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Biomedical subjects

Germano do Carmo

Publications and source records attributed to Germano do Carmo.

10 recordsLinked to original sources
PubMed2002

A new approach for the surgical management of unilateral iliac artery occlusive disease: the iliofemoral crossover transposition.

Aortobifemoral bypass remains the standard therapy for aortoiliac occlusive disease. Extraanatomic revascularization has been considered as an acceptable alternative and provides reasonable long-term results. Because some of the causes for its failure are related to the prosthetic material used, a technique that uses autologous material and is applicable in patients with unilateral common iliac lesions was developed. Iliofemoral crossover transposition is a femorofemoral bypass procedure in which the external iliac artery is used as a graft. The procedure is easily performed and avoids the use of prosthetic materials, minimizing the risks of their related complications. Because its biologic behavior, including hemodynamic performance, has proven to be excellent, satisfactory long-term results can be anticipated.

Adult↗
PubMedDate not supplied

[Rupture of an abdominal aortic aneurysm with concomitant aorto-caval fistula].

Aorto-caval fistulas are one of the most uncommon complications of infrarenal aortic aneurysms and have a high pre and perioperative mortality rates. Its prompt diagnosis and early treatment may be helpful in lowering the surgical morbidity and mortality. One successfully treated case of a ruptured aortic aneurysm with concomitant aorto-caval fistula is reported, discussing the clinical presentation, the diagnosis and the details of the surgical techniques employed.

Aged↗
PubMedDate not supplied

[Isolated obstructive lesions of the cervical common carotid: clinical and surgical aspects].

Isolated lesions of the extra-thoracic common carotid arteries are unusual in clinical practice. Contrarily to the well known lesions of carotid bifurcation, its natural history is poorly understood and indications for surgical management are not well defined. In this paper, seven patients with isolated lesions of the common carotid arteries are reported, being two symptomatic (TIA's). Patients underwent successful surgical management. The main features of clinical presentation, diagnosis and surgical management are presented and discussed

Aged↗
PubMedDate not supplied

[Mycotic rupture of the reno-external iliac artery anastomosi following kidney transplantation].

Two clinical cases of an unusual complication of the renal transplantation are reported, consisting in the infection of the arterial wall by fungi of the species Candida Albicans and Aspergillus, which caused acute ruptures of the external iliac artery and hypovolemic shock. The main features of the pathogenesis of the infection, its diagnosis, management and prevention are subjected to analysis and discussion.

Adult↗
PubMedDate not supplied

[The use of superficial femoral veins in reconstructive surgery of aortic prosthesis infection (Clagett's operation)].

Prosthetic aortic infection still represents an enormous challenge to the possibilities of contemporary reconstructive vascular surgery, particularly in terms of diagnosis and surgical management, and is accompanied by high mortality and morbidity rates. Several surgical methods have been devised and employed, including the extra-anatomic bypasses and the in "situ" revascularization. The later uses either antibiotic bounded prosthesis, or biologic homologous conduits, including cryopreserved allografts or autologous arteries and veins. The authors report the clinical condition of a 73 years old male with an infected aortic prosthesis, who underwent the complete removal of the infected graft, followed by an interposition of a venous autograft composed by two superficial femoral veins, removed from both thighs (Clagett's operation). The procedure was extremely well succeeded and the patient was discharged one month later. Reviewed one year later he was found in good condition and free of symptoms.

Aged↗
PubMedDate not supplied

[Eversion carotid endarterectomy].

It is widely accepted and proved the role of carotid endarterectomy in the prevention of cerebrovascular insufficiency. Some mater of controversy lies, presently, apart the role of the endovascular treatment, in the techniques of choice for the endarterectomy, as well as in the method employed for the arteriotomy closure. The authors report their experience with the eversion endarterectomy technique, discussing the results and enhancing the main indications of this alternative method for carotid endarterectomy.

Aged↗
PubMedDate not supplied

[Lemierre's syndrome].

Lemierre's syndrome (LS) is an uncommon but potentially life-threatening complication of an anaerobic oropharyngeal infection, affecting young adults and adolescents. The disease is characterised by a septic thrombophlebitis of the internal jugular vein and "metastatic" infections, which can be followed by fulminant sepsis and rapid death. More recently, it has been reported a recrudescence of this condition, which could be attributable to alterations in antibiotic usage patterns. The authors report the case of a LS secondary to a bout of intense cough, a cause not yet described in the literature, highlighting the importance of a quick diagnosis and the institution of an appropriate therapy.

Cough↗
PubMedDate not supplied

[Aneurysm of the superior mesenteric artery in the context of a multianeurismatic disease. Case report].

Aneurysms of the superior mesenteric artery are one of the most uncommon visceral artery aneurysms. Despite its rarity they course with high risks of rupture and many constitute a permanent threat to patients's life. The authors report the clinical condition of a male patient, with a large aneurysm of the superior mesenteric artery, diagnosed through the image techniques made during the follow-up of a previously operated aorto-iliac and bilateral popliteal aneurysms. Its clinical presentation and the surgical management are subjected to presentation and discussion.

Aneurysm↗
PubMedDate not supplied

[Infectious endocarditis: a current overview on an "old" disease].

The infectious endocarditis, first described by William Osler in 1885, is and still remains nowadays as a severe disease, with difficult diagnosis and coursing with high morbi-mortality rates. However, along the years, the disease showed significant modifications in its epidemiology, risk factors, etiologic agents, new study and diagnostic tests and new treatment modalities, medical and surgical, which are the subject of an extensive review by the author, based on an accumulated clinical experience during the last three decades.

Endocarditis, Bacterial↗