{"id":35220,"date":"2015-11-29T17:18:54","date_gmt":"2015-11-29T16:18:54","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35220"},"modified":"2015-11-29T17:19:00","modified_gmt":"2015-11-29T16:19:00","slug":"cirugia-de-arco-aortico-a-corazon-latiendo","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cirugia-de-arco-aortico-a-corazon-latiendo\/","title":{"rendered":"Cirug\u00eda de arco a\u00f3rtico a coraz\u00f3n latiendo"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Cirug\u00eda de arco a\u00f3rtico a coraz\u00f3n latiendo<\/strong><\/h1>\n<p style=\"text-align: justify;\">Gil-Jaurena, Juan Miguel (1); Gonz\u00e1lez-L\u00f3pez, Mar\u00eda Teresa (1); Pita, Ana (1); P\u00e9rez-Caballero, Ram\u00f3n (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Gregorio Mara\u00f1\u00f3n. Madrid (1)<\/p>\n<p style=\"text-align: justify;\">OBJETIVOS: La reparaci\u00f3n del arco a\u00f3rtico en ni\u00f1os evolucion\u00f3 desde la parada circulatoria en hipotermia profunda hacia la perfusi\u00f3n cerebral. Un paso m\u00e1s es la perfusi\u00f3n cerebral-mioc\u00e1rdica simult\u00e1nea, permitiendo cirug\u00eda de arco a coraz\u00f3n latiendo.<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODOS: Dos c\u00e1nulas (cerebral y coronaria) son conectadas a la l\u00ednea arterial. A 25\u00baC, reparamos el arco a coraz\u00f3n latiendo. Para la fase intracardiaca, administramos cardioplegia por la c\u00e1nula coronaria. Recogemos 27 procedimientos (20 neonatos). Todos presentaban coartaci\u00f3n m\u00e1s hipoplasia de arco, adem\u00e1s de: cor triatriatum (3), comunicaci\u00f3n interventricular (4), comunicaci\u00f3n interauricular (2), transposici\u00f3n de grandes vasos (4), canal parcial (1), hipoplasia izquierda (5), estenosis a\u00f3rtica (2).<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: La circulaci\u00f3n extracorp\u00f3rea fue de 168 minutos (rango 93-292), con perfusi\u00f3n cerebral-mioc\u00e1rdica selectiva de 39 minutos (rango 18-50) e isquemia coronaria de 30 minutos (rango 0-93). En 6 pacientes se realiz\u00f3 el procedimiento completo a coraz\u00f3n latiendo. El seguimiento es de 15 meses (rango 1-26). 1 paciente falleci\u00f3 en el postoperatorio, 1 fue trasplantado dos meses despu\u00e9s, 1 precis\u00f3 angioplastia por re-coartaci\u00f3n.<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: La perfusi\u00f3n cerebral-mioc\u00e1rdica selectiva es factible y simple de reconvertir a cardioplegia convencional. Permite disminuir el tiempo de isquemia coronaria en casos complejos, siendo de cero en la cirug\u00eda de arco aislada.<\/p>\n<p style=\"text-align: justify;\">COMUNICACIONES ORALES. ORAL &#8211; 2<\/p>\n<p style=\"text-align: justify;\">XIII CONGRESO DE LA SOCIEDAD ANDALUZA DE CIRUG\u00cdA CARDIOVASCULAR (SACCV). Granada, 24, 25 y 26 de Septiembre de 2015<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cirug\u00eda de arco a\u00f3rtico a coraz\u00f3n latiendo Gil-Jaurena, Juan Miguel (1); Gonz\u00e1lez-L\u00f3pez, Mar\u00eda Teresa (1); Pita, Ana (1); P\u00e9rez-Caballero, Ram\u00f3n (1) Hospital Gregorio Mara\u00f1\u00f3n. Madrid (1) OBJETIVOS: La reparaci\u00f3n del arco a\u00f3rtico en ni\u00f1os evolucion\u00f3 desde la parada circulatoria en hipotermia profunda hacia la perfusi\u00f3n cerebral. Un paso m\u00e1s es la perfusi\u00f3n cerebral-mioc\u00e1rdica simult\u00e1nea, permitiendo &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Cirug\u00eda de arco a\u00f3rtico a coraz\u00f3n latiendo\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cirugia-de-arco-aortico-a-corazon-latiendo\/#more-35220\" aria-label=\"Leer m\u00e1s sobre Cirug\u00eda de arco a\u00f3rtico a coraz\u00f3n latiendo\">Leer m\u00e1s<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[46],"tags":[6651,6652],"class_list":["post-35220","post","type-post","status-publish","format-standard","hentry","category-cirugia-cardiovascular","tag-arco-aortico","tag-corazon-latiendo","no-featured-image-padding"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cirug\u00eda de arco a\u00f3rtico a coraz\u00f3n latiendo<\/title>\n<meta name=\"description\" content=\"Cirug\u00eda de arco a\u00f3rtico a coraz\u00f3n latiendo Gil-Jaurena, Juan Miguel (1); 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