Cirugia Cardiovascular最新文献

{"title":"Cirugía en pacientes con valvulopatía aórtica bicúspide versus tricúspide: características quirúrgicas y resultados a medio plazo","authors":"Stefano Urso ,&nbsp;José I. Juárez-del Río ,&nbsp;María A. Tena ,&nbsp;Aridane Cárdenes ,&nbsp;Lucía Doñate ,&nbsp;Luís Ríos ,&nbsp;Raquel Bellot ,&nbsp;Gema Alemán-Santana ,&nbsp;Adrián Torres ,&nbsp;Marina Soriano ,&nbsp;Francisco Portela","doi":"10.1016/j.circv.2024.05.007","DOIUrl":"10.1016/j.circv.2024.05.007","url":null,"abstract":"<div><h3>Background and aim</h3><p>To determine differences in surgical procedures and clinical characteristics at the time of surgery between native tricuspid aortic valves (TAV) and bicuspid aortic valves (BAV).</p></div><div><h3>Methods</h3><p>429 adult patients who underwent aortic valve surgery ±<!--> <!-->ascendant aortic surgery ±<!--> <!-->coronary artery bypass grafting from September 2019 to September 2023 were retrospectively reviewed.</p></div><div><h3>Results</h3><p>Among the 429 patients, 298 (69.5%) had TAV and 131 had BAV (30.5%). BAV patients were significantly younger at the time of surgery than TAV patients (mean age 55.3<!--> <!-->±<!--> <!-->10.6 years vs. 67.6<!--> <!-->±<!--> <!-->9.2 years, <em>P</em> <!-->&lt;<!--> <!-->.0001). BAV patients received more combined surgery of the aorta than TAV patients (33.6% vs 12.1%, <em>P</em> <!-->&lt;<!--> <!-->.0001). In terms of surgical procedures, BAV patients received a significant higher percentage of isolated aortic valve repair and aortic root remodeling than TAV patients (13.0% and 6.1% versus 3.4% and 3.0%, respectively, <em>P</em> &lt;. 0001). Global in-hospital mortality was 3.7% (BAV<!--> <!-->0%, TAV<!--> <!-->5.4%, <em>P</em> <!-->=<!--> <!-->.007). Overall 5-year mortality for TAV and BAV patients was 80.3% and 97.3%, respectively (<em>P</em> <!-->=<!--> <!-->.0003).</p></div><div><h3>Conclusions</h3><p>Compared with TAV patients, those with BAV represent a lower surgical risk profile subgroup of patients. Clinical and anatomical characteristics of BAV patients explain the higher percentages of surgical aortic valve/root repair techniques received and their better early and mid-term survival outcome.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 5","pages":"Pages 212-217"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624001049/pdfft?md5=f5322095075feba97c535e736df6a06f&pid=1-s2.0-S1134009624001049-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701372","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":"Variante compleja de arco aórtico de morfología bovina","authors":"Ítalo D. Masini-Aguilera ,&nbsp;Miguel A. Medina-Andrade ,&nbsp;Jaime Lopez-Taylor ,&nbsp;David Ramírez-Cedillo ,&nbsp;Carlos A. Jimenez-Fernandez ,&nbsp;Rocio A. Peña-Juárez","doi":"10.1016/j.circv.2024.03.013","DOIUrl":"10.1016/j.circv.2024.03.013","url":null,"abstract":"<div><p>The variations of the vessels that arise from the aortic arch are numerous, reported according to the literature consulted between 6 to 49% in various countries. Most variants are described as asymptomatic. However, some have been associated with significant symptoms and serious surgical problems, caused by the effects of compression or pressure that these variants exert on the trachea or esophagus. We present the case of a variant that we found no previous description in the literature, which was a trans surgical finding during a correction of a neonatal patient with a diagnosis of aortic coarctation.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 5","pages":"Pages 225-226"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624000822/pdfft?md5=327534c751592d6a747d7c728524f049&pid=1-s2.0-S1134009624000822-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708011","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":"Posterior injury of the brachiocephalic trunk following gunshot thoracic trauma: Case report and literature review","authors":"","doi":"10.1016/j.circv.2024.02.006","DOIUrl":"10.1016/j.circv.2024.02.006","url":null,"abstract":"<div><p>We present the case of a 23-year-old man who was admitted to the emergency department due to thoracic trauma with a gunshot wound in the right fifth intercostal space with the anterior axillary line, with an outflow tract in the third intercostal space on the left parasternal line. The patient exhibited signs of cardiac tamponade and grade IV hemorrhagic shock. Bilateral tube thoracostomy was performed, yielding a substantial left hemothorax (1500<!--> <!-->mL). As the patient presented deterioration of hemodynamic instability despite adequate resuscitation maneuvers, prompted immediate transportation to the operating room to perform a sternotomy. A posterior brachiocephalic trunk injury was identified, consisting of a laceration of 60% of total circumference, with an extension of over 2<!--> <!-->cm. The distal portion of the injury was resected and reconstructed using a 6<!--> <!-->mm polytetrafluoroethylene graft, with a proximal graft anastomosis employing a lateral anchor technique and a distal graft anastomosis using a parachute technique, secured with 4-0 polypropylene vascular sutures. The patient's postoperative recovery progressed favorably, he remained in the intensive care unit for 5 days and in general hospitalization for an additional 4 days. Further interventions were not required. A control CT angiography was performed 3 months postoperatively, demonstrating complete graft patency.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 5","pages":"Pages 218-221"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624000408/pdfft?md5=0cf5e131488e8127ec1f43218caf248a&pid=1-s2.0-S1134009624000408-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280894","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":"Aprendiendo el uno del otro…","authors":"Juan José Legarra","doi":"10.1016/j.circv.2024.07.005","DOIUrl":"10.1016/j.circv.2024.07.005","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 5","pages":"Pages 183-184"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624001414/pdfft?md5=d0551c4c2ffe7515ec080009d1f9ce37&pid=1-s2.0-S1134009624001414-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240100","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":"Obituario Víctor Artiz","authors":"Pilar Calderón Romero","doi":"10.1016/j.circv.2024.07.006","DOIUrl":"10.1016/j.circv.2024.07.006","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 5","pages":"Page 227"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624001426/pdfft?md5=6c18c27b200f012e6876bb05bbe1524a&pid=1-s2.0-S1134009624001426-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240102","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":"Cirugía cardiovascular y cardiología, situación actual en España de las dos especialidades hermanas: el estudio CARDIOXCARDIO","authors":"Iván J. Núñez-Gil ,&nbsp;Emiliano A. Rodríguez-Caulo ,&nbsp;M. Dolores García-Cosío ,&nbsp;Miguel Piñón ,&nbsp;Felipe Díez-Del Hoyo ,&nbsp;Andrea Eixerés ,&nbsp;Fernando Carrasco-Chinchilla ,&nbsp;José López-Menéndez ,&nbsp;Julián Pérez-Villacastín ,&nbsp;Jorge Rodríguez-Roda ,&nbsp;Comisión paritaria SEC-SECCE e investigadores del estudio CARDIOXCARDIO","doi":"10.1016/j.circv.2024.03.009","DOIUrl":"10.1016/j.circv.2024.03.009","url":null,"abstract":"<div><p>In recent years, there has been a notable shift in cardiovascular clinical practice within cardiology and surgery. The CARDIOXCARDIO study aimed to identify professionals’ opinions on working practices and relations between specialties. A survey was simultaneously sent to the 4442 members of the Spanish Society of Cardiovascular and Endovascular Surgery (SECCE) and the Spanish Society of Cardiology (SEC), yielding 385 valid responses. More than half (59%) of respondents were men, mostly specialists (7.3% residents), and 74.8% worked in the field of cardiology, predominantly in public centers (88.3%). Using a Likert scale ranging from 1 to 5 (worst to best), respondents rated relations between surgery and cardiology with an average of 3.57<!--> <!-->±<!--> <!-->0.9 points. Cardiologists rated surgeons with a mean score of 3.83<!--> <!-->±<!--> <!-->0.8, while surgeons gave cardiologists a mean score of 3,92<!--> <!-->±<!--> <!-->0.72. In addition, respondents provided numerous suggestions for improvement, which are discussed in detail, highlighting certain discrepancies in criteria between specialties. Implementing strategies based on the suggestions of professionals, together with a proactive approach to continuous improvement, could substantially enhance the quality of cardiovascular care in Spain.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 5","pages":"Pages 185-192"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624000652/pdfft?md5=b562fe786af8073315745950f9f1007d&pid=1-s2.0-S1134009624000652-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716418","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":"Técnicas de revascularización quirúrgica de miembros inferiores","authors":"","doi":"10.1016/j.circv.2024.02.005","DOIUrl":"10.1016/j.circv.2024.02.005","url":null,"abstract":"<div><p>Surgical revascularization techniques of the lower extremities cover a wide spectrum of procedures. This review attempts to address peripheral arterial disease with intermittent claudication and chronic limb-threatening ischemia separately, providing clear and precise guidelines based on current scientific evidence.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 4","pages":"Pages 170-174"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624000391/pdfft?md5=05c2618f01b4b033a3d88fd8476172ab&pid=1-s2.0-S1134009624000391-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282844","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":"La patología cardiovascular más allá del tórax","authors":"Alejandro Pontón Cortina","doi":"10.1016/j.circv.2024.06.004","DOIUrl":"10.1016/j.circv.2024.06.004","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 4","pages":"Page 141"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624001098/pdfft?md5=9446946f5689e968d68b3b06741855ca&pid=1-s2.0-S1134009624001098-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703891","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":"Accesos vasculares para diálisis","authors":"Carlos Juárez Crespo ,&nbsp;Valentín Tascón Quevedo ,&nbsp;Beatriz García Martínez ,&nbsp;María Kislikova","doi":"10.1016/j.circv.2024.04.007","DOIUrl":"10.1016/j.circv.2024.04.007","url":null,"abstract":"<div><p>Chronic kidney disease is a relatively frequent and evolutionary pathology, which in its final stage leads to renal replacement therapy. The most widely used is hemodialysis and to carry it out the patient must have adequate vascular access that allows a sufficient blood flow to be related to the hemodialysis machine. We usually talk about 2<!--> <!-->great options to achieve vascular access, the arteriovenous fístula (AVF) and the central venous catheter (CVC).</p><p>At present, it is known that the type of VA, both at the beginning and in the follow-up of hemodialysis, has a direct relationship with the mortality and morbidity of the patient.</p><p>All of this justifies the creation of multidisciplinary working groups to comprehensively address the management of VA in hemodialysis patients whose ultimate goal should be to achieve the highest possible incidence and prevalence of native vascular access.</p><p>Efficient coordination of these multidisciplinary groups has shown a decrease in the prevalence of catheters, highlighting the importance of a coordinating figure/s of these specialists.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 4","pages":"Pages 175-182"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624000974/pdfft?md5=c885e22a598be0983fe50f42af6f6b35&pid=1-s2.0-S1134009624000974-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960708","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":"Estrategias de revascularización en el sector aortoilíaco","authors":"","doi":"10.1016/j.circv.2023.12.002","DOIUrl":"10.1016/j.circv.2023.12.002","url":null,"abstract":"<div><p>There has been a major change in revascularisation options for occlusive aortoiliac disease with the advent of endovascular techniques. In this review we will examine the different treatment strategies in this sector, starting with open surgery (anatomical revascularisation techniques, such as extra-anatomical) and ending with endovascular treatment. In this last section, we will describe not only the technique but also review the necessary materials, the different types of stents, and relevant tips and tricks to perform this type of intervention successfully.</p></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 4","pages":"Pages 161-169"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009624000019/pdfft?md5=e39a196933b71900e5ab979f76d404e3&pid=1-s2.0-S1134009624000019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140470265","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}