{"id":35258,"date":"2015-11-29T18:08:01","date_gmt":"2015-11-29T17:08:01","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35258"},"modified":"2015-11-29T18:08:02","modified_gmt":"2015-11-29T17:08:02","slug":"cirugia-tricuspide-nuevos-conceptos","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cirugia-tricuspide-nuevos-conceptos\/","title":{"rendered":"Cirug\u00eda tric\u00faspide. Nuevos conceptos"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Cirug\u00eda tric\u00faspide. Nuevos conceptos<\/strong><\/h1>\n<p style=\"text-align: justify;\">Otero Forero, Juan Jos\u00e9 (1); Rodr\u00edguez Caulo, Emiliano (1); S\u00e1nchez Esp\u00edn, Gemma (1); Matar\u00f3 L\u00f3pez, Mar\u00eda Jos\u00e9 (1); Porras Mart\u00edn, Carlos (1); Such Mart\u00ednez, Miguel (1); Melero Tejedor, Jos\u00e9 Mar\u00eda (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Universitario Virgen De La Victoria (1)<\/p>\n<p style=\"text-align: justify;\">JUSTIFICACI\u00d3N: Tradicionalmente la patolog\u00eda tric\u00faspide se asocia a morbi-mortalidad importante. Las nuevas alternativas en el manejo peri e intraoperatorio han mejorado los resultados en los \u00faltimos tiempos.<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODOS: Se presenta una serie de 24 pacientes (9 hombres\/15 mujeres) intervenidos en nuestro centro entre 2012 y la actualidad de patolog\u00eda tric\u00faspide aislada.<\/p>\n<p style=\"text-align: justify;\">La indicaci\u00f3n m\u00e1s frecuente fue la insuficiencia (21 pacientes), encontrando dilataci\u00f3n ventricular derecha en 16 pacientes e hipertensi\u00f3n pulmonar en 13 pacientes, recibiendo tratamiento preoperatorio con levosimendan. 17 pacientes estaban intervenidos previamente.<\/p>\n<p style=\"text-align: justify;\">En 18 pacientes se implantaron pr\u00f3tesis biol\u00f3gica y en otros 6 se realiz\u00f3 reparaci\u00f3n. Tres pacientes se abordaron por minitoracotom\u00eda derecha. 14 pacientes se intervinieron sin isquemia.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: No encontramos mortalidad en la seria. Como complicaciones encontramos 3 casos de bajo gasto, 1 insuficiencia renal aguda y una fibrilaci\u00f3n auricular postoperatoria.<\/p>\n<p style=\"text-align: justify;\">La estancia postoperatoria media fue de 9 d\u00edas.<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: Alternativas como el preacondicionamiento con levosimendan, la cirug\u00eda sin isquemia o los abordajes m\u00ednimamente invasivos han permitido implementar los resultados esta cirug\u00eda, permitiendo un abordaje m\u00e1s seguro de estos pacientes.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES ORALES CORTAS \u2013 OC-11<\/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>Cirug\u00eda tric\u00faspide. Nuevos conceptos Otero Forero, Juan Jos\u00e9 (1); Rodr\u00edguez Caulo, Emiliano (1); S\u00e1nchez Esp\u00edn, Gemma (1); Matar\u00f3 L\u00f3pez, Mar\u00eda Jos\u00e9 (1); Porras Mart\u00edn, Carlos (1); Such Mart\u00ednez, Miguel (1); Melero Tejedor, Jos\u00e9 Mar\u00eda (1) Hospital Universitario Virgen De La Victoria (1) JUSTIFICACI\u00d3N: Tradicionalmente la patolog\u00eda tric\u00faspide se asocia a morbi-mortalidad importante. Las nuevas alternativas &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Cirug\u00eda tric\u00faspide. Nuevos conceptos\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cirugia-tricuspide-nuevos-conceptos\/#more-35258\" aria-label=\"Leer m\u00e1s sobre Cirug\u00eda tric\u00faspide. Nuevos conceptos\">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-35258","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>Cirug\u00eda tric\u00faspide. Nuevos conceptos<\/title>\n<meta name=\"description\" content=\"Cirug\u00eda tric\u00faspide. 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