FABRICIO JOSE DE SOUZA DINATO

(Fonte: Lattes)
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Lattes
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Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico

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Autor e Coautores FMUSP-HC Normalizados: PABLO MARIA ALBERTO POMERANTZEFF ×

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  • article 1 Citação(ões) na Scopus
    Resection of Left Atrial Myxoma in a Patient with Retrosternal Gastric Tube: a Case Report
    (2017) POMERANTZEFF, Pablo Maria Alberto; VERONESE, Elinthon Tavares; DINATO, Fabricio Jose; JATENE, Fabio Biscegli
    The median sternotomy remains the standard approach in cardiovascular surgery but, in some conditions, it can be considered difficult to perform, especially in patients with history of esophagectomy. This case report describes a successful resection of a left atrial myxoma through a right anterolateral thoracotomy approach in a patient with a previous retrosternal gastric tube reconstruction. The decision for the best surgical approach was made after a heart surgery team discussion. Through this surgical access, a safe and excellent exposure of the left atrium was possible, and a complete resection of the myxoma was performed without any injury to the gastric tube.
  • article 0 Citação(ões) na Scopus
    Redo aortic valve surgery in a case of dextrocardia with situs inversus totalis
    (2022) DINATO, Fabricio Jose; BRANDAO, Carlos Manuel de Almeida; VERONESE, Elinthon Tavares; POMERANTZEFF, Pablo Maria Alberto; JATENE, Fabio Biscegli
    Introduction: Dextrocardia is a rare congenital cardiac anomaly where the base-apex axis of the heart is directed to the right side. It may be associated with situs solitus, situs inversus, or situs ambiguous. Such cases are technically challenging when heart surgery is needed. Presentation of case: We presented a case of a patient with dextrocardia and situs inversus totalis, who had severe aortic bioprosthetic valve degeneration needing a redo aortic valve replacement. Our operative strategy was to change the position of the main surgeon to the left side of the patient to perform most surgical steps. Discussion: A meticulous pre-operative surgical plan involving the whole team was very important for a smooth intra-operative course and a favourable outcome. Regarding the position of the main surgeon standing on the left side of the patient, we believed this surgical team arrangement added much to the technical ease for the pro-cedure, since the anatomy was opposite to what our minds are used to. Also, computed tomography scan played a crucial role for a proper preoperative anatomical evaluation and surgical planning. Conclusion: Our approach with the surgeon on the left side provided excellent exposure for redo aortic valve replacement in dextrocardia with situs inversus totalis. This surgical management played an important role for the good result in this technically challenging scenario.