Cirugia Cardiovascular最新文献

{"title":"Fístula coronaria gigante en un paciente pediátrico","authors":"David Ramírez-Cedillo, Jaime Lopez-Taylor, Carlos Jiménez Fernandez, Miguel A. Medina Andrade, Italo Masini Aguilera, Halina Olmos Sanchez, Paris Daniel Ramirez Barajas, Cinthia Ramirez Frias, Rocio A. Peña-Juárez","doi":"10.1016/j.circv.2025.04.001","DOIUrl":"10.1016/j.circv.2025.04.001","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 282-285"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contribución de Leonardo da Vinci al estudio circulatorio, incluyendo su patología","authors":"Rafael Martínez Sanz","doi":"10.1016/j.circv.2025.09.003","DOIUrl":"10.1016/j.circv.2025.09.003","url":null,"abstract":"<div><div>In the immense work of Leonardo da Vinci, a <em>Renaissance polymath,</em> a section is dedicated to the anatomical and functional study of the circulatory system. The contributions to anatomy, physiology, and pathological anatomy in the drawings and writings that have survived are analyzed. More than 13,000 documents are in the Vatican. Another 606 documents with drawings that make up the Windsor Codex (since it is located in this castle, both being property of the British Crown), 153 are anatomical, several of them dedicated to the cardiovascular system. He left us a drawing of an <em>«ectopia cordis abdominalis»</em> never before drawn. Some of his paintings have hidden cardiovascular anatomy. Part of his work remained hidden to save his life. Leonardo was 300-500 years ahead of many scientific discoveries. He's a visionary. Some of his works have been lost or hidden, making it difficult to disseminate them further.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 253-258"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complicaciones mecánicas del sistema de asistencia ventricular izquierda HeartMate 3™: experiencia clínica en 2 pacientes","authors":"Lucia García Alcalde,&nbsp;José Aurelio Sarralde Aguayo,&nbsp;Mirella Fernández Gutiérrez,&nbsp;Valentín Tascón Quevedo,&nbsp;Belén Gutiérrez Liaño,&nbsp;Pablo Sanz Bellon","doi":"10.1016/j.circv.2025.05.001","DOIUrl":"10.1016/j.circv.2025.05.001","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 267-272"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of percutaneous angioplasty and bypass surgery in the treatment of subclavian steal syndrome: A scoping review","authors":"Isabella Torres-De La Cuadra,&nbsp;Carlos Tirado-Gómez,&nbsp;Tomas Galvis-Pulecio,&nbsp;Ana Sofía Camargo-Ramos,&nbsp;Esteban Portilla-Rojas,&nbsp;Luis Felipe Cabrera-Vargas","doi":"10.1016/j.circv.2025.11.002","DOIUrl":"10.1016/j.circv.2025.11.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Subclavian steal syndrome is characterized by reversed vertebral artery flow due to proximal subclavian artery stenosis or occlusion. Treatment options include percutaneous transluminal angioplasty with or without stenting and surgical bypass. This review evaluates the effectiveness, safety, and long-term outcomes of these interventions.</div></div><div><h3>Material and methods</h3><div>A systematic scoping review was conducted using Embase and PubMed databases. Article screening was performed independently by multiple reviewers to ensure the inclusion of relevant studies. Based on predefined inclusion and exclusion criteria, 16 articles published between 2000 and 2023 were ultimately included. The primary outcomes assessed were technical success, symptom resolution, complication rates, and long-term patency.</div></div><div><h3>Results</h3><div>Surgical bypass showed higher technical success and better long-term patency compared to endovascular approaches. Primary stenting was superior to balloon angioplasty alone. Initial symptom resolution was similar between treatments. Surgical bypass had higher perioperative complications, including cranial nerve injuries, while endovascular procedures had fewer complications but included risks of embolic events and stroke. Endovascular treatment was associated with shorter hospital stays. Both surgical and endovascular treatments are effective for subclavian steal syndrome.</div></div><div><h3>Conclusion</h3><div>Endovascular approaches are preferred as first-line treatment in high-risk patients due to lower perioperative morbidity and shorter hospitalization. Surgical bypass is favored for younger patients, total occlusions, or when endovascular treatment fails, given its superior long-term outcomes. Treatment choice should be individualized based on lesion, patient comorbidities, and expertise.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 237-245"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Origen anómalo de la arteria pulmonar izquierda desde el arco aórtico derecho: reporte de caso de abordaje híbrido en paciente de alto riesgo","authors":"Carlos J. Perez Rivera,&nbsp;Federico Nuñez,&nbsp;Oscar Sanchez,&nbsp;Guillermo Portilla,&nbsp;William Ríos,&nbsp;Juan Parra,&nbsp;Álvaro Sánchez,&nbsp;Victor Caicedo","doi":"10.1016/j.circv.2025.03.011","DOIUrl":"10.1016/j.circv.2025.03.011","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 273-275"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Credits","authors":"","doi":"10.1016/S1134-0096(26)00104-X","DOIUrl":"10.1016/S1134-0096(26)00104-X","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Page i"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Computer vision applications in vascular surgery: From preoperative mapping to intraoperative flow assessment","authors":"Daniela Arbeláez-Lelion,&nbsp;Francisco Ocaziones,&nbsp;Mateo José Murcia-Ramos,&nbsp;Samuel Salgado,&nbsp;María Camila Vivero Plaza,&nbsp;Angie Valentina Guerrero-Pérez,&nbsp;Luis Felipe Cabrera","doi":"10.1016/j.circv.2025.10.002","DOIUrl":"10.1016/j.circv.2025.10.002","url":null,"abstract":"<div><div>Artificial intelligence (AI) and computer vision (CV) are increasingly applied in vascular surgery for preoperative mapping and intraoperative flow/perfusion assessment, with potential to enhance safety and efficiency. However, the extent of their clinical validation and generalizability remains unclear. To synthesize current evidence on AI/CV applications in vascular surgery, focusing on quantitative clinical and technical outcomes, and to identify methodological gaps hindering widespread adoption. A narrative review was conducted by PubMed/MEDLINE, Scopus and complemented with ELICIT, Web of Science, and IEEE Xplore searches. Eligible studies (last 5 years, English/Spanish) included narrative/systematic reviews, clinical trials, observational, and experimental studies with clinical evaluation. Applications considered were preoperative vascular mapping, intraoperative flow/perfusion assessment, and anastomosis assistance/verification. Data extracted included study design, CV/AI technique, sample size, outcomes (diagnostic accuracy, time reduction, radiation/contrast use, complication rates), and performance metrics. Ten studies met inclusion criteria: 7 addressed preoperative mapping, 5 intraoperative flow/perfusion, and 4 anastomosis assistance (some covering multiple domains). Reported benefits included reductions in radiation exposure (up to 48%), contrast use (up to 38%), and operative time (up to 10%), as well as high diagnostic accuracy (median AUROC 0.88) and real-time guidance capabilities. Limitations included predominance of retrospective, single-center designs, scarce external validation (&lt;5% of studies), reliance on single data modalities, and suboptimal adherence to reporting standards. Artificial intelligence and computer vision tools show promise in improving procedural efficiency and safety in vascular surgery, but robust multicenter, prospectively validated studies are needed to confirm their clinical value and enable broad implementation.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 259-266"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disección aórtica tipo A en paciente con arteria subclavia derecha aberrante e ictus","authors":"Javier A. Bellido-Morales,&nbsp;Marta Matamala-Adell,&nbsp;Javier Fañanás-Mastral,&nbsp;José M. Vallejo-Gil,&nbsp;Manuel Vázquez Sancho,&nbsp;Carlos Ballester-Cuenca","doi":"10.1016/j.circv.2025.08.003","DOIUrl":"10.1016/j.circv.2025.08.003","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 276-278"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Técnica de Takeuchi para reparación de ALCAPA en un paciente adolescente","authors":"David Ramírez-Cedillo,&nbsp;Jaime Lopez-Taylor,&nbsp;Miguel A. Medina Andrade,&nbsp;Italo Masini Aguilera,&nbsp;Carlos Jiménez Fernandez,&nbsp;Paris Daniel Ramírez Barajas,&nbsp;Halina Olmos Sanchez,&nbsp;Rocio A. Peña-Juárez","doi":"10.1016/j.circv.2025.03.012","DOIUrl":"10.1016/j.circv.2025.03.012","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 279-281"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carcinoma de célula renal con trombo tumoral en vena cava inferior: nefrectomía con derivación cardiopulmonar. Resultados perioperatorios y oncológicos","authors":"Antonio Jalón-Monzón,&nbsp;Carlos A. Morales-Pérez,&nbsp;Jesús María Fernández-Gómez,&nbsp;Jacobo Silva-Guisasola,&nbsp;Jorge Manuel González-Suárez,&nbsp;Alejandro Quintás-Blanco,&nbsp;Celia Moya-Martín,&nbsp;Miguel Hevia-Suárez","doi":"10.1016/j.circv.2025.04.004","DOIUrl":"10.1016/j.circv.2025.04.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Renal cell carcinoma (RCC) with tumor thrombus in inferior vena cava is a surgical challenge due to its complexity and potential risks. We describe our approach to surgical management with cardio-pulmonary bypass, analyzing surgical and oncological outcomes.</div></div><div><h3>Methods</h3><div>Retrospective study of a series of patients undergoing nephrectomy with thrombectomy for inferior vena cava thrombus level III and IV, from 2010 to 2024. Demographic, preoperative, tumor, intra- and postoperative characteristics were collected.</div></div><div><h3>Results</h3><div>Thirty-one patients were analyzed. In 16 patients (51%) the thrombus level was above the suprahepatic or right atrium level. The median follow-up was 9.36 months (5.27-40.2). Thrombus level or pathologic stage did not significantly influence operative time. One patient died intraoperatively due to complications and 3 patients in the immediate postoperative period. Mortality at one month was significantly influenced by downtime (<em>P</em> <!-->=<!--> <!-->0.041) and Charlson comorbidities (<em>P</em> <!-->=<!--> <!-->0.043), and mortality at 3 months was significantly influenced only by downtime (<em>P</em> <!-->=<!--> <!-->0.00904). Thrombus level above the suprahepatic or right auricular level (<em>P</em> <!-->=<!--> <!-->0.03), and pathological stage T3cG3-4 (<em>P</em> <!-->=<!--> <!-->0.003) and T4G3 (<em>P</em> <!-->=<!--> <!-->0.018) significantly influenced worse cancer-specific survival. The median estimated survival was 1.8 years.</div></div><div><h3>Conclusions</h3><div>Our technique of circulatory arrest with antegrade cerebral perfusion allows us to work with more quality and safety with no brain complications in our series and good oncological results.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"33 5","pages":"Pages 229-236"},"PeriodicalIF":0.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}