FELIPE BARJUD PEREIRA DO NASCIMENTO

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Instituto de Radiologia, Hospital das Clínicas, Faculdade de Medicina - Médico

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Autor: SANTOS, Glaucia Aparecida Bento dos ×

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  • article 3 Citação(ões) na Scopus
    Right Cardiac Chambers Involvement by a Malignant Testicular Germ Cell Tumor: An Imaging-pathologic Correlation
    (2016) NASCIMENTO, Felipe Barjud Pereira Do; ALBIERI, Lilian; SANTOS, Glaucia Aparecida Bento dos; DOLHNIKOFF, Marisa
    The cardiac chamber's involvement with neoplastic embolism has been rarely reported; it is mostly associated with gastric, breast, lung, liver, and prostate cancers, and usually affects the pulmonary arteries. This paper reports a case of a 31-year-old man with a malignant testicular germ cell tumor who presented with multiple episodes of pulmonary thromboembolism and died of sudden respiratory failure 1 year after the initial diagnosis. Death was attributed to massive pulmonary embolism and pulmonary infarction associated with a neoplastic thrombus that extended from the gonadal veins to pulmonary arteries. A postmortem computerized tomographic angiography and autopsy confirmed this finding. (C) 2016 Elsevier Inc.
  • article 7 Citação(ões) na Scopus
    Detection of the source of hemorrhage using postmortem computerized tomographic angiography in a case of a giant juvenile nasopharyngeal angiofibroma after surgical treatment
    (2015) NASCIMENTO, Felipe Barjud Pereira do; SANTOS, Glaucia Aparecida Bento dos; MELO, Nelson Almeida d'Avila; DAMASCENO, Eduarda Bittencourt; MAUAD, Thais
    Purpose Postmortem computerized tomographic angiography (PMCTA) has been increasingly used in forensic medicine to detect and locate the source of bleeding in cases of fatal acute hemorrhage. In this paper, we report a case of postoperative complication in a patient with a giant juvenile nasopharyngeal angiofibroma in which the source of bleeding was detected by PMCTA. Methods A case description and evaluations of the pre- and postoperative exams, postmortem CT angiogram, and conventional autopsy results are provided. Results The source of bleeding was identified by postmortem CT angiography but not by conventional autopsy. The established protocol, injecting contrast medium into the femoral artery, was effective in identifying the source of bleeding. Conclusions Postoperative bleeding is a rare and frequently fatal complication of juvenile nasopharyngeal angiofibroma. As a complement to conventional autopsy, postmortem angiography is a valuable tool for the detection of lethal acute hemorrhagic foci, and establishing a routine procedure for PMCTA may improve its efficiency.