Cirugia Cardiovascular最新文献_第6页

Anillo valvular mitral inferior a 15 mm. ¿Qué opciones tenemos cuando la reparación no es posible? 二尖瓣环小于15毫米。当无法修复时，我们有什么选择？

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Cirugia Cardiovascular Pub Date : 2024-03-01 DOI: 10.1016/j.circv.2023.04.001

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

{"title":"Anillo valvular mitral inferior a 15 mm. ¿Qué opciones tenemos cuando la reparación no es posible?","authors":"Consuelo A. Gotor-Pérez, Félix Serrano-Martínez, Alejandro Vazquez-Sánchez, Juan B. Martínez-León","doi":"10.1016/j.circv.2023.04.001","DOIUrl":"10.1016/j.circv.2023.04.001","url":null,"abstract":"<div><p>In pediatric age, mitral valve repair is the treatment of choice whenever possible, since it does not alter valve growth and can be a long-term solution. In young children, especially those under 2 years of age, if valve repair is not possible, we should try to delay mitral valve replacement as much as possible, since it presents high mortality, and also since the size of the prosthesis is fixed, it will not adapt to the somatic growth of the patient, and will require replacement of the valve prosthesis.</p><p>When a patient with mitral pathology requires surgical treatment, if valve repair is not feasible, and the size of the valve annulus is less than 15 mm, the options are very limited, since there are currently no such small mechanical prostheses. In this article we collect the therapeutic options for patients with a valve annulus less than 15 mm that we can find in the literature, some of them described as clinical cases, or series with a small sample size, which makes it difficult to draw conclusions. We also describe a decision scheme, which could help us choose which is the most appropriate treatment, depending on the size of the mitral valve annulus, although we must keep in mind that the choice of one or another treatment will depend on multiple factors, such as the characteristics anatomical, the surgeon's experience with the different techniques, and the available resources.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 2","pages":"Pages 72-77"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009623000475/pdfft?md5=8febd441629ca3719a27c0f50b66f2d8&pid=1-s2.0-S1134009623000475-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41871402","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}

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One-stage neonatal Yasui procedure: Presentation of our surgical experience and a new decision-making algorithm 一期新生儿Yasui手术:介绍我们的手术经验和一种新的决策算法

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Cirugia Cardiovascular Pub Date : 2024-03-01 DOI: 10.1016/j.circv.2022.11.001

Consuelo A. Gotor , Enrique García , Francisco J. Arias , Miguel A. Granados , Elena Montañes , Alberto Mendoza , María T. Garcia , Lorenzo Boni

{"title":"One-stage neonatal Yasui procedure: Presentation of our surgical experience and a new decision-making algorithm","authors":"Consuelo A. Gotor , Enrique García , Francisco J. Arias , Miguel A. Granados , Elena Montañes , Alberto Mendoza , María T. Garcia , Lorenzo Boni","doi":"10.1016/j.circv.2022.11.001","DOIUrl":"10.1016/j.circv.2022.11.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this study is to present our experience with three patients who underwent a neonatal Yasui procedure, and to show the new decision-making algorithm.</p></div><div><h3>Methods</h3><p>This is a series of three neonates operated on at our hospital between 2017 and 2022.</p></div><div><h3>Results</h3><p>All the patients underwent a primary Yasui. The duration of cardiopulmonary bypass was 275, 249 and 391min, in patient 1, 2 and 3, respectively. After surgery, the Intensive Care Unit stay of patients 1, 2 and 3 was 29, 22 and 24 days, respectively. The patients were discharged in good condition. Subsequent complications during follow-up included the need for percutaneous intervention in patient 1 for the implantation of a stent in the right pulmonary branch (at 6 months postoperatively) and a stent in the right ventricle-pulmonary artery conduit (at 42 months). Patient 2 required right ventricle-pulmonary artery conduit replacement and repair of moderate-severe left ventricular outflow tract obstruction at 16 months postoperatively. Patient 3 needed a reoperation at 3 months postoperatively due to aortic arch stenosis at different levels and a residual ventricular septal defect. Currently, all patients are alive with adequate echocardiographic biventricular function.</p></div><div><h3>Conclusions</h3><p>In experienced centers, primary Yasui repair can be performed in the neonatal period with satisfactory results.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 2","pages":"Pages 49-55"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009622002406/pdfft?md5=c1d3fa1d6025b047b30afccf360fc20f&pid=1-s2.0-S1134009622002406-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46508969","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}

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Efficacy and safety of cardiac sympathetic denervation for refractory ventricular arrhythmias: Experience of a Colombian hospital 心脏交感神经去神经治疗难治性室性心律失常的有效性和安全性：哥伦比亚一家医院的经验

IF 0.3

Cirugia Cardiovascular Pub Date : 2024-03-01 DOI: 10.1016/j.circv.2023.11.001

Nicolas Arredondo-Mora , Oscar Rincón-Barbosa , Carlos A. Rodríguez-Sabogal

{"title":"Efficacy and safety of cardiac sympathetic denervation for refractory ventricular arrhythmias: Experience of a Colombian hospital","authors":"Nicolas Arredondo-Mora , Oscar Rincón-Barbosa , Carlos A. Rodríguez-Sabogal","doi":"10.1016/j.circv.2023.11.001","DOIUrl":"10.1016/j.circv.2023.11.001","url":null,"abstract":"<div><p>Left or bilateral cardiac sympathetic denervation is employed as a final option for treating pharmacologically refractory ventricular arrhythmias of various etiologies. In this study, we share our experience with bilateral cardiac denervation. A total of 6 patients (mean age 73.8 years±6.5 years, mean LVEF 37±8.3%), between 2021 and 2022, with sarcoidosis or ischemic heart disease underwent bilateral cardiac denervation due to electrical storm despite prior treatments. It was achieved complete resolution of ventricular arrhythmias in 100% of cases, with no recurrence of cardiac device shocks and no mortalities, neither cases of pneumothorax, Horner's syndrome, or other complications. Therefore, it was concluded that in this study, bilateral cardiac denervation was effective for treatment of refractory ventricular arrhythmias. Further larger studies are required to confirm these findings.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 2","pages":"Pages 89-91"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009623001778/pdfft?md5=823323dab372f719cab2ecf8639b0429&pid=1-s2.0-S1134009623001778-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139819102","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}

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Metaanálisis en cirugía cardiovascular: una herramienta estadística muy valiosa 心血管外科中的元分析：一种宝贵的统计工具

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Cirugia Cardiovascular Pub Date : 2024-03-01 DOI: 10.1016/j.circv.2024.02.001

Stefano Urso , Victor Dayan

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Fiebre Q, una enfermedad silente Q 热，一种沉默的疾病

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Cirugia Cardiovascular Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.025

C. Pérez , Á. Granda , L. Pañeda , I. Pérez-Moreiras , U. Salinas , J. Irazusta , X. Kortajarena , M. Zabalo , K. Reviejo

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Cardiología y cirugía cardiaca: ¿gemelos separados al nacer? 心脏病学和心脏外科：一出生就分离的双胞胎？

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Cirugia Cardiovascular Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.08.001

M. Dolores García-Cosío Carmena , José López-Menéndez

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Perfil de la endocarditis infecciosa tratada con dalbavancina en el hospital santa lucía de cartagena 圣卢西亚-德卡塔赫纳医院使用达巴万星治疗感染性心内膜炎的概况

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Cirugia Cardiovascular Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.027

B. Alcaraz Vidal , V. Silva Croizzard , R. Mármol Lozano , E. Conesa Nicolás , R. Jiménez Sánchez , N. Cobos Trigueros , M.J. del Amor Espín , T. Dumitru Dumitru , V. Campos Rodríguez , S. Valero Cifuentes

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Endocarditis infecciosa aórtica aislada: ¿existen diferencias entre morfología bicúspide y tricúspide? 孤立性感染性主动脉瓣膜心内膜炎：二尖瓣和三尖瓣形态有区别吗？

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Cirugia Cardiovascular Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.024

L. de Miguel García , L. Varela Barca , C. Rodríguez López , A. Kallmeyer Mayor , R. Hernández-Estefanía , Á. Heredero Jung , M.P. Calderón Romero , A. Donado Miñambres , G. Aldámiz-Echevarría , J. Tuñón Fernández

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Endocarditis protésicas: evolución en los últimos años en un hospital terciario de madrid 人工心内膜炎：马德里一家三级医院近年来的演变情况

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Cirugia Cardiovascular Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.018

M. Bernal Palacios, M. Morante Ruiz, A. Cabello Úbeda, A. Pello Lázaro, G. Aldámiz Echevarría, R. Hernández Estefanía, M.Á. Navas Lobato, L. Landaeta Kancev, B. Álvarez Álvarez, L. Varela Barca

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Tendencias actuales en endocarditis por candida: perspectiva de una cohorte multicéntrica nacional (GAMES) 念珠菌心内膜炎的当前趋势：全国多中心队列（GAMES）的视角

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Cirugia Cardiovascular Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.012

K. Ytuza , M. Machado , D. Alonso , D. Sousa , A. Ramos , B. Loeches , J. Goikoetxea , M.C. Fariñas , A. de Alarcón , J. de la Torre , P. Muñoz , M. Valerio , en nombre de los investigadores GAMES

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