Cirugia Cardiovascular最新文献

Cirugía del anillo vascular: ¿cuándo intervenir? Revisión de nuestra casuística y presentación de un algoritmo de manejo 血管环手术：何时介入？回顾我们的案例并介绍管理算法。

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.06.006

Carlos Nieto-Moral, Enrique García-Torres, Francisco Javier Arias-Dachary, Lorenzo Boni

{"title":"Cirugía del anillo vascular: ¿cuándo intervenir? Revisión de nuestra casuística y presentación de un algoritmo de manejo","authors":"Carlos Nieto-Moral, Enrique García-Torres, Francisco Javier Arias-Dachary, Lorenzo Boni","doi":"10.1016/j.circv.2024.06.006","DOIUrl":"10.1016/j.circv.2024.06.006","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The term vascular ring encompasses different anatomical variants, the result of anomalous embryonic development of the primitive aortic arches, with the potential to cause injuries to the airway and/or digestive tract. Despite a more frequent, early and/or prenatal diagnosis, there are no clear management recommendations in clinical guidelines.</div><div>We present the management algorithm of this center, supported by the literature and a review of the results of patients operated on there.</div></div><div><h3>Methods</h3><div>Retrospective review of vascular ring interventions at the Hospital Universitario 12 de Octubre in Madrid, between January 2014 and March 2023, and analysis of the literature.</div></div><div><h3>Results</h3><div>Between January 2014 and March 2023, a total of 31 patients were operated on without any deaths being recorded. In 67.7% of cases the approach was thoracoscopic, and prenatal diagnosis was performed in 82.7% of susceptible cases.</div></div><div><h3>Conclusions</h3><div>Early surgery is considered to avoid sequelae of this pathology, without significant differences in surgical complications or associated with the type of approach, thoracoscopic or thoracotomy/sternotomy.</div><div>They meet the criteria for surgical indication: patients with symptomatic vascular rings when they first appear, asymptomatic complete vascular rings with a decrease in the airway lumen ≥ 50% in dynamic imaging tests, and all elective double aortic arches around 6 months of age, regardless of clinical symptoms and degree of airway compression.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 5","pages":"Pages 244-252"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848402","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}

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From the neoaortoiliac system to the popliteal artery reconstruction using bovine pericardium grafts 从新髂主动脉系统到用牛心包移植重建腘动脉

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.09.005

Mariana Pinzón-Pinto , Leonardo Randial , Martín Contreras , Juan J. Ramírez-Mosquera , Daniela Arteaga , Luis F. Cabrera-Vargas

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Flujometría con doppler pulsado en la evaluación intraoperatoria de los injertos coronarios. ¿Es aún necesaria? 脉冲多普勒血流测量仪在冠状动脉移植物术中评估中的应用：还有必要吗？

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.01.002

Yasser Colao Jimenez

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Fístula aortoesofágica: una urgencia endovascular 主动脉食管瘘：血管内急症

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.03.007

Eloy Rueda-Gomariz , Inmaculada Ballesteros Yáñez , Aníbal Bermúdez-García , Tomás Daroca-Martínez

{"title":"Fístula aortoesofágica: una urgencia endovascular","authors":"Eloy Rueda-Gomariz , Inmaculada Ballesteros Yáñez , Aníbal Bermúdez-García , Tomás Daroca-Martínez","doi":"10.1016/j.circv.2024.03.007","DOIUrl":"10.1016/j.circv.2024.03.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The aortoesophageal fistula is a rare entity with a poor prognosis. The typical clinical presentation is as described by Chiari: dysphagia/chest pain, sentinel bleeding, and massive hemorrhage. Upper gastrointestinal endoscopy and computed tomography scan are fundamental for diagnosis. As for treatment, it is not clearly established. The aim of this article is to present our experience with a case of aortoesophageal fístula treated through transaxillary Thoracic Endovascular Aortic Repair (TEVAR).</div></div><div><h3>Methods</h3><div>A 63-year-old male patient with a history of diabetes mellitus, smoker, chronic renal failure, and peripheral vascular disease presented with an episode of hematemesis with associated syncope and melaena. The patient underwent upper gastrointestinal endoscopy and computed tomography with intravenous contrast. After diagnosis, the patient underwent implantation of a Medtronic Valiant Navion stent graft via left transaxillary approach after placement of a Sengstaken-Blakemore catheter.</div></div><div><h3>Results</h3><div>Endoscopy suggested an aortoesophageal fistula, and computed tomography revealed 2aneurysms in the descending aorta, one of which was in contact with the esophagus. The patient underwent implantation of a stent graft via transaxillary approach after placement of a Sengstaken-Blakemore tube, with good clinical outcome.</div></div><div><h3>Conclusions</h3><div>The aortoesophageal fistula is a rare and potentially lethal entity that requires a high diagnostic suspicion and emergency treatment, which is not established. Stent graft implantation is a safe therapeutic option as a bridge to patient stabilization, but definitive treatment must be individualized according to case characteristics and etiology.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 5","pages":"Pages 233-236"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141392652","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}

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Tratamiento multimodal en la hipertensión pulmonar residual tras tromboendarterectomía pulmonar 肺血栓内膜切除术后残留肺动脉高压的多模式疗法

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.06.003

María Jesús López-Gude , Lorena Coronel , Teresa Velazquez-Martín , Enrique Pérez-de la Sota , Jorge E. Centeno-Rodríguez , Andrea Eixerés-Esteve , Eva Aguilar-Blanco , Juan Meca-Aguirrezabalaga , Pilar Escribano-Subías , Christian Muñoz-Guijosa

{"title":"Tratamiento multimodal en la hipertensión pulmonar residual tras tromboendarterectomía pulmonar","authors":"María Jesús López-Gude , Lorena Coronel , Teresa Velazquez-Martín , Enrique Pérez-de la Sota , Jorge E. Centeno-Rodríguez , Andrea Eixerés-Esteve , Eva Aguilar-Blanco , Juan Meca-Aguirrezabalaga , Pilar Escribano-Subías , Christian Muñoz-Guijosa","doi":"10.1016/j.circv.2024.06.003","DOIUrl":"10.1016/j.circv.2024.06.003","url":null,"abstract":"<div><div>Pulmonary thromboendarterectomy surgery is the treatment of choice in chronic thromboembolic pulmonary hypertension. Medical treatment or intervention through pulmonary angioplasty should be considered in inoperable patients or with residual pulmonary hypertension after surgery.</div></div><div><h3>Objectives</h3><div>Communicate the current results of the surgical series. Describe the long-term evolution based on the persistence of pulmonary hypertension.</div></div><div><h3>Material and methods</h3><div>Until December 2023 we have performed 405 procedures. Right heart catheterization was obtained in 301 patients at 6months.</div></div><div><h3>Results</h3><div>Hospital mortality was 4.5%. In 161 control catheterizations (53%), the mean pulmonary artery pressure was less or equal than 25mmHg. The cumulative survival in these patients is 99%, 99% and 97% at 3, 5 and 10years. In 78 cases (26%) the pressure was between 26 and 34mmHg. 30% have needed treatment with pulmonary vasodilators and 3% have required pulmonary angioplasty. The cumulative survival is 100%, 95% and 95% at 3, 5 and 10years. In the rest, the pressure was equal or greater than 35mmHg. 82% have been treated with pulmonary vasodilators and 21% with pulmonary angioplasties. The cumulative survival is 92%, 90% and 81% at 3, 5 and 10years with significant difference with the previous groups (Log Rank=0.02).</div></div><div><h3>Conclusions</h3><div>Pulmonary endarterectomy surgery is curative in the majority of patients. The multidisciplinary approach and multimodal treatment are essential in complex situations such as residual pulmonary hypertension after surgery, achieving excellent long-term results.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 5","pages":"Pages 237-243"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714037","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}

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Tumor glómico de tráquea: caso raro e inusual 喉部气管肿瘤:罕见和不寻常的病例

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.05.004

Gutenberg Navarro-Zambrano , Jorge Pozo-Obando , Rommel Espinoza De Los Monteros-Duche , Francisco Guerra-Egas , Jorge Sifuentes-Miyake , Rosario Ramos-Layedra

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Credits 学分

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/S1134-0096(25)00204-9

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Tetralogía de Fallot: arteria coronaria cruzando el tracto de salida ventricular derecho. Opciones quirúrgicas 法洛四联：冠状动脉穿过右心室出口导管。手术选项

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.09.006

Consuelo A. Gotor-Pérez, Félix Serrano-Martínez, Alejandro Vazquez-Sánchez, Juan B. Martínez-León

{"title":"Tetralogía de Fallot: arteria coronaria cruzando el tracto de salida ventricular derecho. Opciones quirúrgicas","authors":"Consuelo A. Gotor-Pérez, Félix Serrano-Martínez, Alejandro Vazquez-Sánchez, Juan B. Martínez-León","doi":"10.1016/j.circv.2024.09.006","DOIUrl":"10.1016/j.circv.2024.09.006","url":null,"abstract":"<div><div>The existence of an anomalous coronary artery crossing the infundibulum of the right ventricle can make surgical repair difficult, as well as increase morbidity and operative mortality in certain pathologies in which it is necessary to treat stenosis at the level of the right ventricular outflow tract, as in the case of patients with Tetralogy of Fallot. The presence of this anomaly often requires a variation of the surgical strategy to avoid injury to the anomalous coronary artery and its fatal consequences. One surgical option is the implantation of a conduit between the right ventricle and the pulmonary artery, but this procedure has certain disadvantages. In this article we report most of the surgical techniques described in the literature, which attempt to treat this group of patients with good results, avoiding the implantation of an extracardiac conduit. In addition, we include a possible decision scheme, which may help the surgeon in the choice of the most appropriate surgical technique, depending on the anatomical characteristics of the patient.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 5","pages":"Pages 258-267"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061030","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}

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Anomalía coronaria en la cirugía de Fallot: un invitado incómodo 法罗手术中的冠状动脉异常：不方便的客人

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2025.07.005

Luz Polo López

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ECMO as rescue therapy in TAVI-induced cardiogenic shock: A case of suicide left ventricle ECMO作为tavi致心源性休克的抢救治疗：一例自杀性左心室

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Cirugia Cardiovascular Pub Date : 2025-09-01 DOI: 10.1016/j.circv.2024.07.008

Gustavo Rojas-Velasco , Regina Aguilar-López , Renata Toledo-Elías , Octavio Salazar-Delgado , Natalia Coello-Niembro , María Jiménez-Fernández , Eduardo A. Arias , Daniel Manzur-Sandoval

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