{"id":35244,"date":"2015-11-29T17:47:35","date_gmt":"2015-11-29T16:47:35","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35244"},"modified":"2015-11-29T17:47:36","modified_gmt":"2015-11-29T16:47:36","slug":"endocarditis-valvula-aortica-bicuspide","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/endocarditis-valvula-aortica-bicuspide\/","title":{"rendered":"Endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide: caracter\u00edsticas cl\u00ednicas, complicaciones y pron\u00f3stico"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide: caracter\u00edsticas cl\u00ednicas, complicaciones y pron\u00f3stico<\/strong><\/h1>\n<p style=\"text-align: justify;\">Becerra Mu\u00f1oz, V\u00edctor Manuel (1); S\u00e1nchez Esp\u00edn, Gema (1); Guijarro Contreras, Ana (1); Robles Fuentes, Ainhoa (1); L\u00f3pez Garrido, Miguel Antonio (1); Cardila Cruz, Mar\u00eda Pilar (1); Robledo Carmona, Juan (1); Garc\u00eda L\u00f3pez, Victoria (1); G\u00f3mez Doblas, Juan Jos\u00e9 (1); Ru\u00edz Morales, Josefa (1); Rodr\u00edguez Bail\u00f3n, Isabel (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Universitario Virgen de la Victoria (1)<\/p>\n<p style=\"text-align: justify;\">JUSTIFICACI\u00d3N: La v\u00e1lvula a\u00f3rtica bic\u00faspide (VAB) es la malformaci\u00f3n card\u00edaca cong\u00e9nita m\u00e1s frecuente. Nuestro objetivo fue determinar el impacto de la v\u00e1lvula a\u00f3rtica bic\u00faspide sobre perfil cl\u00ednico, complicaciones y mortalidad en los pacientes con endocarditis infecciosa (EI) sobre V\u00e1lvula A\u00f3rtica Nativa (VAoNat).<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODOS: Estudio prospectivo que incluy\u00f3 los ingresos por endocarditis infecciosa sobre V\u00e1lvula A\u00f3rtica Nativa entre Enero 96- Diciembre \u00b414. Analizamos datos epidemiol\u00f3gicos, cl\u00ednicos, microbiol\u00f3gicos, ecocardiogr\u00e1ficos, quir\u00fargicos, complicaciones, mortalidad intrahospitalaria y a 1 a\u00f1o.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: De 328 ingresos por endocarditis infecciosa, 118 fueron sobre VAoNat (35.67%). Se registr\u00f3 la morfolog\u00eda de la v\u00e1lvula en 111, presentando VAB 18 (16.22%). Comparados con endocarditis infecciosa sobre V\u00e1lvula A\u00f3rtica Tric\u00faspide (VAT) (n=93), fueron m\u00e1s j\u00f3venes (51\u00b119.1vs.60.8\u00b115.7, p=0.021), tuvieron menor comorbilidad (Charlson 0.67\u00b10.8vs.1.44\u00b11.6, p=0.03) y presentaron m\u00e1s complicaciones perivalvulares (55.6vs.16.1%, p=0.001). Se realiz\u00f3 ecocardiograma transesof\u00e1gico a m\u00e1s pacientes con BAV (88.2vs.59.1%, p=0.027), y existi\u00f3 mayor tendencia a etiolog\u00eda estafiloc\u00f3cica (38.9vs.21.5%, p=0.137). Se operaron m\u00e1s durante el ingreso (83.3vs.44.1%, p=0.004), la mayor\u00eda \u201csin demora\u201d (66.7vs.41.3%, p=0.069). La mortalidad intrahospitalaria fue menor (5.6vs.25.8%, p=0.069), y la supervivencia al a\u00f1o superior (93.8vs.69.3%, p=0.048).<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: Los pacientes con endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide tuvieron menor edad y comorbilidad frente a V\u00e1lvula A\u00f3rtica Tric\u00faspide. Presentaron m\u00e1s complicaciones perianulares, requiriendo m\u00e1s cirug\u00eda durante el ingreso. La mortalidad intrahospitalaria y a 1 a\u00f1o fueron menores.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES ORALES CORTAS \u2013 OC-4<\/strong><\/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>Endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide: caracter\u00edsticas cl\u00ednicas, complicaciones y pron\u00f3stico Becerra Mu\u00f1oz, V\u00edctor Manuel (1); S\u00e1nchez Esp\u00edn, Gema (1); Guijarro Contreras, Ana (1); Robles Fuentes, Ainhoa (1); L\u00f3pez Garrido, Miguel Antonio (1); Cardila Cruz, Mar\u00eda Pilar (1); Robledo Carmona, Juan (1); Garc\u00eda L\u00f3pez, Victoria (1); G\u00f3mez Doblas, Juan Jos\u00e9 (1); Ru\u00edz Morales, Josefa (1); &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide: caracter\u00edsticas cl\u00ednicas, complicaciones y pron\u00f3stico\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/endocarditis-valvula-aortica-bicuspide\/#more-35244\" aria-label=\"Leer m\u00e1s sobre Endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide: caracter\u00edsticas cl\u00ednicas, complicaciones y pron\u00f3stico\">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":[],"class_list":["post-35244","post","type-post","status-publish","format-standard","hentry","category-cirugia-cardiovascular","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>Endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide: caracter\u00edsticas cl\u00ednicas, complicaciones y pron\u00f3stico<\/title>\n<meta name=\"description\" content=\"Endocarditis infecciosa sobre v\u00e1lvula a\u00f3rtica bic\u00faspide: caracter\u00edsticas cl\u00ednicas, complicaciones y pron\u00f3stico Becerra Mu\u00f1oz, V\u00edctor Manuel (1); 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