, J.
- Activation of ERK1/2 MAP kinases in familial amyloidotic polyneuropathyPublication . MONTEIRO, F.A.; SOUSA, M.M.; CARDOSO, I.; Barbas-Amaral, J.; GUIMARAES, A.; SARAIVA, M.J.J Neurochem. 2006 Apr;97(1):151-61. Epub 2006 Mar 3. Activation of ERK1/2 MAP kinases in familial amyloidotic polyneuropathy. Monteiro FA, Sousa MM, Cardoso I, do Amaral JB, Guimarães A, Saraiva MJ. Molecular Neurobiology, Instituto de Biologia Celular e Molecular, ICBAS, University of Porto, and Estomatology, Maxillofacial Surgery, Hospital Geral de Santo António, Portugal. Abstract Familial amyloidotic polyneuropathy (FAP) is a neurodegenerative disorder characterized by the extracellular deposition of transthyretin (TTR), especially in the PNS. Given the invasiveness of nerve biopsy, salivary glands (SG) from FAP patients were used previously in microarray analysis; mitogen-activated protein (MAP) kinase phosphatase 1 (MKP-1) was down-regulated in FAP. Results were validated by RT-PCR and immunohistochemistry both in SG and in nerve biopsies of different stages of disease progression. MKP-3 was also down-regulated in FAP SG biopsies. Given the relationship between MKPs and MAPKs, the latter were investigated. Only extracellular signal-regulated kinases 1/2 (ERK1/2) displayed increased activation in FAP SG and nerves. ERK1/2 kinase (MEK1/2) activation was also up-regulated in FAP nerves. In addition, an FAP transgenic mouse model revealed increased ERK1/2 activation in peripheral nerve affected with TTR deposition when compared to control animals. Cultured rat Schwannoma cell line treatment with TTR aggregates stimulated ERK1/2 activation, which was partially mediated by the receptor for advanced glycation end-products (RAGE). Moreover, caspase-3 activation triggered by TTR aggregates was abrogated by U0126, a MEK1/2 inhibitor, indicating that ERK1/2 activation is essential for TTR aggregates-induced cytotoxicity. Taken together, these data suggest that abnormally sustained activation of ERK in FAP may represent an early signaling cascade leading to neurodegeneration. PMID: 16515552 [PubMed - indexed for MEDLINE]
- Reconstruction of velopharyngeal sphincter in secondary Cleft Palate: surgical alternativePublication . Recamán, M.; Bonet, B.; Leitão, J.; Mesquita, A.Cir Pediatr. 2006 Apr;19(2):106-10. [Reconstruction of velopharyngeal sphincter in secondary Cleft Palate: surgical alternative] [Article in Spanish] Recamán M, Bonet B, Leitão J, Mesquita A. Hospital Central e Especializado de Crianças Maria Pia, Serviço de Cirurgía Plástica. monicarec@iol.pt Abstract There are numerous surgical procedures for the repair of Cleft Palate (CP). Since 1998, in children with CP we use a modified Wardill-Kilner technique, with a large section of the nasal mucous layer at the level of the muscular insertion on the hard palate and lateral nasopharingeal wall, obtaining a push-back and reorientation of the muscular fibres without dissection, diminishing this way the risks of haemorrhages and fibrosis, simplifying the intervention. It allows a lower operative time and a short internment. The aim of our study was to evaluate the results of this operative procedure specially in the development of the speech in 73 children operated on from 1998 until 2000 in our hospital. We verify a competence of the velopharingeal sphincter with ideal results in speech in 88,8% of the cases. PMID: 16846134 [PubMed - indexed for MEDLINE
- Massive lower gastrointestinal bleeding from idiopathic ileocolonic varix: report of a casePublication . LOPES, L.M.; RAMADA, J.M.; CERTO, M.G.; PEREIRA, P.R.; SOARES, J.M.; RIBEIRO, M.; AREIAS, J.; PINHO, C.Dis Colon Rectum. 2006 Apr;49(4):524-6. Massive lower gastrointestinal bleeding from idiopathic ileocolonic varix: report of a case. Lopes LM, Ramada JM, Certo MG, Pereira PR, Soares JM, Ribeiro M, Areias J, Pinho C. SourceGastroenterology Department, Hospital Geral Santo António, Porto, Portugal. Luis.m.lopes@sapo.pt Abstract Idiopathic varices of the entire colon are very rare. We report on a 64-year-old patient with massive lower gastrointestinal hemorrhage from an extensive ileocolonic varix. Diagnosis was established by colonoscopy. The patient underwent an emergency ileocolectomy with satisfactory results. This rare case shows the importance of colonoscopy in the evaluation of patients with lower gastrointestinal hemorrhage and reminds us that sometimes the diagnosis is not what we expect. Recognition of this abnormality is important because varices may be the cause of massive lower gastrointestinal hemorrhage. PMID: 16395635 [PubMed - indexed for MEDLINE]