Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

{"title":"Single-stage repair of aortic arch hypoplasia and ventricular septal defect in a low-weight infant: a case report from a resource-limited center.","authors":"Jesús García Pinzás, Cristhian J Cueva Alvarez, Martin Crosby Barabino","doi":"10.47487/apcyccv.v6i3.498","DOIUrl":"10.47487/apcyccv.v6i3.498","url":null,"abstract":"<p><p>Aortic arch hypoplasia associated with ventricular septal defect (VSD) is a life-threatening congenital condition that demands early intervention. In low-resource settings, the lack of advanced tools complicates the safe use of selective antegrade cerebral perfusion (SACP) and innovative repair techniques such as interdigitating patch reconstruction. We describe the case of a newborn with severe aortic arch hypoplasia and a large perimembranous VSD who underwent successful one-stage surgical correction. The repair included aortic arch reconstruction using an interdigitating bovine pericardial patch and VSD closure under SACP delivered via direct brachiocephalic trunk cannulation. Despite the challenges of limited monitoring and equipment, the infant had an excellent clinical outcome. This case highlights the feasibility of adapting high-complexity cardiac techniques in resource-limited environments when surgical fundamentals and teamwork are prioritized. With strategic planning, multidisciplinary coordination, and adherence to evidence-based principles, successful single-stage repair of complex congenital heart disease is achievable even in under-resourced settings.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"181-185"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558617","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":"Implementation and adaptation of the Society of Thoracic Surgeons´ standardized nomenclature for congenital heart surgery in a Peruvian hospital.","authors":"Marina Huamán Robles, Samuel Y Kim, Rachel Bernier, Ruht Villarroel Villa, Carlos Carcausto Huamaní, Arnaldo Munive Méndez, Rosina Ruiz Roque, María Isabel Picón Perla, Luis Vera Talledo, Tommy Prado Gómez, Arcelia Reyes Barriga, Corina Céspedes Solano, Víctor Justo Robles Velarde, Celia Mendoza Peltroche, Miriam Gaby Escate, Gloria Bernedo Gómez, José Luis Yovera, Rodrigo López Barreda, Juan Ibla","doi":"10.47487/apcyccv.v6i3.489","DOIUrl":"10.47487/apcyccv.v6i3.489","url":null,"abstract":"<p><strong>Objective: </strong>To describe the process of implementing a congenital heart surgery database at the National Cardiovascular Institute (INCOR) in Peru, adapted to the standardized nomenclature of the Society of Thoracic Surgeons, and to present clinical-surgical outcomes in terms of morbidity and mortality within the framework of comprehensive multidisciplinary care.</p><p><strong>Materials and methods: </strong>A prospective observational study was conducted in three phases: feasibility, database construction, and prospective data collection. Variables were adapted to the institutional context, and the process included a pilot test, strategic planning, multidisciplinary training, role assignment, monitoring, and periodic statistical analysis.</p><p><strong>Results: </strong>A total of 500 consecutive patients were registered between May 2022 and July 2023. Septal defects were the most common surgical indication. The most frequent complications included cardiac dysfunction and arrhythmias. In-hospital mortality was 7.6%. The database incorporated preoperative nutritional and dental assessments. Although 27.2% of the forms were fully completed, the remainder showed limitations such as missing data and the need for additional verification of information across modules.</p><p><strong>Conclusion: </strong>The implementation of a congenital heart surgery registry in Peru is feasible even in a resource-limited setting. This system allows the identification of critical areas for improving care and optimizing clinical outcomes, establishing a foundation for future quality improvement initiatives.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"135-143"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558515","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":"Risk factors for postoperative acute kidney injury after cardiac surgery.","authors":"Ignacio M Piaggio, Juan F Furmento, Juan P Costabel, Daniel Navia, Francisco A Olivares, Alan Sigal, Mariano Vrancic, Fernando Piccinini, Leonardo A Seoane","doi":"10.47487/apcyccv.v6i3.491","DOIUrl":"10.47487/apcyccv.v6i3.491","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the frequency of postoperative acute kidney injury (AKI) following cardiac surgery and to analyse risk factors for its development.</p><p><strong>Materials and methods: </strong>We conducted an observational analytical cohort study using prospective data from adult patients who underwent cardiac surgery between 2003 and 2023 at a high-complexity centre in Argentina. AKI was defined according to KDIGO criteria. Risk factors were assessed using logistic regression.</p><p><strong>Results: </strong>A total of 13,215 patients were analysed, with a mean age of 64 years; most were men (75.7%). The frequency of AKI was 7.3%, with an in-hospital mortality of 4.7%. Independent risk factors included advanced age (OR: 1.05, p<0.001), urgent surgery (OR: 2.87, p<0.001), cardiopulmonary bypass (OR: 1.41, p<0.001), and comorbidities such as chronic obstructive pulmonary disease and preoperative anaemia. Asymptomatic status prior to surgery was identified as a protective factor.</p><p><strong>Conclusions: </strong>The frequency of postoperative AKI is comparable to international registries. The main predictors of risk were age, surgical urgency, and use of cardiopulmonary bypass. Identifying risk factors can improve perioperative prevention and management in cardiac surgery.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"129-134"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558532","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":"[The Hospitalized Patient with Severe Aortic Stenosis].","authors":"Frank W Britto","doi":"10.47487/apcyccv.v6i3.511","DOIUrl":"10.47487/apcyccv.v6i3.511","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"192-194"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558492","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":"[Gender and ethnic disparities in carotid artery disease: experience from a national Peruvian hospital].","authors":"Georgette Vetanzo-Sánchez, Alexander Brioso-Cevallos","doi":"10.47487/apcyccv.v6i3.526","DOIUrl":"10.47487/apcyccv.v6i3.526","url":null,"abstract":"","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"195-196"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558512","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":"Immune checkpoint inhibitor-induced myocarditis: a comprehensive review with clinical case insights.","authors":"María José Santa-Ana-Bayona, Camila Ponce-Acosta, Edgar Quispe-Silvestre, Gilberto H Acosta-Gutiérrez, Alfonso González-Trejo, Hugo A Valencia-Hernández, Enrique C Guerra, Pablo O Alarcón-Toxqui, Karina Martínez-Bañagas, Nilda Espinola-Zavaleta","doi":"10.47487/apcyccv.v6i3.502","DOIUrl":"10.47487/apcyccv.v6i3.502","url":null,"abstract":"<p><p>Immune checkpoint inhibitors (ICIs) have revolutionized cancer therapy by significantly improving long-term outcomes across multiple malignancies. Despite their benefits, ICIs can lead to immune-related adverse events, including rare but severe cardiovascular toxicity such as myocarditis, which can be life-threatening. This comprehensive review aims to explore and discuss the mechanisms, clinical presentation, diagnostic challenges, and management strategies of ICI-induced myocarditis, emphasizing the need for early detection and timely intervention. As the use of ICIs continues to expand, further research is essential to fully elucidate the underlying mechanisms and optimize therapeutic strategies to mitigate this potentially fatal complication while maintaining the efficacy of cancer therapy.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"144-153"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558503","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":"Aortic valve assessment by cardiac tomography: application in clinical practice.","authors":"Danilo Weir-Restrepo, Andrés Sanchez-Muñoz, David Aristizábal-Colorado, Santiago Sierra-Castillo, Andrés Nicolás Arteaga Arellano, María Isabel Carvajal-Vélez, Pedro Abad-Díaz","doi":"10.47487/apcyccv.v6i3.516","DOIUrl":"10.47487/apcyccv.v6i3.516","url":null,"abstract":"<p><p>Aortic valve disease is a highly prevalent and clinically significant condition in the general population. Cardiac computed tomography (CT) has emerged as a widely available imaging modality that provides high-resolution static and dynamic information, enabling comprehensive evaluation of valve anatomy and function. This technique complements echocardiography and other imaging tools, adding incremental value to clinical decision-making. Its principal applications include identifying the etiology of valvular disease, grading severity, and assessing adjacent structures, all of which are critical for therapeutic planning. This non-systematic review synthesizes the evidence on the role of CT in the assessment of the aortic valve, focusing on aortic stenosis, aortic regurgitation, infective endocarditis, and postoperative evaluation. The current body of evidence underscores the expanding role of CT in the integrated diagnosis and longitudinal management of aortic valve disease.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"162-169"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558574","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":"Takotsubo syndrome triggered by a pleasant emotional event: a case report.","authors":"Eder Jonathan Amaro-Palomo, Myles Andrew Laurence-Salinas, Santiago Alba-Valencia, Diego Araiza-Garaygordobil","doi":"10.47487/apcyccv.v6i3.500","DOIUrl":"10.47487/apcyccv.v6i3.500","url":null,"abstract":"<p><p>Takotsubo Syndrome (TTS) is characterized by transient left ventricular dysfunction, often triggered by emotional or physical stress. While negative emotional events are common triggers, positive emotional events can also induce a rare variant known as Happy Heart Syndrome (HHS). This case report describes a 53-year-old male who presented with acute chest pain following a positive emotional stimulus: a birthday call offering him an opportunity to play with his favorite music group. Initial workup suggested an acute myocardial infarction, but coronary angiography revealed no obstruction. Left ventriculography showed the classic apical ballooning pattern of TTS. The patient was diagnosed with HHS. This case underscores the importance of considering positive emotional triggers in the diagnosis of TTS and highlights the need for further research into its diverse presentations and management strategies.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"176-180"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558630","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":"Intramyocardial dissection of the left ventricle and post-myocardial infarction interventricular septal rupture. A clinical case.","authors":"Fernando Manuel Quevedo Candela, Gabriela Guevara Castilla","doi":"10.47487/apcyccv.v6i3.499","DOIUrl":"10.47487/apcyccv.v6i3.499","url":null,"abstract":"<p><p>Clinical case of an 86-year-old male patient presenting with a late anterior myocardial infarction without reperfusion is reported. Initial echocardiographic assessment revealed a rare and complex mechanical complication: intramyocardial dissection of the left ventricular apex associated with interventricular septal rupture. Given the severity of the condition, an urgent surgical intervention was undertaken using a bovine pericardial patch. Although the initial postoperative course was favourable, multiple subsequent complications ultimately led to the patient's death from ventricular arrhythmia on day 50th of hospitalisation. This report underscores the importance of timely diagnosis and multidisciplinary management of this rare clinical entity.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"170-175"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558540","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":"Recommendations for the management of ST-elevation myocardial infarction after reperfusion.","authors":"Frank W Britto","doi":"10.47487/apcyccv.v6i3.508","DOIUrl":"10.47487/apcyccv.v6i3.508","url":null,"abstract":"<p><p>The management of ST-segment elevation myocardial infarction (STEMI) after reperfusion requires critical decision-making in patients with multivessel disease (MVD), acute heart failure, and left ventricular (LV) thrombus. Complete revascularisation of non-culprit lesions ≥70% is recommended either during the index procedure or within the first 19 days, particularly in haemodynamically stable patients. Coronary artery bypass grafting is indicated for high-risk anatomy or complex lesions following successful percutaneous coronary intervention, where a hybrid approach may combine percutaneous intervention with surgery, and timing should be adjusted according to whether a stent was implanted. Post-infarction heart failure, which occurs in 28-31% of cases, requires urgent management; continuous monitoring and timely intervention can reduce complications. In patients with cardiogenic shock or mechanical complications, intra-aortic balloon pump support and inotropes may be necessary. Right ventricular infarction is managed with volume resuscitation, urgent revascularisation, and, when required, pharmacological support or pacing. LV thrombus, more frequent after anterior infarction with LVEF <50%, mandates early detection by echocardiography and/or tomography, and prompt anticoagulation, preferably with warfarin, with triple therapy considered in patients at high thrombotic risk. This manuscript outlines recommendations to optimise prognosis through early, evidence-based, and individualised interventions.</p>","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"6 3","pages":"154-161"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558524","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}