Scientific publications

Longitudinal outcomes of robotic aortic valve replacement in an international multicenter experience

Publication: Longitudinal outcomes following international multicentre experience with robotic aortic valve replacement.

Analyzes mid- and long-term outcomes of robotic aortic valve replacement compared with conventional and transcatheter approaches.

2024

Native mitral valve endocarditis: robotic cardiac surgical repair

Publication: Native mitral valve endocarditis: Robotic cardiac surgical repair.

Discusses mitral valve endocarditis and the use of a robotic approach for valve repair in complex cases.

2024

Outcomes following initial multicenter experience with robotic aortic valve replacement: defining a path forward

Publication: Outcomes following initial multicenter experience with robotic aortic valve replacement: Defining a path forward

Amid growing transcatheter and minimally invasive options, robotic aortic valve replacement emerges as an alternative to conventional sternotomy. The text discusses the evolution of the technique and the initial outcomes of robotic aortic valve surgery.

2024

Robotic cardiac surgery for removal of an embolized iliac venous stent in the right cardiac chambers: a case report

Publication: Robotic cardiac surgery for removal of iliac venous stent embolized in the right cardiac chambers: a case report.

Cardiac stent embolization following iliac venous angioplasty for May-Thurner syndrome is a rare and serious complication, with few cases described in the literature. Most reported cases progressed to open cardiac surgery after failed endovascular treatment. This report describes the successful treatment via minimally invasive robotic cardiac surgery, without the need for sternotomy, cardioplegia, or aortic cross-clamping.

2022

Robotic mitral valve surgery in Latin America

Publication: Robotic mitral valve surgery in Latin America.

Discusses the rising prevalence of mitral valve disease and the application of robotic surgery in valve treatment across Latin America.

2022

Introduction to robotic cardiac surgery

Publication: Cirurgia cardíaca robótica.

Presents the evolution of minimally invasive and robotic cardiac surgery since the 1990s, highlighting reduced surgical trauma and faster patient recovery.

Transplant & Circulatory Support

2021

First combined heart-liver transplant in Brazil for transthyretin mutation amyloidosis: impact of the liver on reducing anti-HLA antibodies

Publication: Primeiro Transplante Duplo Coração-Fígado em Amiloidose por Mutação da Transtirretina no Brasil: Impacto do Fígado na Redução de Anticorpos anti-HLA.

Cardiac amyloidosis is characterized by amyloid deposits in the myocardium with functional impairment. Transthyretin (TTR), produced mainly by the liver, can carry mutations associated with familial amyloid polyneuropathy. Combined heart-liver transplantation is a therapeutic strategy with good outcomes in selected cases, potentially reducing immune rejection, especially in HLA-sensitized patients.

2020

Perioperative Management

Cardiac surgery management guidelines during the COVID-19 pandemic

Publication: Condutas em Cirurgia Cardíaca no Cenário da Pandemia por COVID-19.

Guidelines for adapting cardiac surgery practice during the COVID-19 pandemic, focusing on safety, resource optimization, and infection control.

2018

Surgical treatment of atrial fibrillation

Publication: Tratamento Cirúrgico da Fibrilação Atrial.

Analyzes atrial fibrillation as a risk factor in cardiac surgery and its impact on clinical outcomes.

2018

Periareolar access for minimally invasive cardiac surgery

Publication: Periareolar Access for Minimally Invasive Cardiac Surgery - The Brazilian Technique.

Describes periareolar access techniques for minimally invasive cardiac surgery, with growing use of video-assisted thoracoscopy.

2017

Update of the Brazilian valve disease guidelines: approach to anatomically significant lesions

Publication: Atualização das diretrizes brasileiras de valvopatias: abordagem das lesões anatomicamente importantes.

Guideline addressing the anatomical and functional diagnosis of valve disease, defining criteria for surgical or percutaneous intervention based on disease severity and clinical stages.

2016

Robotic cardiac surgery in Brazil

Publication: Robotic cardiac surgery in Brazil

Evaluates short- and medium-term outcomes of robotic cardiac surgery in Brazil since its introduction in 2010.

Transplant & Circulatory Support

2016

Profile of patients undergoing heart transplantation at a Brazilian hospital: comparison with the ISHLT registry

Publication: Population Profile Submitted to Cardiac Transplantation in a Brazilian Hospital: Comparison Involving the Registry of ISHLT.

Analyzes the profile of patients undergoing heart transplantation and hemostatic and immunological management strategies.

2015

Diagnostic Imaging

Three-dimensional echocardiography for percutaneous occlusion of patent foramen ovale

Publication: Three-dimensional Echocardiography for Percutaneous Occlusion of Patent Foramen Ovale.

Describes the use of three-dimensional echocardiography in the percutaneous occlusion of patent foramen ovale.

2013

Robotic surgery in cardiology: a safe and effective procedure

Publication: Robotic surgery in Cardiology: a safe and effective procedure.

Evaluates outcomes of robotic cardiac surgery across different procedures, including valve repair, revascularization, and intracardiac resections.

2013

SBCCV manual on robotic surgery for intracardiac defects

Publication: Manual SBCCV de cirurgia robótica nos defeitos intracardíacos.

Technical manual on robotic cardiac surgery, highlighting its application in the correction of intracardiac defects and historical milestones in Latin America.

Transplant & Circulatory Support

2012

Extracorporeal membrane oxygenation (ECMO): an underused therapy?

Publication: Oxigenação extracorpórea por membranas (ECMO): uma terapia subutilizada?

Explains the use of ECMO as temporary pulmonary and/or cardiac support in cases of acute organ failure.

2012

Robot-assisted minimally invasive surgery for atrial septal defect correction

Publication: Cirurgia minimamente invasiva robô-assistida na correção da comunicação interatrial

Reports the use of minimally invasive robotic surgery in the correction of atrial septal defect, highlighting its application in congenital heart defects.

Myocardial Revascularization

2012

Minimally invasive myocardial revascularization surgery

Publication: Cirurgia de revascularização do miocárdio minimamente invasiva

Describes the evolution of myocardial revascularization surgery using minimally invasive techniques as an alternative to conventional surgery.

2011

Perioperative Management

Randomized controlled trial of preoperative electroacupuncture for postoperative pain control in cardiac surgery

Publication: Randomised controlled study of preoperative eletroacupuncture for postoperative pain control after cardiac surgery

Evaluates the effects of preoperative electroacupuncture on reducing opioid use after cardiac surgery.

2009

Video-assisted cardiac surgery: results from a pioneer project in Brazil

Publication: Video-assisted cardiac surgery: results from a pioneer project in Brazil.

Describes a pioneering experience in video-assisted cardiac surgery in Brazil across different minimally invasive procedures.

2009

Minimally invasive video-assisted correction of atrial septal defect and myocardial revascularization

Publication: Minimally invasive video-assisted atrial septal defect correction and myocardial revascularization.

Reports the correction of an atrial septal defect and myocardial revascularization using a minimally invasive video-assisted approach.

2009

Therapeutic update on minimally invasive cardiac surgery

Publication: Atualização terapêutica em cirurgia cardíaca minimamente invasiva.

Presents the evolution of minimally invasive cardiac surgery techniques, with reduced surgical trauma, smaller incisions, and better postoperative recovery without compromising outcomes.

2007

Video-assisted minimally invasive mitral valve replacement

Publication: Troca valvar mitral minimamente invasiva videoassistida.

Case report of a successful mitral valve replacement using a video-assisted minimally invasive technique.

Experimental Research

Use of small intestinal submucosa as a pericardial substitute in dogs: macroscopic and microscopic analysis

Publication: Utilização da submucosa do intestino delgado como substituto pericárdico em cães: análise macro e microscópica.

Experimental study in dogs evaluating intestinal submucosa as a pericardial substitute, with macroscopic and microscopic analysis.

Minimally invasive cardiac surgery in Brazil

Publication: Minimally invasive cardiac surgery in Brazil.

Discusses the evolution of minimally invasive cardiac surgery and the pursuit of less aggressive techniques with better clinical outcomes.

Five years of experience with the Ross procedure: what have we learned?

Publication: Cinco anos de experiência com a operação de Ross: o que aprendemos?

Analyzes the choice of aortic valve substitutes in young patients, comparing mechanical prostheses, bioprostheses, and homografts, along with their advantages and limitations.

Mitral homografts: a reality

Publication: Mitral homografts: a reality.

Discusses the use of valve homografts, noting good hemodynamic performance, low thromboembolism incidence, and infection resistance, despite limited durability.

Myocardial Revascularization

1996

Myocardial revascularization with the radial artery: a clinical and angiographic study

Publication: Myocardial Revascularization With the Radial Artery: A Clinical and Angiographic Study.

Clinical and angiographic study on the use of the radial artery as a graft in myocardial revascularization.

1996

Initial surgical experience with the Ross procedure (pulmonary autograft)

Publication: Experiência cirúrgica inicial com a operação de Ross (auto-enxerto pulmonar).

Report on the initial experience with the Ross procedure in patients with aortic valve disease.

1995

Aortic valve replacement with pulmonary autograft (Ross procedure)

Publication: Substituição da Valva Aórtica com Auto-enxerto Pulmonar (Cirurgia de Ross). Experiência Inicial.

Report on the initial experience with the Ross procedure in patients with aortic valve disease.

Myocardial Revascularization

1995

Myocardial revascularization with the radial artery: a sequential clinical and angiographic study

Publication: Revascularização do miocárdio com artéria radial: estudo clínico e angiográfico sequencial

Clinical study on the use of the radial artery in myocardial revascularization with sequential angiographic assessment.