Revista Argentina de Cirugía Cardiovascular最新文献

{"title":"Treatment of brachial arterial pseudoaneurysm and the importance of early diagnosis with Doppler ultrasonography","authors":"Yamil N. Ponce, Sandra P. Raznovich, Paola Belsito Malaspina","doi":"10.55200/raccv.es.v20.n2.0012","DOIUrl":"https://doi.org/10.55200/raccv.es.v20.n2.0012","url":null,"abstract":"With the increased use of endovascular procedures, a rise in the number of cases of pseudoaneurysms has been seen. They have a low incidence, being its etiology traumatic or iatrogenic. Potential complications are edema, pain, hemorrhage and ischemia of the affected limb, which can even lead to loss of the fingers.We report a clinical case of a patient with brachial artery pseudoaneurysm after coronary angioplasty, which was resolved with Doppler ultrasound- guided puncture with thrombin injection.","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128107667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular approach for penetrating thoracic aorta trauma","authors":"L. F. Cabrera Vargas, I. D. Lozada Martínez","doi":"10.55200/raccv.es.v20.n2.0014","DOIUrl":"https://doi.org/10.55200/raccv.es.v20.n2.0014","url":null,"abstract":"","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130281883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief experience in aortic root occlusion on a valved tube in aortic root aneurysm","authors":"Marcos Alcantaro Montoya, Alejandro Villar Inclan, Maxwell Velascos Salazar, D.P. Yepez Ramos, Damian Arcos","doi":"10.55200/raccv.es.v20.n2.0011","DOIUrl":"https://doi.org/10.55200/raccv.es.v20.n2.0011","url":null,"abstract":"Since 1968, when Bentall and De Bono introduced a novel technique to treat aortic root disease —be it as a result of dissection or aneurysm— surgical mortality improved so much that it became possible to establish this technique as the gold standard for surgical treatment of aortic root disease. Several modifications have been made of the original technique until the present surgery with remodeling or conservation of the aortic valve was developed. In this paper we present our experience with a slight variation of the Bentall technique applied in four patients with aortic root aneurysm that has allowed a reduction of the surgical time and bleeding, fast recovery and easy reproducibility.","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"179 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123720150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tratamiento endovascular de trombo flotante de aorta torácica como fuente embólica arterial","authors":"Juan Marín Peralta, Claudia Marín Heise, Gian Zamboni Torres","doi":"10.55200/raccv.es.v20.n1.0003","DOIUrl":"https://doi.org/10.55200/raccv.es.v20.n1.0003","url":null,"abstract":"Introducción: La presencia de un trombo flotante en la aorta es poco frecuente, cuyo diagnóstico suele ser efectuado mediante angiotac frente a pacientes que presentan cuadros isquémicos de tipo embólico. Cuadro grave que puede terminar con la vida del paciente por complicaciones asociadas a embolias de diferentes territorios, tales como cerebrovascular, extremidades, intestino, riñones y bazo. En la actualidad, el tratamiento es la anticoagulación a largo plazo, asociado a tratamiento quirúrgico en los territorios embolizados. Objetivo: Presentar caso clínico de paciente que consulta por dolor abdominal, cuyo angiotac revela infarto esplénico extenso y trombo aórtico localizado en su porción descendente distal cercano a tronco celíaco, tratado mediante la colocación de endoprótesis aórtica para suprimir la fuente embólica. Discusión: Se analizan el caso y las diferentes alternativas de tratamiento en relación con la presencia de esta fuente embólica localizada en la aorta.","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125461337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RESULTADOS DE LOS TIPOS DE ENDOPRÓTESIS EN LA REPARACIÓN ENDOVASCULAR DEL ANEURISMA AÓRTICO ABDOMINAL: EXPERIENCIA A LARGO PLAZO DE UN CENTRO COLOMBIANO DE ALTA COMPLEJIDAD, EL PRIMER EJEMPLO LATINOAMERICANO","authors":"Iván David Lozada Martínez, Douglas Cáceres Castrillón, Ruddy Guzmán Gutiérrez, David Gómez Garnica, Romeo Guevara Rodríguez, Luis Felipe Cabrera Vargas","doi":"10.55200/raccv.es.v20.n1.0004","DOIUrl":"https://doi.org/10.55200/raccv.es.v20.n1.0004","url":null,"abstract":"Introducción y objetivos: La incidencia de complicaciones asociadas a la reparación endovascular (EVAR) del aneurisma aórtico abdominal (AAA) aumenta a los 5 años. Al menos el 30% de los pacientes con dispositivos de EVAR necesitan algún tipo de nueva intervención (endovascular o abierta) trascurridos 10 años. Algunas de las complicaciones descritas son endofugas, roturas de aneurismas aórticos abdominales e incluso migración, oclusión o infección de la endoprótesis. El objetivo de este artículo fue determinar los índices de fracaso para cada tipo de endoprótesis de EVAR empleada en nuestra población local y dar el primer paso para la creación de un registro trasnacional colombiano y latinoamericano sobre dispositivos de EVAR. Material y Método: Estudio de cohorte observacional, retrospectivo de un único centro. Cuarenta y cuatro pacientes tratados de EVAR del AAA fueron incluidos desde 2011 hasta 2017. Los datos se recuperaron de las historias clínicas electrónicas de los pacientes. Resultados: Las endoprótesis Endologix Ba (Endologix, Irvine, CA, Estados Unidos), Excluder (W.L. Gore, Newark, DE, Estados Unidos), Zenith (Cook Medical, Bloomington, IN, Estados Unidos) y el sistema de sellado de aneurismas endovasculares (EVAS) (Endologix, Santa Rosa, CA, Estados Unidos) no presentaron endofugas ni ningún otro tipo de complicaciones tras la intervención de EVAR. Las endoprótesis Aorfix (Lombard, Didcot, Reino Unido) y Endurant (Medtronic, Minneapolis, MN, Estados Unidos) presentaron una incidencia del 2,9% y el 5,8% para la ocurrencia de endofugas tipo II (1 y 2 pacientes), respectivamente, que se cerraron espontáneamente sin significación estadística (p = 0,712). Ninguna de las endoprótesis desarrolló endofugas tipo I, III ni IV. Tampoco fue necesario realizar una nueva intervención endovascular ni abierta. Conclusiones: Este estudio revela que los diferentes tipos de endoprótesis que se emplean para realizar EVAR del AAA son seguros y viables y dan buenos resultados clínicos posoperatorios entre la población latinoamericana.","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131533900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sarcoma sinovial cardíaco","authors":"Tatiana Farb, G. Abuin, H. Padilla, Alexis Esposito","doi":"10.55200/raccv.es.v20.n1.0001","DOIUrl":"https://doi.org/10.55200/raccv.es.v20.n1.0001","url":null,"abstract":"Los tumores cardíacos se dividen en origen metastásico y primario. Los tumores cardíacos primarios son de muy baja incidencia (0,001-0,03%), de los cuales solo el 25% son malignos y muy agresivos. Se presenta un caso clínico de paciente femenina de 60 años con cuadro clínico de disnea, palpitaciones y mareos. El ecocardiograma transtorácico evidenció una masa heterogénea en aurícula izquierda, por lo que se decide su resección. La paciente cursa un postoperatorio tórpido y fallece a las 48 horas.","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131474452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OUTCOMES OF DIFFERENT TYPES OF STENT-GRAFT IN ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR: LONG-TERM EXPERIENCE OF A HIGH COMPLEXITY COLOMBIAN CENTER, THE FIRST LATIN AMERICAN EXAMPLE","authors":"Douglas Cáceres Castrillón, Ruddy Guzmán Gutiérrez, Romeo Guevara Rodríguez, David Gómez Garnica, I. D. Lozada Martínez, L. F. Cabrera Vargas","doi":"10.55200/raccv.v20.n1.0003","DOIUrl":"https://doi.org/10.55200/raccv.v20.n1.0003","url":null,"abstract":"Introduction: Endovascular abdominal aortic aneurysm repair (EVAR) devices are associated with a higher rate of complications at 5-year follow-up. At least 30% of patients with EVAR devices require some type of reintervention (whether endovascular or open) at 10-year follow-up. These complications include endoleak, abdominal aortic aneurysms rupture, graft migration, occlusion or infection. The objective of this paper was to determine the rates of failure for each type of EVAR stent-graft used in our local population. Also, this paper is the first step to create a Colombian and Latin American transnational EVAR device registry. Material and method: Single-center retrospective observational cohort study. Thirty-four patients with abdominal aortic aneurysms (AAA) treated with EVAR were included from 2011 through 2017. Data were collected from the patients’ electronic medical records.Results: The stent-graft Endologicx Ba (Endologix, Irvine, CA, United States), Excluder (W.L. Gore, Newark, DE, United States), Zenith (Cook Medical, Bloomington, IN, United States), and Nellix endovascular aneurysm sealing system (EVAS) (Endologix, Santa Rosa, CA, United States) were not associated with any endoleaks or any type of complications after the EVAR procedure. The Aorfix (Lombard, Didcot, United Kingdom), and Endurant (Medtronic, Minneapolis, MN, United States) stent-grafts had rates of type II endoleak (in 1 and 2 patients) of 2.9% and 5.8%, respectively that closed spontaneously. No stent-graft developed type I, III or IV endoleaks or any endovascular or open reinterventions were needed. Conclusions: This study shows that the different types of stent-graft used for to treat AAA with EVAR can be used in a safe and feasible way with good postoperative clinical outcomes in the Latin American population.","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127977414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ENDOVASCULAR THERAPY IN FLOATING THROMBUS OF THORACIC AORTA","authors":"Juan Marín Peralta, Claudia Marín Heise, Gian Zamboni Torres","doi":"10.55200/raccv.v20.n1.0002","DOIUrl":"https://doi.org/10.55200/raccv.v20.n1.0002","url":null,"abstract":"Introduction: The presence of a floating thrombus in the aorta is rare. Diagnosis is often achieved through angio-TC in patients with embolic ischemia. It is a serious condition that can end the life of the patient due to complications associated with emboli in different territories such as cerebrovascular, extremities, intestine, kidneys, and spleen. Currently, the treatment is long-term anticoagulation plus the surgical treatment of embolized territories. Objective: To present the case report of a patient who presented with abdominal pain and whose angio-CT revealed a massive splenic infarction, and an aortic thrombus located in its descending distal portion close to the celiac trunk. Condition was treated by placing an aortic endoprosthesis to suppress the embolic source. Discussion: The case and the different treatment alternatives are analyzed in relation to the presence of this embolic source of aortic location.","PeriodicalId":417308,"journal":{"name":"Revista Argentina de Cirugía Cardiovascular","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116028367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}