Publications by authors named "J Pinheiro-Torres"
Article Synopsis
- The study examines the use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for patients experiencing drug-refractory electrical storm (ES) without reversible causes, highlighting a significant medical challenge that lacks clear treatment guidelines.
- It includes a retrospective analysis of data from four Iberian centers, involving 34 patients who required VA-ECMO for this condition, primarily characterized by various forms of ventricular tachycardia and fibrillation.
- Complications were common, such as infections and bleeding, but the study reports that 79% of patients survived to hospital discharge, with some undergoing heart transplantation, while others faced rehospitalization due to recurrent ES during follow-up.
Although coronary angiography (CA) is the gold standard for coronary allograft vasculopathy (CAV) screening, non-invasive modalities have arisen as potential alternatives, such as coronary computed tomography angiography (CCTA). CCTA also quantifies plaque burden, which may influence medical treatment. From January 2021 to April 2022, we prospectively included heart transplant recipients who performed CCTA as a first-line method for CAV detection in a single center.
View Article and Find Full Text PDFVentricular Pseudoaneurysm After Myocardial Infarction: A Case Report.
Port J Card Thorac Vasc Surg
July 2023
A 66-year-old female patient was admitted to hospital care in March 2021 due to aggravating fatigue and dyspnoea. Her past medical history was relevant for chronic anaemia, smoking, dyslipidaemia, antiphospholipid syndrome and lupus-like mixed connective tissue disease, for which she was taking corticosteroids. She had suffered an acute coronary syndrome in August 2020, complicated with postinfarction pericarditis; at the time, coronariography diagnosed moderate disease of the anterior descending artery and occlusion of the circumflex artery.
View Article and Find Full Text PDFArticle Synopsis
- * A heart transplant recipient with disseminated TB presented with skin abscesses that were misdiagnosed as a bacterial infection, but the correct diagnosis was confirmed through specific testing for Mycobacterium tuberculosis.
- * The patient experienced complications due to immune reconstitution inflammatory syndrome but improved significantly after adjusting treatment, showing a positive response to antituberculous therapy over six months.
Article Synopsis
- Cytomegalovirus (CMV) infection is a common issue after solid organ transplants, particularly occurring within the first 6 months post-surgery in 86% of cases.
- CMV can lead to serious gastrointestinal issues like esophagitis and duodenitis, with the rare occurrence of infection in the pancreatobiliary system.
- A case study highlights a heart transplant recipient who experienced duodenitis and a pseudotumor due to CMV, which was effectively treated with valganciclovir, underscoring the need for better risk assessment tools for late-onset CMV disease in transplant patients.