Domingo Marcolino Braile
Hospital de Base
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Publication
Featured researches published by Domingo Marcolino Braile.
Revista Brasileira De Cirurgia Cardiovascular | 1998
Domingo Marcolino Braile; João Carlos Ferreira Leal; Marcelo José Soares; Moacir Fernandes de Godoi; Odilar Paiva; Orlando Petrucci júnior; Antônio Carlos Brandi; Maria Cristiane Valéria Braga Braile; Luis Ernesto Avanci; Marcos Zaiantchick
Objective: To present the experience with myocardial revascularization by Minimally Invasive Direct Coronary Artery Bypass Graft via left anterior minithoracotomy without extracorporeal circulation (MIDCAB). Material and Methods: 46 patients were submitted to MIDCAB from February 1997 to January 1998. Everyone has obstructive disease in the proximal portion of the interventricular descending artery (IDA). The technique consisted of a small transverse incision, of about 8.0 cm, traverse, in the left infra-mammary area, allowing good visibility and easy access for dissection of the thoracic internal artery (TIA) and anastomosis with IDA. The evaluation of the results was made by clinical, laboratory and angiographic control. Results: The mean duration of operation was 2 hours with about 18 hours of permanence in ICU and 5 days of maximum hospital stay. There were no intra-operative deaths. There was a case of sudden death after discharge (15o post-operative day). The patients followed did not refer anginal pain. Four cases of TIA occlusion and 2 AIA stenoses were documented, probably secondary to vessel banding during the procedure. There was no correlation between troponin-I blood levels and occlusion of the graft. It was verified that the levels of troponin-I in patients submitted to MIDCAB were significantly lower than in the conventional procedure. There was no significant clinical complication. Conclusions: MIDCAB has proved to be a useful procedure with low morbidity and mortality, with the possibility of shorter hospital stay and consequent lower cost. The low Troponin-I blood levels indicate reduced myocardial injury during the procedure.
Journal of Cardiothoracic Surgery | 2015
Felipe B. de Salles; O Mejia; Luiz Af Lisboa; Kalil Hussein Khalil; Luís Rp Dallan; La Dallan; Fabio Biscegli Jatene; Marco A. P. Oliveira; Gustavo Judas; Sérgio Almeida de Oliveira; Orlando Petrucci; Rubens Tofano de Barros; Marcos Gradim Tiveron; Valquíria Campagnucci; Felipe Machado; Amauri Groppo; Rafael Tinelli; Roberto Rocha e Silva; Alfredo Rodrigues; Walter J. Gomes; Marcelo A. Nakazone; Domingo Marcolino Braile; Grupo de Estudo Repliccar
Traditionally cardiac surgery risk scores have worse performance in elderly patients. Frailty evaluation may improve EuroSCORE II accuracy in predicting morbimortality
SciELO | 2008
Marcus Vinicius Ferraz de Arruda; Domingo Marcolino Braile; Marcos Rogério Joaquim; Marcelo José Ferreira Soares; Raquel Helena Alves
Cardiac myxoma is the most common primary tumor of the heart. The tumor is located mainly in the left atrium but can arise from any heart chamber. Clinical symptoms are variable but dyspnea and embolism are the most frequent. We report a case of a young man that had embolic ischemic stroke caused by a large left ventricular myxoma. The patient underwent surgery three weeks after the stroke. The tumor was carefully resected without fragmentation. Surgical treatment was effective. We emphasize the rarity of this location together with a review of the current literature.
Revista Brasileira De Cirurgia Cardiovascular | 1998
Serginando L Ramin; Odilar de Paiva Filho; Moacir Fernandes de Godoi; Domingo Marcolino Braile
Capnography has been recommended as an anesthetic technique and the end-tidal carbon dioxide tension (PETCO2) is available in the operating room. PETCO2 is governed by metabolism, ventilation and circulation. When the first two parameters are controlled, PETCO2 reflects the lung flow, therefore the cardiac output. Studies have shown that PETCO2 lower than 20 mmHg is invariably associated with a cardiac output less than 2 L/min, even if other hemodynamic parameters are appropriate. Further increases in the preload, reduction of the afterload, establishment of an appropriate atrioventricular synchrony or increasing inotropy is necessary to increase PETCO2 above 25 mmHg. A considerable body of literature describes the use of PETCO2 to assess the adequacy of cardiopulmonary resuscitation after cardiac arrest. Besides, attempts have been made to use PETCO2 as an alternative to the thermodilution technique for determining cardiac output. Little has been reported of its use in cardiac surgery. From June 1996 to June 1997 we have studied 200 patients, submitted to CPB suggesting that PETCO2 around 27 mmHg would indicate a cardiac output good enough to wean the patients on the cardiopulmonary circulation so long as other hemodynamic and metabolic parameters were adequate. None of the patients required CPB giving us the impression that end-tidal carbon dioxide tension generally indicates an appropriate cardiac output.
Arq. ciênc. saúde | 2010
Hélder I Shibasaki; Marcelo Arruda Nakazone; Marcela Augusta de Souza Pinhel; Gisele F. de Souza; Greiciane M. Silva; Michele Lima Gregório; Anielli Pinheiro; Cibele O. Vianna; Maria C. V. B Brail; Domingo Marcolino Braile; Dorotéia Rossi Silva Souza
Archive | 1994
Domingo Marcolino Braile; Marco Antônio Volpe; Serginando L Ramin; Dorotéia Rossi Silva Souza; Sociedade de Cardiologia do Estado de Säo Paulo
Archive | 2010
Ulisses Alexandre Croti; Domingo Marcolino Braile; Adriana Érica Yamamoto; Ana Carolina Leiroz; Ferreira Botelho; Maisano Kozak
REBLAMPA Rev. bras. latinoam. marcapasso arritmia | 2007
Marcelo José Ferreira Soares; Marcos Aurélio Barboza de Oliveira; Domingo Marcolino Braile
Archive | 2007
Luciano Cabral Albuquerque; Domingo Marcolino Braile; José Honório Palma; Eduardo; Keller Saadi; Walter J. Gomes; Enio Buffolo
Archive | 2001
Orlando Petrucci Junior; Domingo Marcolino Braile
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National Council for Scientific and Technological Development
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